Lessons learned in systems change initiatives: benchmarks and indicators.

Kreger M, Brindis CD, Manuel DM, Sassoubre L.
Am J Community Psychol. 2007 Jun;39(3-4):301-20.

Pubmed

A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department

Madan Dharmar, James P Marcin, Nathan Kuppermann, Emily R Andrada, Stacey L Cole, Danielle J Harvey, Patrick S Romano
BMC Emergency Medicine 2007, 7:13 (23 August 2007)

[Abstract] [Provisional PDF]

Guidelines for safety and quality in anaesthesia practice in the European Union.

Mellin-Olsen J, O'Sullivan E, Balogh D, Drobnik L, Knape JT, Petrini F, Vimlati L; Section and Board of Anaesthesiology, European Union of Medical Specialists.
Eur J Anaesthesiol. 2007 Jun;24(6):479-82.

Pubmed

Heart failure: the importance of a disease management program

Fabbri G, Gorini M, Maggioni AP, Oliva F; Area Scompenso ANMCO.
G Ital Cardiol (Rome). 2007 Jun;8(6):353-8. Italian.

Pubmed

Potential of electronic personal health records

Claudia Pagliari, Don Detmer, Peter Singleton
BMJ 2007;335:330-333

[Extract] [Full text] [PDF]

Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression

Tom Burns, Jocelyn Catty, Michael Dash, Chris Roberts, Austin Lockwood, Max Marshall
BMJ 2007;335:336

[Abstract] [Abridged PDF] [Full text] [PDF] [extra: Appendix] [extra: Web references]

Qual Saf Health Care - Error management

Qualitative evaluation of an electronic prescribing and administration system
Nick Barber, Tony Cornford, and Ela Klecun
Qual Saf Health Care 2007; 16: 271-278.
[Abstract] [Full text] [PDF]

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study
Bryony Dean Franklin, Kara O’Grady, Parastou Donyai, Ann Jacklin, and Nick Barber
Qual Saf Health Care 2007; 16: 279-284.
[Abstract] [Full text] [PDF]

Preventing medication errors in community pharmacy: root-cause analysis of transcription errors
P Knudsen, H Herborg, A R Mortensen, M Knudsen, and A Hellebek
Qual Saf Health Care 2007; 16: 285-290.
[Abstract] [Full text] [PDF]

Preventing medication errors in community pharmacy: frequency and seriousness of medication errors
P Knudsen, H Herborg, A R Mortensen, M Knudsen, and A Hellebek
Qual Saf Health Care 2007; 16: 291-296.
[Abstract] [Full text] [PDF]

Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system
Stephanie Pierson, Richard Hansen, Sandra Greene, Charlotte Williams, Roger Akers, Mattias Jonsson, and Timothy Carey
Qual Saf Health Care 2007; 16: 297-302.
[Abstract] [Full text] [PDF]

Mortality as a Measure of Quality: Implications for Palliative and End-of-Life Care

Robert G. Holloway; Timothy E. Quill

JAMA 2007 298: 802-804

EXTRACT FULL TEXT PDF

AHRQ - Conference on Health Care Data Collection and Reporting

This report represents the major themes that emerged from a conference of 50 leaders from public and private health care organizations convened by the Agency for Healthcare Research and Quality (AHRQ) to discuss the opportunities for creating and adopting within 5 years a core set of broadly acceptable standards and rules for
health care data collection, aggregation, and reporting of performance data.

PDF (1.89MB)

Special Issue: Quality and Safety Education

Nursing Outlook
Volume 55, Issue 3, (May-June 2007)


Guest Editorial: Care quality and safety: Same old?
Pages 117-119
Marla Salmon
Abstract Full Text + Links PDF (52 K)

President’s Message
Pages 120-121
Linda Burnes Bolton
Abstract Full Text + Links PDF (97 K)

Quality and safety education for nurses
Pages 122-131
Linda Cronenwett, Gwen Sherwood, Jane Barnsteiner, Joanne Disch, Jean Johnson, Pamela Mitchell, Dori Taylor Sullivan and Judith Warren
Abstract Full Text + Links PDF (125 K)

Current assessments of quality and safety education in nursing
Pages 132-137
Elaine L. Smith, Linda Cronenwett and Gwen Sherwood
Abstract Full Text + Links PDF (100 K)

Integrating quality and safety content into clinical teaching in the acute care setting
Pages 138-143
Lisa Day and Elaine L. Smith
Abstract Full Text + Links PDF (86 K)

Promoting interprofessional education
Pages 144-150
Jane H. Barnsteiner, Joanne M. Disch, Leslie Hall, David Mayer and Shirley M. Moore
Abstract Full Text + Links PDF (108 K)

Quality and safety curricula in nursing education: Matching practice realities
Pages 151-155
Gwen Sherwood and Karen Drenkard
Abstract Full Text + Links PDF (85 K)

Quality and safety education in nursing: More than new wine in old skins
Pages 156-158
L. Antoinette Bargagliotti and Jeanette Lancaster
Abstract Full Text + Links PDF (67 K)

The electronic health record: An essential tool for advancing patient safety
Pages 159-161
Kathy Malloch
Abstract Full Text + Links PDF (53 K)

The Tension between Needing to Improve Care and Knowing How to Do It

Auerbach, Andrew D., Landefeld, C. Seth, Shojania, Kaveh G.
N Engl J Med 2007 357: 608-613

Extract Full Text PDF

Pay for Performance, Version 2.0?

