NPSA - Patient Safety Toolkits & E-learning Packages

www.npsa.nhs.uk/nrls/alerts-and-directives/patient-safety-toolkits-e-learning-packages/

This web page from the National Patient Safety Agency (NPSA) provide access to a range of tools and e-learning packages designed to support patient safety education and training.

AHRQ - Getting Safer Care

www.ahrq.gov/consumer/safety.html

This Agency for Healthcare Research and Quality (AHRQ) Web site provides materials to help patients avoid medical errors and receive quality care.

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence.

Masica AL, Richter KM, Convery P, Haydar Z.
Proc (Bayl Univ Med Cent). 2009;22:103-111.
Abstract Full Text PDF–146K

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

O'Leary KJ, Liebovitz DM, Feinglass J, Liss DT, Evans DB, Kulkarni N, Landler MP, Baker DW.

J Hosp Med. 2009 Apr;4(4):219-25.
pubmed

Developing a tool for assessing competency in root cause analysis.

Gupta P, Varkey P.
Jt Comm J Qual Patient Saf. 2009 Jan;35(1):36-42.
PubMed

How should continuity of care in primary health care be assessed?

Salisbury C, Sampson F, Ridd M, Montgomery AA.
Br J Gen Pract. 2009 Apr;59(561):e134-41.
PubMed

Using implementation safety indicators for CPOE implementation.

Weir CR, McCarthy CA.
Jt Comm J Qual Patient Saf. 2009 Jan;35(1):21-8.
PubMed

Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration

Christine W. Hartmann, Mark Meterko, Amy K. Rosen, Shibei Zhao, Priti Shokeen, Sara Singer, and David M. Gaba
Med Care Res Rev 2009 66: 320-338.
[Abstract] [PDF]

What Can We Learn From Quality Improvement Research?: A Critical Review of Research Methods

Jeffrey A. Alexander and Larry R. Hearld
Med Care Res Rev 2009 66: 235-271.
[Abstract] [PDF]

NHS Evidence

www.evidence.nhs.uk/



NHS Evidence is a new service, hosted by the UK's National Institute for Health and Clinical Excellence (NICE), launched to provide easy access to evidence base information for health and social care professionals.




see also:

NHS Evidence: better and faster access to information
Gillian C Leng
The Lancet, Volume 373, Issue 9674, Pages 1502 - 1504
Preview Full Text PDF

IHI - Open School

www.ihi.org/IHI/Programs/IHIOpenSchool/

The Institute for Healthcare Improvement (IHI) has created the Open School to teach patient safety and quality improvement; free multimedia training modules are available.

WHO - SAVE LIVES: Clean Your Hands

www.who.int/gpsc/5may/en/index.html

Launched 5 May 2009 by the World Alliance for Patient Safety, the SAVE LIVES: Clean Your Hands initiative aims to support health-care workers to improve hand hygiene and stop the spread of infection.

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

Sevdalis N, Norris B, Ranger C, Bothwell S; Wristband Project Team.
J Eval Clin Pract. 2009 Apr;15(2):311-5.
PubMed

Comorbidity adjustment index for the international classification of diseases, 10th revision.

Ramiarina RA, Ramiarina BL, Almeida RM, Pereira WC.
Rev Saude Publica. 2008 Aug;42(4):590-7.
PubMed

Availability of data for measuring physician quality performance.

Scholle SH, Roski J, Dunn DL, Adams JL, Dugan DP, Pawlson LG, Kerr EA.
Am J Manag Care. 2009 Jan;15(1):67-72.
PubMed

Measuring quality of oral anticoagulation care: extending quality measurement to a new field.

Rose AJ, Berlowitz DR, Frayne SM, Hylek EM.
Jt Comm J Qual Patient Saf. 2009 Mar;35(3):146-55. Review.
PubMed

The relationship between electronic health record use and quality of care over time.

