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Patient Safety

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
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

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

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

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

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RAND Health Care