Lee, Thomas H.
N Engl J Med 2007 357: 531-533

Extract Full Text PDF

Understanding and Enhancing the Value of Hospital Discharge Data

Julie A. Schoenman, Janet P. Sutton, Anne Elixhauser, and Denise Love

Med Care Res Rev 2007 64: 449-468.

[Abstract] [PDF] [References]

Consumer Competencies and the Use of Comparative Quality Information: It Isn't Just about Literacy

Judith H. Hibbard, Ellen Peters, Anna Dixon, and Martin Tusler
Med Care Res Rev 2007 64: 379-394.


[Abstract] [PDF] [References]

Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management

Stephen M. Shortell; Thomas G. Rundall; John Hsu
JAMA 2007 298: 673-676

EXTRACT FULL TEXT PDF

Using Automated Clinical Data for Risk Adjustment

Development and Validation of Six Disease-Specific Mortality Predictive Models for Pay-for-Performance.
Ying P. Tabak, Richard S. Johannes, Jeffrey H. Silber
Medical Care. 45(8):789-805, August 2007.

Abstract HTML PDF (865 K)

Impact of Diagnosis-Timing Indicators on Measures of Safety, Comorbidity, and Case Mix Groupings From Administrative Data Sources.

James M. Naessens, Claudia R. Campbell, Bjorn Berg, Arthur R. Williams, Richard Culbertson
Medical Care. 45(8):781-788, August 2007.


Abstract HTML PDF (294 K)

The Patient Safety in Surgery Study

J Am Coll Surg. 2007;204(6):1087-1300.

In this special issue of JACS 20 articles are presented from the Agency for Healthcare Research and Quality (AHRQ)-funded Patient Safety in Surgery Study.
The PSS Study compared major general and vascular surgery risk-adjusted outcomes at Veterans Affairs' medical centers with those in the private sector.

Table of contents

Comorbidity and Outcomes of Coronary Artery Bypass Graft Surgery at Cardiac Specialty Hospitals Versus General Hospitals.

Constance W. Hwang, Gerard F. Anderson, Marie Diener-West, Neil R. Powe
Medical Care. 45(8):720-728, August 2007.


Abstract HTML PDF (321 K)

Are Preventable Hospitalizations Sensitive to Changes in Access to Primary Care?: The Case of the Oregon Health Plan.

Somnath Saha, Rachel Solotaroff, Ady Oster, Andrew B. Bindman
Medical Care. 45(8):712-719, August 2007.

Abstract HTML PDF (608 K)

The Role of Health Information Exchange (HIE) in Helping Providers Assess Their Performance on the AQA Starter Set

Event site

Speakers from this Web conference discussed the experiences of their HIE organizations in implementing the the Ambulatory Care Quality Alliance (AQA) "starter set" of 26 clinical performance measures for the ambulatory care setting.

The starter set of measures is intended to provide clinicians, consumers, and purchasers with a set of quality indicators that may be used for quality improvement, public reporting, and pay-for-performance programs.

Conference Presentation

Event Recording

The extent and importance of unintended consequences related to computerized provider order entry.

Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH.
J Am Med Inform Assoc. 2007 Jul-Aug;14(4):415-23.

Pubmed

A National Web Conference on Computerized Provider Order Entry: Lessons Learned from the Trenches

Jul 10, 2007, 02:00 PM-03:30 PM
Joan S. Ash, Ph.D., Oregon Health & Sciences University; Barbara Moran, R.N., B.S.N., M.B.A., Huron Hospital, a Cleveland Clinic hospital; Peggy Esch, Denni McColm, and Cindi Lockhart, Citizens Memorial Health

Web Conference Handout

Lessons learned from performance feedback by a quality improvement organization.

Van Hoof TJ, Pearson DA, Giannotti TE, Tate JP, Elwell A, Barr JK, Meehan TP.

J Healthc Qual. 2006 May-Jun;28(3):20-31.

pubmed

Population control charts for population data.

Hansen JP.

J Healthc Qual. 2007 Jan-Feb;29(1):29-36.

pubmed

Improving the use of evidence-based heart failure therapies in the outpatient setting: the IMPROVE HF performance improvement registry.

Fonarow GC, Yancy CW, Albert NM, Curtis AB, Stough WG, Gheorghiade M, Heywood JT, Mehra M, O'Connor CM, Reynolds D, Walsh MN.
Am Heart J. 2007 Jul;154(1):12-38.

