Wednesday, December 31, 2008

National Registry of Myocardial Infarction

Trends in presenting characteristics and hospital mortality among patients with ST elevation and non-ST elevation myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006
William J. Rogers, Paul D. Frederick, Edna Stoehr, John G. Canto, Joseph P. Ornato, C. Michael Gibson, Charles V. Pollack, Joel M. Gore, Nisha Chandra-Strobos, Eric D. Peterson, William J. French, for the National Registry of Myocardial Infarction Investigators
American Heart Journal, Volume 156, Issue 6, pages 1026-1034
Abstract Full Text Full-Text PDF (799 KB)

Trends in reperfusion strategies, door-to-needle and door-to-balloon times, and in-hospital mortality among patients with ST-segment elevation myocardial infarction enrolled in the National Registry of Myocardial Infarction from 1990 to 2006
C. Michael Gibson, Yuri B. Pride, Paul D. Frederick, Charles V. Pollack, John G. Canto, Alan J. Tiefenbrunn, W. Douglas Weaver, Costas T. Lambrew, William J. French, Eric D. Peterson, William J. Rogers, for the NRMI Investigators
American Heart Journal, Volume 156, Issue 6, pages 1035-1044
Abstract Full Text Full-Text PDF (855 KB)


Trends in quality of care for patients with acute myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006
Eric D. Peterson, Bimal R. Shah, Lori Parsons, Charles V. Pollack, William J. French, John G. Canto, C. Michael Gibson, William J. Rogers, for the NRMI Investigators
American Heart Journal, Volume 156, Issue 6, pages 1045-1055
Abstract Full Text Full-Text PDF (1132 KB)

Tuesday, December 30, 2008

Monday, December 29, 2008

Measuring Hospital Inefficiency: The Effects of Controlling for Quality and Patient Burden of Illness

Ryan L. Mutter, Michael D. Rosko, Herbert S. Wong
Health Services Research Volume 43 Issue 6 (December 2008): p 1992-2013
Abstract References Full Text: HTML, PDF

Friday, December 26, 2008

Wednesday, December 24, 2008

Planning a patient’s discharge from hospital

Srinivasa Vittal Katikireddi, Geoffrey Christopher Cloud
BMJ 2008;337:a2694, doi: 10.1136/bmj.a2694
Extract Full text

Tuesday, December 23, 2008

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.


An analysis of National Patient Safety Goal compliance and hospital quality measures related to heart attacks, heart failure, pneumonia, or surgical conditions, provides scientific evidence of improved patient care according to data gathered by the Joint Commission from nearly 1,500 institutions.

Monday, December 22, 2008

Finding order in heterogeneity: types of quality-improvement intervention publications

L V Rubenstein, S Hempel, M M Farmer, S M Asch, E M Yano, D Dougherty, and P W Shekelle
Qual Saf Health Care 2008; 17: 403-408.
[Abstract] [Full text] [PDF]

Friday, December 19, 2008

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports

F Healey, S Scobie, D Oliver, A Pryce, R Thomson, and B Glampson
Qual Saf Health Care 2008; 17: 424-430.
[Abstract] [Full text] [PDF]

Do falls and falls-injuries in hospital indicate negligent care—and how big is the risk?

A retrospective analysis of the NHS Litigation Authority Database of clinical negligence claims, resulting from falls in hospitals in England 1995 to 2006
D Oliver, S Killick, T Even, and M Willmott
Qual Saf Health Care 2008; 17: 431-436.
[Abstract] [Full text] [PDF]

Thursday, December 18, 2008

A model to evaluate quality and effectiveness of disease management

K M M Lemmens, A P Nieboer, C P van Schayck, J D Asin, and R Huijsman
Qual Saf Health Care 2008; 17: 447-453.
[Abstract] [Full text] [PDF]

Wednesday, December 17, 2008

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery

P Rhodes, S J Giles, G A Cook, A Grange, R Hayton, M J Maxwell, T A Sheldon, and J Wright
Qual Saf Health Care 2008; 17: 409-415.
[Abstract] [Full text] [PDF]


Editorial

The egocentric surgeon or the roots of wrong side surgery
John W Senders and Regine Kanzki
Qual Saf Health Care 2008; 17: 396-400.
[Extract] [Full text] [PDF]

Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback

P Garnerin, M Arès, A Huchet, and F Clergue
Qual Saf Health Care 2008; 17: 454-458.
[Abstract] [Full text] [PDF]

Tuesday, December 16, 2008

Adverse-event-reporting practices by US hospitals: results of a national survey

D O Farley, A Haviland, S Champagne, A K Jain, J B Battles, W B Munier, and J M Loeb
Qual Saf Health Care 2008; 17: 416-423.
[Abstract] [Full text] [PDF]

Editorial

The frustrating case of incident-reporting systems
Kaveh G Shojania
Qual Saf Health Care 2008; 17: 400-402.
[Extract] [Full text] [PDF]

Monday, December 15, 2008

Medical Acceptance of Quality Assurance in Health Care: The French Experience

Alexandra Giraud-Roufast; Jean Michel Chabot
JAMA. 2008;300(22):2663-2665.
EXTRACT FULL TEXT PDF

Friday, December 12, 2008

Do specialty cardiac hospitals have greater adherence to acute myocardial infarction and heart failure process measures?

An empirical assessment using Medicare quality measures: Quality of care in cardiac specialty hospitals
Ioana Popescu, M.D., M.P.H., Brahmajee K. Nallamothu, M.D., M.P.H., Mary S. Vaughan-Sarrazin, Ph.D., and Peter Cram, M.D., M.B.A.,
2008 American Heart Journal 156(1), pp. 155–160.
Abstract Full Text Full-Text PDF (184 KB)

Thursday, December 11, 2008

How Many Nurses per Patient? Measurements of Nurse Staffing in Health Services Research

Joanne Spetz, Nancy Donaldson, Carolyn Aydin, Diane S. Brown
Health Services Research Volume 43 Issue 5p1 : p 1674-1692
Abstract References Full Text: HTML, PDF