Zhou L, Soran CS, Jenter CA, Volk LA, Orav EJ, Bates DW, Simon SR.
J Am Med Inform Assoc. 2009 Jul-Aug;16(4):457-64.
PubMed

Quality of Care Provided to Individual Patients in US Hospitals: Results From an Analysis of National Hospital Quality Alliance Data

Vogeli, Christine; Kang, Raymond; Landrum, Mary Beth; Hasnain-Wynia, Romana; Weissman, Joel S.
Medical Care. 47(5):591-599, May 2009
Link

Do Patient Safety Events Increase Readmissions?

Friedman, Bernard; Encinosa, William; Jiang, H Joanna; Mutter, Ryan
Medical Care. 47(5):583-590, May 2009.
Link

Quality of Care and Length of Hospital Stay Among Patients With Stroke

Svendsen, Marie Louise; Ehlers, Lars Holger; Andersen, Grethe; Johnsen, Søren Paaske
Medical Care. 47(5):575-582, May 2009.
Link

The Use of Patient Satisfaction Surveys and Alternative Coding Procedures to Predict Malpractice Risk

Fullam, Francis; Garman, Andrew N.; Johnson, Tricia J.; Hedberg, Eric C.
Medical Care. 47(5):553-559, May 2009.
link

Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.

Lippi G, Blanckaert N, Bonini P, Green S, Kitchen S, Palicka V, Vassault AJ, Mattiuzzi C, Plebani M.
Clin Chem Lab Med. 2009;47:143-153.
Pubmed

Practising safely in the foundation years.

Long S, Neale G, Vincent C.
BMJ. 2009;338:1046.
Extract Full text

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Bilimoria KY, Kmiecik TE, DaRosa DA, Halverson A, Eskandari MK, Bell RH Jr, Soper NJ, Wayne JD.
Arch Surg. 2009;144:305-311.
Pubmed

Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery.

Rebasa P, Mora L, Luna A, Montmany S, Vallverdú H, Navarro S.
World J Surg. 2009 Feb;33(2):191-8.
PubMed

Safety in obstetric critical care.

Scholefield H.
Best Pract Res Clin Obstet Gynaecol. 2008 Oct;22(5):965-82.
pubmed

Quality in primary health care: a multidimensional approach to complexity.

Heath I, Rubinstein A, Stange KC, Driel ML.

BMJ 2009;338:b1242.

[Free Full Text]

Stimulating the Adoption of Health Information Technology

Blumenthal, David
N Engl J Med 2009 360: 1477-1479
Extract FREE Full Text PDF

Measurement of quality and assurance of safety in the critically ill.

Pronovost PJ, Sexton JB, Pharn JC, Goeschel CA, Winters BD, Miller MR.
Clin Chest Med. 2009;30:169-179.
Pubmed

Quality in primary health care: a multidimensional approach to complexity

Iona Heath, Adolfo Rubinstein, Kurt C Stange, and Mieke L van Driel
BMJ 2009;338:b1242, doi: 10.1136/bmj.b1242
Extract Full text

Effect of smoking cessation advice on cardiovascular disease.

Eddy DM, Peskin B, Shcheprov A, Pawlson G, Shih S, Schaaf D.
Am J Med Qual. 2009 May-Jun;24(3):241-9.
PubMed

A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists.

Peterson MC.
Mayo Clin Proc. 2009 Mar;84(3):248-54.
PubMed

Assessing Authority

Drummond Rennie; Iain Chalmers
JAMA. 2009;301(17):1819-1821.
EXTRACT FULL TEXT PDF ORIGINAL ARTICLE

Improving the simple, complicated and complex realities of community-acquired pneumonia

S K Liu, K Homa, J R Butterly, K B Kirkland, and P B Batalden
Qual Saf Health Care 2009; 18: 93-98.
[Abstract] [Full Text] [PDF]

Patient- and procedure-specific risk factors for postoperative complications in peripheral vascular surgery

C P E Lange, A J Ploeg, J-W H P Lardenoye, and P J Breslau
Qual Saf Health Care 2009; 18: 131-136.
[Abstract] [Full Text] [PDF]

The influence of standardisation and task load on team coordination patterns during anaesthesia inductions