Abstract Full Text + Links PDF (3531 K)

Are High-Quality Cardiac Surgeons Less Likely to Operate on High-Risk Patients Compared to Low-Quality Surgeons? Evidence from New York State

Laurent G. Glance, Andrew Dick, Dana B. Mukamel, Yue Li, Turner M. Osler Health Services Research (OnlineEarly Articles). doi:10.1111/j.1475-6773.2007.00753.x

Abstract Full Text HTML Full Text PDF (99 KB)

Administrative Data Algorithms Can Describe Ambulatory Physician Utilization

Baiju R. Shah, Janet E. Hux, Andreas Laupacis, Bernard Zinman, Karen Cauch-Dudek, Gillian L. Booth
Health Services Research (2007) 42 (4), 1783–1796.

Abstract Full Text HTML Full Text PDF (166 KB)

Using Performance Data to Identify Preferred Hospitals

Meredith B. Rosenthal, Mary Beth Landrum, Ellen Meara, Haiden A. Huskamp, Rena M. Conti, and Nancy L. Keating
Health Services Research (OnlineEarly Articles). doi:10.1111/j.1475-6773.2007.00744.x

Abstract | Full Text HTML | Full Text PDF (93 KB) | Supplementary material

Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and Theory

Elizabeth H. Bradley, Leslie A. Curry, Kelly J. Devers
Health Services Research (2007) 42 (4), 1758-1772.

Abstract Full Text HTML Full Text PDF (100 KB)

Relationship between management philosophy and clinical outcomes.

Khatri N, Halbesleben JR, Petroski GF, Meyer W.
Health Care Manage Rev. 2007 Apr-Jun;32(2):128-39.

Pubmed

The association between culture, climate and quality of care in primary health care teams.

Hann M, Bower P, Campbell S, Marshall M, Reeves D.
Fam Pract. 2007 Jun 24; DOI 10.1093/fampra/cmm020.

[Abstract] [Full Text] [PDF]

Just What the Doctor Ordered. Review of the Evidence of the Impact of Computerized Physician Order Entry System on Medication Errors

Tatyana. A. Shamliyan, Sue Duval, Jing Du, Robert L. Kane
Health Services Research Published article online: 26-Jun-2007doi: 10.1111/j.1475-6773.2007.00751.x

Abstract Full Text HTML Full Text PDF (149 KB) Supplementary material

Errors prevented by and associated with bar-code medication administration systems.

Cochran GL, Jones KJ, Brockman J, Skinner A, Hicks RW.
Jt Comm J Qual Patient Saf. 2007 May;33(5):293-301, 245.

pubmed

Overestimating Outcome Rates: Statistical Estimation When Reliability Is Suboptimal

Rodney A. Hayward, Michele Heisler, John Adams, R. Adams Dudley, and Timothy P. Hofer
Health Services Research 42 (4), 1718–1738.

Abstract Full Text HTML Full Text PDF (432 KB)

Is Zero the Ideal Death Rate?

Lee, Thomas H., Torchiana, David F., Lock, James E.
N Engl J Med 2007 357: 111-113

Extract Full Text PDF

Quality of Primary Care in England with the Introduction of Pay for Performance

Campbell, Stephen, Reeves, David, Kontopantelis, Evangelos, Middleton, Elizabeth, Sibbald, Bonnie, Roland, Martin
N Engl J Med 2007 357: 181-190

Extract Full Text PDF Supplementary Material

Do Hospitals Provide Lower Quality Care on Weekends?

David J. Becker
Health Services Research 42 (4), 1589–1612.

Abstract Full Text HTML Full Text PDF (158 KB)

Volume, process of care, and operative mortality for cystectomy for bladder cancer.

Hollenbeck BK, Wei Y, Birkmeyer JD.
Urology. 2007 May;69(5):871-5.

Pubmed

How do teams in quality improvement collaboratives interact?

Marsteller JA, Shortell SM, Lin M, Mendel P, Dell E, Wang S, Cretin S, Pearson ML, Wu SY, Rosen M.
Jt Comm J Qual Patient Saf. 2007 May;33(5):267-76.

Pubmed

AHRQ - Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies: Volume 7—Care Coordination

Technical Review (Publication No. 04(07)-0051-7)


PDF File



"The objectives of this report 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."

Agency for Healthcare Research and Quality www.ahrq.gov/clinic/tp/caregaptp.htm

Are Patients With Coexisting Mental Disorders More Likely to Receive CABG Surgery From Low-Quality Cardiac Surgeons?: The Experience in New York State

Yue Li, Laurent G. Glance, Xueya Cai, Dana B. Mukamel
Medical Care. 45(7):587-593, July 2007.
Abstract HTML PDF (268 K)


Editorial

Selecting the Ideal Cardiovascular Surgeon: Is it Possible With Public Dissemination of Clinical Outcomes?
John G. Canto
Medical Care. 45(7):585, July 2007.
HTML PDF (89 K)

Current Concepts: Disclosing Harmful Medical Errors to Patients

Gallagher, Thomas H., Studdert, David, Levinson, Wendy
N Engl J Med 2007 356: 2713-2719

Extract Full Text PDF

Impact of financial incentives on clinical autonomy and internal motivation in primary care: ethnographic study

