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PSNet: Patient Safety Network
Journal Article

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators,

Bartholomew AJ, Zeymo A, Chan KS, et al. Ann Surg. 2020;272(4):612-619.

This study used discharge data from five states to evaluate the impact of the Affordable Care Act’s Medicaid expansion on patient safety outcomes (measured using the PSI 90 composite). Results showed an overall improvement in patient safety in expansion states; however, when expansion states experienced an increase in their safety-net burden, they also experienced significantly more safety events compared to nonexpansion states.