E Zala-Mezö, J Wacker, B Künzle, M Brüesch, and G Grote
Qual Saf Health Care 2009; 18: 127-130.
[Abstract] [Full Text] [PDF]

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist

E N de Vries, M W Hollmann, S M Smorenburg, D J Gouma, and M A Boermeester
Qual Saf Health Care 2009; 18: 121-126.
[Abstract] [Full Text] [PDF]

Factors influencing incident reporting in surgical care

S Kreckler, K Catchpole, P McCulloch, and A Handa
Qual Saf Health Care 2009; 18: 116-120.
[Abstract] [Full Text] [PDF]

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre

A Mishra, K Catchpole, and P McCulloch
Qual Saf Health Care 2009; 18: 104-108. doi:10.1136/qshc.2007.024760
[Abstract] [Full Text] [PDF]

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre

P McCulloch, A Mishra, A Handa, T Dale, G Hirst, and K Catchpole
Qual Saf Health Care 2009; 18: 109-115.
[Abstract] [Full Text] [PDF] [web only appendices]

Rehospitalizations among Patients in the Medicare Fee-for-Service Program

Jencks, Stephen F., Williams, Mark V., Coleman, Eric A.
N Engl J Med 2009 360: 1418-1428
Abstract Full Text PDF Supplementary Material

Editorial
Revisiting Readmissions -- Changing the Incentives for Shared Accountability
Epstein, Arnold M.
N Engl J Med 2009 360: 1457-1459
Extract Full Text PDF

AHRQ - Triggers and Targeted Injury Detection Systems (TIDS)

www.ahrq.gov/qual/triggers/

AHRQ is developing and supporting the implementation of clinical triggers and targeted injury detection systems (TIDS) to identify patient safety risks and hazards. Clinical triggers are data flags identifying patients who may be at risk of harm or clinical situations that have the potential for harm.

PDF File

NPSA - Publication of Organisation Patient Safety Incident Reports

www.npsa.nhs.uk/nrls/patient-safety-incident-data/organisation-reports/
This section of the National Patient Safety Agency (NPSA) website provides details of patient safety incident reports for individual NHS organisations in England and Wales.

From tasks to processes: the case for changing health information technology to improve health care.

Walker JM, Carayon P.
Health Aff. 2009;28:467-477.
Pubmed

Relationship of safety climate and safety performance in hospitals.

Singer S, Lin S, Falwell A, Gaba D, Baker L.
Health Serv Rev. 2009;44:399-421.
Pubmed

Continuity of Outpatient and Inpatient Care by Primary Care Physicians for Hospitalized Older Adults

Gulshan Sharma; Kathlyn E. Fletcher; Dong Zhang; Yong-Fang Kuo; Jean L. Freeman; James S. Goodwin
JAMA. 2009;301(16):1671-1680.
ABSTRACT FULL TEXT PDF JAMA REPORT VIDEO

Pay for Performance: An Overview of the LiteratureStuart

E. Greene and David B. Nash
American Journal of Medical Quality 2009;24 140-163
http://ajm.sagepub.com/cgi/reprint/24/2/140?etoc

Errors in medicine.

Leape LL.
Clin Chim Acta. 2009 Jun;404(1):2-5.
Pubmed

The effect of guidance in the use of routine outcome measures in clinical meetings.

Trauer T, Pedwell G, Gill L.
Aust Health Rev. 2009 Feb;33(1):144-51.
Pubmed

see also:
outcome measurement in mental health
from the Mental Health & Drugs Division of the State Government Department of Health, Victoria, Australia

Use of Electronic Health Records in U.S. Hospitals

Jha, Ashish K., DesRoches, Catherine M., Campbell, Eric G., Donelan, Karen, Rao, Sowmya R., Ferris, Timothy G., Shields, Alexandra, Rosenbaum, Sara, Blumenthal, David
N Engl J Med 2009 360: 1628-1638

Abstract | FREE Full Text | PDF  | Supplementary Material

The Public Health Hazards of Risk Avoidance Associated With Public Reporting of Risk-Adjusted Outcomes in Coronary Intervention

F. Resnic, F. Welt

Journal of the American College of Cardiology, Volume 53, Issue 10, Pages 825-830
Pubmed

Editorial
Public Reporting of Quality Measures What Are We Trying to Accomplish?

