The gap between the care patients should get and what they actually receive likely contributes to thousands of preventable deaths each year, and health care systems worldwide continue to face the challenge of delivering quality care at an affordable cost. RAND has conducted research designed to measure and improve health care quality and to provide reliable decision support data to patients, providers, and purchasers.
A small percentage of patients die during hospitalization or shortly thereafter. More or better nursing care may be able to prevent some of these deaths. However, stronger conclusions are impossible until research evaluates an intentional change in nurse staffing to improve patient outcomes.
In this chapter, we present the PBOA instruments that have been used to determine outcomes in acupuncture clinical research, and highlight measures that are feasible, practical, economical, reliable, valid, and responsive to clinical change.
The objective of this study was to describe our experience in reducing quality-of-care disparities among Puerto Rican children with asthma by adapting 2 existing evidence-based asthma interventions.
Providing care in groups, using non-face-to-face formats, and adding a developmental specialist can increase the effectiveness and efficiency of well-child care.
The purpose of this updated review is to reassess the benefits and harms of fall prevention programs in acute care settings and to identify factors associated with successful implementation of these programs.
This paper describes the first phase of a three-phase effort to conduct an evidence-based assessment of patient safety strategies. The paper describes a framework for reviewing existing studies and prospectively evaluating new studies of the implementation of patient safety practices.
The authors redesigned an electronic clinical reminder to improve identification and management of Veterans at high risk for falls, and piloted the reminder in 3 Veterans Health Administration community-based outpatient clinics.
The Agency for Healthcare Research and Quality commissioned a team to reexamine the evidence behind key patient safety strategies (PSSs).
Simulated patient, or so-called mystery-shopper, studies are a controversial, but potentially useful, approach to take when conducting health services research.
This report aims to contribute to the understanding of how changing relationships impacts on the quality of care.
This study explores whether and how self-management support is integrated into chronic care approaches in 13 European countries.
The goal of this project was to conduct a systematic literature review evaluating the evidence for a large number of patient safety practices.
The authors review patient safety practices for evidence of effectiveness, implementation, and adoption.
Patients treated by sets of physicians who share high numbers of patients tend to have lower costs.
Health care providers are encouraged to implement “shared decision making” in which patients and doctors together choose the treatment that is best for each patient. However, doctors need more instruction on how to engage patients and better information systems to make sure patients know their options and receive individualized care.
Research based primarily on reports from an individual's surviving relatives often suggests that end-of-life care experiences are particularly poor. However, this examination of reports from patients found that those who died within a year of being surveyed reported slightly better experiences than other enrollees.
Greater hospital spending is associated with lower risk-adjusted inpatient mortality for major medical conditions in the United States.
The authors examined the effects of a collaborative care intervention for anxiety disorders in primary care on lower-income participants relative to those with higher incomes.
This study was a cross-sectional analysis of the 2007 National Survey for Children's Health, a nationally representative survey of 91 642 parents.
The objective of this study was to determine how patient preferences guide the course of palliative chemotherapy for advanced colorectal cancer.