RT Journal
A1 Glance LG, Dick AW, Osler TM, et al
T1 RElationship between leapfrog safe practices survey and outcomes in trauma
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD October 1
VO 146
IS 10
SP 1170
OP 1177
DO 10.1001/archsurg.2011.247
UL http://dx.doi.org/10.1001/archsurg.2011.247
AB Objective 
                  To examine the association between hospital self-reported compliance with the National Quality Forum patient safety practices and trauma outcomes in a nationally representative sample of level I and level II trauma centers.Design 
                  Retrospective cohort study using the Nationwide Inpatient Sample. Setting 
                  Level I and level II trauma centers. Patients 
                  Trauma patients.Main Outcome Measures 
                  Multivariate logistic regression models were estimated to examine the association between clinical outcomes (in-hospital mortality and hospital-associated infections) and the National Quality Forum patient safety practices. We controlled for patient demographic characteristics, injury severity, mechanism of injury, comorbidities, and hospital characteristics.Results 
                  The total score on the Leapfrog Safe Practices Survey was not associated with either mortality (adjusted odds ratio [aOR], 0.92; 95% confidence interval [CI], 0.79-1.06) or hospital-associated infections (1.03; 0.82-1.29). Full implementation of computerized physician order entry was not associated with reduced mortality (aOR, 1.03; 95% CI, 0.75-1.42) or with a lower risk of hospital-associated infections (0.94; 0.57-1.56). Full implementation of intensive care unit physician staffing was also not predictive of mortality (aOR, 1.13; 95% CI, 0.90-1.28) or of hospital-associated infections (1.04; 0.76-1.42).Conclusion 
                  In this nationally representative sample of level I and level II trauma centers, we were unable to detect evidence that hospitals reporting better compliance with the National Quality Forum patient safety practices had lower mortality or a lower incidence of hospital-associated infections.