R. Califf, E. Peterson

Journal of the American College of Cardiology, Volume 53, Issue 10, Pages 831-833
Pubmed

Creating an Ideal Transition Home for Patients with Heart Failure.

Transforming Care at the Bedside How-to Guide
Nielsen GA, Bartely A, Coleman E, Resar R, Rutherford P, Souw D, Taylor J.
Cambridge, MA: Institute for Healthcare Improvement; 2008.
link

Inpatient suicide: preventing a common sentinel event.

Tishler CL, Reiss NS.

Gen Hosp Psychiatry. 2009;31:103-109.

Pubmed

Learning from defects to enhance morbidity and mortality conferences.

Berenholtz SM, Hartsell TL, Pronovost PJ.
Am J Med Qual. 2009;24:192-195.
Pubmed

Implementation of computerized physician order entry in seven countries.

Aarts J, Koppel R.
Health Aff. 2009;28:404-414.
Pubmed

Health information technology and patient safety: evidence from panel data.

Parente ST, McCullough JS.
Health Aff. 2009;28:357-360.
Pubmed

Laboratory medicine quality indicators: a review of the literature.

Shahangian S, Snyder SR.
Am J Clin Pathol. 2009 Mar;131(3):418-31.
pubmed

Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals

Mohammed A Mohammed, Jonathan J Deeks, Alan Girling, Gavin Rudge, Martin Carmalt, Andrew J Stevens, Richard J Lilford BMJ  2009;338:b780 (Published ) [Abstract] [Full text] [PDF] Editorial Measuring the quality of hospital care John Wright, Kaveh G Shojania  BMJ  2009;338:b569 (Published )  [Extract] [Full text]

Quality in primary health care: a multidimensional approach to complexity.

Heath I, Rubinstein A, Stange KC, Driel ML.  

BMJ 2009;338:b1242. 

[Free Full Text]

NHS - The Care Quality Commission (CQC)

http://www.cqc.org.uk/

The Care Quality Commission (CQC) brings together independent regulation of health, mental health and adult social caren in England. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These organisations no longer exist.

The Care Quality Commission (CQC) main activities are:

• Registration of health and social care providers to ensure they are meeting essential common quality standards
  
• Monitoring and inspection of all health and adult social care
  
• Using enforcement powers if standards are not being met
  
• Improving health and social care services 
  
• Reporting the outcomes 
  

Rehospitalizations among Patients in the Medicare Fee-for-Service Program

Jencks, Stephen F., Williams, Mark V., Coleman, Eric A.
N Engl J Med 2009 360: 1418-1428

Abstract | Full Text | PDF  | Supplementary Material

Editorial

Revisiting Readmissions -- Changing the Incentives for Shared Accountability
Epstein, Arnold M.

N Engl J Med 2009 360: 1457-1459

Extract | Full Text | PDF

A New Strategy to Improve Quality: Rewarding Actions Rather Than Measures

Rachel M. Werner; Robert McNutt
JAMA. 2009;301(13):1375-1377.
EXTRACT FULL TEXT PDF

Association Between Hospital-Reported Leapfrog Safe Practices Scores and Inpatient Mortality

Leslie P. Kernisan; Sei J. Lee; W. John Boscardin; C. Seth Landefeld; R. Adams Dudley
JAMA. 2009;301(13):1341-1348.
ABSTRACT FULL TEXT PDF

Quality, Transparency, and the US Government

Robert H. Brook
JAMA. 2009;301(13):1377-1378.
EXTRACT FULL TEXT PDF

What is the Perfect General Practice?

www.bristolgpsolutions.nhs.uk/a1.htm

Does public release of performance results improve quality of care? A systematic review

This literature review produced as part of the Quest for Quality and Improved Performance (QQUIP), an initiative of The Health Foundation analyse the public release of performance results.