Wednesday, December 10, 2008

Hospital Quality, Efficiency, and Input Slack Differentials

Vivian G. Valdmanis, Michael D. Rosko, Ryan L. Mutter

2008 Health Services Research 43 (5, Part 2): p 1830-1848
Abstract References Full Text: HTML, PDF

Examining quality improvement programs: The case of Minnesota hospitals

Olson, J.R., Belohlav, J.A., Cook, L.S., and Hays, J.M.
2008 Health Services Research 43 (5, Part 2): pp.1787-1806.
Abstract References Full Text: HTML, PDF

Tuesday, December 09, 2008

Doctors, Dollars & Quality: A Health Affairs Web Exclusive Package

A package of papers and perspectives published on the Health Affairs Web site explore the relationships among the supply of doctors, the composition of the physician workforce, the quality of health care and overall health spending.

http://content.healthaffairs.org/cgi/content/full/hlthaff.28.1.w87/DC2

Monday, December 08, 2008

Choosing The Best Hospital: The Limitations Of Public Quality Reporting

Michael B. Rothberg, Elizabeth Morsi, Evan M. Benjamin, Penelope S. Pekow, and Peter K. Lindenauer
Health Affairs, November/December 2008; 27(6): 1680-1687.
[Abstract] [Full Text] [Figures Only] [PDF] [Online Appendix]

Saturday, December 06, 2008

Focusing Measures for Performance-Based Privileging of Physicians on Improvement

Myers, Sarah S.; Clark, Marta D.; Russell, Jennifer A.; Graham, Camille C.; Stultz, Michelle B.; Reidy, Kevin M.
Joint Commission Journal on Quality and Patient Safety Volume 34, Number 12, December 2008 , pp. 724-733(10)
abstract

Friday, December 05, 2008

IOM - Resident Duty Hours: Enhancing Sleep, Supervision, and Safety

This report from the Institute of Medicine (IOM), asserts that revisions to medical residents’ workloads and duty hours are necessary to better protect patients against fatigue-related errors and to enhance the learning environment for doctors in training.


Thursday, December 04, 2008

Revisiting Duty-Hour Limits -- IOM Recommendations for Patient Safety and Resident Education

Iglehart, John K.
N Engl J Med 2008 0: NEJMp0808736
full text PDF

Hospital-wide Code Rates and Mortality Before and After Implementation of a Rapid Response

TeamPaul S. Chan; Adnan Khalid; Lance S. Longmore; Robert A. Berg; Mikhail Kosiborod; John A. Spertus
JAMA. 2008;300(21):2506-2513.
ABSTRACT FULL TEXT PDF

Wednesday, December 03, 2008

Information exchange among physicians caring for the same patient in the community

Carl van Walraven, MD MSc, Monica Taljaard, PhD, Chaim M. Bell, MD PhD, Edward Etchells, MD MSc, Kelly B. Zarnke, MD, Ian G. Stiell, MD MSc, and Alan J. Forster, MD MSc
CMAJ 2008 179: 1013-1018.
[Abstract] [Full Text] [PDF]

Commentary

Strengthening primary care with better transfer of information
Robert J. Reid and Edward H. Wagner
CMAJ 2008 179: 987-988.
[Full Text] [PDF]

Tuesday, December 02, 2008

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

J M Aranaz-Andrés, C Aibar-Remón, J Vitaller-Murillo, P Ruiz-López, R Limón-Ramírez, E Terol-García, and the ENEAS work group
J Epidemiol Community Health 2008; 62: 1022-1029.
[Abstract] [Full text] [PDF]

Friday, November 28, 2008

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ.
On Call. IHI Open School for Health Professionals. November 2008.
link

IHI Open School’s On Call audio conference series

Thursday, November 27, 2008

Active Bed Management by Hospitalists and Emergency Department Throughput

E. Howell, E. Bessman, S. Kravet, K. Kolodner, R. Marshall and S. Wright
Ann Intern Med 2008; 804-810.
Abstract Full Text PDF

Wednesday, November 26, 2008

Patient-safety reforms inhibited by systemic impediments

Silversides, Ann
CMAJ 2008 179: 1253-1255
[Full Text] [PDF]

The Canadian Healthcare Safety Symposium 8
visit the speakers page to download individual documents

Tuesday, November 25, 2008

Pediatric Aspects of Inpatient Health Information Technology Systems

Council on Clinical Information Technology
Pediatrics 2008; 122: e1287-e1296.
[Abstract] [Full text] [PDF]

Quality of Care for Common Pediatric Respiratory Illnesses in United States Emergency Departments

Analysis of 2005 National Hospital Ambulatory Medical Care Survey Data
Jane F. Knapp, Stephen D. Simon, and Vidya Sharma
Pediatrics 2008; 122: 1165-1170.
[Abstract] [Full text] [PDF]

Quality of Inpatient Care for Asthma: Challenges and Opportunities
Meyer KattanPediatrics 2008; 122: 1369-1370.
[Extract] [Full text] [PDF]

Saturday, November 22, 2008

IHI Open School for Health Professions

Case studies, podcasts, videos, featured articles — and a bounty of other free online resources from the Institute for Healthcare Improvement

Friday, November 21, 2008

HHS - Quality Measure Inventory

The Department of Health and Human Services (HHS) released the first-ever inventory of quality measures that are used for reporting, payment, or quality improvement by its agencies and operating divisions.

The HHS measure inventory is available on the National Quality Measures Clearinghouse, a Web site of the Agency for Healthcare Research and Quality (AHRQ) link

HHS Measures is available for download in Excel

Thursday, November 20, 2008

Wednesday, November 19, 2008

Is health care getting safer?

Charles Vincent, Paul Aylin, Bryony Dean Franklin, Alison Holmes, Sandra Iskander, Ann Jacklin, Krishna Moorthy
BMJ 2008;337:a2426
extract Full text PDF

Tuesday, November 18, 2008

Friday, November 14, 2008

Complex Surgical Site Infections and the Devilish Details of Risk Adjustment: Important Implications for Public Reporting

Deverick J. Anderson, Luke F. Chen, Daniel J. Sexton, Keith S. Kaye
Infection Control and Hospital Epidemiology 2008 29:10, 941-946
Abstract-Full Text-PDF Version (291 kB)

Thursday, November 13, 2008

Risk adjustment performance of Charlson and Elixhauser comorbidities in ICD-9 and ICD-10 administrative databases

Bing Li, Dewey Evans, Peter Faris, Stafford Dean, Hude Quan
BMC Health Services Research 2008, 8:12 (14 January 2008)
[Abstract] [Full text] [PDF] [PubMed] [Related articles]

Wednesday, November 12, 2008

Electronic Health Record Components and the Quality of Care.

