Wednesday, April 30, 2008

Discharge of Heart Failure Patients: A Hospitalist Checklist

This checklist from the Society of Hospital Medicine details what information should be included in the patient's discharge summary, patient discharge instructions, and the communication with the patient's followup physician on the day of discharge.
link

Tuesday, April 29, 2008

AHRQ - How to Create a Pill Card

http://www.ahrq.gov/qual/pillcard/pillcard.htm

This guide from Agency for Healthcare Research and Quality (AHRQ) was designed to help users create an easy-to-use "pill card" for patients, parents, or anyone who has a hard time keeping track of their medicines.

Monday, April 28, 2008

The Effect of Consistent Nursing Shifts on Teamwork and Continuity of Care.

Kalisch, Beatrice J. ; Begeny, Suzanne ; Anderson, Christine
Journal of Nursing Administration. 38(3):132-137, March 2008.
Abstract HTML PDF (431 K)

Spreading Nursing Unit Innovation in Large Hospital Systems

Pearson ML, Upenieks VV, Yee T, Needleman J.
The Journal of Nursing Administration, Vol. 38, No. 3, March 2008, pp. 146-152.
Abstract HTML PDF (1.01 M)

Friday, April 25, 2008

RAND - The State and Pattern of Health Information Technology Adoption


http://rand.org/pubs/monographs/MG409/
By: Katya Fonkych, Roger Taylor

In this report, RAND estimate the current level and pattern of HIT adoption in the different types of healthcare organizations and evaluate factors that affect the diffusion process.

Full Document

Summary Only

Thursday, April 24, 2008

Industry Influence in the Creation of Pay-for-Performance Quality Measures.

Johnie Rose
Quality Management in Health Care. 17(1):27-34, January/March 2008
Abstract HTML PDF (85 K)

Data Quality Bias: An Underrecognized Source of Misclassification in Pay-for-Performance Reporting?.

Darcey D. Terris, David G. Litaker
Quality Management in Health Care. 17(1):19-26, January/March 2008
Abstract HTML PDF (126 K)

Pay for Performance and Medical Professionalism.

Hendrickson, Marissa
Article Quality Management in Health Care. 17(1):9-18, January/March 2008.
Abstract HTML PDF (92 K)

The Physician Quality Reporting Initiative-A Gateway to Pay for Performance

What Every Health Care Professional Should Know.

Stulberg, Jonah
Quality Management in Health Care. 17(1):2-8, January/March 2008.
Abstract HTML PDF (75 K)

Wednesday, April 23, 2008

Med Clin North Am - Hospital medicine

Med Clin North Am. 2008 Mar;92(2)

This special issue of Medical Clinics of North America is dedicated to the field of hospital medicine.

Preface Scott A. Flanders, Vikas I. Parekh, Lakshmi Halasyamani pages xi-xii Full Text Full-Text PDF (140 KB)

The State of Hospital Medicine in 2008 Robert M. Wachter pages 265-273 Abstract Full Text Full-Text PDF (157 KB)

Implementing Patient Safety Interventions in Your Hospital: What to Try and What to Avoid Sumant R. Ranji, Kaveh G. Shojania pages 275-293 Abstract Full Text Full-Text PDF (253 KB)

Prevention and Treatment of Health Care–Acquired Infections Leanne B. Gasink, Ebbing Lautenbach pages 295-313 Abstract Full Text Full-Text PDF (339 KB)

Care Transitions for Hospitalized Patients Vineet M. Arora, Jeanne M. Farnan pages 315-324 Abstract Full Text Full-Text PDF (154 KB)

Perioperative Medicine for the Hospitalized Patient Paul J. Grant, David H. Wesorick pages 325-348 Abstract Full Text Full-Text PDF (339 KB)

End-of-Life Care for the Hospitalized Patient Steven Z. Pantilat, Margaret Isaac pages 349-370 Abstract Full Text Full-Text PDF (257 KB)

Pain Management in the Hospitalized Patient Joseph Ming Wah Li pages 371-385 Abstract Full Text Full-Text PDF (222 KB)

Acute Hospital Care for the Elderly Patient: Its Impact on Clinical and Hospital Systems of Care Paula M. Podrazik, Chad T. Whelan pages 387-406 Abstract Full Text Full-Text PDF (354 KB)

Diabetes Management in the Hospital Thomas W. Donner, Kristin M. Flammer pages 407-425 Abstract Full Text Full-Text PDF (569 KB)

Infectious Disease Emergencies Nelson Nicolasora, Daniel R. Kaul pages 427-441 Abstract Full Text Full-Text PDF (453 KB)

