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

hqypezi
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

Hospital Volume, Surgeon Volume, and Patient Costs for Cancer Surgery.

Vivian Ho, Thomas Aloia
Medical Care. 46(7):718-725, July 2008
Abstract HTML PDF (467 K)

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

Improving the Safety and Quality of Care Transitions .

C . Clancy
AORN , Volume 88 , Issue 1 , Pages 111 - 113
Preview Purchase PDF (88 K)

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

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

Bing Li, Dewey Evans, Peter Faris, Stafford Dean, and Hude Quan

BMC Health Serv Res. 2008; 8: 12. Abstract Full Text PDF–232K

Thursday, June 05, 2008

Audit: how to do it in practice

Andrea Benjamin
BMJ 2008;336:1241-1245
[Extract] [Full text] [PDF]

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]

Wednesday, May 28, 2008

Informatics Opportunities: The Intersection of Patient Safety and Clinical Informatics

Peter M. Kilbridge, and David C. Classen
J. Am. Med. Inform. Assoc. published ahead of print on April 24, 2008 as doi:10.1197/jamia.M2735
abstract Full Text (PDF)

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. published ahead of print on April 24, 2008 as doi:10.1197/jamia.M2616
abstract Full Text (PDF)

Tuesday, May 27, 2008

Review: How Do Hospital Organizational Structure and Processes Affect Quality of Care?

A Critical Review of Research Methods
Hearld, Larry R., Alexander, Jeffrey A., Fraser, Irene, Jiang, H. Joanna
Med Care Res Rev 2008 65: 259-299
[Abstract] [PDF] [References]

Monday, May 26, 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)

Practice Features Associated With Patient-Reported Accessibility, Continuity, and Coordination of Primary Health Care

Haggerty, Jeannie L., Pineault, Raynald, Beaulieu, Marie-Dominique, Brunelle, Yvon, Gauthier, Josee, Goulet, Francois, Rodrigue, Jean
Ann Fam Med 2008 6: 116-123
[Abstract] [Full Text] [PDF]

Saturday, May 24, 2008

The Quest for Quality in the NHS: Refining the NHS Reforms

This new report from the Nuffield Trust examines in depth the progress of and quality of care in the NHS over a 10-year period.


The Quest for Quality is a thorough and comprehensive compilation of key indicators over time, with an accompanying policy analysis.




Related article

Quality improvement in the NHS
Nick Black
BMJ 2008;336:1143

Thursday, May 22, 2008

The "3T’s" Road Map to Transform US Health Care: The "How" of High-Quality Care

Denise Dougherty; Patrick H. Conway
JAMA. 2008;299(19):2319-2321.
EXTRACT FULL TEXT PDF

Wednesday, May 21, 2008

AHRQ - Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

www.ahrq.gov/qual/nurseshdbk

Agency for Healthcare Research and Quality (AHRQ) has prepared this comprehensive handbook for nurses on patient safety and quality
Experts in the field reviewed the literature, and their contributions are grouped into these sections:

Tuesday, May 20, 2008

TeamSTEPPS Web Site

The Department of Defense, in collaboration with the Agency for Healthcare Research and Quality (AHRQ), developed TeamSTEPPST, an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals.
It includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into any health care system.
Web Site

Monday, May 19, 2008

An international review of projects on hospital performance assessment

Oliver Groene, Jutta K. H. Skau, and Anne Frølich
Int J Qual Health Care 2008 20: 162-171
[Abstract] [Full Text] [PDF]

The World Health Organization Performance Assessment Tool for Quality Improvement in Hospitals (PATH):

An Analysis of the Pilot Implementation in 37 Hospitals
Oliver Groene, Niek Klazinga, Vahé Kazandjian, Pierre Lombrail, and Paul Bartels
Int J Qual Health Care 2008 20: 155-161
[Abstract] [Full Text] [PDF]

Friday, May 16, 2008

Reconceptualizing the Informed Consent Process at Eight Innovative Hospitals

Matiasek, Jennifer; Wynia, Matthew K.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 3, March 2008 , pp. 127-137(11)
abstract

Thursday, May 15, 2008

How Often are Potential Patient Safety Events Present on Admission?