Salomeh Keyhani, MD; Paul L. Hebert, PhD; Joseph S. Ross, MD, MHS; Alex Federman, MD, MPH; Carolyn W. Zhu, PhD; Albert L. Siu, MD, MSPH
Medical Care. 46(12):1267-1272, December 2008.
Abstract HTML PDF (228 K)

Tuesday, November 11, 2008

Blueprint for a New American College of Surgeons: National Surgical Quality Improvement Program .

J . Birkmeyer , D . Shahian , J . Dimick , S . Finlayson , D . Flum , C . Ko , B . Hall
Journal of the American College of Surgeons , Volume 207 , Issue 5 , Pages 777 - 782
Full Text Full-Text PDF (106 KB)

Monday, November 10, 2008

Mental Illness and Hospitalization for Ambulatory Care Sensitive Medical Conditions.

Yue Li, PhD; Laurent G. Glance, MD; Xueya Cai, PhD; Dana B. Mukamel, PhD
Medical Care. 46(12):1249-1256, December 2008.
Abstract HTML PDF (325 K)

Friday, November 07, 2008

Does interhospital transfer improve outcome of acute myocardial infarction? A propensity score analysis from the Cardiovascular Cooperative Project

John M Westfall, Catarina I Kiefe, Norman W Weissman, Anthony Goudie, Robert M Centor, O Dale Williams, Jeroan J Allison
BMC Cardiovascular Disorders 2008, 8:22
[Abstract] [Full text] [PDF] [PubMed] [Related articles]

Thursday, November 06, 2008

Wednesday, October 22, 2008

SQUIRE: Standards for QUality Improvement Reporting Excellence

SQUIRE arrives—with a plan for its own improvement
David P Stevens and Richard Thomson
Qual Saf Health Care 2008; 17 (Suppl 1): i1-i2.
[Extract] [Full text] [PDF]

Publication guidelines for quality improvement in health care: evolution of the SQUIRE project
F Davidoff, P Batalden, D Stevens, G Ogrinc, S Mooney for the SQUIRE development group
Qual Saf Health Care 2008; 17 (Suppl 1): i3-i9.
[Abstract] [Full text] [PDF]

QIR and SQUIRE: continuum of reporting guidelines for scholarly reports in healthcare improvement
R G Thomson and F M Moss
Qual Saf Health Care 2008; 17 (Suppl 1): i10-i12.
[Extract] [Full text] [PDF]

The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration
G Ogrinc, S E Mooney, C Estrada, T Foster, D Goldmann, L W Hall, M M Huizinga, S K Liu, P Mills, J Neily, W Nelson, P J Pronovost, L Provost, L V Rubenstein, T Speroff, M Splaine, R Thomson, A M Tomolo, and B Watts
Qual Saf Health Care 2008; 17 (Suppl 1): i13-i32.
[Abstract] [Full text] [PDF]

Tuesday, October 21, 2008

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.
PSNet link

Friday, October 17, 2008

Thursday, October 16, 2008

Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 10, October 2008

Handoffs Causing Patient Harm: A Survey of Medical and Surgical House Staff pp. 563-570D(8)
Kitch, Barrett T.; Cooper, Jeffrey B.; Zapol, Warren M.; Marder, Jessica E.; Karson, Andrew; Hutter, Matt; Campbell, Eric G.

Adverse Events During Hospitalization: Results of a Patient Survey
pp. 583-590(8)
Fowler, Floyd J.; Epstein, Arnold; Weingart, Saul N.; Annas, Catherine L.; Bolcic-Jankovic, Dragana; Clarridge, Brian; Schneider, Eric C.; Weissman, Joel S.

Developing Process-Support Tools for Patient Safety: Finding the Balance Between Validity and Feasibility
pp. 604-607(4)
Marsteller, Jill A.; Holzmueller, Christine G.; Makary, Martin; Sexton, J. Bryan; Thompson, David A.; Lubomski, Lisa H.; Pronovost, Peter J.

The Daily Goals Communication Sheet: A Simple and Novel Tool for Improved Communication and Care
pp. 608-613(6)
Schwartz, Jamie M.; Nelson, Kristen L.; Saliski, Mary; Hunt, Elizabeth A.; Pronovost, Peter J.

The Team Checkup Tool: Evaluating QI Team Activities and Giving Feedback to Senior Leaders
pp. 619-623(5)
Lubomski, Lisa H.; Marsteller, Jill A.; Hsu, Yea-Jen; Goeschel, Christine A.; Holzmueller, Christine G.; Pronovost, Peter J.

Wednesday, October 15, 2008

Tuesday, October 14, 2008

Getting Real Performance Out of Pay-for-Performance

SEAN NICHOLSON, MARK V. PAULY, ANITA YA JUNG WU, JAMES F. MURRAY, STEVEN M. TEUTSCH, MARC L. BERGER
Milbank Quarterly Volume 86 Issue 3, Pages 435 - 457
Abstract References Full Text: HTML, PDF

Monday, October 13, 2008

Modifying ICD-9-CM Coding of Secondary Diagnoses to Improve Risk-Adjustment of Inpatient Mortality Rates

Pine, Michael, Jordan, Harmon S., Elixhauser, Anne, Fry, Donald E., Hoaglin, David C., Jones, Barbara, Meimban, Roger, Warner, David, Gonzales, Junius
Med Decis Making 2008 0: 0272989X08323297
Abstract

Thursday, October 09, 2008

AHRQ Annual Meeting and AHRQ Quality Indicators User Meeting

www.qualityindicators.ahrq.gov/presentations.htm

The Quality Indicators Support Team hosted the 2008 QI Users Meeting in conjunction with the AHRQ Annual Meeting.
This meeting included presentations on:

  • Patient Safety Indicator validation efforts
  • tiering of the QIs
  • public reporting of the QIs

Wednesday, October 08, 2008

Impact of date stamping on patient safety measurement in patients undergoing CABG: Experience with the AHRQ Patient Safety Indicators

Laurent G Glance, Yue Li, Turner M Osler, Dana B Mukamel, Andrew W Dick
BMC Health Services Research 2008, 8:176 (13 August 2008)
[Abstract] [Full text] [PDF]

Tuesday, October 07, 2008

AHRQ - Quality Indicators Learning Institute

www.ahrq.gov/QILearningInstitute/

The intent of the AHRQ Quality Indicators Learning Institute is to promote open discussions and interactions among program leaders, policymakers, researchers, and other experts involved in developing public reporting systems.

