Wednesday, October 31, 2007

Medical Errors Involving Trainees: A Study of Closed Malpractice Claims From 5 Insurers

Hardeep Singh; Eric J. Thomas; Laura A. Petersen; David M. Studdert
Arch Intern Med 2007 167: 2030-2036



Translational Patient Care: A New Model for Inpatient Care in the 21st Century
Robert A. Phillips; Julia D. Andrieni
Arch Intern Med. 2007;167:2025-2026.


Tuesday, October 30, 2007

Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification

Alan J. Forster , Keith O'Rourke , Kaveh G. Shojania , Carl van Walraven
Journal of Clinical Epidemiology- 2007 September Vol. 60, Issue 9, Pages 892-901

Abstract Full Text Full-Text PDF (394 KB)

No Safety, No Quality: Synthesis of Research on Hospital and Patient Safety (1996-2007).

Journal of Nursing Care Quality. 22(4):299-306, October/December 2007.
Tzeng, Huey-Ming PhD, RN; Yin, Chang-Yi MA

Abstract HTML PDF (82 K)

Friday, October 26, 2007

Safer care for the acutely ill patient: learning from serious incidents

This publication from the National Patient Safety Agency (NPSA) focuses on 107 patients whose deaths in acute hospitals in one year were reported to the National Reporting and Learning System (NRLS) and suggests that hospital staff and their organisations can make a real difference through identifying problems and acting early.

pdf 3MB- high resolution

pdf 640KB - low resolution

Thursday, October 25, 2007

Tuesday, October 23, 2007

Assessment of the National Patient Safety Initiative

Context and Baseline Evaluation Report I.
Farley DO, Morton SC, Damberg CL, et al.
Santa Monica, CA: The RAND Corporation; 2005. ISBN: 0833037870.

contents Full Document Summary Only

Moving from research to practice evaluation report II (2003–2004).
Farley DO, Morton SC, Damberg CL, et al.
Santa Monica, CA: The Rand Corporation; 2007. ISBN: 9780833041487.

contents Full Document Summary Only

Focus on Implementation and Dissemination Evaluation Report III (2004-2005)
Farley DO, Morton SC, Damberg CL, et al.
Santa Monica, CA: The Rand Corporation; 2007. ISBN: 9780833042170.

contents Full Document Summary Only

Monday, October 22, 2007

The GAAP in Quality Measurement and Reporting

Peter J. Pronovost; Marlene Miller; Robert M. Wachter
JAMA. 2007;298:1800-1802.


Is P4P Really FFS?

Walter P. Wodchis; Joseph S. Ross; Allan S. Detsky
JAMA. 2007;298:1797-1799.


Friday, October 19, 2007

Thursday, October 18, 2007

Tuesday, October 16, 2007

Continuum of care for maternal, newborn, and child health: from slogan to service delivery

Kate J Kerber, Joseph E de Graft-Johnson, Zulfiqar A Bhutta, Pius Okong, Ann Starrs, Joy E Lawnpages
The Lancet 2007; 370:1358-1369

Summary Full Text

Monday, October 15, 2007

CMS announces payment reforms for inpatient hospital services in 2008

Press Release

The Centers for Medicare & Medicaid Services (CMS) will reform the acute care hospital inpatient prospective payment system (IPPS).

The IPPS payment reforms would restructure the inpatient diagnosis-related groups (DRGs) to account more fully for the severity of each patient’s condition.

In addition, the rule includes important provisions to ensure that Medicare no longer pays for the additional costs of certain preventable conditions (including certain infections) acquired in the hospital.
To implement this policy, hospitals will be required to report secondary diagnoses present during admission, making it possible to detect what conditions were acquired during hospital stays.

The rule also expands the list of publicly reported quality measures.

