This study systematically reviewed the evidence on the effectiveness, diagnostic accuracy, and harms of colonoscopy, flexible sigmoidoscopy, computed tomographic colonography, and stool tests for colorectal cancer screening.
Comparative modeling of colorectal cancer screening methods for previously unscreened adults found that the use of four strategies over different intervals between the ages of 50 and 75 years yielded a comparable balance of benefit and burden.
This report describes the design, development, and testing of the Health Care Safety Hotline, a prototype consumer reporting system for patient safety events. The reports obtained by the system provided useful information, but report volume was low.
Claims data analysis suggests that physicians may be identifying more patients in the coding system as being at high risk of complications from some outpatient procedures in order to ensure payment for anesthesia services.
Big proposals to rein in health care spending in the United States have encountered stiff political and organizational resistance. But adopting a combination of smaller ideas could save the U.S. health care system a total of up to $26 billion a year.
Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.
The objectives of this study were to assess variation in safety and teamwork climate and in the neonatal intensive care unit (NICU) setting, and compare measurement of safety culture scales using two different instruments (Safety Attitudes Questionnaire (SAQ) and Hospital Survey on Patient Safety Culture (HSOPSC)).
Safety problems with artificial knees and hips, including product recalls, highlight the need for more patient-centered research. RAND has partnered with CreakyJoints in a project intended to train a group of patients to get involved in research on this topic.
This Perspective revisits an earlier critique of ProPublica's Surgeon Scorecard and explains in detail why ProPublica's subsequent rebuttal of our work fails to address our methodological concerns about the Surgeon Scorecard.
There is no tradeoff between recognizing the serious methodological problems in the ProPublica Surgeon Scorecard, improving the Scorecard, and encouraging providers to release their own data. All three can and should be done simultaneously.
ProPublica's Surgeon Scorecard displays "Adjusted Complication Rates" for named surgeons for eight surgical procedures performed in hospitals. This perspective critiques the methods of the Scorecard and identifies opportunities for improvement.
To develop and test the psychometric properties of two new survey scales aiming to measure the extent to which the clinical environment supports speaking up about (a) patient safety concerns and (b) unprofessional behavior.
Antibiotic treatment decisions for medically complex patients are complicated, as the risk of undertreatment may be severe, whereas overtreatment may be associated with adverse effects and the emergence of antibiotic resistant pathogens.