Exploring Interventions that Will Improve Patient Safety and the Quality of Services

Research Article #1

Article APA Reference	Banerjee, S., Paasche-Orlow, M. K., McCormick, D., Lin, M.-Y., & Hanchate, A. D. (2021). Association between Medicare’s Hospital Readmission Reduction Program and readmission rates across hospitals by medicare bed share. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06253-2
Description of the Sample	The study included 1904 hospitals, categorized into tertiles based on Medicare bed share. High bed-share hospitals had an average bed share of 59.9%, moderate bed-share hospitals had 47.8%, and low bed-share hospitals had 31.2%. Characteristics included hospital type, size, location, patient demographics, and baseline readmission rates.
Geographical Sample	Nationwide hospitals in the United States
Research Design	Quasi-experimental difference-in-differences approach comparing pre- vs. post-HRRP changes in 30-day readmission rates in hospitals with different Medicare bed shares.
Outcome of the Study	There was no correlation between HRRP sanctions and changes in readmission rates. The report recommends that CMS examine alternative strategies for reducing readmissions, such as partnerships with hospitals.

Research Article #2

Article APA Reference	*Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research, 21(1).* https://doi.org/10.1186/s12913-021-07097-6
Description of the Sample	The review included 76 empirical studies on hospital accreditation, examining healthcare workers, patient outcomes, and hospital performance. Studies were methodologically heterogeneous, covering various aspects of hospital settings.
Geographical Sample	Global, with no specific focus on a single country
Research Design	Systematic literature review of peer-reviewed quantitative studies published over the last two decades. The review synthesized evidence on the impact of hospital accreditation across various themes.
Outcome of the Study	Improvements in safety culture, process-related performance measurements, efficiency, and patient duration of stay were all benefits of accreditation compliance. However, there were no conclusive findings on mortality rates or healthcare-associated illnesses. The report suggests ways to motivate and modernize accreditation.

Research Article #3

Article APA Reference	Pogorzelska-Maziarz, M., de Cordova, P. B., Herzig, C. T. A., Dick, A., Reagan, J., & Stone, P. W. (2019). Perceived impact of state-mandated reporting on infection prevention and control departments. American Journal of Infection Control, 47(2), 118–122. https://doi.org/10.1016/j.ajic.2018.08.012
Description of the Sample	The study surveyed 1,036 infection prevention and control (IPC) departments in non-VA hospitals enrolled in the National Healthcare Safety Network. The respondents provided complete data, and 73% of them were located in states with reporting laws.
Geographical Sample	Nationwide sample, with a focus on states with and without healthcare-associated infection (HAI) reporting laws
Research Design	A web-based survey using χ2, Wilcoxon-Mann-Whitney, and Student’s t-tests. Multinomial logistic regression was used to identify changes in perceived resources, time, influence, and visibility of IPC departments.
Outcome of the Study	Respondents from states with HAI legislation observed negative effects on IPC departments, such as fewer time for routine activities and decreased visibility. The study recommends additional research to investigate the necessary resources and unintended repercussions of state HAI laws.

In summary, the selected articles provide insights into different aspects of healthcare quality and patient safety, including the impact of regulatory programs, accreditation, and state-mandated reporting on hospital outcomes.

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Question

Scenario
As a new healthcare manager, you are exploring interventions that will improve patient safety and the quality of services received in your department. As part of this process, you will need to examine and provide evidence-based support for your initiative that can be provided to your team.
Review “Locate Peer-Reviewed / Scholarly Materials” in this week’s University Library Resources to learn how to find articles.

Exploring Interventions that Will Improve Patient Safety

Search the University Library for peer-reviewed articles about the impact of legal and regulatory requirements in health care. Incorporate the following requirements:

Choose research articles that describe a research study, not an editorial or brief.
Prioritize research studies based in the United States from 2013 to the present day.
Select health topics of interest to you or your job that do not include complex statistical analyses.

Select at least 3 peer-reviewed articles to use. The 3 articles should be based on the same topic and must be focused on the legal and regulatory requirements in health care.

Review steps of the research process covered in this week’s learning activities.

Exploring Interventions that Will Improve Patient Safety and the Quality of Services