The report is adapted from a RAND Corporation white paper. 

[PDF]

Quality of Care: Measuring up the NHS

	Nigel Hawkes
	BMJ  2009;338:b703 (Published ) [Extract] [Full text]

Your Doctor's Office or the Internet? Two Paths to Personal Health Records

Tang, Paul C., Lee, Thomas H.
N Engl J Med 2009 360: 1276-1278

Extract | FREE Full Text | PDF

No Small Change for the Health Information Economy

Mandl, Kenneth D., Kohane, Isaac S.
N Engl J Med 2009 360: 1278-1281

Extract | FREE Full Text | PDF

Ownership of Medical Information

Mark A. Hall; Kevin A. Schulman
JAMA. 2009;301(12):1282-1284.
EXTRACT FULL TEXT PDF

Measuring Preventable Harm: Helping Science Keep Pace With Policy

Peter J. Pronovost; Elizabeth Colantuoni
JAMA. 2009;301(12):1273-1275.
EXTRACT FULL TEXT PDF

Health Care Information Technology Vendors' "Hold Harmless" Clause: Implications for Patients and Clinicians

Ross Koppel; David Kreda
JAMA. 2009;301(12):1276-1278.
EXTRACT FULL TEXT PDF

Association of Patient Case-Mix Adjustment, Hospital Process Performance Rankings, and Eligibility for Financial Incentives

Rajendra H. Mehta, Li Liang, Amrita M. Karve, Adrian F. Hernandez, John S. Rumsfeld, Gregg C. Fonarow, and Eric D. Peterson
JAMA. 2008;300(16):1897-1903.
ABSTRACT FULL TEXT PDF

Standards for Statistical Models Used for Public Reporting of Health Outcomes

An American Heart Association Scientific Statement From the Quality of Care and Outcomes Research Interdisciplinary Writing Group
Cosponsored by the Council on Epidemiology and Prevention and the Stroke Council Endorsed by the American College of Cardiology Foundation Harlan M. Krumholz, Ralph G. Brindis, John E. Brush, David J. Cohen, Andrew J. Epstein, Karen Furie, George Howard, Eric D. Peterson, Saif S. Rathore, Sidney C. Smith, Jr, John A. Spertus, Yun Wang, and Sharon-Lise T. Normand
Circulation. 2006;113:456-462;
Abstract Full Text PDF

Achieving Large System Change in Health Care

John Oldham
JAMA. 2009;301(9):965-966.
EXTRACT FULL TEXT PDF

Patient-Physician Connectedness and Quality of Primary Care

Steven J. Atlas, Richard W. Grant, Timothy G. Ferris, Yuchiao Chang, andMichael J. Barry
Ann Intern Med 2009;150 325-335
Abstract Full Text PDF

Editorial

Is There a Personal Doctor in the House?
Andrew B. Bindman
Ann Intern Med 2009;150 351-352
Full Text PDF

NQF - Safe Practices for Better Healthcare—2009 Update

www.qualityforum.org/safe_practices/

This report from the National Quality Forum (NQF) presents 34 practices that have been demonstrated to be effective in reducing the occurrence of adverse healthcare events.

Diagnostic Errors—The Next Frontier for Patient Safety

David E. Newman-Toker; Peter J. Pronovost
JAMA. 2009;301(10):1060-1062.
EXTRACT FULL TEXT PDF

NPSA - Five actions to improve patient safety reporting

www.npsa.nhs.uk/nrls/reporting/five-actions-to-improve-reporting/
Act on reporting: NHS Confederation - NPSA briefing

Will doctor rating sites improve standards of care? Yes

Neil Bacon
BMJ 2009 338: b1030.
[Extract] [Full Text]

Will doctor rating sites improve the quality of care? No

Margaret McCartney
BMJ 2009 338: b1033.
[Extract] [Full Text]

