Narrow Results Clear All
- Culture of Safety 1
- Error Reporting and Analysis 1
- Legal and Policy Approaches 6
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Technologic Approaches 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications
- Medication Safety 1
- Surgical Complications 2
Search results for "Medical Complications"
Rau J. Kaiser Health News. December 3, 2018.
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Journal Article > Study
Al Mohajer M, Joiner KA, Nix DE. Acad Med. 2018;93:1827-1832.
The Hospital-Acquired Condition Reduction Program (HACRP) was established by the Centers for Medicare and Medicaid Services (CMS) and withholds payment to hospitals for several hospital-acquired conditions deemed to be preventable sources of patient harm. Prior research has shown that teaching hospitals, hospitals caring for more complicated and high-risk patients, and safety-net hospitals may be more likely to experience financial penalties under HACRP compared to nonteaching hospitals caring for less sick patients. These findings raised concerns regarding the possible unintended consequences related to pay-for-performance. Researchers sought to identify factors associated with HACRP performance and penalties. They found that teaching institutions and hospitals with higher case-mix index, length of stay, and those located in the Northeast or Western United States were more likely to receive penalties under the CMS program. A previous WebM&M commentary discussed the unintended consequences associated with publicly reported health care quality measures.
Journal Article > Study
Dixon-Woods M, Leslie M, Tarrant C, Bion J. Implement Sci. 2013;8:70.
The Matching Michigan program attempted to replicate the success of the Keystone ICU study at preventing central line–associated bloodstream infections in intensive care units (ICUs) in England. However, Matching Michigan was unsuccessful in that infection rates declined at similar rates in both intervention and control units. A counterpart to the landmark study exploring why the Keystone ICU study succeeded, this ethnographic analysis identified external factors (Matching Michigan was perceived as a regulatory, top-down initiative) and internal factors (participating hospitals had widely varying prior experiences with quality improvement projects) that influenced uptake and success of the project at the individual hospital level. Overall, only 1 of the 19 intervention ICUs studied truly transformed their practices and culture toward preventing hospital-acquired infections.
Journal Article > Study
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Krein SL, Kowalski CP, Hofer TP, Saint S. J Gen Intern Med. 2012;27:773-779.
The impact of the Centers for Medicare and Medicaid Services' (CMS) 2008 policy denying additional payment to hospitals for preventable complications, including certain health care–associated infections (HAIs), remains a subject of debate. This study assessed the effect of the CMS policy on use of infection control practices, using federal Veterans Affairs hospitals (which do not receive CMS payments) as a comparison group. Infection control practitioners at both federal and non-federal hospitals reported a greater organizational emphasis on HAI prevention and increased use of specific HAI preventive practices, over the time period before and after the CMS policy was implemented. This finding indicates that factors other than the CMS policy have driven efforts to reduce HAIs.
Lubell J. Modern Healthc. August 20, 2007;37:10.
This article discusses the challenges hospitals face in responding to recent Centers for Medicare and Medicaid Services (CMS) policy changes affecting reimbursement for eight hospital-acquired conditions.
Legislation/Regulation > Federal Legislation
HR 2234, 109th Cong, 1st Sess (2005).
This bill, which garnered bipartisan support, proposes developing health information technology networks (known as "Regional Health Information Organizations," or RHIOs) with a strong focus on state- and community-based efforts. It is presently under consideration in the United States House of Representatives.