Research Topics
Patient Safety
The role of patient safety research is to understand how best to ensure that patients, their clinical environments, and their clinical processes and systems are safe—and not vulnerable to causing inadvertent harm. VA health services investigators conduct research into patient safety that encompasses everything from appropriate patient identification processes to preventing hospital-acquired infections to assessing clinical and organizational leadership attitudes.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Safety". Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(5 of more than 881 SAFETY focused publications)
- Sittig DF, Flanagan T, Sengstack P, Cholankeril RT, Ehsan S, Heidemann A, Murphy DR, Salmasian H, Adelman JS, Singh H. Revisions to the Safety Assurance Factors for Electronic Health Record Resilience (SAFER) Guides to update national recommendations for safe use of electronic health records. Journal of the American Medical Informatics Association : JAMIA. 2025 Apr 1; 32(4):755-760, DOI: 10.1093/jamia/ocaf018.
- Goodman M, Strouse M, Boucher C, Glatt S, Jacobs J, Waliski A, Fonseca E, Osterberg T, Patel S. Pilot implementation of a telehealth safety planning group intervention for suicidal rural Veterans enhanced by lived experience veteran peer participation. Frontiers in psychiatry. 2025 Mar 18; 16:1512523, DOI: 10.3389/fpsyt.2025.1512523.
- Ortiz J, Staggers KA, Adrish M, Hanania NA, Wu TD. Asthma outcomes in a safety net hospital system: A comparative study to a national cohort. Respiratory medicine. 2025 Mar 7; 240:108032, DOI: 10.1016/j.rmed.2025.108032.
- Perrin MA, Nguyen Wenker TH, Larson SA. It's All About the Bubbles: Assessing the Effects of Simethicone on Safety and Efficacy During Colonoscopy. Digestive diseases and sciences. 2025 Feb 24 DOI: 10.1007/s10620-025-08938-8.
- Kimhy D, Ospina LH, Wall M, Alschuler DM, Jarskog LF, Ballon JS, McEvoy J, Bartels MN, Buchsbaum R, Goodman M, Miller SA, Stroup TS. Telehealth-Based vs In-Person Aerobic Exercise in Individuals With Schizophrenia: Comparative Analysis of Feasibility, Safety, and Efficacy. JMIR mental health. 2025 Feb 14; 12:e68251.
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Publication Briefs
(5 of more than 76 SAFETY focused publication briefs)
- VA’s Telehealth Program for Bipolar Disorders Is Associated with Improved Symptoms, Suicide Risk, Quality of Life, and Prescription Quality
This study examined VA clinical, administrative, and survey data to evaluate outcomes (including symptoms, mood episodes, positive suicide screens, and mental health-related quality of life) for Veterans who were referred to the Bipolar Disorders Telehealth (BDTH) program from 2011 to 2021. Findings showed that Veterans who completed the program reported reductions in manic and depressive symptoms...
Date: October 18, 2024
- QUERI Evaluation Identifies Barriers, Facilitators, Lessons Learned, and Strategies to Better Standardize Veteran Safety Practices Across VA and Community Care
VA’s “Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook” was designed to standardize safety practices across VA-delivered and VA-purchased care (i.e., community care). This project identified organizational barriers and facilitators related to Guidebook implementation, identified lessons learned during implementation, and developed strategies to improve f...
Date: May 8, 2024
- Most Veterans Endorse Clinician-Initiated Firearm Safety Discussions Based on Veteran/Family Member Risk
This study examined data from the online July-August 2019 National Firearms Survey to assess whether Veteran firearm owners believe clinicians should provide firearm counseling when specific clinical contexts suggest heightened risk of firearm injury to the patient or their family. Findings showed that a large majority (73–88%) of Veteran firearm owners reported that firearm counseling should be d...
Date: June 29, 2023
- VA Surgical Care Comparable or Better than Non-VA Surgical Care
Investigators conducted a systematic review to compare VA and non-VA care for surgical conditions across domains of quality and safety, access, patient experience, and comparative cost/efficiency using studies published between 2015 and 2021 – following implementation of the Choice and MISSION Acts. Findings showed that in all but two studies, VA care had comparable or better quality and safety ou...
Date: May 8, 2023
- Antipsychotic Prescribing Decreased in VA Nursing Homes, but Prescribing Alternative Drugs, such as Opioids, Increased
This study sought to evaluate national trends in prescribing antipsychotic and other central nervous system (CNS)-active medications for Veterans with dementia residing in VA nursing homes, as well as how use has changed over time. Findings showed that antipsychotic use steadily decreased between FY2009 and FY2018 (from 34% to 28%), with similar declines in anxiolytic prescribing (from 34% to 27%)...
Date: May 26, 2022
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Studies
( 5 of more than 83 SAFETY focused projects
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| Project No. |
Title |
PI |
Funding Start |
| SDR 24-122
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Pain Management Teams Using Whole Health to Optimize Function and Safety in Veterans: The TEAMWORK Trial |
Edmond, Sara |
2024-10-01 |
| SDR 22-148
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Incentivizing Lethal Means Safety Among Veterans at Risk for Suicide |
Khazanov, Gabriela |
2024-03-01 |
| IIR 21-239
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Understanding CNS Stimulant Use and Safety in Veterans with TBI |
Faselis, Charles |
2023-05-01 |
| CDA 21-057
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Improving Safety of Cardiovascular Implantable Electronic Devices in Veterans |
Dhruva, Sanket |
2022-02-01 |
| CDA 19-076
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Development and Testing of a Veteran-Centered Lethal Means Safety Suicide Prevention Intervention |
Simonetti, Joseph |
2021-07-01 |
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HSR Briefs, Reports, Newsletters
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