RAND Research Topic: Patient Safety 2012-05-24T14:57:25Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/patient-safety.html Focus on Health Information Technology http://www.rand.org/pubs/corporate_pubs/CP639z4-2012-03.html Mar 30, 2012 Mar 30, 2012 For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care. Using Patient Surveys to Rate Hospitals http://www.rand.org/commentary/2012/03/22/NYT.html Mar 22, 2012 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. Cost Implications of ACGME's 2011 Changes to Resident Duty Hours and the Training Environment http://www.rand.org/pubs/external_publications/EP20120081.html Feb 1, 2012 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). Multiple Patient Safety Events Within a Single Hospitalization: A National Profile in US Hospitals http://www.rand.org/pubs/external_publications/EP20120096.html Jan 1, 2012 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. Most Physicians Will Face Malpractice Claims, But Risk of Making Payment Is Low http://www.rand.org/pubs/research_briefs/RB9610.html Sep 16, 2011 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. RAND Health Quarterly, Vol. 1 No. 1 http://www.rand.org/pubs/periodicals/health-quarterly.html Sep 9, 2011 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. How Do Quality Improvement Interventions Succeed? Archetypes of Success and Failure http://www.rand.org/pubs/rgs_dissertations/RGSD282.html Aug 29, 2011 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). Malpractice Risk According to Physician Specialty http://www.rand.org/pubs/external_publications/EP201100158.html Aug 17, 2011 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. Clinical Decision Support and Malpractice Risk http://www.rand.org/commentary/2011/07/06/JAMA.html Jul 6, 2011 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. What Context Features Might Be Important Determinants of the Effectiveness of Patient Safety Practice Interventions? http://www.rand.org/pubs/external_publications/EP201100220.html Jun 30, 2011 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. Using Information Mining of the Medical Literature to Improve Drug Safety http://www.rand.org/pubs/external_publications/EP20110088.html May 4, 2011 May 4, 2011 Results from large-scale literature retrieval and analysis (literature mining) compared favorably with and could complement current drug safety methods. The Role of Theory in Research to Develop and Evaluate the Implementation of Patient Safety Practices http://www.rand.org/pubs/external_publications/EP201100192.html Apr 30, 2011 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. How Does Context Affect Interventions to Improve Patient Safety? An Assessment of Evidence from Studies of Five Patient Safety Practices and Proposals for Research http://www.rand.org/pubs/external_publications/EP20110098.html Dec 31, 2010 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. How event reporting by US hospitals has changed from 2005 to 2009 http://www.rand.org/pubs/external_publications/EP201100217.html Dec 31, 2010 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. Advancing the Science of Patient Safety http://www.rand.org/pubs/external_publications/EP201100100.html Dec 31, 2010 Dec 31, 2010 This article describes findings from a group of experts assembled to help improve the science of patient safety. Racial and Ethnic Disparities in Uptake and Location of Vaccination for 2009-H1n1 and Seasonal Influenza http://www.rand.org/pubs/external_publications/EP20110097.html Dec 31, 2010 Dec 31, 2010 This article describes findings from a group of experts assembled to help improve the science of patient safety.. A Framework for Classifying Patient Safety Practices: Results from an Expert Consensus Process http://www.rand.org/pubs/external_publications/EP201100106.html Dec 31, 2010 Dec 31, 2010 This article describes a theoretical framework, derived from the literature, for classifying diverse patient safety practices. Safety of Probiotics to Reduce Risk and Prevent or Treat Disease http://www.rand.org/pubs/external_publications/EP20110095.html Dec 31, 2010 Dec 31, 2010 The existing scientific literature does not adequately address questions about the safety of probiotics. Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria http://www.rand.org/pubs/external_publications/EP201000189.html Nov 30, 2010 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. Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units http://www.rand.org/pubs/technical_reports/TR842.html Oct 7, 2010 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.