Probabilistic record linkage is a valid and transparent tool to combine databases without a patient identification number

Nora Méray , Johannes B. Reitsma , Anita C.J. Ravelli , Gouke J. Bonsel
Journal of Clinical Epidemiology- 2007 September Vol. 60, Issue 9, Pages 883.e1-883.e11

Abstract Full Text Full-Text PDF (218 KB)

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

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

ABSTRACT FULL TEXT PDF


Editorial

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

EXTRACT FULL TEXT PDF

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

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

Abstract Full Text Full-Text PDF (394 KB)

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

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

Abstract HTML PDF (82 K)

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

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

pdf 3MB- high resolution

pdf 640KB - low resolution

Guilty, Afraid, and Alone -- Struggling with Medical Error

Delbanco, Tom, Bell, Sigall K.
N Engl J Med 2007 357: 1682-1683

Extract FREE Full Text PDF

Is hospital patient care becoming safer? A conversation with Lucian Leape.

Buerhaus PI.
Health Affairs. 2007;26:w687-w696.

Abstract Full Text Reprint (PDF)

Assessment of the National Patient Safety Initiative

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

contents Full Document Summary Only


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

contents Full Document Summary Only


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

contents Full Document Summary Only

The GAAP in Quality Measurement and Reporting

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

EXTRACT FULL TEXT PDF

Is P4P Really FFS?

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

EXTRACT FULL TEXT PDF

Nonpayment for Performance? Medicare's New Reimbursement Rule

Rosenthal, Meredith B.
N Engl J Med 2007 357: 1573-1575

Extract FREE Full Text PDF Audio Interview

Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators

Results from 66 Georgia Hospitals
Culler SD, Hawley JN, Naylor V, Rask KJ.
J Med Syst. 2007;31:319-327.

abstract PDF (186 kb) HTML

Quality Improvement with an Electronic Health Record: Achievable, but Not Automatic

R. J. Baron
Ann Intern Med 2007; 549-552.

Abstract Full Text PDF

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

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

Summary Full Text

CMS announces payment reforms for inpatient hospital services in 2008

Press Release

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

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

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

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

IPPS regulation (pdf)

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

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


Editorial

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

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

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

N Engl J Med 2007 357: 1515-1523

Abstract FREE Full Text PDF Supplementary Material


Editorial

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

Extract FREE Full Text PDF

Quality of Care in Medicaid Managed Care and Commercial Health Plans

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

ABSTRACT FULL TEXT PDF

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

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

www.ahrq.gov/qual/rapidcycle/

The Comparative Effectiveness and Safety Emerging Methods Symposium

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

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

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


Smith, Scott R. MSPH, PhD

Measuring for Medicare: the physician quality reporting initiative.

Bagley B.
Fam Pract Manag. 2007 Jun;14(6):37-40.

free full text

Enhancing Continuity in Care: An Implemantation of the ASTM E2369-05 Standard Specification for Continuity of Care Record in a Homecare Application

M. Botsivaly, B. Spyropoulos, K. Koutsourakis, and K. Mertika
AMIA Annu Symp Proc. 2006; 2006: 66–70.

Abstract Full Text PDF–962K

Application of statistical process control in healthcare improvement:systematic review

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

[Abstract] [Full text] [PDF]

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

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

[Abstract] [Full text] [PDF]

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

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

Abstract HTML PDF (293 K)

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

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

Abstract HTML PDF (569 K)

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

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

Abstract HTML PDF (416 K)

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

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

Abstract HTML PDF (293 K)

The Effect of Referral and Transfer Patients on Hospital Funding in a Capitated Health Care Delivery System.

Kenneth Pietz, Margaret M. Byrne, Christina Daw, Laura A. Petersen
Medical Care. 45(10):951-958, October 2007.

Abstract HTML PDF (286 K)

Measuring the Quality of Care Provided to Community Dwelling Vulnerable Elders Dually Enrolled in Medicare and Medicaid.

David S. Zingmond, Kathleen H. Wilber, Catherine H. MacLean, Neil S. Wenger
Medical Care. 45(10):931-938, October 2007.

Abstract HTML PDF (290 K)

Failure-to-Rescue: Comparing Definitions to Measure Quality of Care.

Jeffrey H. Silber, Patrick S. Romano, Amy K. Rosen, Yanli Wang, Orit Even-Shoshan, Kevin G. Volpp
Medical Care. 45(10):918-925, October 2007.

Abstract HTML PDF (341 K)


Editorial

Failure-to-Rescue: Comparing Definitions to Measure Quality of Care.
Jack Needleman, Peter I. Buerhaus
Medical Care. 45(10):913, October 2007.