The "Introduction to the AHRQ QI Learning Institute" Webinar was held on July 30, 2008. Select to access the slide presentation (PowerPoint® presentation [950 KB]; Web version) and the Webinar transcript.

The Webinar "AHRQ Quality Indicators 101: Background and Introduction to the AHRQ QIs" was held on September 17, 2008. Select to access the slide presentation (PowerPoint® presentation [1.8 MB]; Web version) and the Webinar transcript).

Monday, October 06, 2008

The Tipping Point: The Relationship Between Volume and Patient Harm

Alberta T. Pedroja
American Journal of Medical Quality 2008 23: 336-341.
[Abstract] [PDF]

Friday, October 03, 2008

An Innovative Method to Assess Negotiation Skills Necessary for Quality Improvement

Prathibha Varkey, Priyanka Gupta, and Kevin E. Bennet
American Journal of Medical Quality 2008 23: 350-355.
[Abstract] [PDF]

Thursday, October 02, 2008

Transition from pediatric to adult services: are we getting it right?.

Andrew Kennedy; Susan Sawyer
Current Opinion in Pediatrics. 20(4):403-409, August 2008.
Abstract HTML PDF (111 K)

Wednesday, October 01, 2008

The Quality and Disparities Reports: Why Is Progress So Slow?

Jeffrey Brady, Karen Ho, and Carolyn M. Clancy
American Journal of Medical Quality 2008 23: 396-398.
[PDF]

Tuesday, September 30, 2008

Ranking Hospitals on Surgical Quality: Does Risk-Adjustment Always Matter?

J . Dimick , J . Birkmeyer
Journal of the American College of Surgeons , Volume 207 , Issue 3 , Pages 347 - 351
Abstract Full Text Full-Text PDF (145 KB)

Monday, September 29, 2008

AHRQ - Common Formats for event reporting to Patient Safety Organizations


The Agency for Healthcare Research and Quality (AHRQ) coordinates the development of Common Formats for event reporting to Patient Safety Organizations (PSOs). This activity is authorized by the Patient Safety and Quality Improvement Act of 2005 (the Patient Safety Act).

The Common Formats optimize the opportunity for the public and private sectors to learn more about trends and patterns in patient safety, with the purpose of improving health care quality.

Friday, September 26, 2008

How Many Nurses per Patient? Measurements of Nurse Staffing in Health Services Research

Joanne Spetz, Nancy Donaldson, Carolyn Aydin, Diane S. Brown

Health Services ResearchVolume 43 Issue 5p1 (October 2008): p 1674-1692
Abstract HTML PDF Supporting information

FDA Patient Safety News

www.accessdata.fda.gov/scripts/cdrh/cfdocs/psn/index.cfm

A Video News Show for Health Professionals from Food and Drug Administration (FDA) that offers information on common types of medical errors.

Thursday, September 25, 2008

Does Hospital Performance on Process Measures Directly Measure High Quality Care or Is It a Marker of Unmeasured Care?

Rachel M. Werner, Eric T. Bradlow, David A. Asch
Health Services ResearchVolume 43 Issue 5p1 (October 2008): 1464-1484
Abstract HTML PDF Supporting information


Editorial
Reflections on Improving Hospital Performance
Ann Barry Flood, Marie-Claire Rosenberg
Health Services ResearchVolume 43 Issue 5p1 (October 2008): 1457-1463
Abstract HTML, PDF

Wednesday, September 24, 2008

Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool.

David C. Classen; Robert C. Lloyd; Lloyd Provost; Frances A. Griffin; Roger Resar
Journal of Patient Safety. 4(3):169-177, September 2008.
Abstract HTML PDF (681 K)

Tuesday, September 23, 2008

Questionable hospital chart documentation practices by physicians.

Sharma R, Kostis WJ, Wilson AC, et al.
J Gen Intern Med. 2008 Aug 27; [Epub ahead of print].
Pubmed

Monday, September 22, 2008

Testing the hospital value proposition: An empirical analysis of efficiency and quality.

Huerta, Timothy R.; Ford, Eric W.; Peterson, Lori T.; Brigham, Keith H.
Features Health Care Management Review. 33(4):341-349, October/December 2008.
Abstract Fulltext PDF (107 K)

Saturday, September 20, 2008

The Potential Effects Of HEDIS Performance Measures On The Quality Of Care

David M. Eddy, L. Gregory Pawlson, David Schaaf, Barbara Peskin, Andrei Shcheprov, Julia Dziuba, Jill Bowman, and Benjamin Eng
Health Affairs, September/October 2008; 27(5): 1429-1441.
[Abstract] [Full Text] [Figures Only] [PDF]

Friday, September 19, 2008

Thursday, September 18, 2008

Care Platforms: A Basic Building Block For Care Delivery

Richard M.J. Bohmer and David M. Lawrence
Health Affairs, September/October 2008; 27(5): 1336-1340.
[Abstract] [Full Text] [PDF]

Wednesday, September 17, 2008

A Survey of Hospital Quality Improvement Activities

Alan B. Cohen, Joseph D. Restuccia, Michael Shwartz, Jennifer E. Drake, RayKang, Peter Kralovec, Sally K. Holmes, Frances Margolin, and Deborah Bohr
Med Care Res Rev 2008;65 571-595
[Abstract] [PDF] [References]

Tuesday, September 16, 2008

Hospitalists And Care Transitions: The Divorce Of Inpatient And Outpatient Care

Hoangmai H. Pham, Joy M. Grossman, Genna Cohen, and Thomas Bodenheimer
Health Affairs, September/October 2008; 27(5): 1315-1327.
[Abstract] [Full Text] [PDF] [Online Supplement]

Saturday, September 13, 2008

Statistical modeling of the volume-outcome effect for carotid endarterectomy for 10 years of a statewide database

Susanna M. Nazarian, Gayane Yenokyan, Richard E. Thompson, Michael E. Griswold, David C. Chang, Bruce A. Perler
J Vasc Surg. 2008 Aug;48(2):343-50
Abstract Full Text Full-Text PDF (367 KB)

Discussion
ageJ Vasc Surg. 2008 Aug;48(2): 360-361
Full Text Full-Text PDF (47 KB)

Friday, September 12, 2008

Self reported receipt of care consistent with 32 quality indicators

national population survey of adults aged 50 or more in England
Nicholas Steel, Max Bachmann, Susan Maisey, Paul Shekelle, Elizabeth Breeze, Michael Marmot, David Melzer
BMJ 2008;337:a957
free full text

Wednesday, September 10, 2008

Bridging From the Picker Hospital Survey to the CAHPS(R) Hospital Survey.