Ruth McDonald, Stephen Harrison, Kath Checkland, Stephen M Campbell, and Martin Roland
BMJ 2007 334: 1357.
[Abstract] [Full Text]


Editorials

The side effects of "P4P"
Douglas Kamerow
BMJ 2007;334, doi:10.1136/bmj.39260.443970.3A
[Extract] [Full text]

Performance measurement and equity
Arlene S Bierman, Jocalyn P Clark
BMJ 2007;334:1333-1334
[Extract] [Full text] [PDF]

Ethics of collecting and using healthcare data

Derick Wade
BMJ 2007;334:1330-1331

[Extract] [Full text] [PDF]

Implementing the NHS information technology programme: qualitative study of progress in acute trusts

Jane Hendy, Naomi Fulop, Barnaby C Reeves, Andrew Hutchings, and Simon Collin
BMJ 2007;334:1360, doi:10.1136
[Abstract] [Full text] [PDF]


Views

How to avoid an e-headache
Joan S Ash
BMJ 2007;334:1373, doi:10.1136/bmj.39252.490880.80
[Extract] [Full text] [PDF]

Pay-for-Performance in Pediatrics: Proceed With Caution

Chien, Alyna T., Dudley, R. Adams
Pediatrics 2007 120: 186-188

[Extract] [Full text] [PDF]

The Evidence Base for Telemedicine: Current Status and Approaches for Improvement

Journal of Telemedicine and Telecare
Supplement 2, September 2006

The evidence base of telemedicine: overview of the supplement
pp. 1-2(2) Authors: Hersh, William R.; Hickam, David H.; Erlichman, Martin

Diagnosis, access and outcomes: update of a systematic review of telemedicine services
pp. 3-31(29) Authors: Hersh, William R.; Hickam, David H.; Severance, Susan M.; Dana, Tracy L.; Pyle Krages, Kathryn; Helfand, Mark

State Medicaid and private payer reimbursement for telemedicine: an overview
pp. 32-39(8) Author: Brown, Nancy A.

What lessons can be learned from telemedicine programmes in other countries?
pp. 40-44(5) Author: Ohinmaa, Arto

The role of telemedicine in fostering health-care innovations to address problems of access, specialty shortages and changing patient care needs
pp. 45-50(6) Author: Rheuban, Karen S.

The diffusion of a medical innovation: where teleradiology is and where it is going
pp. 51-58(8) Authors: Dimmick, Susan L.; Ignatova, Kunka D.

Telehealth and the national health information technology strategic framework
pp. 59-64(6) Authors: Speedie, Stuart M.; Davies, Diane

Will we see data repositories for telehealth activity in the near future?
pp. 65-71(7) Author: Whitten, Pamela

Standards for data collection and monitoring in a telemedicine research network
pp. 72-76(5) Authors: Yellowlees, Peter W.; Harry, David

Alternatives to randomized controlled trials in telemedicine
pp. 77-84(8) Authors: Grigsby, Jim; Bennett, Rachael E.

Health delivery system changes required when integrating telemedicine into existing treatment flows of information and patients
pp. 85-90(6) Author: Shea, Steven

Performance measures for pneumonia: are they valuable, and are process measures adequate?

Bratzler DW, Nsa W, Houck PM.
Curr Opin Infect Dis. 2007 Apr;20(2):182-9.
pubmed

Can the Incidence of Unplanned Reoperations Be Used as an Indicator of Quality of Care in Surgery?

Hidde M. Kroon, Paul J. Breslau, and Jan Willem H. P. Lardenoye
American Journal of Medical Quality 2007 22: 198-202.

[Abstract] [PDF] [References]

Determining Hospital Performance Based on Rank Ordering: Is It Appropriate?

Judy Anderson, Mark Hackman, Jeff Burnich, and Thomas R. Gurgiolo
American Journal of Medical Quality 2007 22: 177-185.

[Abstract] [PDF] [References]

TeamSTEPPS: Assuring Optimal Teamwork in Clinical Settings

Carolyn M. Clancy and David N. Tornberg
American Journal of Medical Quality 2007 22: 214-217.

[PDF] [References]

Accuracy of administrative databases in identifying patients with hypertension

Karen Tu, Norman RC Campbell, Xhong-Liang Chen, Karen J Cauch-Dudek, Finlay A McAlister
Open Medicine Vol 1, No 1 (2007) : 18-26

Abstract HTML PDF

Healthcare climate: A framework for measuring and improving patient safety

Critical Care Medicine. 35(5):1312-1317, May 2007.
Zohar, Dov PhD; Livne, Yael MSc; Tenne-Gazit, Orly MSc; Admi, Hanna PhD; Donchin, Yoel MD
Abstract HTML PDF (424 K)

Editorial

Safety culture: easy to advocate, difficult to create.
O'Connor MF
Crit Care Med. 2007 May;35(5):1429
HTML PDF (1.32 M)

Defining and Measuring Quality Outcomes in Long-Term Care

J Am Med Dir Assoc. 2007 Mar;8(3 Suppl 2):e129-37

Vincent Mor
Abstract Full Text + Links PDF (126 K)

