Tuesday, February 28, 2006

JAMA - Credentialing and Public Accountability

A Central Role for Board Certification
Christine K. Cassel and Eric S. Holmboe
JAMA. 2006;295:939-940.

Use of Board Certification and Recertification of Pediatricians in Health Plan Credentialing Policies
Gary L. Freed, Dianne Singer, Indu Lakhani, John R. C. Wheeler, James A. Stockman, III, and for the Research Advisory Committee of the American Board of Pediatrics
JAMA. 2006;295:913-918.

Policies and Practices Related to the Role of Board Certification and Recertification of Pediatricians in Hospital Privileging
Gary L. Freed, Rebecca L. Uren, Ericka J. Hudson, Indu Lakhani, John R. C. Wheeler, James A. Stockman, III, and for the Research Advisory Committee of the American Board of Pediatrics
JAMA. 2006;295:905-912.

Monday, February 27, 2006

Ann Intern Med - Volume, Quality of Care, and Outcome in Pneumonia

Peter K. Lindenauer, Raj Behal, Cynthia K. Murray, Wato Nsa, Peter M. Houck, and Dale W. Bratzler
Ann Intern Med.2006; 144: 262-269.
Abstract Full Text PDF

Friday, February 24, 2006

NQF - Standardizing a Patient Safety Taxonomy

The lack of a framework on how to define and classify patient safety events, healthcare errors, and systems failures is a major barrier to the systematic understanding of where and how such problems occur.

This National Quality Forum (NQF) report presents a set of four voluntary consensus standards around a specific patient safety taxonomy—the Patient Safety Event Taxonomy (PSET).

Executive summary (PDF)

Thursday, February 23, 2006

Wednesday, February 22, 2006

Ann Intern Med - Better Ways To Question Patients about Adverse Medical Events

A Randomized, Controlled Trial
Stephen Bent, Amy Padula, and Andrew L. Avins
Ann Intern Med.2006; 144: 257-261.
Abstract Full Text PDF

Adverse Events: The More You Search, the More You Find
John P.A. Ioannidis, Cynthia D. Mulrow, and Steven N. Goodman
Ann Intern Med.2006; 144: 298-300.
Full Text PDF

Tuesday, February 21, 2006

AHRQ - Quality Indicator Version 3.0

The Agency for Healthcare Research and Quality (AHRQ) announced the release of the AHRQ Quality Indicator Version 3.0 for the Inpatient Quality Indicators (IQI) and Patient Safety Indicators (PSI), and the new Pediatric Quality Indicator (PedQI) module.

The software (developed in SAS and Windows) and documentation are available for download from the AHRQ QI web site:

Friday, February 17, 2006

Health Care Manage Rev - Comparing high- and low-performing hospitals using risk-adjusted excess mortality and cost inefficiency.

McKay NL, Deily ME.
Health Care Manage Rev. 2005 Oct-Dec;30(4):347-60.
Abstract HTML PDF (280 K)

IHI - A Guide to Idealized Design

Moen R.
Cambridge, Massachusetts: Institute for Healthcare Improvement; 2002.

The Institute for Healthcare Improvement created Idealized Design to bring together organizations committed to comprehensive system redesign.


Thursday, February 16, 2006

Women Health - Potentially avoidable maternity complications

an indicator of access to prenatal and primary care during pregnancy
Laditka SB, Laditka JN, Mastanduno MP, Lauria MR, Foster TC.
Women Health. 2005;41(3):1-26.

J Am Coll Surg - Developing quality indicators for elderly patients undergoing abdominal operations

McGory ML, Shekelle PG, Rubenstein LZ, Fink A, Ko CY.
J Am Coll Surg. 2005 Dec;201(6):870-83.
Abstract Full Text + Links PDF (141 K)

Wednesday, February 15, 2006

BMC Health Serv Res - Correlates of health and healthcare performance

applying the Canadian Health Indicators Framework at the provincial-territorial level
Arah OA, Westert GP
BMC Health Serv Res. 2005 Dec 1;5:76.
Full text PDF

J Cardiopulm Rehabil - Quality indicators in cardiovascular care

the case for cardiac rehabilitation.
Thomas RJ, Witt BJ, Lopez-Jimenez F, King ML, Squires RW.
J Cardiopulm Rehabil. 2005 Sep-Oct;25(5):249-56.
HTML PDF (139 K)

Tuesday, February 14, 2006

AHRQ - National Resource Center on Health Information Technology

Agency for Healthcare Research and Quality (AHRQ) launched a new suite of "learning resources" designed to help health care providers adopt health information technologies quickly and effectively.

The resource center site provides emerging lessons from the field; a knowledge library with links to more than 5,000 health IT information resources; an evaluation toolkit to help those implementing health IT projects; a summary of key topics; plus other resources pointing to current health IT activities, funding opportunities, and other information.