Denise D. Quigley, PhD; Marc N. Elliott, PhD; Ron D. Hays, PhD; David J. Klein, MS; Donna O. Farley, PhD
Medical Care. 46(7):654-661, July 2008.
Abstract HTML PDF (293 K) ArticlePlus

Tuesday, September 09, 2008

AHRQ - Informed Decisions Toolbox

Finding and Using Management Research Evidence

To promote evidence-based management in health care, the Agency for Healthcare Research and Quality (AHRQ) funded development of tools to help decisionmakers find and interpret evidence related to decisions.

http://www.ahrq.gov/research/decisiontoolbx.htm#top

Ignoring Dependency between Linking Variables and Its Impact on the Outcome of Probabilistic Record Linkage Studies

Miranda Tromp, Nora Méray, Anita C.J. Ravelli, Johannes B. Reitsma, and Gouke J. Bonsel
J Am Med Inform Assoc 2008; 15: 654-660.
[Abstract] [Full Text] [PDF]

Saturday, September 06, 2008

Comorbidity risk-adjustment strategies are comparable among persons with hip fracture.

D . Radley , D . Gottlieb , E . Fisher , A . Tosteson
Journal of Clinical Epidemiology , Volume 61 , Issue 6 , Pages 580 - 587
Abstract Full Text Full-Text PDF (195 KB)

Thursday, September 04, 2008

Medication Errors in Pediatric Inpatients: Prevalence and Results of a Prevention Program

Paula Otero, Andrea Leyton, Gonzalo Mariani, José María Ceriani Cernadas and the Patient Safety Committee
Pediatrics 2008; 122: e737-e743.
[Abstract] [Full text] [PDF]

Wednesday, September 03, 2008

The Effect of Electronic Prescribing on Medication Errors and Adverse Drug Events: A Systematic Review

muitqghElske Ammenwerth, Petra Schnell-Inderst, Christof Machan, and Uwe Siebert
J Am Med Inform Assoc 2008; 15: 585-600.
[Abstract] [Full Text] [PDF] Data Supplement

Tuesday, September 02, 2008

The BOOSTing (Better Outcomes for Older adults through Safe Transitions) Care Transitions resource room


This web site from the Society of Hospital Medicine provides a wealth of materials to help optimize the discharge process. The BOOSTing is the online version of the Care Transitions Implementation Guide. The suggested approach is based on 8 essential elements for improving the discharge process.

Saturday, August 30, 2008

Effect of financial incentives on inequalities in the delivery of primary clinical care in England

analysis of clinical activity indicators for the quality and outcomes framework
Tim Doran, Catherine Fullwood, Evangelos Kontopantelis, David Reeves
The Lancet 2008; 372:728-736
Summary Full Text

Comment

Quality and outcomes framework: patient-centred?
Barbara Starfield
The Lancet 2008; 372:692-694
Full Text

Friday, August 29, 2008

Tuesday, August 26, 2008

Implementation of quality measures to reduce surgical site infection in colorectal patients.

Wick EC, Gibbs L, Indorf LA, Varma MG, Garcia-Aguilar J.
Dis Colon Rectum. 2008 Jul;51(7):1004-9.
abstract PDF (124.2 KB) HTML Free Preview

Monday, August 25, 2008

Relationship of a Quality Measure Composite to Clinical Outcomes for Patients With Heart Failure

Eugene S. Chung, Lin Guo, Donald E. Casey, Jr, Cheryl Bartone, Santosh Menon, Syed Saghir, Anubhav Mital, and Dean J. Kereiakes
American Journal of Medical Quality 2008 23: 168-175.
[Abstract] [PDF] [References]

Friday, August 22, 2008

Effect of procedural volume on outcome of coronary artery bypass graft surgery in Japan

implication toward public reporting and minimal volume standards
Miyata H, Motomura N, Ueda Y, Matsuda H, Takamoto S.
J Thorac Cardiovasc Surg. 2008 Jun;135(6):1306-12.
Abstract Full Text Full-Text PDF (214 KB)


Expert Commentary

Low-volume coronary artery bypass surgery: Measuring and optimizing performance
David M. Shahian, Sharon-Lise T. Normand
J Thorac Cardiovasc Surg. 2008 Jun;135(6): 1202-1209
Full Text Full-Text PDF (307 KB)

Thursday, August 21, 2008

The Value of Ambulatory Care Measures: A Review of Clinical and Financial Impact from an Employer/Payer Perspective

Francois de Brantes, MBA; Paula S. Wickland, FSA; and John P. Williams, MD
Am J Manag Care. 2008;14(6):360-368
Abstract : Full Text : Appendix : PDF

Wednesday, August 20, 2008

Interventions to Reduce Unnecessary Antibiotic Prescribing: A Systematic Review and Quantitative Analysis.