Houchens, Robert L.; Elixhauser, Anne; Romano, Patrick S.
Joint Commission Journal on Quality and Patient Safety, Volume 34, Number 3, March 2008 , pp. 154-163(10)
abstract

Addressing postdischarge adverse events: a neglected area.

Tsilimingras D, Bates DW.
Jt Comm J Qual Patient Saf. 2008 Feb;34(2):85-97.
abstract

Wednesday, May 14, 2008

Quality and the NHS Next Stage Review

Ara Darzi
The Lancet 371 ;9624 : 1563-1564
Full Text

Our NHS, our future: NHS next stage review—interim report

Tuesday, May 13, 2008

Barcoded Medication Administration: A Last Line of Defense

David W. Cescon; Edward Etchells
JAMA. 2008;299(18):2200-2202.
EXTRACT FULL TEXT PDF

Monday, May 12, 2008

Health sector accreditation research: a systematic review

David Greenfield and Jeffrey Braithwaite
Int J Qual Health Care 2008 20: 172-183
[Abstract] [Full Text] [PDF]

Friday, May 09, 2008

The Wisdom and Justice of Not Paying for "Preventable Complications"

Peter J. Pronovost, Christine A. Goeschel, Robert M. Wachter
JAMA. 2008;299(18):2197-2199.
EXTRACT FULL TEXT PDF

Thursday, May 08, 2008

Etiquette-Based Medicine

Kahn, Michael W.
N Engl J Med 2008 358: 1988-1989
Extract FREE Full Text PDF

Wednesday, May 07, 2008

Hospital Quality: A PRIDIT Approach

Robert D. Lieberthal
Health Services Research (2008) 43 (3) , 988–1005
Abstract Full Text HTML Full Text PDF (121 KB) Supplementary material

Tuesday, May 06, 2008

Detection and prevention of medication misadventures in general practice

Ka Wae Tammy Tam, Hung Kon Kwok, Yuen Man Cecilia Fan, Kwok Biu Tsui, Kwok Keung Ng, King Yip Anthony Ho, Kam Tong Lau, Yuk Chun Chan, Ching Wan Charmaine Tse, and Cheuk Man Lau
Int J Qual Health Care 2008 20: 192-199
[Abstract] [Full Text] [PDF]

Attitudes toward the large-scale implementation of an incident reporting system

Jeffrey Braithwaite, Mary Westbrook, and Joanne Travaglia
Int J Qual Health Care 2008 20: 184-191
[Abstract] [Full Text] [PDF]

Monday, May 05, 2008

Do the AHRQ Patient Safety Indicators Flag Conditions That Are Present at the Time of Hospital Admission?

Bahl, Vinita; Thompson, Maureen A.; Kau, Tsui-Ying; Hu, Hsou Mei; Campbell, Darrell A. Jr
Medical Care. 46(5):516-522, May 2008.
Abstract HTML PDF (255 K)

Friday, May 02, 2008

Preventing Wrong-Site Surgery

This toolkit from the Patient Safety Authority includes educational resources, snapshots and articles to aid healthcare facilities in preventing wrong-site surgery.
link

Thursday, May 01, 2008

How can quality of health care be safeguarded across the European Union?

Helena Legido-Quigley, Martin McKee, Kieran Walshe, Rosa Suñol, Ellen Nolte, Niek Klazinga
BMJ 2008;336:920-923
[Extract] [Full text] [PDF]

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
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Off the Record -- Avoiding the Pitfalls of Going Electronic
Hartzband, Pamela, Groopman, Jerome
N Engl J Med 2008 358: 1656-1658
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Tectonic Shifts in the Health Information Economy
Mandl, Kenneth D., Kohane, Isaac S.
N Engl J Med 2008 358: 1732-1737
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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
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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)