Patient Safety

Contents:

Research conducted by: RAND Health

All Items (76)

REPORT

Focus on Health Information Technology — Mar 30, 2012

For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care.

COMMENTARY

Using Patient Surveys to Rate Hospitals — Mar 22, 2012

Hospitals that perform better on the survey tend to do better on clinical measures, have fewer readmissions within 30 days and have lower risk-adjusted mortality, write Marc Elliott and Alan Zaslavsky.

JOURNAL ARTICLE

Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment — Feb 1, 2012

Examines net costs to teaching hospitals and cost-effectiveness to society across a range of hypothetical changes in preventable adverse events (PAEs).

JOURNAL ARTICLE

Multiple Patient Safety Events Within a Single Hospitalization: A National Profile in US Hospitals — Jan 1, 2012

Examines co-occurrence of iatrogenic events in US hospitals. Using Agency for Healthcare Research and Quality patient safety indicators (PSIs), the authors defined multiple patient safety events (MPSEs) as the occurrence of multiple PSIs during a single hospitalization.

RESEARCH BRIEF

Most Physicians Will Face Malpractice Claims, But Risk of Making Payment Is Low — Sep 16, 2011

The most comprehensive analysis of the risk of malpractice claims by physician specialty in more than two decades finds that U.S. physicians have a greater than 75% career-long risk of facing litigation. In some specialties, doctors can be virtually certain of a lawsuit over the course of their careers. However, the vast majority of those claims will not result in payment to a plaintiff.

PERIODICAL

RAND Health Quarterly, Vol. 1 No. 1 — Sep 9, 2011

RAND Health Quarterly is an online journal sharing the results of recent RAND research areas across a broad spectrum of health-related issues.

REPORT

How Do Quality Improvement Interventions Succeed? Archetypes of Success and Failure — Aug 29, 2011

The goal of this analysis was to ascertain the predominant themes and patterns likely to be associated with producing successful health care quality improvement interventions (QIIs).

JOURNAL ARTICLE

Malpractice Risk According to Physician Specialty — Aug 17, 2011

The likelihood of malpractice suits and the size of indemnity payments vary across specialties, but by age 65, 75% of physicians in low-risk specialties had faced a malpractice claim, as compared with 99% of physicians in high-risk specialties.

COMMENTARY

Clinical Decision Support and Malpractice Risk — Jul 6, 2011

From the standpoint of policy makers, the basic challenge is to ensure that liability concerns do not derail the clinical value of new CDS technology, write Michael Greenberg and M. Susan Ridgely.

JOURNAL ARTICLE

What Context Features Might Be Important Determinants of the Effectiveness of Patient Safety Practice Interventions? — Jun 30, 2011

Four domains of contextual features seem important for implementing patient safety practices: safety culture and teamwork, structural organization, external factors such as regulation, and availability of implementation and management tools.

JOURNAL ARTICLE

Using Information Mining of the Medical Literature to Improve Drug Safety — May 4, 2011

Results from large-scale literature retrieval and analysis (literature mining) compared favorably with and could complement current drug safety methods.

JOURNAL ARTICLE

The Role of Theory in Research to Develop and Evaluate the Implementation of Patient Safety Practices — Apr 30, 2011

Describing the theoretical basis for understanding why a given patient safety intervention works would help efforts to generalize evaluation results from one context to another.

JOURNAL ARTICLE

How Does Context Affect Interventions to Improve Patient Safety? An Assessment of Evidence from Studies of Five Patient Safety Practices and Proposals for Research — Dec 31, 2010

This study concluded that little evidence exists about the influence of context on patient safety interventions, but found significant gaps in the research that should be addressed by future work.

JOURNAL ARTICLE

How event reporting by US hospitals has changed from 2005 to 2009 — Dec 31, 2010

This article describes the performance of hospitals' adverse-event reporting systems and the effects of national patient-safety initiatives, including the Patient Safety and Quality Improvement Act of 2005.

JOURNAL ARTICLE

Advancing the Science of Patient Safety — Dec 31, 2010

This article describes findings from a group of experts assembled to help improve the science of patient safety.

JOURNAL ARTICLE

Racial and Ethnic Disparities in Uptake and Location of Vaccination for 2009-H1n1 and Seasonal Influenza — Dec 31, 2010

This article describes findings from a group of experts assembled to help improve the science of patient safety..

JOURNAL ARTICLE

A Framework for Classifying Patient Safety Practices: Results from an Expert Consensus Process — Dec 31, 2010

This article describes a theoretical framework, derived from the literature, for classifying diverse patient safety practices.

JOURNAL ARTICLE

Safety of Probiotics to Reduce Risk and Prevent or Treat Disease — Dec 31, 2010

The existing scientific literature does not adequately address questions about the safety of probiotics.

JOURNAL ARTICLE

Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria — Nov 30, 2010

This report addresses the need for clearer understanding of the evidence base regarding the effectiveness and context-sensitivity of patient safety practices and presents recommendations for future research on this topic.

REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units — Oct 7, 2010

To learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements in their teamwork practices over a one-year period. They identified some key factors required by any given strategy for teamwork improvement but no standard template for implementation.

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Researcher Spotlight

Saba Hinrichs

Analyst

Saba Hinrichs

Saba Hinrichs is an analyst at RAND Europe. She has an engineering background and completed her Ph.D. in engineering design at the University of Cambridge, focussing on medical device evaluation and acquisition in hospitals. Prior to joining RAND, she worked on the Collaboration for Leadership…

Amelia M. Haviland

Adjunct

Amelia M. Haviland

Amelia Haviland is a statistician at RAND. Her research focuses on quality measurement, causal analysis with observational data, and analysis of longitudinal and complex survey data applied to health, educational, and economic outcomes. Examples of her recent work include evaluating AHRQ's…

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