Sumant R. Ranji, MD; Michael A. Steinman, MD; Kaveh G. Shojania, MD; Ralph Gonzales, MD, MSPH
Medical Care. 46(8):847-862, August 2008.
Abstract HTML PDF (582 K) ArticlePlus

Tuesday, August 19, 2008

Measuring Maternal Morbidity in Routinely Collected Health Data

Development and Validation of a Maternal Morbidity Outcome Indicator.
Christine L. Roberts, MBBS, DipObsRANZCOG, DrPH; Carolyn A. Cameron, MPH; Jane C. Bell, BDS, DipEd, MPH, MAppEpid; Charles S. Algert, BS, MPH; Jonathan M. Morris, MB ChB, FRANZCOG, PhD
Medical Care. 46(8):786-794, August 2008.
Abstract HTML PDF (327 K)

Monday, August 18, 2008

Identifying Top-Performing Hospitals by Algorithm: Results from a Demonstration Project

Allison, Jeroan J.; Weissman, Norman W.; Silvey, Andrea B.; Chapin, Charlie A.; Kiefe, Catarina I.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 6, June 2008 , pp. 309-317(9)
abstract

Friday, August 15, 2008

Estimating a Composite Measure of Hospital Quality From the Hospital Compare Database

Differences When Using a Bayesian Hierarchical Latent Variable Model Versus Denominator-Based Weights.
Michael Shwartz, PhD; Justin Ren, PhD; Erol A. Peköz, PhD; Xin Wang, PhD; Alan B. Cohen, ScD; Joseph D. Restuccia, DrPH
Medical Care. 46(8):778-785, August 2008.

Abstract HTML PDF (298 K)

Thursday, August 14, 2008

Comparison and Validity of Procedures Coded With ICD-9-CM and ICD-10-CA/CCI.

Carolyn De Coster, Bing Li, Hude Quan
Medical Care. 46(6):627-634, June 2008
Abstract HTML PDF (407 K)

Wednesday, August 13, 2008

Public Reporting of Antibiotic Timing in Patients with Pneumonia

Lessons from a Flawed Performance Measure
R. M. Wachter, S. A. Flanders, C. Fee and P. J. Pronovost
Ann Intern Med 2008; 29-32.
Abstract Full Text PDF

Tuesday, August 12, 2008

Comparative Quality Measures: Putting Evidence Above Expediency

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Michael G. Kahn and James Todd
Pediatrics 2008; 122: 182-183.
[Extract] [Full text] [PDF]

Monday, August 11, 2008

Does the Leapfrog Program Help Identify High-Quality Hospitals?

Jha, Ashish K.; Orav, E. John; Ridgway, Abigail B.; Zheng, Jie; Epstein, Arnold M.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 6, June 2008 , pp. 318-325(8)
abstract

Friday, August 08, 2008

Frequency and Predictors of Adverse Health Outcomes in Older Medicare Beneficiaries Discharged From the Emergency Department.

S Nicole Hastings, MD; Eugene Z. Oddone, MD, MHS; Gerda Fillenbaum, PhD; Richard J. Sloane, MPH; Kenneth E. Schmader, MD
Medical Care. 46(8):771-777, August 2008
Abstract HTML PDF (268 K)

Thursday, August 07, 2008

An introduction to reading and appraising qualitative research

Ayelet Kuper, Scott Reeves, Wendy Levinson
BMJ 2008;337:a288 (Published 7 August 2008)
[Extract] [Full text]

Wednesday, August 06, 2008

Selecting High Priority Quality Measures For Breast Cancer Quality Improvement.

Michael J. Hassett, MD, MPH; Melissa E. Hughes, MSc; Joyce C. Niland, PhD; Rebecca Ottesen, MS; Stephen B. Edge, MD; Michael A. Bookman, MD; Robert W. Carlson, MD; Richard L. Theriault, DO, MBA; Jane C. Weeks, MD, MSc
Medical Care. 46(8):762-770, August 2008.
Abstract HTML PDF (396 K)



Editorial

On the Road to Improving the Quality of Breast Cancer Care: A Distance Still to Travel.
Jeanne S. Mandelblatt, MD, MPH; Arnold L. Potosky, PhD
Medical Care. 46(8):759, August 2008.
HTML PDF (122 K)

Tuesday, August 05, 2008

Monday, August 04, 2008

Variation in Quality of Care Within Health Systems

Hines, Steve; Joshi, Maulik
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 6, June 2008 , pp. 326-332(7)
abstract

Friday, August 01, 2008

Comparing Patient-Reported Hospital Adverse Events with Medical Record Review

Do Patients Know Something That Hospitals Do Not?
J. S. Weissman, E. C. Schneider, S. N. Weingart, A. M. Epstein, J. David-Kasdan, S. Feibelmann, C. L. Annas, N. Ridley, L. Kirle and C. Gatsonis
Ann Intern Med 2008; 100-108.
Abstract Full Text PDF

Thursday, July 31, 2008

Wednesday, July 30, 2008

Quality of Care of Children in the Emergency Department: Association with Hospital Setting and Physician Training.

Dharmar M, Marcin JP, Romano PS, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Kuppermann N.
J Pediatr. 2008 Jul 10.
pubmed

Tuesday, July 29, 2008

Tracking quality over time: what do pressure ulcer data show?

Lena Gunningberg and Nancy A. Stotts
Int J Qual Health Care 2008 20: 246-253;
[Abstract] [Full Text] [PDF]

Monday, July 28, 2008

WHO - Assuring the quality of health care in the European Union

A case for action

This book from the World Health Organization, on behalf of the European Observatory on Health Systems and Policies, examines the systems that have been put in place in all of the European Union’s 27 Member States to ensure high quality care

pdf

Friday, July 25, 2008

Identifying Persons with Treated Asthma Using Administrative Data via Latent Class Modelling

Robert J. Prosser, Bruce C. Carleton, M. Anne Smith
Health Services Research Volume 43 Issue 2, Pages 733 - 754
Abstract References Full Text: HTML, PDF (Size: 143K) Supporting information

Thursday, July 24, 2008

WHO - Guidance on developing quality and safety strategies

The aim of this guidance from the WHO Regional Office for Europe is to help national policy advisers and policy makers to create and implement a national quality strategy, drawing attention to the need for sustainable longer term public health measures.

pdf

Wednesday, July 23, 2008

Exploratory Analyses of the "Failure to Rescue" Measure

Evaluation Through Medical Record Review.
AkkeNeel Talsma; Vinita Bahl; Darrell A. Campbell
Journal of Nursing Care Quality. 23(3):202-210, July/September 2008.
Abstract HTML PDF (89 K)


Failure to Rescue: A Preliminary Study of Patient-Level Factors.
Kathleen L. Bobay, Karen L. Fiorelli, Alfred J. Anderson
Journal of Nursing Care Quality. 23(3):211-215, July/September 2008.
Abstract HTML PDF (69 K)

Tuesday, July 22, 2008

Monday, July 21, 2008

The Effectiveness of Root Cause Analysis: What Does the Literature Tell Us?