IPPS regulation (pdf)

Saturday, October 13, 2007

Comparison of hospital episode statistics and central cardiac audit database in public reporting of congenital heart surgery mortality

Stephen Westaby, Nicholas Archer, Nicola Manning, Satish Adwani, Catherine Grebenik, Oliver Ormerod, Ravi Pillai, and Neil Wilson
BMJ 2007 335: 759.
[Abstract] [Abridged PDF] [Full text] [PDF]


Data sources and performance measurement
Stephen Singleton
BMJ 2007;335:730
[Extract] [Full text] [PDF]

Friday, October 12, 2007

The Quality of Ambulatory Care Delivered to Children in the United States

Mangione-Smith, Rita, DeCristofaro, Alison H., Setodji, Claude M., Keesey, Joan, Klein, David J., Adams, John L., Schuster, Mark A., McGlynn, Elizabeth A.

N Engl J Med 2007 357: 1515-1523

Abstract FREE Full Text PDF Supplementary Material


The Quality of Children's Health Care Matters -- Time to Pay Attention
Perrin, James M., Homer, Charles J.
N Engl J Med 2007 357: 1549-1551

Extract FREE Full Text PDF

Thursday, October 11, 2007

Quality of Care in Medicaid Managed Care and Commercial Health Plans

Bruce E. Landon; Eric C. Schneider; Sharon-Lise T. Normand; Sarah Hudson Scholle; L. Gregory Pawlson; Arnold M. Epstein
JAMA. 2007;298:1674-1681.


Wednesday, October 10, 2007

Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign.

AHRQ Publication No. 07-0074-EF, September 2007.
Agency for Healthcare Research and Quality, Rockville, MD.

Monday, October 08, 2007

The Comparative Effectiveness and Safety Emerging Methods Symposium

Medical Care - October 2007, Volume 45, Issue 10, Suppl 2
Tables of contents

From the Editorial: "AHRQ sponsored a 2-day symposium of researchers who presented new approaches to designing studies, identifying sources of data for research, and developing methodologies for studying health outcomes, safety, effectiveness, and comparative effectiveness. The proceedings of the symposium have been independently peer-reviewed and compiled to form this Medical Care supplement.

This supplement is meant to serve as a resource to scientists investigating the safety and effectiveness of treatments, particularly the effects of therapies whose efficacy has been previously established through randomized controlled trials. "

Smith, Scott R. MSPH, PhD

Saturday, October 06, 2007

Friday, October 05, 2007

Thursday, October 04, 2007

Application of statistical process control in healthcare improvement:systematic review

Johan Thor, Jonas Lundberg, Jakob Ask, Jesper Olsson, Cheryl Carli, Karin Pukk Harenstam, and Mats Brommels
Qual Saf Health Care 2007;16 387-399

[Abstract] [Full text] [PDF]

Wednesday, October 03, 2007

Primary healthcare teams' views on using mortality data to review clinical policies

Sullivan, Emma, Baker, Richard, Jones, David, Blackledge, Hanna, Rashid, Aly, Farooqi, Azhar, Allen, Justin
Qual Saf Health Care 2007 16: 359-362

[Abstract] [Full text] [PDF]

Tuesday, October 02, 2007

Cost and Quality: Evidence From Ontario Long Term Care Hospitals.

Walter P. Wodchis, Gary F. Teare, Geoff M. Anderson
Medical Care. 45(10):981-988, October 2007.

Abstract HTML PDF (293 K)

Patient Samples for Measuring Primary Care Physician Performance: Who Should Be Included?

Hector P. Rodriguez, Ted von Glahn, Hong Chang, William H. Rogers, Dana Gelb Safran
Medical Care. 45(10):989-996, October 2007.

Abstract HTML PDF (569 K)

Monday, October 01, 2007

The Impact of Social Work Environment, Teamwork Characteristics, Burnout, and Personal Factors Upon Intent to Leave Among European Nurses.

Madeleine Estryn-Béhar, Beatrice I. J. M. Van der Heijden, Halszka OgiDska, Donatella Camerino, Olivier Le Nézet, Paul Maurice Conway, Clementine Fry, Hans-Martin Hasselhorn
Medical Care. 45(10):939-950, October 2007.

Abstract HTML PDF (416 K)

The Impact of Safety Organizing, Trusted Leadership, and Care Pathways on Reported Medication Errors in Hospital Nursing Units.

Vogus, Timothy J., Sutcliffe, Kathleen M.
Medical Care. 45(10):997-1002, October 2007.

Abstract HTML PDF (293 K)