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Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States.
J Patient Saf. 2020 Mar 25 [Online ahead of print]JP

Abstract

OBJECTIVE

The aim of the study was to investigate the association between hospitals' nursing excellence accreditation and patient safety performance-measured by the Hospital-Acquired Conditions Reduction Program (HACRP).

METHODS

We linked data from the American Nursing Credentialing Center Magnet Recognition Program, Centers for Medicare and Medicaid Services HACRP, and the American Hospital Association annual survey from 2014 to 2016. We constrained the analysis to hospitals participating in Centers for Medicare and Medicaid Services' HACRP and deployed propensity score matching models to calculate the coefficients for our HACRP patient safety measures. These measures consisted of (a) patient safety indicator 90, (b) hospital-associated infection measures, and (c) total HAC scores. In addition, we used propensity score matching to assess HACRP scores between hospitals achieving Magnet recognition in the past 2 versus longer and within the past 5 years versus longer.

RESULTS

Our primary findings indicate that Magnet hospitals have an increased likelihood of experiencing lower patient safety indicator 90 scores, higher catheter-associated urinary tract infection and surgical site infection scores, and no different total HAC scores. Finally, when examining the impact of Magnet tenure, our analysis revealed that there were no differences in Magnet tenure.

CONCLUSIONS

Results indicate that the processes, procedures, and educational aspects associated with Magnet recognition seem to provide important improvements associated with care that is controlled by nursing practice. However, because these improvements do not differ when comparing total HAC scores nor Magnet hospitals with different tenure, there are likely opportunities for Magnet hospitals to continue process improvements focused on HACRP scores.

Authors+Show Affiliations

From the Department of Health Administration, Brooks College of Health, University of North Florida.Department of Health Sciences Research, Division of Health Care Policy, and Research, Mayo Clinic Robert D., and Patricia E. Kern, Center for the Science of Health Care Delivery, Mayo Clinic.Bachelor of Health Administration Program, Books College of Health, University of North Florida.From the Department of Health Administration, Brooks College of Health, University of North Florida.From the Department of Health Administration, Brooks College of Health, University of North Florida.Department of Transplantation Medicine, Mayo Clinic, Jacksonville, Florida.Department of Community Health Sciences Affiliate, W21C Research and Innovation Centre, O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.Department of Health Sciences Research, Division of Health Care Policy, and Research, Mayo Clinic Robert D., and Patricia E. Kern, Center for the Science of Health Care Delivery, Mayo Clinic.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32217925

Citation

Hamadi, Hanadi, et al. "Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States." Journal of Patient Safety, 2020.
Hamadi H, Borkar SR, Dha LM, et al. Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States. J Patient Saf. 2020.
Hamadi, H., Borkar, S. R., Dha, L. M., Tafili, A., Wilkes, J. S., Moreno Franco, P., McCaughey, D., & Spaulding, A. (2020). Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000628
Hamadi H, et al. Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States. J Patient Saf. 2020 Mar 25; PubMed PMID: 32217925.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hospital-Acquired Conditions Reduction Program, Patient Safety, and Magnet Designation in the United States. AU - Hamadi,Hanadi, AU - Borkar,Shalmali R, AU - Dha,LaRee Moody, AU - Tafili,Aurora, AU - Wilkes,J Scott, AU - Moreno Franco,Pablo, AU - McCaughey,Deirdre, AU - Spaulding,Aaron, Y1 - 2020/03/25/ PY - 2020/3/29/entrez JF - Journal of patient safety JO - J Patient Saf N2 - OBJECTIVE: The aim of the study was to investigate the association between hospitals' nursing excellence accreditation and patient safety performance-measured by the Hospital-Acquired Conditions Reduction Program (HACRP). METHODS: We linked data from the American Nursing Credentialing Center Magnet Recognition Program, Centers for Medicare and Medicaid Services HACRP, and the American Hospital Association annual survey from 2014 to 2016. We constrained the analysis to hospitals participating in Centers for Medicare and Medicaid Services' HACRP and deployed propensity score matching models to calculate the coefficients for our HACRP patient safety measures. These measures consisted of (a) patient safety indicator 90, (b) hospital-associated infection measures, and (c) total HAC scores. In addition, we used propensity score matching to assess HACRP scores between hospitals achieving Magnet recognition in the past 2 versus longer and within the past 5 years versus longer. RESULTS: Our primary findings indicate that Magnet hospitals have an increased likelihood of experiencing lower patient safety indicator 90 scores, higher catheter-associated urinary tract infection and surgical site infection scores, and no different total HAC scores. Finally, when examining the impact of Magnet tenure, our analysis revealed that there were no differences in Magnet tenure. CONCLUSIONS: Results indicate that the processes, procedures, and educational aspects associated with Magnet recognition seem to provide important improvements associated with care that is controlled by nursing practice. However, because these improvements do not differ when comparing total HAC scores nor Magnet hospitals with different tenure, there are likely opportunities for Magnet hospitals to continue process improvements focused on HACRP scores. SN - 1549-8425 UR - https://www.unboundmedicine.com/medline/citation/32217925/Hospital_Acquired_Conditions_Reduction_Program_Patient_Safety_and_Magnet_Designation_in_the_United_States_ L2 - https://doi.org/10.1097/PTS.0000000000000628 DB - PRIME DP - Unbound Medicine ER -
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