HTML PDF (123 K)

Competition on Outcomes and Physician Leadership Are Not Enough to Reform Health Care

Jennifer Dixon; Cyril Chantler; John Billings
JAMA 2007 298: 1445-1447

EXTRACT FULL TEXT PDF

Distinguishing patterns in the dynamics of long-term medication use by Markov analysis: beyond persistence

Tanja T Menckeberg , Svetlana V Belitser , Marcel L Bouvy , Madelon Bracke , Jan-Willem J Lammers , Jan AM Raaijmakers and Hubert GM Leufkens
BMC Health Services Research 2007, 7:106doi:10.1186/1472-6963-7-106

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

Tools, Methods, and Techniques for Improving Patient Safety.

Training DVD by the Patient Safety Improvement Corps.
September 2007. Agency for Healthcare Research and Quality, Rockville, MD. www.ahrq.gov/qual/psicdvd.htm

Developed by the Patient Safety Improvement Corps (PSIC), a new DVD presents a self-paced, modular approach to training individuals involved in patient safety activities at the institutional level.

The DVD presents eight modules:

• Patient Safety, Why Bother?
• Creating a Culture of Safety.
• When to do a Root Cause Analysis.
• How to do a Root Cause Analysis.
• Human Factor Engineering.
• Management of Risk.
• Proactive Risk Assessment Tools.
• Statistical Tools and Patient Safety Indicators.

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

Stephen Westaby, Nicholas Archer, Nicola Manning, Satish Adwani, Catherine Grebenik, Oliver Ormerod, Ravi Pillai, Neil Wilson
BMJ 2007:393186445, doi:10.1136/bmj.39318.644549.AE

full text

Adapting a Dynamic Model of Interorganizational Cooperation to the Health Care Sector

Wells, Rebecca, Weiner, Bryan J.
Med Care Res Rev 2007 64: 518-543

[Abstract] [PDF] [References]

Problem-Oriented Reporting of CAHPS Consumer Evaluations of Health Care

Elliott, Marc N., Beckett, Megan K., Kanouse, David E., Hambarsoomians, Katrin, Bernard, Shulamit
Med Care Res Rev 2007 64: 600-614

[Abstract] [PDF] [References]

Essential Elements of a Technology and Outcomes Assessment Initiative

Ezekiel J. Emanuel; Victor R. Fuchs; Alan M. Garber
JAMA. 2007;298:1323-1325.

EXTRACT FULL TEXT PDF

A simulation study of sample size for multilevel logistic regression models

Rahim Moineddin , Flora I Matheson and Richard H Glazier
BMC Medical Research Methodology 2007, 7:34doi:10.1186/1471-2288-7-34

Abstract Full text PDF (273KB)

Tackling therapeutic inertia: role of treatment data in quality indicators

Bruce Guthrie, Melanie Inkster, Tom Fahey
BMJ 2007;335:542-544
[Extract] [Full text] [PDF] [extra: Web references]


Editorial


Problems with performance related pay in primary care
David S Wald
BMJ 2007;335:523
[Extract] [Full text] [PDF]

Improving quality through effective implementation of information technology in healthcare

John Øvretveit, Tim Scott, Thomas G. Rundall, Stephen M. Shortell, and Mats Brommels
Int J Qual Health Care 2007 19: 259-266

[Abstract] [Full Text] [PDF]

Involving consumers in accreditation: the Irish experience

Elaine O'Connor, Triona Fortune, Jennifer Doran, and Roisin Boland
Int J Qual Health Care 2007 19: 296-300

[Abstract] [Full Text] [PDF]

Evaluating quality of patient care communication in integrated care settings: a mixed method approach

J. Gulmans, M.M.R. Vollenbroek-Hutten, J.E.W.C. Van Gemert-Pijnen, and W.H. Van Harten
Int J Qual Health Care 2007 19: 281-288

[Abstract] [Full Text] [PDF]

Getting to the ‘roots’ of patient safety

Justin Waring
Int J Qual Health Care 2007 19: 257-258

[Extract] [Full Text] [PDF]

Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey

Sara Singer, Mark Meterko, Laurence Baker, David Gaba, Alyson Falwell, Amy Rosen
Health Services Research (2007) 42 (5), 1999–2021.

Abstract References Full Text HTML Full Text PDF (146 KB)

Medicaid Markets and Pediatric Patient Safety in Hospitals

Richard B. Smith, Robyn Cheung, Pamela Owens, R. Mark Wilson, Lisa Simpson
Health Services Research (2007) 42 (5), 1981–1998.

Abstract References Full Text HTML Full Text PDF (118 KB)

21 years of reinvention: Dennis O'Leary, MD, discusses the past and future of the Joint Commission.

