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Patient Safety

Journal Article

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

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

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

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

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

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

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

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

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
Research Brief

Strengthening Health Care in the Kurdistan Region of Iraq

Since 2010, RAND researchers have 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.

Oct 25, 2017
Journal Article

Journal Article

A World Health Organization Field Trial Assessing a Proposed ICD-11 Framework for Classifying Patient Safety Events

The World Health Organization's proposed framework for classifying patient safety events was useful in classifying the majority of such events.

Oct 12, 2017
Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training

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.

Oct 5, 2017
Journal Article

Journal Article

Implementation and Evaluation of a Prototype Consumer Reporting System for Patient Safety Events

A prototype hotline showed the feasibility of a consumer-oriented method to patient safety reporting, though further research is needed to understand how to increase consumers' use of these systems.

Jun 14, 2017
Journal Article

Journal Article

Validation of New Quality Measures for Transitions Between Sites of Care

New quality measures may improve transition care for children after an emergency department or hospital visit.

May 25, 2017
Journal Article

Journal Article

Speaking Up About Traditional and Professionalism-Related Patient Safety Threats: A National Survey of Interns and Residents

Interns and residents often observe unprofessional behavior, but they are less likely to speak up about it, compared with traditional patient safety threats, even when they see high potential for patient harm.

May 25, 2017
Journal Article

Journal Article

Does a Biomedical Research Centre Affect Patient Care in Local Hospitals

Biomedical research can have impacts on patient care at research-active hospitals. We qualitatively evaluated the impact of the Oxford Biomedical Research Centre (Oxford BRC), a university-hospital partnership, on the effectiveness and efficiency of healthcare in local hospitals.

Feb 10, 2017
Commentary

Responsible e-Prescribing Needs e-Discontinuation

Implementation of electronic prescribing has been a big success in health information technology. But most e-prescribing systems don't allow electronic cancellation of orders. Adding this feature could help reduce medication errors.

Feb 7, 2017
Commentary

On Vaccines, Trump Should Rely on Science

Research has proven that vaccines are extremely safe and effective. The public health implications of questioning this are serious. America should take every opportunity to protect kids by vaccinating them against every vaccine-preventable disease.

Jan 25, 2017
Journal Article

Journal Article

Progress at the Intersection of Patient Safety and Medical Liability: Insights from the AHRQ Patient Safety and Medical Liability Demonstration Program

Understanding adverse events as the result of complex "systems" failures--rather than of individual negligence--may improve patient safety.

Jan 3, 2017
Journal Article

Journal Article

Developing the Improving Post-Event Analysis and Communication Together (Impact) Tool to Involve Patients and Families in Post-Event Analysis

Thoughtful conversations with patients and families about what caused an adverse event may uncover information and perspectives otherwise missing from post-event analyses.

Jan 3, 2017

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RAND Health Care