Conflicting measures of hospital quality: Ratings from Hospital Compare versus Best Hospitals

Lakshmi K. Halasyamani, Matthew M. Davis
Journal of Hospital Medicine Volume 2, Issue 3, 2007. (p 128-134)
Abstract References HTML PDF


Editorial

Hospital quality measurement - Perplexing for professionals, let alone for patients
Kevin J. O'Leary, Cynthia Barnard, Gary A. Noskin
Journal of Hospital Medicine Volume 2, Issue 3, 2007. (p 119-122)
HTML PDF

Relationship between Number of Medical Conditions and Quality of Care

Higashi, Takahiro, Wenger, Neil S., Adams, John L., Fung, Constance, Roland, Martin, McGlynn, Elizabeth A., Reeves, David, Asch, Steven M., Kerr, Eve A., Shekelle, Paul G.
N Engl J Med 2007 356: 2496-2504
Abstract Full Text PDF

Information Technology Comes to Medicine

Blumenthal, David, Glaser, John P.
N Engl J Med 2007 356: 2527-2534
Extract Full Text PDF

In the Dark -- The Case for Electronic Health Records

Litvin, Cara B.
N Engl J Med 2007 356: 2454-2455
Extract Full Text PDF

NHQRnet: National Healthcare Quality & Disparities Report Data Query Tool

NHQRnet is an online query system from Agency for Healthcare Research and Quality (AHRQ) to access U.S. data on the quality and access to health care.

NHQRnet: National Healthcare Quality Report Data Query Tool

NHDRnet: National Healthcare Disparities Report Data Query Tool

2006 State Snapshots: Quality Information and Comparisons

Case Volume and Mortality in Pediatric Cardiac Surgery Patients in California, 1998–2003

Lianna G. Bazzani and James P. Marcin
Circulation 2007 115: 2652 - 2659;
[Abstract] [Full Text] [PDF] [Clinical Perspective]



Editorial

Reevaluation of the Volume-Outcome Relationship for Pediatric Cardiac Surgery
Kimberlee Gauvreau

Circulation 2007 115: 2599 - 2601

[Full Text] [PDF]

The MINDFUL Database

The MINDFUL mental health indicator database comprises a set of 35 mental health indicators for all the 25 EU Member States. The database contains two elements of indicator data: numerical data and metadata.

The metadata contains information about the indicators' descriptions, definitions, availability and data sources.

Overview
Indicators
Glossary

AHRQs National Healthcare Quality and Disparities Reports: An Ever-Expanding Road Map for Improvement

Jeffrey Brady, Karen Ho, Edward Kelley, Carolyn M. Clancy
Health Services Research 42 (3p1), xi–xxi.

References Full Text HTML Full Text PDF (69 KB)

NAHDO - Health care data collection use and public reporting

NAHDO 21st Annual Meeting

Slides from the National Association of Health Data Organizations (NAHDO) Annual Meeting dedicated to health care data collection use and public reporting are now available.

Meeting Topics & Highlights:

• Quality Measurement and Reporting


• Enhancing Administrative Data for Quality Reporting


• Healthcare-Acquired Infection Reporting Standards and Practices


• Translating Data into Action


• CMS DRG Modifications


• Health information Technology


• Web-based Data Query Systems

Adding Clinical Data Elements to Administrative Data for

Barbara A. Rudolph, Denise Love
National Association of Health Data Organizations
Agency for Health Care Research and Quality
February 2007

This synthesis provides a brief summary of a new study evaluating how the addition of a “Present on Admission” indicator for secondary diagnoses and a limited number of electronic laboratory values can enhance the capacity of administrative data for public reporting on mortality and other hospitalization-related complications.

PDF File

Pay for Performance, Quality of Care, and Outcomes in Acute Myocardial Infarction

Seth W. Glickman; Fang-Shu Ou; Elizabeth R. DeLong; Matthew T. Roe; Barbara L. Lytle; Jyotsna Mulgund; John S. Rumsfeld; W. Brian Gibler; E. Magnus Ohman; Kevin A. Schulman; Eric D. Peterson
JAMA. 2007;297:2373-2380.

ABSTRACT FULL TEXT PDF

Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards.

Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL.
Circulation. 2007 Mar 27;115(12):1518-27.
[Abstract] [Full Text] [PDF]


Editorial

To understand cardiac surgical report cards: look both ways.
Circulation. 2007 Mar 27;115(12):1508-10.
Ryan TJ.
[Full Text] [PDF]

Quality indicators for cardiovascular primary care.

Burge FI, Bower K, Putnam W, Cox JL.
Can J Cardiol. 2007 Apr;23(5):383-8.
pubmed

Coordination Between Formal Providers and Informal Caregivers

D. B. Weinberg, R. W. Lusenhop, and J. Hoffer Gittell, Ph.D. et al.,
Health Care Management Review, April–June 2007 32(2):1–10
Abstract HTML PDF (166 K)

Multimorbidity is Associated With Better Quality of Care Among Vulnerable Elders.

