Table 4: Top ten improvement topics ranked by frequency of “very important” rating ( ).

Improvement topic (ranked highest to lowest) (%) rating
“very important”

Handoffs and transitions across healthcare settings 414 (74)
Integration of best practices into clinical routines 408 (73)
Culture of patient safety386 (69)
Evidence-based practice in clinical care381 (68)
Prevention of targeted patient safety incidents381 (68)
Reliable metrics for measuring improvement364 (65)
Adoption of best practices336 (60)
Integration of technology applications into clinical care325 (58)
Baseline and follow-up measures to assess impact of improvement325 (58)
Handoffs and transitions within the hospital319 (57)