Diagnosis and Management of Venous Thromboembolism Tracy Minichiello, Patrick F. Fogarty pages 443-465 Abstract Full Text Full-Text PDF (277 KB)

Critical Care Medicine for the Hospitalist Derek J. Linderman, William J. Janssen pages 467-479 Abstract Full Text Full-Text PDF (177 KB)

Tuesday, April 22, 2008

CMWF - Physician Organization in Relation to Quality and Efficiency of Care: A Synthesis of Recent Literature

L. Tollen
The Commonwealth Fund, April 2008

System organization is fundamental to improved quality and efficiency. This new report from The Commonwealth Fund summarizes and presents a framework for understanding recent research literature linking delivery system organizational attributes with health care efficiency and quality.

Summary

Full report

J Gen Intern Med - Special Issue on Health Information Technology

This Journal of General Internal Medicine AHRQ-sponsored special issue includes a collection of studies and commentaries on how health information technology can improve medical care.

Introduction to the JGIM Special Issue on Health Information Technology

Moving Health Information Technology Forward

Uptake of Electronic Prescribing in Community-Based Practices

Variation in Electronic Prescribing Implementation Among Twelve Ambulatory Practices

Centers Speak Up: The Clinical Context for Health Information Technology in the Ambulatory Care Setting

Employing the Electronic Health Record to Improve Diabetes Care: A Multifaceted Intervention in an Integrated Delivery System

Electronic Medical Record-Assisted Design of a Cluster-Randomized Trial to Improve Diabetes Care and Outcomes

An Electronic Medical Record (EMR)-Based Intervention to Reduce Polypharmacy and Falls in an Ambulatory Rural Elderly Population

Electronic Result Viewing and Quality of Care in Small Group Practices

Application of a Decision Support Tool for Anticoagulation in Patients with Non-valvular Atrial Fibrillation

Use of a Handheld Computer Application for Voluntary Medication Event Reporting by Inpatient Nurses and Physicians

Overdose Rate of Drugs Requiring Renal Dose Adjustment: Data Analysis of 4 Years Prescriptions at a Tertiary Teaching Hospital

Impact of Computerized Decision Support on Blood Pressure Management and Control: A Randomized Controlled Trial

A Mixed Method Study of the Merits of E-Prescribing Drug Alerts in Primary Care

Comparison of Electronic Physician Prompts versus Waitroom Case-Finding on Clinical Trial Enrollment

The Effect of Computerized Physician Order Entry with Clinical Decision Support on the Rates of Adverse Drug Events: A Systematic Review

Use of an Interactive, Telephone-based Self-management Support Program to Identify Adverse Events Among Ambulatory Diabetes Patients

Informing Men about Prostate Cancer Screening: A Randomized Controlled Trial of Patient Education Materials

Screening for Chronic Conditions Using a Patient Internet Portal: Recruitment for an Internet-based Primary Care Intervention

Patient Difficulty Using Tablet Computers to Screen in Primary Care

Leveraging Computerized Sign-Out to Increase Error Reporting and Addressing Patient Safety in Graduate Medical Education

Development of a Web-based Resident Profiling Tool to Support Training in Practice-based Learning and Improvement

Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology

Health Information Technology Will Shift the Medical Care Paradigm

The Role of Systems Factors in Implementing Health Information Technology

Achieving the Potential of Health Information Technology

The Pervasiveness of Telemedicine: Adoption With or Without a Research Base

Friday, April 18, 2008

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

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

Pay for Performance in Hospitals: Implications for Nurses and Nursing Care.

Bodrock, Judy A. ; Mion, Lorraine C.
Quality Management in Health Care. 17(2):102-111, April/June 2008.

Thursday, April 17, 2008

NEJM - electronic medical record & health record

Personally Controlled Online Health Data -- The Next Big Thing in Medical Care?
Steinbrook, Robert
N Engl J Med 2008 358: 1653-1656
Extract Full Text PDF


Off the Record -- Avoiding the Pitfalls of Going Electronic
Hartzband, Pamela, Groopman, Jerome
N Engl J Med 2008 358: 1656-1658
Extract Full Text PDF


Tectonic Shifts in the Health Information Economy
Mandl, Kenneth D., Kohane, Isaac S.
N Engl J Med 2008 358: 1732-1737
Extract Full Text PDF


Electronic Health Records, Medical Research, and the Tower of Babel
Kush, Rebecca D., Helton, Edward, Rockhold, Frank W., Hardison, C. David
N Engl J Med 2008 358: 1738-1740
Extract Full Text PDF