Lillian C. Min, MD, MSHS; Neil S. Wenger, MD; Constance Fung, MD, MSHS; John T. Chang, MD, MPH; David A. Ganz, MD, MPH; Takahiro Higashi, MD, PhD; Caren J. Kamberg, MSPH; Catherine H. MacLean, MD, PhD; Carol P. Roth, RN, MPH; David H. Solomon, MD; Roy T. Young, MD; David B. Reuben, MD

Medical Care. 45(6):480-488, June 2007.
Abstract HTML PDF (361 K)

Editorial

Health Care Quality and Multimorbidity: The Jury is Still Out.

Christine Ritchie, MD, MSPH
HTML PDF (120 K)

Potentially Avoidable Hospitalizations for COPD and Pneumonia: The Role of Physician and Practice Characteristics.

Ann S. O'Malley, MD, MPH; Hoangmai H. Pham, MD, MPH; Deborah Schrag, MD, MPH; Beny Wu, MS; Peter B. Bach, MD, MAPP
Medical Care. 45(6):562-570, June 2007.
Abstract HTML PDF (739 K)

Nurse Working Conditions and Patient Safety Outcomes.

Patricia W. Stone, PhD; Cathy Mooney-Kane, MPH; Elaine L. Larson, PhD; Teresa Horan, MPH; Laurent G. Glance, MD; Jack Zwanziger, PhD; Andrew W. Dick, PhD
Medical Care. 45(6):571-578, June 2007.
Abstract HTML PDF (410 K)

AHRQ - Health Care Report Card Compendium

http://www.talkingquality.gov/compendium/

The Health Care Report Card Compendium from Agency for Healthcare Research and Quality (AHRQ) is a searchable directory of over 200 samples of report cards produced by a variety of organizations.

The samples show formats and approaches for providing comparative information on the quality of health plans, hospitals, medical groups, individual physicians, nursing homes, and other providers of care.

press release

Combining Multiple Indicators of Clinical Quality: An Evaluation of Different Analytic Approaches.

David Reeves, PhD; Stephen M. Campbell, PhD; John Adams, PhD; Paul G. Shekelle, MD, PhD; Evan Kontopantelis, PhD; Martin O. Roland, DM
Medical Care. 45(6):489-496, June 2007.
Abstract HTML PDF (287 K)

Quality of Care in Hospitals with a High Percent of Medicaid Patients.

L Elizabeth Goldman, MD, MCR; Eric Vittinghoff, PhD; R Adams Dudley, MD, MBA
Medical Care. 45(6):480-488, June 2007.
Abstract HTML PDF (397 K)

AHRQ - Registries for Evaluating Patient Outcomes: A User's Guide

Gliklich RE, Dreyer NA, eds.

Prepared by Outcome DEcIDE Center

The purpose of this handbook co-funded by AHRQ and HHS' Centers for Medicare & Medicaid Services (CMS) is to serve as a reference for establishing, maintaining, and evaluating the success of registries created to collect data about patient outcomes. This book is divided into three sections: Creating, Operating, and Evaluating Registries.

"A patient registry is a database of confidential patient information that can be analyzed to understand and compare the outcomes and safety of health care.

The data may originate from multiple sources, including hospitals, pharmacy systems, physician practices, and insurance companies. Some registries include patients who have the same disease. Others are comprised of patients who have undergone a common surgical procedure or received a newly approved medication. " Press release

Registry Report home page

View the full HTML report

Open the Final Research Report (4M)

Open the summary version (1.1MB)

HCUP - Adverse Drug Events in US Hospitals, 2004.

Elixhauser A, Owens P.
HCUP Statistical Brief #29.
Rockville, MD: Agency for Healthcare Research and Quality;
April 2007.

pdf

Use of administrative data or clinical databases as predictors of risk of death in hospital: comparison of models

Paul Aylin, Alex Bottle, Azeem Majeed
BMJ 2007;334:1044
[Abstract] [Full text] [PDF]

Editorial

The value of administrative databases
Mohammed A Mohammed, Andrew Stevens
BMJ 2007;334:1014-1015,
[Extract] [Full text] [PDF]

Improving Quality Assessment through Multilevel Modeling: The Case of Nursing Home Compare

Greg Arling, Teresa Lewis, Robert L. Kane, Christine Mueller, Shannon Flood
Health Services Research 42 (2007) (3p1), 1177–1199.

Abstract References Full Text HTML Full Text PDF (194 KB)

Using hierarchical models to attribute sources of variation in consumer assessments of health care

Alan M. Zaslavsky
Statistics in Medicine Volume 26, Issue 8 , Pages 1885 - 1900

Abstract References PDF

Webcast of the International Forum on Quality and Safety in Health Care

http://barcelona.bmj.com/

This site allows you to watch the plenary sessions and discussions of the International Forum on Quality and Safety in Health Care. Barcelona - April 18th, 19th & 20th 2007

Forum Introduction Video

Can healthcare ever be safe?