Pay for Performance: An Overview of the Literature

Stuart E. Greene and David B. Nash
American Journal of Medical Quality 2009 24: 140-163.
[PDF]

CMS's Hospital-Acquired Condition Lists Link Hospital Payment, Patient Safety

Carolyn M. Clancy
American Journal of Medical Quality 2009 24: 166-168.
[PDF]

Relationship of Safety Climate and Safety Performance in Hospitals

Sara Singer, Shoutzu Lin, Alyson Falwell, David Gaba, Laurence Baker
Health Services Research Volume 44 Issue 2p1, Pages 399 - 421
Abstract References HTML, PDF Supporting information

Patient Safety: Contributions by the Agency for Healthcare Research and Quality

www3.interscience.wiley.com/journal/122260191/issue
Health Services Research Volume 44 Issue 2p2

Setting the Stage for the Second Decade of the Era of Patient Safety: Contributions by the Agency for Healthcare Research and Quality and Grantees (p 623-627)
Lee H.
Abstract Full Text: HTML, PDF

Evaluation of the AHRQ Patient Safety Initiative: Framework and Approach (p 628-645)
Donna O. Farley, James B. Battles
Abstract References Full Text: HTML, PDF Supporting information

Assessment of Contributions to Patient Safety Knowledge by the Agency for Healthcare Research and Quality-Funded Patient Safety Projects (p 646-664)
Melony E.S. Sorbero, Karen A. Ricci, Susan Lovejoy, Amelia M. Haviland, Linda Smith, Lily A. Bradley, Liisa Hiatt, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

Experiences of Agency for Healthcare Research and Quality-Funded Projects That Implemented Practices for Safer Patient Care (p 665-683)
Stephanie L. Taylor, M. Susan Ridgely, Michael D. Greenberg, Melony E. S. Sorbero, Stephanie S. Teleki, Cheryl L. Damberg, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

Adopting Information Technology to Drive Improvements in Patient Safety: Lessons from the Agency for Healthcare Research and Quality Health Information Technology Grantees (p 684-700)
Cheryl L. Damberg, M. Susan Ridgely, Rebecca Shaw, Robin C. Meili, Melony E.S. Sorbero, Lily A. Bradley, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

Training a Patient Safety Work Force: The Patient Safety Improvement Corps (p 701-716)
Stephanie S. Teleki, Cheryl L. Damberg, Melony E. S. Sorbero, Rebecca N. Shaw, Lily A. Bradley, Denise D. Quigley, Allen M. Fremont, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

The Growth of Partnerships to Support Patient Safety Practice Adoption (p 717-738)
Peter Mendel, Cheryl L. Damberg, Melony E.S. Sorbero, Danielle M. Varda, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

Safety Outcomes in the United States: Trends and Challenges in Measurement (p 739-755)
Michael D. Greenberg, Amelia M. Haviland, Hao Yu, Donna O. Farley
Abstract References Full Text: HTML, PDF Supporting information

Evaluation of the AHRQ Patient Safety Initiative: Synthesis of Findings (p 756-776) Donna O. Farley, Cheryl L. Damberg
Abstract References Full Text: HTML, PDF Supporting information

Improving quality indicator report cards through Bayesian modeling

Byron J Gajewski , Jonathan D Mahnken and Nancy Dunton
BMC Medical Research Methodology 2008, 8:77
[Abstract] [Full text] [PDF] [PubMed] [Related articles]

Clinicians in Quality Improvement: A New Career Pathway in Academic Medicine

Kaveh G. Shojania; Wendy Levinson
JAMA. 2009;301(7):766-768.
EXTRACT FULL TEXT PDF

Transformation of Health Care at the Front Line

Patrick H. Conway; Carolyn Clancy
JAMA. 2009;301(7):763-765.
EXTRACT FULL TEXT PDF

Primary Care Physicians' Links to Other Physicians Through Medicare Patients: The Scope of Care CoordinationH.

