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Patient Safety

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

Barriers of Pediatric Residents to Speaking Up About Patient Safety

Among pediatric residents, communication skills and a lack of confidence are the most commonly cited barriers to speaking up about 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
Journal Article

Journal Article

Optimizing Patients' Vital Interests Post-Discharge

While there is value in assessing risk for post-discharge adverse events at the end of a hospital stay, a better strategy might be to try to identify and address risks at admission.

Dec 12, 2016
Journal Article

Journal Article

Diagnosis of Gout: A Systematic Review in Support of an American College of Physicians Clinical Practice Guideline

Various clinical algorithms show promise for providing at least a provisional gout diagnosis in patients who present with signs of early-stage disease; such patients are most likely to be seen in primary, urgent, and emergency care settings.

Nov 30, 2016
Journal Article

Journal Article

Management of Gout: A Systematic Review in Support of an American College of Physicians Clinical Practice Guideline

This systematic review found strong evidence for using colchicine, NSAIDs, and corticosteroids to relieve symptoms of acute gout attacks.

Nov 30, 2016
Journal Article

Journal Article

Patients as Partners in Learning from Unexpected Events

Patients/family members can identify factors that contributed to an adverse event they have experienced, but health care organizations are missing a chance to learn from patient experience.

Nov 14, 2016
Journal Article

Journal Article

Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise

Developing a response to adverse events that is truly patient and family centered requires that all the involved stakeholders come to terms with the gap between current practice and what injured patients expect and deserve.

Nov 11, 2016
Journal Article

Journal Article

Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systematic Review

Interventions related to central venous catheters were, on average, associated with 57% fewer bloodstream infections among acute care patients and substantial savings to hospitals.

Nov 8, 2016
Journal Article

Journal Article

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.

Oct 18, 2016
Journal Article

Journal Article

From Innovation to Infection Prevention

This article summarizes a study funded by the Association for Professionals in Infection Control and Epidemiology to identify contextual factors and facilitation strategies associated with successful infection prevention and to develop ways to disseminate and implement these strategies.

Oct 18, 2016
Journal Article

Journal Article

A Structured Protocol Model of Depression Care Versus Clinical Acumen: A Cluster Randomized Trial of the Effects on Depression Screening, Diagnostic Evaluation, and Treatment Uptake in Ugandan HIV Clinics

Trained lay workers and medical providers in Uganda were able to successfully implement depression screening, diagnosis, and treatment prescription when given training and ongoing supervision from mental health specialists.

Oct 18, 2016

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