Interview by Diane S. Schneidman.
O'Leary D.
Bull Am Coll Surg. 2007 Aug;92(8):10-5.

full text

An interview with Dr. Mark Chassin Joint Commission next president, succeeding Dr. Dennis S. O’Leary

Dr. Chassin shares his thoughts with The Joint Commission Perspectives, the official newsletter of The Joint Commission as he prepares for his new position.

interviw

New York City Health and Hospitals Corporation Disclose Quality and Safety Record of Performance for Patients

web site

The New York City Health and Hospitals Corporation (HHC) released data to the public on safety and quality indicators:

• Annual mortality rates for the entire system and for each of its 11 hospitals;
• Adherence to best practice treatment for patients with heart attack, heart failure and pneumonia;
• 30-day mortality rates for heart attack and heart failure;
• Adherence to best practice treatment for prevention of surgical infection;
• Rates of ventilator-associated pneumonia and central line-associated bloodstream infection for critically ill patients;
• Rates of falls, pressure ulcers and effective pain management for long term care patients.

Press Release

Estimating costs of quality improvement for outpatient healthcare organisations: a practical methodology

Brown, Sydney E S, Chin, Marshall H, Huang, Elbert S
Qual Saf Health Care 2007 16: 248-251

[Abstract] [Full text] [PDF]

The Inverse Relationship Between Mortality Rates And Performance In The Hospital Quality Alliance Measures

Ashish K. Jha, E. John Orav, Zhonghe Li, and Arnold M. Epstein
Health Affairs, July/August 2007; 26(4): 1104-1110.

[Abstract] [Full Text] [PDF]

Effectiveness of Teaching Quality Improvement to Clinicians: A Systematic Review

Romsai T. Boonyasai; Donna M. Windish; Chayan Chakraborti; Leonard S. Feldman; Haya R. Rubin; Eric B. Bass
JAMA. 2007;298:1023-1037.

ABSTRACT FULL TEXT PDF ETABLES


Editorial

Teaching Quality Improvement: The Devil Is in the Details
Paul Batalden; Frank Davidoff
JAMA. 2007;298:1059-1061.
EXTRACT FULL TEXT PDF

Measuring And Reducing Waiting Times: A Cross-National Comparison Of Strategies

Sharon Willcox, Mary Seddon, Stephen Dunn, Rhiannon Tudor Edwards, Jim Pearse, and Jack V. Tu
Health Affairs, July/August 2007; 26(4): 1078-1087.

[Abstract] [Full Text] [PDF]

Quality of clinical primary care and targeted incentive payments: an observational study.

Steel N, Maisey S, Clark A, Fleetcroft R, Howe A.
Br J Gen Pract. 2007 Jun;57(539):449-54.

Pubmed

"America's Best Hospitals" in the Treatment of Acute Myocardial Infarction

Oliver J. Wang; Yun Wang; Judith H. Lichtman; Elizabeth H. Bradley; Sharon-Lise T. Normand; Harlan M. Krumholz
Arch Intern Med. 2007;167:1345-1351.

ABSTRACT FULL TEXT PDF

Editorial

Identifying High-Quality Hospitals: Consult the Ratings or Flip a Coin?
Sean Michael O’Brien; Eric D. Peterson
Arch Intern Med. 2007;167:1342-1344.

EXTRACT FULL TEXT PDF

Practice size, caseload, deprivation and quality of care of patients with coronary heart disease, hypertension and stroke in primary care

national cross-sectional study
Sonia Saxena , Josip Car , Darren Eldred , Michael Soljak and Azeem Majeed
BMC Health Services Research 2007, 7:96

[Abstract] [Full text] [PDF]

Tying Up Loose Ends: Discharging Patients With Unresolved Medical Issues

Carlton Moore; Thomas McGinn; Ethan Halm
Arch Intern Med. 2007;167:1305-1311
.
ABSTRACT FULL TEXT PDF

Special issue on ergonomic research and patient safety

Theoretical Issues in Ergonomics Science, Volume 8 Issue 5 2007

Patient safety - an old and a new issue
365 – 369
Sebastiano Bagnara; Riccardo Tartaglia


Status boards in accident & emergency departments: support for shared cognition
371 – 380
R. L. Wears; S. J. Perry


Managing teams managing crises: principles of teamwork to improve patient safety in the Emergency Room and beyond
381 – 394
E. Salas; M. A. Rosen; H. King


Work design and patient safety
395 – 428
P. Carayon; C. J. Alvarado; A. Schoofs Hundt


The systems of surgery
429 – 443
A. N. Healey; C. A. Vincent


Managing patients' demands: the practitioners' point of view
445 – 468
P. Falzon; V. Mollo


Patient safety by treatment standardization and process navigation - a systems ergonomics management concept
469 – 479
W. Friesdorf; B. Buss; I. Marsolek


A team-based risk modification programme to make health care safer
481 – 494
P. Barach


How to create a safety culture in the healthcare system: the experience of the Tuscany Region
495 – 507
T. Bellandi; S. Albolino; C. R. Tomassini

Rewarding Excellence and Efficiency in Medicare Payments

Karen Davis, Stuart Guterman
The Milbank Quarterly (2007) 85 (3), 449–468.

Abstract References Full Text HTML Full Text PDF (503 KB)

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