Friday, March 30, 2007

Modifying DRG-PPS to Include Only Diagnoses Present on Admission: Financial Implications and Challenges.

Medical Care. 45(4):288-291, April 2007.

Chunliu Zhan, Anne Elixhauser, Bernard Friedman, Robert Houchens, Yen-pin Chiang


Finally Present on Admission but Needs Attention.
Medical Care. 45(4):280, April 2007.
Lisa I. Iezzoni

Thursday, March 29, 2007

Failure to Rescue: Validation of an Algorithm Using Administrative Data.

Medical Care. 45(4):283-287, April 2007.

Leora I. Horwitz, Joanne F. Cuny, Julie Cerese, Harlan M. Krumholz


Why Rescue the Administrative Data Version of the "Failure to Rescue" Quality Indicator.
Medical Care. 45(4):277, April 2007.
Kathryn M. McDonald, Sheryl M. Davies, Jeffrey Geppert, Patrick S. Romano

Communication Interventions Make A Difference in Conversations Between Physicians and Patients: A Systematic Review of the Evidence.

Medical Care. 45(4):340-349, April 2007.
Jaya K. Rao, Lynda A. Anderson, Thomas S. Inui, Richard M. Frankel

Medical Specialists' Patient-Centered Communication and Patient-Reported Outcomes.

Medical Care. 45(4):330-339, April 2007.

Linda C. Zandbelt, Ellen M. A. Smets, Frans J. Oort, Mieke H. Godfried, Hanneke C. J. M. de Haes

Tuesday, March 27, 2007

JAMA - Access To Care Theme Issue


High-Deductible Health Plans and Emergency Department Use
Corita R. Grudzen; Robert H. Brook
JAMA. 2007;297:1126-1127.

Access to Care as a Component of Health System Reform
Phil B. Fontanarosa; Drummond Rennie; Catherine D. DeAngelis
JAMA. 2007;297:1128-1130.

Original Contributions

Financial Barriers to Health Care and Outcomes After Acute Myocardial Infarction
Ali R. Rahimi; John A. Spertus; Kimberly J. Reid; Susannah M. Bernheim; Harlan M. Krumholz
JAMA. 2007;297:1063-1072.

Insurance Coverage, Medical Care Use, and Short-term Health Changes Following an Unintentional Injury or the Onset of a Chronic Condition
Jack Hadley
JAMA. 2007;297:1073-1084.

Trends in Emergency Medicaid Expenditures for Recent and Undocumented Immigrants
C. Annette DuBard; Mark W. Massing
JAMA. 2007;297:1085-1092.

Emergency Department Use and Subsequent Hospitalizations Among Members of a High-Deductible Health Plan
J. Frank Wharam; Bruce E. Landon; Alison A. Galbraith; Ken P. Kleinman; Stephen B. Soumerai; Dennis Ross-Degnan
JAMA. 2007;297:1093-1102.

Special Communications

How Physicians Can Change the Future of Health Care
Michael E. Porter; Elizabeth Olmsted Teisberg
JAMA. 2007;297:1103-1111.


State-Federal Partnerships for Access to Care: An End and a Means
Arthur Garson Jr; David Blumenthal
JAMA. 2007;297:1112-1115.

Universal Health Care Coverage: A Potential Hybrid Solution
Harold S. Luft
JAMA. 2007;297:1115-1118.

Health Disparities and Access to Health
Nicole Lurie; Tamara Dubowitz
JAMA. 2007;297:1118-1121.

Structural Impairments That Limit Access to Health Care for Patients With Disabilities
Kristi L. Kirschner; Mary Lou Breslin; Lisa I. Iezzoni
JAMA. 2007;297:1121-1125.

Adherence to Antidepressant Treatment Among Privately Insured Patients Diagnosed With Depression.

Ayse Akincigil, John R. Bowblis, Carrie Levin, James T. Walkup, Saira Jan, Stephen Crystal
Brief Report Medical Care. 45(4):363-369, April 2007.
Abstract HTML PDF (257 K)

Depression-Free Day to Utility-Weighted Score: Is it Valid?

Jeffrey M. Pyne, Shanti Tripathi, D Keith Williams, John Fortney
Medical Care. 45(4):357-362, April 2007.
Abstract HTML PDF (224 K)

Friday, March 23, 2007

Hierarchical Modeling using HCUP Data

Houchens R, Chu B, Steiner C.
HCUP Methods Series Report # 2007-01
U.S. Agency for Healthcare Research and Quality.