Plenary 1: Donald Berwick Panel Discussion 1

What the quality movement can learn from other social movements

Plenary 2: Richard Smith Panel Discussion 2

When things go wrong: communicating about adverse events

Plenary 3: Lucian Leape, Linda Kenney Panel Discussion 3

WHO - Nine Patient Safety Solutions

The complete Patient Safety Solutions

The World Health Organization (WHO) launched nine patient safety solutions to reduce the toll of health care-related harm affecting patients worldwide.

Patient Safety Solutions are defined as: "Any system design or intervention that has demonstrated the abilityto prevent or mitigate patient harm stemming from the processes of health care."

Patient Safety Solutions Preamble (PDF)

1. Look-Alike, Sound-Alike Medication Names (PDF)

2. Patient Identification (PDF)

3. Communication During Patient Hand-Overs (PDF)

4. Performance of Correct Procedure at Correct Body Site (PDF)

5. Control of Concentrated Electrolyte Solutions (PDF)

6. Assuring Medication Accuracy at Transitions in Care (PDF)

7. Avoiding Catheter and Tubing Mis-Connections (PDF)

8. Single Use of Injection Devices (PDF)

9. Improved Hand Hygiene to Prevent Health Care-Associated Infection (HAI) (PDF)

View All Patient Safety Solutions Preamble and Nine Solutions (PDF)

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News Release: Announcing WHO Collaborating Centre for Patient Safety Releases Nine Life-Saving Patient Safety Solutions

News Release Audio Recording: Nine Life-Saving Patient Safety Solutions


WHO: Patient safety

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AHRQs National Healthcare Quality and Disparities Reports: An Ever-Expanding Road Map for Improvement

Jeffrey Brady, Karen Ho, Edward Kelley, Carolyn M. Clancy
Health Services Research 42 (2007) (3p1), xi–xxi.

Summary References Full Text HTML Full Text PDF (69 KB)

Hospital Workload and Adverse Events.

Joel S. Weissman, PhD; Jeffrey M. Rothschild, MD, MPH; Eran Bendavid, MD; Peter Sprivulis, MBBS, PhD, Facem, FACHI; E Francis Cook, ScD; R Scott Evans, PhD; Yevgenia Kaganova, PhD; Melissa Bender, MD; JoAnn David-Kasdan, RN, MS; Peter Haug, MD; Jim Lloyd, BS; Leslie G. Selbovitz, MD; Harvey J. Murff, MD, MPH; David W. Bates, MD, MSc

Medical Care. 45(5):448-455, May 2007
Abstract HTML PDF (293 K)

The evaluation of health care outcomes and hospital performance indicators

[Article in French]
Chouaid C, Hejblum G, Guidet B, Valleron AJ.
Rev Mal Respir. 2006 Sep;23(4 Suppl):13S87-98.

Pubmed

Risk adjustment for inter-hospital comparison of primary cesarean section rates: need, validity and parsimony.

Fantini MP, Stivanello E, Frammartino B, Barone AP, Fusco D, Dallolio L, Cacciari P, Perucci CA.

BMC Health Serv Res. 2006 Aug 15;6:100.

[Abstract] [Full text] [PDF] [PubMed] [Related articles]

J Manag Care Pharm - Pay for Performance: Where’s the Return?

Volume 13 Issue 2 CE Supplement B March (pdf)

Smith AL.
Merging P4P and disease management: how do you know which one is working?
J Manag Care Pharm. 2007 Mar;13(2 Suppl B):S7-10.
Pubmed

O'Kane ME.
Performance-based measures: the early results are in.
J Manag Care Pharm. 2007 Mar;13(2 Suppl B):S3-6.
Pubmed

Properties of analysis methods that account for clustering in volume-outcome studies when the primary predictor is cluster size

Katherine S. Panageas, Deborah Schrag, A. Russell Localio, E. S. Venkatraman, Colin B. Begg
Statistics in Medicine Volume 26, Issue 9 , Pages 2017 - 2035

Abstract References PDF

How important is continuity of care?

Sudhakar-Krishnan, Vidya, Rudolf, Mary C J
Arch Dis Child 2007 92: 381-383

[Extract] [Full text] [PDF]

Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis

Robyn A Clark, Sally C Inglis, Finlay A McAlister, John G F Cleland, Simon Stewart
BMJ 2007;334:942, doi:10.1136/bmj.39156.536968.55
[Abstract] [Abridged PDF] [Full text] [PDF] [extra: References]

Editorial

Telephone interventions for disease management in heart failure
Hugo O Grancelli, Daniel C Ferrante
BMJ 2007;334:910-911, doi:10.1136/bmj.39197.577442.80
[Extract] [Full text] [PDF]

The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care

Griffen FD, Stephens LS, Alexander JB, Bailey HR, Maizel SE, Sutton BH, Posner KL
Journal of the American College of Surgeons Volume 204, Issue 4, (April 2007) pages 561-569
Abstract Full Text Full-Text PDF (112 KB)