Monday, February 13, 2006

Can J Aging - Health and Health Care use Among Older Adults

Volume 24, Supplement 1, 2005 (pdf)

Verena H. Menec

Trends in the Health Status of Older Manitobans, 1985 to 1999
Verena H. Menec, Lisa Lix, and Leonard MacWilliam

Trends in the Utilization of Specific Health Care Services among Older Manitobans: 1985 to 2000
Marcia Finlayson, Lisa Lix, Gregory S. Finlayson, and Terry Fong

Use ofPhysician Services by Older Adults: 1991/1992 to 2000/2001
Diane E. Watson, Petra Heppner, Robert Reid, Bogdan Bogdanovic, and Noralou Roos

Growing Old Together: The Influence of Population and Workforce Aging on Supply and Use of Family Physicians
Diane E. Watson, Robert Reid, Noralou Roos, and Petra Heppner

Non-Clinical Factors Associated with Variation in Cataract Surgery Waiting Times in Manitoba
Carolyn De Coster

Patterns in Home Care Use in Manitoba
Lori Mitchell, Noralou P. Roos, and Evelyn Shapiro

Regional Variation in Home Care Use in Manitoba
Sandra Peterson, Evelyn Shapiro, and Noralou P. Roos

Pharmaceutical Use among Older Adults: Using Administrative Data to Examine Medication-Related Issues
Colleen Metge, Ruby Grymonpre, Matthew Dahl, and Marina Yogendran

Use of Acute Care Hospitals by Long-Stay Patients: Who, How Much, and Why?
Carolyn De Coster, Sharon Bruce, and Anita Kozyrskyj

Discharge Outcomes in Seniors Hospitalized for More than 30 Days
Anita Kozyrskyj, Charlyn Black, Dan Chateau, and Carmen Steinbach

Exploring Reasons for Bed Pressures in Winnipeg Acute Care Hospitals
Verena H. Menec, Sharon Bruce, and Leonard MacWilliam

Anticipating Change: How Many Acute Care Hospital Beds Will Manitoba Regions Need in 2020?
Gregory S. Finlayson, David Stewart, Robert B. Tate, Leonard MacWilliam,and Noralou Roos

A Methodology for Estimating Hospital Bed Need in Manitoba in 2020
Robert B. Tate, Leonard MacWilliam, and Gregory S. Finlayson

Data Quality in an Information-Rich Environment: Canada as an Example
Leslie L. Roos, Sumit Gupta, Ruth-Ann Soodeen, and Laurel Jebamani

Betty Havens

Friday, February 10, 2006

BMJ - Case reports of suspected adverse drug reactions—systematic literature survey of follow-up

Yoon Kong Loke, Deirdre Price, Sheena Derry, and Jeffrey K Aronson
BMJ 2006 332: 335-339.
[Abstract] [Full Text] [PDF] [extra: References]

Qual Saf Health Care - Hearing the patient’s voice?

Factors affecting the use of patient survey data in quality improvement
E Davies and P D Cleary
Qual Saf Health Care 2005; 14: 428-432.
[Abstract] [Full text] [PDF]

Thursday, February 09, 2006

CIHI - The Health Indicators Project: The Next 5 Years.

Report from the Second Consensus Conference on Population Health Indicators
The second Consensus Conference on Population Health Indicators was convened in order to achieve agreement on the measures used by the Canadian Institute for Health Information (CIHI) and Statistics Canada reflecting the health of Canadians, factors that affect our health and the performance of the health care system. This report summarizes the results of the conference, and includes a list of confirmed health indicators as well as directions for future development


CPSI - Canadian Root Cause Analysis Framework

A tool for identifying and addressing the root causes of critical incidents in healthcare

The Canadian Root Cause Analysis Framework is designed as a quality improvement tool to help individuals and healthcare organizations determine all of the root causes/contributing factors that led to an event.

Authors: Canadian Patient Safety Institute (CPSI), Institute For Safe Medication Practices Canada and Saskatchewan Health

Root Cause Analysis Framework (PDF)

Monday, February 06, 2006

Stat Med - Funnel plots for comparing institutional performance

David J. Spiegelhalter
Statistics in MedicineVolume 24, Issue 8, 2005. Pages 1185-1202
Abstract PDF

Stat Med - Methods for capture-recapture analysis when cases lack personal identifiers

Betsy L. Cadwell, Philip J. Smith, Andrew L. Baughman
Statistics in Medicine Volume 24, Issue 13, 2005. Pages 2041-2051
Abstract PDF

Friday, February 03, 2006

Med Decis Making - Valuation Structures of Health States Revealed with Singular ValueDecomposition

Paul F. M. Krabbe
Med Decis Making 2006;26 30-37
[Abstract] [PDF] [References]

Int J Med Inform - Health information systems

Failure, success and improvisation
R. Heeks
International Journal of Medical Informatics
Volume 75, Issue 2 , February 2006, Pages 125-137
Abstract Full Text + Links PDF (160 K)

Thursday, February 02, 2006

Wednesday, February 01, 2006

AHRQ - Closing the Quality Gap: Antibiotic Prescribing Behavior

Unnecessary prescribing of antibiotics is a major problem in the US and worldwide, contributing to the problem of antimicrobial resistance (AMR). This review examines the effects of quality improvement strategies on reducing inappropriate prescribing of antibiotics, targeting both prescribing of antibiotics for non-bacterial illnesses ("the antibiotic treatment decision") and prescribing of broad-spectrum antibiotics when narrow-spectrum agents are indicated ("the antibiotic selection decision").

Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies: Volume 4—Antibiotic Prescribing BehaviorEvidence
Report (Publication No. 04(06)-0051-4)
(PDF file, 790 KB)

View or download Summary/Report