This report addresses the practical and statistical reasons and implications for utilizing hierarchical linear modeling (HLM) when analyzing HCUP state and national derivative

This report is intended to:

  • define and explain hierarchical models,
  • explore the advantages and disadvantages relative to other statistical approaches, and
  • guide analysts in the application of hierarchical models to HCUP data and the interpretation of results.

Wednesday, March 21, 2007

AHRQ - Nursing Staffing and Quality of Patient Care Evidence Report

Evidence Report (Publication No. 07-E005)

This new report from AHRQ assess how nurse to patient ratios and nurse work hours were associated with patient outcomes in acute care hospitals and evaluate:

  • factors that influence nurse staffing policies

  • nurse staffing strategies that improved patient outcomes

PDF File, 2.5 MB

Monday, March 19, 2007

Integrating Incident Reporting into an Electronic Patient Record System

Guy Haller, Paul S. Myles, Johannes Stoelwinder, Mark Langley, Hugh Anderson, and John McNeil
J Am Med Inform Assoc 2007; 14: 175-181.

[Abstract] [Full Text] [PDF]

Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.

Gao H, McDonnell A, Harrison DA, et al.
Intensive Care Med. 2007 Feb 22; [Epub ahead of print].


Friday, March 16, 2007

Barriers and Strategies to Influencing Physician Behavior

Kevin T. Bain
American Journal of Medical Quality 2007 22: 5-7.
[PDF] [References]

The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities

Bryan A. Liang, William Riley, William Rutherford, and William Hamman
American Journal of Medical Quality 2007 22: 8-12.
[PDF] [References]

The Role of Physicians and Certification Boards to Improve Quality

Eric S. Holmboe and Christine K. Cassel
American Journal of Medical Quality 2007 22: 18-25.
[Abstract] [PDF] [References]

Patient Safety Rounds: Description of an Inexpensive but Important Strategy to Improve the Safety Culture

Darrell A. Campbell, Jr and Maureen Thompson
American Journal of Medical Quality 2007 22: 26-33.
[Abstract] [PDF]

Emergency Departments in Crisis: Implications for Accessibility, Quality, and Safety

Carolyn M. Clancy
American Journal of Medical Quality 2007 22: 59-62.

Thursday, March 15, 2007

Care Patterns in Medicare and Their Implications for Pay for Performance

Pham, Hoangmai H., Schrag, Deborah, O'Malley, Ann S., Wu, Beny, Bach, Peter B.
N Engl J Med 2007 356: 1130-1139
Abstract FREE Full Text PDF Supplementary Material


Paying for Care Episodes and Care Coordination
Davis, Karen
N Engl J Med 2007 356: 1166-1168
Extract FREE Full Text PDF

Weekend versus Weekday Admission and Mortality from Myocardial Infarction

Kostis, William J., Demissie, Kitaw, Marcella, Stephen W., Shao, Yu-Hsuan, Wilson, Alan C., Moreyra, Abel E., the Myocardial Infarction Data Acquisition System (MIDAS 10) Study Group
N Engl J Med 2007 356: 1099-1109
Abstract FREE Full Text PDF Audio Interview


Weekend Worriers
Redelmeier, Donald A., Bell, Chaim M.
N Engl J Med 2007 356: 1164-1165
Extract FREE Full Text PDF

Wednesday, March 14, 2007

Risk-adjusted rates for potentially avoidable reoperations were computed from routine hospital data

Halfon P, Eggli Y, Matter M, Kallay C, van Melle G, Burnand B
J Clin Epidemiol. 2007 Jan;60(1):56-67.

Abstract Full Text Full-Text PDF (219 KB)

Tuesday, March 13, 2007

AHRQ release Quality Indicator Version 3.1

The Agency for Healthcare Research and Quality (AHRQ) announce the release of the AHRQ Quality Indicator Version 3.1 for the Prevention Quality Indicators (PQI), Inpatient Quality Indicators (IQI), Patient Safety Indicators (PSI), and Pediatric Quality Indicator (PedQI) modules.

The software and documentation are now available for download from the AHRQ QI web site at:

Some of the features incorporated into Version 3.1 are described in the AHRQ QI newsletter at:

Monday, March 12, 2007

The Pediatric Clinics of North America - Special issue on Patient Safety

Volume 53, Issue 6, Pages 1053-1276 (December 2006)
Edited by Anne Matlow, Ronald M. Laxer

Matlow A, Laxer RM
pages xv-xvi
Full Text Full-Text PDF (114 KB)

Patient Safety: A View From the Top
Morath JM
pages 1053-1065
Full Text Full-Text PDF (375 KB)

The Incidence of Adverse Events and Medical Error in Pediatrics
Sharek PJ, Classen D
pages 1067-1077
Full Text Full-Text PDF (311 KB)