Percarpio, Katherine B.; Watts, B. Vince; Weeks, William B.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 7, July 2008 , pp. 391-398(8)
abstract

Friday, July 18, 2008

Using nurses and office staff to report prescribing errors in primary care

Amanda G. Kennedy, Benjamin Littenberg, and John W. Senders
Int J Qual Health Care 2008 20: 238-245;
[Abstract] [FREE Full Text] [PDF]

Thursday, July 17, 2008

Exclusion of Patients from Pay-for-Performance Targets by English Physicians

Doran, Tim, Fullwood, Catherine, Reeves, David, Gravelle, Hugh, Roland, Martin
N Engl J Med 2008 359: 274-284
Abstract Full Text PDF Supplementary Material

Wednesday, July 16, 2008

Rationing of nursing care and its relationship to patient outcomes

the Swiss extension of the International Hospital Outcomes Study
Maria Schubert, Tracy R. Glass, Sean P. Clarke, Linda H. Aiken, Bianca Schaffert-Witvliet, Douglas M. Sloane, and Sabina De Geest
Int J Qual Health Care 2008 20: 227-237;
[Abstract] [Full Text] [PDF] [Request Permissions]

Tuesday, July 15, 2008

Hospital Quality: A PRIDIT Approach

Robert D. Lieberthal
Health Services Research Volume 43 Issue 3, Pages 988 - 1005
Abstract References Full Text: HTML, PDF

Monday, July 14, 2008

Improving the Translation of Research into Primary Care Practice

Results of a National Quality Improvement Demonstration Project
Ornstein, Steven; Nietert, Paul J.; Jenkins, Ruth G.; Wessell, Andrea M.; Nemeth, Lynne S.; Rose, Heather L.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 7, July 2008 , pp. 379-390(12)
abstract

Friday, July 11, 2008

Are Patient Safety Indicators related to widely used measures of hospital quality?

gqlqvIsaac T, Jha AK.
J Gen Intern Med. 2008 Jun 24; [Epub ahead of print].
pubmed

The Transforming Care at the Bedside (TCAB) Toolkit

http://www.rwjf.org/pr/product.jsp?id=30051

TCAB toolkit focus on engaging frontline staff and unit managers so that transforming the way care is delivered on medical/surgical units come not from the executive suite or a quality improvement department, but from the nurses and other care team members who spend the most time with patients.

Thursday, July 10, 2008

Health Policy and Public Trust

Robert H. Brook
JAMA. 2008;300(2):211-213.
EXTRACT FULL TEXT PDF

Tuesday, July 08, 2008

Electronic Health Records in Ambulatory Care -- A National Survey of Physicians

DesRoches, Catherine M., Campbell, Eric G., Rao, Sowmya R., Donelan, Karen, Ferris, Timothy G., Jha, Ashish, Kaushal, Rainu, Levy, Douglas E., Rosenbaum, Sara, Shields, Alexandra E., Blumenthal, David
N Engl J Med 2008 359: 50-60
Abstract FREE Full Text PDF Supplementary Material

The Impact Of Pay-For-Performance On Health Care Quality In Massachusetts, 2001–2003

Steven D. Pearson, Eric C. Schneider, Ken P. Kleinman, Kathryn L. Coltin, and Janice A. Singer
Health Affairs, 27, no. 4 (2008): 1167-1176
[Abstract] [Full Text] [PDF] [Technical Appendix]

Friday, July 04, 2008

WHO - Workshop on performance assessment for health systems improvement

First day of WHO European Ministerial Conference on Health Systems: “Health Systems, Health and Wealth” was dedicated to performance assessment for health systems improvement.

watch videos

Thursday, July 03, 2008

WHO - Safe Surgery Saves Lives


www.who.int/patientsafety/safesurgery/en/index.html

The aims of the World Alliance for Patient Safety second Global Patient Safety Challenge is to improve the safety of surgical care around the world.

The "Safe Surgery Saves Lives" initiative is a collaborative effort to reduce avoidable deaths and complications in surgical care.



The WHO surgical safety checklist identifies a set of surgical safety standards that can be applied in all countries and health settings.

Wednesday, July 02, 2008

Tuesday, July 01, 2008

Workarounds to Barcode Medication Administration Systems

Their Occurrences, Causes, and Threats to Patient Safety
Ross Koppel, Tosha Wetterneck, Joel Leon Telles, and Ben-Tzion Karsh
J Am Med Inform Assoc 2008; 15: 408-423.
[Abstract] [Full Text] [PDF]

Saturday, June 28, 2008

Evidence for the impact of quality improvement collaboratives: systematic review

Loes M T Schouten, Marlies E J L Hulscher, Jannes J E van Everdingen, Robbert Huijsman, Richard P T M Grol
BMJ 2008;336:1491-1494
[Abstract] [Abridged PDF] [Full text] [PDF] [extra: Web extras]


Editorial

Effects of quality improvement collaboratives
Peter K Lindenauer
BMJ 2008;336:1448-1449
Extract] [Full text] [PDF]

Thursday, June 26, 2008

Paying the Piper: Investing in Infrastructure for Patient Safety

Pronovost, Peter J.; Rosenstein, Beryl J.; Paine, Lori; Miller, Marlene R.; Haller, Karen; Davis, Richard; Demski, Renee; Garrett, Margaret R.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 6, June 2008 , pp. 342-348(7)
abstract

Wednesday, June 25, 2008

Communicating, Coordinating, and Cooperating When Lives Depend on It: Tips for Teamwork

Salas, Eduardo; Wilson, Katherine A.; Murphy, Carrie E.; King, Heidi; Salisbury, Mary
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 6, June 2008 , pp. 333-341(9)
abstract

Tuesday, June 24, 2008

Comparisons of Health Plan Quality: Does the Sampling Strategy Affect the Results?

L Elizabeth Goldman ; Arpita Chattopadhyay; Andrew B. Bindman

Medical Care. 46(7):752-757, July 2008.
Abstract HTML PDF (229 K)

Monday, June 23, 2008

Personal Quality Improvement and Individualized Health Process Control: An Update.

