Research on patient safety focuses on the reduction and prevention of inadvertent harm to Veterans as a result of VA healthcare. Important issues being studied include using health information technology to reduce diagnostic errors and improve communication between healthcare providers. Researchers also strive to help improve safety culture and patient outcomes in VA hospitals.
Search results were generated based on the search term "Patient Safety". Results are updated weekly, as new data are available.
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(5 of more than 230 PATIENT SAFETY focused publications)
- Mull HJ, Rosen AK, Charns MP, Itani KMF, Rivard PE. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of Veterans Health Administration Staff Perceptions. Journal of Patient Safety. 2017 Nov 4.
- Benzer JK, Meterko M, Singer SJ. The patient safety climate in healthcare organizations (PSCHO) survey: Short-form development. Journal of evaluation in clinical practice. 2017 Aug 1; 23(4):853-859.
- Meddings J, Reichert H, Greene MT, Safdar N, Krein SL, Olmsted RN, Watson SR, Edson B, Albert Lesher M, Saint S. Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. BMJ quality & safety. 2017 Mar 1; 26(3):226-235.
- Saint SK, Krein SL, Meddings J. Enhancing Patient Safety by Preventing Device-Associated Harm. [Cyberseminar]. 2017 Jan 12.
- Chen Q, Rosen AK, Borzecki A, Shwartz M. Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does It Affect Assessment of Hospital Performance and Financial Penalties in Veterans Health Administration Hospitals? Health services research. 2016 Dec 1; 51(6):2140-2157.
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(5 of more than 26 PATIENT SAFETY focused publication briefs)
- VA Opioid Safety Initiative Decreases Potentially Risky Opioid Prescriptions among Veterans
This study examined changes associated with Opioid Safety Initiative (OSI) implementation among all adult VA patients who filled outpatient opioid prescriptions from October 2012 through September 2014 in any of 141 VA facilities. Findings showed that during the two-year study period there was a decrease in the number of VA patients receiving risky opioid regimens, with an overall reduction of 16%...
Date: January 4, 2017
- Safety Risk for Veterans Receiving Overlapping Buprenorphine, Opioid, and Benzodiazepine Prescriptions from VA and Medicare Part D
Ensuring safe buprenorphine prescribing is especially challenging for VA, which treats a substantial number of Veterans with chronic pain and opioid use disorder, as well as an increasing number of patients who receive concurrent care in the private sector (i.e., Medicare Part D). This study identified Veterans dually enrolled in VA and Medicare Part D who filled a buprenorphine prescription in 20...
Date: December 7, 2016
- Application of Triggers on VA “Big Data” may Help Identify Patients Experiencing Delays in Diagnostic Evaluation of Chest Imaging
Triggers offer one method to use big electronic health record (EHR) data to prevent and mitigate the impact of delays in care related to missed test results. Triggers consist of computerized algorithms that can scan thousands of patient records to flag those with clues suggestive of patient safety events. This study tested the application of a trigger within VA’s EHR to help identify delays in pat...
Date: September 1, 2016
- Impact of New Institute of Medicine Report on Patient Safety
The authors of this NEJM article discuss why the topic of diagnostic error is timely and suggest next steps to translate the Institute of Medicine recommendations into action....
Date: December 24, 2015
- Consequences of Notifying VA Patients about Potential Exposure to Large-Scale Adverse Events
This study sought to determine the intended and unintended consequences of patient notification following a large-scale adverse event (LSAE) within the VA healthcare system, which systematically looks for LSAEs, tracks potentially exposed patients, and communicates with them after LSAE notification. Findings showed that more than two-thirds of potentially exposed patients returned for HCV, HBV, an...
Date: May 1, 2015
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( 5 of more than 22 PATIENT SAFETY focused projects
|| Off-Label Use of Antipsychotics: Determinants and Impact on Patient Safety
|| How to Interpret and Use Patient Safety Indicator (PSI) Reports
|| Improving Patient Safety: Context and Nurses' Work Processes for Pressure Ulcers
|| Patient Safety and Costs in VA Hospitals
|| Validating the Patient Safety Indicators in the VA: A Multi-faceted Approach
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HSR&D Briefs, Reports, Newsletters
5 sample "Patient Safety" publications displayed.
HSR&D Research Briefs
...from the VA National Center for Patient Safety NCPS ), and later became Director of the Houston VA Patient Safety Center of Inquiry. This helped...
October 2012 FORUM
...Safety, developed to advance patient safety measurement and quality improvement www.patientsafety.gov ). Despite the numerous patient safety...
December 2009 FORUM
...More research and program evaluation is needed to evaluate the outcomes of interdisciplinary approaches to patient safety. Patient safety is not...
December 2009 FORUM
...often takes the form of demands by legislators and third party payers for assurances of patient safety and positive outcomes. Patient safety is...
Improving VA Healthcare for Veterans with Diabetes
...targeted focus on vulnerable elderly patient measures that address individualized evidence-based care, hypoglycemic safety, and cognitive/depression...
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The most recent "Patient Safety" seminars are displayed.
HSR&D Health System Impact Award: Enhancing Patient Safety by Preventing Catheter-Associated Urinary Tract Infection (CAUTI): The Journey Continues
|| Saint, Sanjay
The ED-PACT Tool: Communicating Veterans’ Care Needs After ED Visits
|| Cordasco, Kristina
De-implementing inhaled corticosteroids to improve quality and safety for patients with mild-to-moderate COPD: Mixed-methods findings of primary-care providers’ perspectives
|| Helfrich, Christian
Integrating Pattern Matching and Active Thinking Support in Information Displays for Clinicians
|| Weir, Charlene
Del Fiol, Guilherme
Integrating Dual Process Implications into Implementation of Cognitive Support Designs in the Clinical Setting
|| Samore, Matthew
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