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Patient Safety

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Politicized Topics in School, the War in Ukraine, Post-Quantum Cryptography: RAND Weekly Recap
This weekly recap focuses on the intrusion of politicized topics in America's schools, where the war in Ukraine may be headed, post-quantum cryptography, and more.
Aug 12, 2022
Report
Does Racism Affect Patient Safety?
Rates and types of patient safety events vary across patients from different racial and ethnic backgrounds, with minoritized patients more likely to experience safety issues. The factors that lead to these disparities are complex and intertwined, but there is growing sentiment that racism may play a role.
Aug 8, 2022
Journal Article
Spread Tools: A Systematic Review of Components, Uptake, and Effectiveness of Quality Improvement Toolkits
The objective was to conduct a systematic review of toolkit evaluations intended to spread interventions to improve healthcare quality. We aimed to determine the components, uptake, and effectiveness of publicly available toolkits.
Jun 7, 2022
Journal Article
Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses
This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' patient safety culture perceptions corresponded to their personal and professional characteristics.
Feb 8, 2022
Report
Paediatric Early Warning Systems: a scoping study: Lessons from a rapid review
This report shares findings from a rapid review of the evidence on the use of Paediatric Early Warning (PEW) scores and systems in UK healthcare settings, to help staff to identify clinical deterioration and facilitate early intervention.
Jan 22, 2021
Journal Article
Outcomes Are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
The aim of this study was to determine whether patients undergoing surgery on weekends are more likely to die or experience a major complication compared with patients undergoing surgery on a weekday.
Dec 31, 2020
Journal Article
Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions
This article determines whether Medicare's Nonpayment Program was associated with changes in incidence of hospital-acquired conditions, and whether this association varies across hospitals with differential Medicare patient load.
Dec 31, 2020
Journal Article
What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?
In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.
Dec 30, 2020
Journal Article
Hospital Readmission After Noncardiac Surgery: The Role of Major Complications
To examine whether the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) predicted risk of major complications can be used to identify surgical patients at risk for rehospitalization.
Dec 22, 2020
Report
What influences improvement processes in healthcare? A rapid evidence review
This rapid review discusses leadership, staff relationships, skills and competencies, use of data, patient and public involvement, and working as an interconnected system as the key factors influencing quality improvement processes in healthcare.
Sep 15, 2020
Journal Article
CMS Reimbursement Reform and the Incidence of Hospital-Acquired Pulmonary Embolism or Deep Vein Thrombosis
CMS's refusal to pay for hospital-acquired conditions resulted in a lower incidence of hospital-acquired pulmonary embolism or deep vein thrombosis after hip or knee replacement surgery.
Aug 5, 2020
Journal Article
The Association of Inpatient Occupancy with Hospital-Acquired Clostridium Difficile Infection
These study findings prompt exploration of how hospitals react to occupancy changes and how those care processes translate into hospital-acquired complications in order to inform best practices.
Aug 23, 2018
Journal Article
Advancing a Nationwide Patient Matching Strategy
A nationwide strategy for improved patient matching would enable hospitals, technology developers, and the broader health care ecosystem to better link patients to their records to improve care coordination and reduce costs.
Aug 22, 2018
Journal Article
Protocol for a Randomised Trial of Higher Versus Lower Intensity Patient-Provider Communication Interventions to Reduce Antibiotic Misuse in Two Paediatric Ambulatory Clinics in the US
Effective parent-provider communication about antibiotics can reduce inappropriate antibiotic prescribing and use, but there is a dearth of interventions targeting this issue.
Jun 21, 2018
Journal Article
Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements
Hospital incentives for investing in patient safety vary by payer and payment configuration. Higher payments provide resources to improve patient safety, but current payment structures may also reduce the willingness of hospitals to invest in patient safety.
Apr 20, 2018
Report
Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)
Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.
Apr 19, 2018
Journal Article
Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety
This analysis proposes a federally mandated, nonpunitive national system for monitoring patient safety that relies on accurate measurement as a driver of performance.
Apr 13, 2018
Journal Article
How Should Surgical Residents Be Educated About Patient Safety: A Pilot Randomized Controlled Trial
For training medical residents, a safety workshop compared with a hospital-based online curriculum did not significantly improve overall resident perceptions of patient safety, though the workshop did lead to improvements among senior residents.
Mar 22, 2018
Report
Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Arabic-language version)
Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.
Mar 14, 2018
Journal Article
Barriers to Speaking Up About Patient Safety Concerns
It would be beneficial to combine training of health-care professionals in how to speak up about patient safety issues with training of supervisors in how to manage concerns raised by employees.
Dec 14, 2017

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