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National Quality Forum 30 Safe Practices: Priority and Progress in Iowa Hospitals

Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP), Iowa City VA Medical Center; Department of Health Management and Policy, University of Iowa, 200 Hawkins Drive, E210GH, Iowa City, IA 52242-1008 marcia-m-ward{at}uiowa.edu

Thomas C. Evans, MD

Iowa Healthcare Collaborative, Des Moines.

Arthur J. Spies, MM

Iowa Hospital Association, Des Moines.

Lance L. Roberts, MS

Douglas S. Wakefield, PhD

Department of Health Management and Policy, University of Iowa, Iowa City.

The National Quality Forum (NQF) recently released a list of "30 Safe Practices" thatwere identified as relevant for all hospitals. The purpose of the present analysis was to assess hospitals' perceptions of each of the NQF 30 Safe Practices in terms of priority and progress. One hundred of Iowa's hospitals (86%) completed a survey. The highest progress ratings were for items involving hand washing, unit-dose medication dispensing, influenza vaccinations, implementing protocols to prevent wrong-site procedures, and standardized methods for labeling and storing medications. The lowest progress ratings were for intensive care units staffed by intensivists and implementing a computerized provider order entry system. Overall, safe practices that have been recommended for some time had higher priority and progress ratings. Most safe practices were equally endorsed by large and small hospitals, suggesting that the NQF goal of identifying safe hospital practices may be attainable for most of the safe practices.

Key Words: NQF 30 Safe Practices • patient safety • hospitals

American Journal of Medical Quality, Vol. 21, No. 2, 101-108 (2006)
DOI: 10.1177/1062860605284523


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