Wednesday, April 16, 2008

Quality Outcomes Management: Veterans Affairs Case Study

Subhash C. Bhatia, Praveen P. Fernandes
Psychiatric Clinics of North America - March 2008 (Vol. 31, Issue 1, Pages 57-72
Abstract Full Text Full-Text PDF (208 KB)

Tuesday, April 15, 2008

Safety is part of quality: a proposal for a continuum in performance measurement

Vahé A. Kazandjian, Karol G. Wicker , Nikolas Matthes , Sam Ogunbo
Journal of Evaluation in Clinical Practice 14 (2) , 354–359
Abstract Full Text HTML Full Text PDF (153 KB)

Monday, April 14, 2008

AHRQ - 100 Examples of Health Care Innovations and Tools

The inaugural issue of the AHRQ Health Care Innovations Exchange Web site includes 100 Innovation Profiles that provide windows into a wide range of creative efforts to improve health care delivery in different settings — hospitals, medical offices, nursing homes, community organizations, schools, workplaces, and patient homes.

press release

Issue of April 14, 2008

Friday, April 11, 2008

Thursday, April 10, 2008

The most dangerous hospital or the most dangerous equation?

Yu-Kang Tu, Mark S Gilthorpe
BMC Health Services Research 2007, 7:185
[Abstract] [Full text] [PDF] [PubMed] [Related articles]

Wednesday, April 09, 2008

The effects of hospitalization on multiple units

Mary F. Kanak, Marita Titler, Leah Shever, Qiang Fei, Joanne Dochterman, Debra M. Picone
Applied Nursing Research - February 2008 Vol. 21, Issue 1, Pages 15-22
Abstract Full Text Full-Text PDF (148 KB)

Tuesday, April 08, 2008

Plotting basic control charts: tutorial notes for healthcare practitioners

M A Mohammed, P Worthington, and W H Woodall
Qual Saf Health Care 2008; 17: 137-145.
[Abstract] [Full text] [PDF]

Piloting Nursing-Sensitive Hospital Care Measures in Massachusetts.

David P. Smith, Harmon S. Jordan
Journal of Nursing Care Quality. 23(1):23-33, January/March 2008
Abstract HTML PDF (93 K)

Monday, April 07, 2008

AHRQ - Developing a Community-Based Patient Safety Advisory Council.

Leonhardt K, Bonin K, Pagel P.

AHRQ Publication No. 08-0048, April 2008.


This guide from Agency for Healthcare Research and Quality (AHRQ) provides information and guidance to empower patients, consumers, and a variety of practitioners and professionals from health care and community organizations to drive change for patient safety through education, collaboration, and consumer engagement.

Friday, April 04, 2008

Don’t just blame the system

Nicholas A Christakis
BMJ 2008;336:747
[Extract] [Full text] [PDF]

Electronic health records: Wallet or web?

Michael Cross
BMJ 2008;336:637-638.
[Extract] [Full text] [PDF]

Thursday, April 03, 2008

Developing an Adverse Event Reporting System Using Administrative Data.

Vinita Bahl, Maureen A. Thompson, Elaine L. Commisky, Susan Anderson, Darrell A. Campbell Jr
Journal of Patient Safety. 4(1):31-37, March 2008.
Abstract HTML PDF (827 K)

Wednesday, April 02, 2008

Measuring the process of quality of care for ST-segment elevation acute myocardial infarction through data-mining of the electronic discharge notes

Chang SN, Lin JW, Liu SC, Hwang JJ.
J Eval Clin Pract. 2008 Feb;14(1):116-20.
Abstract Full Text HTML Full Text PDF (81 KB)

The relationship between patients' experiences of continuity of cancer care and health outcomes: a mixed methods study

M King, L Jones, A Richardson, S Murad, A Irving, H Aslett, A Ramsay, H Coelho, P Andreou, A Tookman, C Mason & I Nazareth
Br J Cancer. 2008 Feb 12;98(3):529-36.
Abstract Full Article PDF

Tuesday, April 01, 2008

Global Initiatives for Improving Hospital Care for Children: State of the Art and Future Prospects

Harry Campbell, Trevor Duke, Martin Weber, Mike English, Susanne Carai, Giorgio Tamburlini Pediatric Hospital Improvement Group
Pediatrics 2008; 121: e984-e992.
[Abstract] [Full text] [PDF]

Measuring patient assessments of the quality of outpatient care: a systematic review

Tiina Säilä , Elina Mattila , Minna Kaila , Pirjo Aalto , Marja Kaunonen
Journal of Evaluation in Clinical Practice (2008) 14 (1) , 148–154
Abstract Full Text HTML Full Text PDF (128 KB)