Medical Errors: Understanding the Parent's Perspective
Keatings M, Martin M, McCallum A, Lewis J
pages 1079-1089
Full Text Full-Text PDF (121 KB)

Disclosure of Medical Errors
Matlow A, Stevens P, Harrison C, Laxer RM
pages 1091-1104
Full Text Full-Text PDF (155 KB)

Human Factors Engineering and Patient Safety
Scanlon MC, Karsh BT, Densmore EM
pages 1105-1119
Full Text Full-Text PDF (348 KB)

Reliability Science and Patient Safety
Luria JW, Muething SE, Schoettker PJ, Kotagal UR
pages 1121-1133
Full Text Full-Text PDF (164 KB)

The Impact of Fatigue on Patient Safety
Parshuram CS
pages 1135-1153
Full Text Full-Text PDF (247 KB)

Medication Errors in Children
Kozer E, Berkovitch M, Koren G
pages 1155-1168
Full Text Full-Text PDF (167 KB)

Computerized Provider Order Entry and Patient Safety
Lehmann CU, Kim GR
pages 1169-1184
Full Text Full-Text PDF (190 KB)

Handoffs in Care—Can We Make Them Safer?
Streitenberger K, Breen-Reid K, Harris C
pages 1185-1195
Full Text Full-Text PDF (136 KB)

Racial/Ethnic Disparities and Patient Safety
Flores G, Ngui E
pages 1197-1215
Full Text Full-Text PDF (238 KB)

Patient Safety: A View from Down Under
Dunn KL, Moulden A, McDougall P, Bowes G
pages 1217-1230
Full Text Full-Text PDF (443 KB)

Tailoring the Institute for Health Care Improvement 100,000 Lives Campaign to Pediatric Settings: The Example of Ventilator-Associated Pneumonia
Curley MAQ, Schwalenstocker E, Deshpande JK, Ganser CC, Bertoch D, Brandon J, Kurtin P
pages 1231-1251
Full Text Full-Text PDF (345 KB)

Blueprint for Patient Safety
Stevens P, Matlow A, Laxer RM
pages 1253-1267
Full Text Full-Text PDF (264 KB)

Friday, March 09, 2007

Continuity of care and quality care outcomes for people experiencing chronic conditions: A literature review

Gwen van Servellen , Marie Fongwa , Ellen Mockus D'Errico (cand)
Nursing & Health Sciences (2006) 8 (3), 185–195.

Abstract References Full Text HTML Full Text PDF (92 KB)

Thursday, March 08, 2007

Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

Ali R Tawfik-Shukor , Niek S Klazinga and Onyebuchi A Arah
BMC Health Services Research 2007, 7:25

Abstract Full text PDF

Wednesday, March 07, 2007

Identifying potentially preventable complications using a present on admission indicator.

Hughes JS, Averill RF, Goldfield NI, Gay JC, Muldoon J, McCullough E, Xiang J.
Health Care Financ Rev. 2006 Spring;27(3):63-82.

pubmed full text pdf (zip)

Tuesday, March 06, 2007

Surgeon information transfer and mmunication: factors affecting quality and efficiency of inpatient care.

Williams RG, Silverman R, Schwind C, Fortune JB, Sutyak J, Horvath KD, Van Eaton EG, Azzie G, Potts JR 3rd, Boehler M, Dunnington GL.
Ann Surg. 2007 Feb;245(2):159-69.

Abstract HTML PDF (388 K)


Communication Strategies From High-reliability Organizations: Translation is Hard Work.
Emily S. Patterson
HTML PDF (118 K)

Communication, Teams, and Medical Mistakes.
Donald W. Moorman
HTML PDF (119 K)

Monday, March 05, 2007

Friday, March 02, 2007

Designing and evaluating complex interventions to improve health care

Neil C Campbell, Elizabeth Murray, Janet Darbyshire, Jon Emery, Andrew Farmer, Frances Griffiths, Bruce Guthrie, Helen Lester, Phil Wilson, Ann Louise Kinmonth
BMJ 2007;334:455-459

[Extract] [Full text] [PDF]

Thursday, March 01, 2007

Improving the Management of Chronic Disease at Community Health Centers

Landon, Bruce E., Hicks, LeRoi S., O'Malley, A. James, Lieu, Tracy A., Keegan, Thomas, McNeil, Barbara J., Guadagnoli, Edward
N Engl J Med 2007 356: 921-934

Abstract FREE Full Text PDF
PowerPoint Slide Set Supplementary Material


Performance Measurement in Search of a Path
Hayward, Rodney A.
N Engl J Med 2007 356: 951-953

Extract Full Text PDF

AHRQ Press Release