Quality Management in Health Care. 17(2):186-188, April/June 2008.
Neuhauser, Duncan
Abstract HTML PDF (56 K)

Friday, June 20, 2008

Are Performance Measures Based on Automated Medical Records Valid for Physician/Practice Profiling of Asthma Care?

Anne Fuhlbrigge, MD, MS; Vincent J. Carey, PhD; Jonathan A. Finkelstein, MD, MPH; Paula Lozano, MD, MPH; Thomas S. Inui, ScM, MD; Kevin B. Weiss, MD
Medical Care. 46(6):620-626, June 2008.
Abstract HTML PDF (297 K)

Thursday, June 19, 2008

A Parametric Control Chart Adjustment for Handling Serial Dependence in Health Care Quality Data.

Quality Management in Health Care. 17(2):154-161, April/June 2008.
Madan, Alok; Borckardt, Jeffrey J. ; Nash, Michael R.
Abstract HTML PDF (588 K)

Wednesday, June 18, 2008

How Work Context Shapes Physician Approach to Safety and Error.

Hoff, Timothy J.
Quality Management in Health Care. 17(2):140-153, April/June 2008.
Abstract HTML PDF (102 K)

Tuesday, June 17, 2008

Will Mandated Minimum Nurse Staffing Ratios Lead to Better Patient Outcomes?

Julie Sochalski, R Tamara Konetzka, Jingsan Zhu, Kevin Volpp
Medical Care. 46(6):606-613, June 2008.
Abstract HTML PDF

Monday, June 16, 2008

AHRQ - Resources on System Design

www.ahrq.gov/qual/systemdesign.htm

A valuable collection research, resources, and tools on system design developed with support from the Agency for Healthcare Research and Quality (AHRQ).

Friday, June 13, 2008

AHRQ - Care Coordination

Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies: Volume 7—Care Coordination
Technical Review (Publication No. 04(07)-0051-7): www.ahrq.gov/clinic/tp/caregaptp.htm


The objectives of this report from Agency for Healthcare Research and Quality (AHRQ) were to develop a working definition of care coordination, apply it to a review of systematic reviews, and identify theoretical frameworks that
might predict or explain how care coordination mechanisms are influenced by factors in the health care setting and how they relate to patient outcomes and health care costs.

PDF

Thursday, June 12, 2008

SBAR: Situation-Background-Assessment-Recommendation

The SBAR (Situation-Background-Assessment-Recommendation) technique developed by Kaiser Permanente and Institute for Healthcare Improvement (IHI) provides a framework for communication between members of the health care team about a patient's condition.

Guidelines for Communicating with Physicians Using the SBAR Process (PDF)

SBAR report to physician about a critical situation worksheet (PDF)

see also:
www.innovations.ahrq.gov/content.aspx?id=150

Wednesday, June 11, 2008

AHRQ - Improving Healthcare, Improving Lives

Presentations from AHRQ’s first annual conference, September 26-28, 2007 are available here:
www.blsmeetings.net/2007AHRQANNUAL/Agenda.cfm

Conference themes:

  • Data Sharing, Health Care Reporting, and the Public Trust
  • Medication Management and Safety
  • Strategies and Tools for Quality/Safety Improvement
  • Value and Sustainability in Health IT
  • Improving Health Care Decision Making
  • System Design and Organizational Change

Tuesday, June 10, 2008

AHRQ - A Toolkit for Redesign in Health Care

www.ahrq.gov/qual/toolkit/
This toolkit prepared for the Agency for Healthcare Research and Quality (AHRQ) by Denver Health presents strategies for comprehensively redesigning and transforming processes of care in a hospital.

PDF File

Monday, June 09, 2008

Health Care Efficiency Measures: Identification, Categorization, and Evaluation.

http://www.ahrq.gov/qual/efficiency/

AHRQ Publication No. 08-0030, April 2008, Agency for Healthcare Research and Quality, Rockville, MD.


This report from Agency for Healthcare Research and Quality (AHRQ) presents a comprehensive review of the evidence on efficiency measurement.

PDF File,

Friday, June 06, 2008

Thursday, June 05, 2008

Wednesday, June 04, 2008

Gao Report – Health Care associated Infections In Hospitals

Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections

GAO report


Public, Private Insurers Refusing to Pay Hospitals for Costs of Avoidable Errors
Mike Mitka
JAMA. 2008;299(21):2495-2496.
EXTRACT FULL TEXT PDF

Tuesday, June 03, 2008

Comparative indicators for cancer network management in England: Availability, characteristics and presentation

Mark McCarthy, Arturo Gonzalez-Izquierdo, Chris Sherlaw-Johnson, Artak Khachatryan, Michel P Coleman, and Bernard Rachet
BMC Health Serv Res. 2008; 8: 45.

Measuring and explaining mortality in Dutch hospitals

The Hospital Standardized Mortality Rate between 2003 and 2005
Richard Heijink, Xander Koolman, Daniel Pieter, André van der Veen, Brian Jarman, and Gert Westert
BMC Health Serv Res. 2008; 8: 73.

Monday, June 02, 2008

Radar plots: a useful way for presenting multivariate health care data

M. Joan Saary
Journal of Clinical Epidemiology Volume 61, Issue 4, Pages311-317
Abstract | Full Text | Full-Text PDF (348 KB)

Friday, May 30, 2008

Diagnostic Error: Is Overconfidence the Problem

special issue
The American Journal of Medicine Volume 121, Issue 5, Supplement (May 2008)
Edited by Mark L. Graber , Eta S. Berner
Table of contents (Free full text available)

Thursday, May 29, 2008

Quality & Accountability


PROLOGUE: Improving Quality And Accountability
[Extract] [Full Text] [PDF]



Margaret O’Kane, Janet Corrigan, Sandra M. Foote, Sean R. Tunis, George J. Isham, Len M. Nichols, Elliott S. Fisher, Jack C. Ebeler, James A. Block, Bruce E. Bradley, Christine K. Cassel, Debra L. Ness, and John Tooker
[Abstract] [Full Text] [PDF]



Donald M. Berwick, Thomas W. Nolan, and John Whittington
[Abstract] [Full Text] [PDF]