H. Pham, A. S. O'Malley, P. B. Bach, C. Saiontz-Martinez and D. Schrag
Ann Intern Med 2009; 236-242.
Abstract Full Text PDF


Editorial

D. S. Meyers and C. M. ClancyPrimary Care: Too Important to Fail
Ann Intern Med, February 17, 2009; 150(4): 272 - 273.
[Full Text] [PDF]

Benchmarking physician performance: reliability of individual and composite measures.

Scholle SH, Roski J, Adams JL, Dunn DL, Kerr EA, Dugan DP, Jensen RE.
Am J Manag Care. 2008 Dec;14(12):833-8.
Abstract : Full Text : PDF : Appendix : Appendix : Appendix : Appendix

Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project

Frank Davidoff, Paul Batalden, David Stevens, Greg Ogrinc, Susan E Mooney, for the SQUIRE development group
BMJ 2009;338:a3152
[Abstract] [Full text]

Feedback from incident reporting: information and action to improve patient safety

J Benn, M Koutantji, L Wallace, P Spurgeon, M Rejman, A Healey, and C Vincent
Qual Saf Health Care 2009; 18: 11-21.
[Abstract] [Full text] [web only appendix] [PDF]

Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals:

results from the National Reporting and Learning System
A Hutchinson, T A Young, K L Cooper, A McIntosh, J D Karnon, S Scobie, and R G Thomson
Qual Saf Health Care 2009; 18: 5-10.
[Abstract] [Full text] [PDF]

Editorial

Adverse event reporting systems and safer healthcare
James B Battles and David P Stevens
Qual Saf Health Care 2009; 18: 2.
[Extract] [Full text] [PDF]

Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries

15 Randomized Trials
Deborah Peikes; Arnold Chen; Jennifer Schore; Randall Brown
JAMA. 2009;301(6):603-618.
ABSTRACT FULL TEXT PDF ETABLES


Editorial

The Elusive Quest for Quality and Cost Savings in the Medicare Program
John Z. Ayanian
JAMA. 2009;301(6):668-670.
EXTRACT FULL TEXT PDF

Patient Safety First Campaign

www.patientsafetyfirst.nhs.uk

To implement the World Health Organization’s campaign to reduce the incidence of avoidable harm and death improving patient safety, the Patient Safety First Campaign seeks to provide NHS staff with the knowledge and support to take simple steps to improve the safety of patients in their care.

Measurement of Quality and Assurance of Safety in the Critically Ill

Peter J. Pronovost, J. Bryan Sexton, Julius Cuong Pham, Christine A. Goeschel, Bradford D. Winters, Marlene R. Miller

Clinics in Chest MedicineVolume 30, Issue 1, March 2009, Pages 169-179
Abstract Full Text Full-Text PDF (272 KB)

A Reengineered Hospital Discharge Program to Decrease Rehospitalization: A Randomized Trial

B. W. Jack, V. K. Chetty, D. Anthony, J. L. Greenwald, G. M. Sanchez, A. E. Johnson, S. R. Forsythe, J. K. O'Donnell, M. K. Paasche-Orlow, C. Manasseh, S. Martin and L. Culpepper
Ann Intern Med 2009; 178-187.
Abstract Full Text PDF

A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population

Haynes, Alex B., Weiser, Thomas G., Berry, William R., Lipsitz, Stuart R., Breizat, Abdel-Hadi S., Dellinger, E. Patchen, Herbosa, Teodoro, Joseph, Sudhir, Kibatala, Pascience L., Lapitan, Marie Carmela M., Merry, Alan F., Moorthy, Krishna, Reznick, Richard K., Taylor, Bryce, Gawande, Atul A., the Safe Surgery Saves Lives Study Group
N Engl J Med 2009 360: 491-499

Abstract FREE Full Text PDF Supplementary Material

Principles for allocation of scarce medical interventions

Govind Persad, Alan Wertheimer, Ezekiel J Emanuel
The Lancet, Volume 373, Issue 9661, Pages 423-431
Preview Summary Full Text PDF

How good is your doctor? Click here to find out

Editorial
The Lancet Volume 373, Issue 9658, Page 96
Preview Full Text PDF

National Health Service website