Patterns of Communication Breakdowns Resulting in Injury to Surgical Patients

Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, Gawande AA

Journal of the American College of Surgeons- 2007 04 (Vol. 204, Issue 4) pages 533-540

Abstract Full Text Full-Text PDF (122 KB)

Expanded Surgical Time Out: A Key to Real-Time Data Collection and Quality Improvement

Altpeter T, Luckhardt K, Lewis JN, Harken AH, Polk Jr HC
Journal of the American College of Surgeons- 2007 04 (Vol. 204, Issue 4) pages 527-532
Abstract Full Text Full-Text PDF (92 KB)

Patient-Reported Outcomes Measurement Information System (PROMIS)

Medical Care May 2007, Volume 45, Issue 5 Suppl 1

Developing the Patient-Reported Outcomes Measurement Information System (PROMIS).
Deborah N. Ader, PhD
HTML PDF (86 K)

The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years.
David Cella, PhD; Susan Yount, PhD; Nan Rothrock, PhD; Richard Gershon, PhD; Karon Cook, PhD; Bryce Reeve, PhD; Deborah Ader, PhD; James F. Fries, MD; Bonnie Bruce, DrPH, MPH, RD; Mattias Rose, MD; on behalf of the PROMIS Cooperative Group
Abstract HTML PDF (515 K)

Evaluation of Item Candidates: The PROMIS Qualitative Item Review.
Darren A. DeWalt, MD, MPH; Nan Rothrock, PhD; Susan Yount, PhD; Arthur A. Stone, PhD; on behalf of the PROMIS Cooperative Group
Abstract HTML PDF (352 K)

Psychometric Evaluation and Calibration of Health-Related Quality of Life Item Banks: Plans for the Patient-Reported Outcomes Measurement Information System (PROMIS).
Bryce B. Reeve; Ron D. Hays; Jakob B. Bjorner; Karon F. Cook; Paul K. Crane; Jeanne A. Teresi; David Thissen; Dennis A. Revicki; David J. Weiss; Ronald K. Hambleton; Honghu Liu; Richard Gershon; Steven P. Reise; Jin-shei Lai; David Cella; on behalf of the PROMIS Cooperative Group
Abstract HTML PDF (392 K)

Item Response Theory Analyses of Physical Functioning Items in the Medical Outcomes Study.
Ron D. Hays, PhD; Honghu Liu, PhD; Karen Spritzer, BS; David Cella, PhD
Abstract HTML PDF (908 K)

Practical Issues in the Application of Item Response Theory: A Demonstration Using Items From the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales.
Cheryl D. Hill, PhD; Michael C. Edwards, PhD; David Thissen, PhD; Michelle M. Langer, MA; R J. Wirth, MA; Tasha M. Burwinkle, PhD; James W. Varni, PhD
Abstract HTML PDF (516 K)

Considerations for Developing Interfaces for Collecting Patient-Reported Outcomes That Allow the Inclusion of Individuals With Disabilities.
Mark Harniss, PhD; Dagmar Amtmann, PhD; Debbie Cook, BS; Kurt Johnson, PhD
Abstract HTML PDF (257 K)

Enhancing Compliance With Medicare Guidelines for Surgical Infection Prevention

Experience With a Cross-disciplinary Quality Improvement Team
Laurence E. McCahill; John W. Ahern; Linda A. Gruppi; James Limanek; Gail A. Dion; Jessica A. Sussman; Christina B. McCaffrey; Diane B. Leary; Margaret B. Lesage; Richard M. Single
Arch Surg. 2007;142:355-361.

ABSTRACT FULL TEXT PDF

Quality Assessment in High-Acuity Surgery: Volume and Mortality Are Not Enough

Charles M. Vollmer, Jr; Wande Pratt; Tsafrir Vanounou; Shishir K. Maithel; Mark P. Callery
Arch Surg 2007 142: 371-380

ABSTRACT FULL TEXT PDF

Mistake-Proofing the Design of Health Care Processes.

www.ahrq.gov/qual/mistakeproof/

Grout JR. AHRQ Publication No. 07-P0020, May 2007.

This new report from Agency for Healthcare Research and Quality (AHRQ) is a synthesis of practical examples from the real world of health care on the use of process or design features to prevent medical errors or the negative impact of errors.

It contains over 150 examples of mistake-proofing that can be applied in health care—and in many cases relatively inexpensively.

PDF File (1.6 MB).

Improving emergency department efficiency by patient streaming to outcomes-based teams.

Kelly AM, Bryant M, Cox L, Jolley D.
Aust Health Rev. 2007 Feb;31(1):16-21.

Pubmed

A synthesis of the secondary literature on effectiveness of hospital avoidance and discharge programs.

Kumar S, Grimmer-Somers K.
Aust Health Rev. 2007 Feb;31(1):34-48.

Pubmed

Implementing Pay-for-Performance in the Neonatal Intensive Care Unit

Profit, Jochen, Zupancic, John A. F., Gould, Jeffrey B., Petersen, Laura A.
Pediatrics 2007 119: 975-982
[Abstract] [Full text] [PDF]