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

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

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

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

AHRQ 2007 Annual Conference: Presentations

www.ahrq.gov/about/annualmtg07/

The Agency for Healthcare Research and Quality (AHRQ) held its first-ever annual conference September 26-28, 2007, in Bethesda, MD. The meeting presentations are now available.

Contents:

• 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
• HHS' Value-Driven Health Care Initiative: Strategies and Tools for Success

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

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

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

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

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

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

Link

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

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

Comment

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

Interpret surgical outcome data with care

Peter J E Holt, Jan D Poloniecki, Matt M Thompson
BMJ 2008;337:a1401
[Extract] [Full text]

QOF and public health priorities don’t improve care in ageing

David Oliver
BMJ 2008;337:a1403
[Extract] [Full text]

The Royal North Shore Hospital inquiry: an analysis of the recommendations and the implications for quality and safety in Australian public hospitals

Anthony P Joseph and Stephen N Hunyor
Med J Aust 2008; 188 (8): 469-472.
pubmed

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

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

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

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

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

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


Expert Commentary

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

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

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

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

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

Measuring Maternal Morbidity in Routinely Collected Health Data

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

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

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

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)

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)

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

Comparative Quality Measures: Putting Evidence Above Expediency

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

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

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)

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]

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)

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)

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

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

Improving the Safety and Quality of Care Transitions .

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

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

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]

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

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

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

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)

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

Grimes T, Delaney T, Duggan C, Kelly JG, Graham IM.
Ir J Med Sci. 2008 Jun;177(2):93-7.
PDF (162.0 KB) HTML Free Preview

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

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]

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

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]

Hospital Quality: A PRIDIT Approach

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

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

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.

Health Policy and Public Trust

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

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]

NHS - Next Stage Review

The NHS Next Stage Review, ‘Our NHS, Our Future’, has come to a close and Lord Darzi and the UK Department of Health have published the following reports:

High quality care for all: NHS Next Stage Review final report

A consultation on the NHS Constitution

NHS Next Stage Review: Our vision for primary and community care

A high quality workforce: NHS Next Stage review

What matters to staff in the NHS

Strategic Health Authorities' visions for better healthcare

NHS Next Stage Review - Leading Local Change

Changing for the better: Guidance when undertaking major changes to NHS services

Our NHS Our future: NHS next stage review - interim report

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

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.

The Informatics Opportunities at the Intersection of Patient Safety and Clinical Informatics

Peter M. Kilbridge and David C. Classen
J Am Med Inform Assoc 2008; 15: 397-407.
[Abstract] [Full Text] [PDF] Data Supplement

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]

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]

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

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

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)

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)

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)

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)

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)

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

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).

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

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

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
  
  

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

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,

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

Audit: how to do it in practice

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

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

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.

| Abstract | Full Text | PDF–320K |

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.

| Abstract | Full Text | PDF–292K |

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)

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)

Quality & Accountability

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

Crossroads In Quality 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]

The Triple Aim: Care, Health, And Cost Donald M. Berwick, Thomas W. Nolan, and John Whittington [Abstract] [Full Text] [PDF]

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)

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]

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]

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.

Download with registration

Download without registration (PDF file)

Related article

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

[Extract] [Full text] [PDF]

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

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:

• Patient Safety and Quality
• Evidence-based Practice
• Patient-centered Care
• Working Conditions—Work Environment
• Critical Opportunities for Patient Safety and Quality
• Tools

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

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]

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

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

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

Barcoded Medication Administration: A Last Line of Defense

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

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]

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

Etiquette-Based Medicine

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

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

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]

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)

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

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]