AHRQ - Practice-Based Research Networks

pbrn.ahrq.gov/portal/server.pt

Practice-Based Research Networks (PBRNs) are groups of primary care clinicians and practices working together to answer community-based health care questions and translate research findings into practice. PBRNs engage clinicians in quality improvement activities and an evidence-based culture in primary care practice

Quality Improvement Improving Quality? A View from the Doctor's Office

Vonnegut, MarkIs
N Engl J Med 2007 357: 2652-2653
Extract Full Text PDF

Comparing Physicians on Efficiency

Milstein, Arnold, Lee, Thomas H.
N Engl J Med 2007 357: 2649-2652
Extract FREE Full Text PDF View Video Download MP3

Continuity of primary care and emergency department utilization among elderly people

Raluca Ionescu-Ittu, MSc, Jane McCusker, MD DrPH, Antonio Ciampi, PhD, Alain-Michel Vadeboncoeur, MD, Danièle Roberge, PhD, Danielle Larouche, MSc, Josée Verdon, MD MSc, and Raynald Pineault, MD PhD
CMAJ 2007 177: 1362-1368.
[Abstract] [Full Text] [PDF] [Figures Only]


Editorial

Promoting continuity of care should be integral to any health care system
W. Rosser MD and K. Schultz MD
Can. Med. Assoc. J., November 20, 2007; 177(11): 1385 - 1386.
[Full Text] [PDF]

Heart failure: improving the continuum of care.

Kay D, Blue A, Pye P, Lacy A, Gray C, Moore S.
Care Manag J. 2006 Summer;7(2):58-63.
PubMed

Improving America´s Hospitals: The Joint Commission´s Annual Report on Quality and Safety 2007

http://www.jointcommissionreport.org/

This new report from Joint Commission presents how America´s accredited hospitals performed against quality performance measures and safety goals during 2006 and in previous years.

2007 Report (PDF)

The hospital discharge: A review of a high risk care transition with highlights of a reengineered discharge process.

Greenwald, J.L., Denham, C.R., and Jack, B.W.
Journal of Patient Safety 2007, 3(2), pp. 97-106.

Abstract HTML PDF (469 K)

Outcomes of Care by Hospitalists, General Internists, and Family Physicians

Lindenauer, Peter K., Rothberg, Michael B., Pekow, Penelope S., Kenwood, Christopher, Benjamin, Evan M., Auerbach, Andrew D.
N Engl J Med 2007 357: 2589-2600
Abstract FREE Full Text PDF CME Exam Supplementary Material


Editorial

The Hospitalist Movement -- Time to Move On
McMahon, Laurence F., Jr.
N Engl J Med 2007 357: 2627-2629
Extract FREE Full Text PDF

Using Clinical Trial Summary Results to Establish Quality Measures

Limitations of Applying Summary Results of Clinical Trials to Individual Patients: The Need for Risk Stratification
David M. Kent; Rodney A. Hayward
JAMA. 2007;298(10):1209-1212.
EXTRACT FULL TEXT PDF

Using Clinical Trial Summary Results to Establish Quality Measures-Letter
Tracey L. Yap; Winston Y. Yap
JAMA. 2007;298(23):2740-2741.
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Using Clinical Trial Summary Results to Establish Quality Measures—Reply
Rodney Hayward; David M. Kent
JAMA. 2007;298(23):2741.
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Dr Foster - The Hospital Guide

How healthy is your hospital?

www.drfoster.co.uk/hospitalguide/

This report from Dr Foster (UK) examines England hospital quality and performances in several areas, including mortality, readmissions, patient satisfaction and excess bed days.

View the full report (PDF)

methodologies used in the Hospital Guide (PDF).

NPSA - Safety First: one year on

This new report from The National Patient Safety Agency (NPSA) provides an update on progress against the 14 recommendations set out in Safety First, published by the Department of Health in December 2006.

Safety First: one year on (pdf 3MB)

The Relationship between Hospital Case Volume and Outcome from Carotid Endartectomy in England from 2000 to 2005.

P. Holt, J. Poloniecki, I. Loftus, M. Thompson
European Journal of Vascular and Endovascular Surgery, Volume 34, Issue 6, Pages 646-654

Abstract Full Text Full-Text PDF (301 KB)

Management Strategies to Meet the Core Heart Failure Measures for Acute Decompensated Heart Failure

A Nursing Perspective.
Nancy J. Gardetto, Karen C. Carroll
Critical Care Nursing Quarterly. Heart failure. 30(4):307-320, October/December 2007.

Abstract HTML PDF (117 K)

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 Oct;31(5):319-27.

PDF (186 kb) HTML

Piloting Nursing-Sensitive Hospital Care Measures in Massachusetts.

Smith, David P. ;Jordan, Harmon S.
Journal of Nursing Care Quality. 23(1):23-33, January/March 2008.

Abstract HTML PDF (93 K)

Comparison of Mortality Risk Adjustment Using

a Clinical Data Algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an Administrative Data Algorithm (Solucient) at the Case Level Within a Single Institution
Bruce Lee Hall, Mitzi Hirbe, Brian Waterman, Sarah Boslaugh, Wm Claiborne Dunaganpages J Am Coll Surg. 2007 Dec;205(6):767-77.

Abstract Full Text Full-Text PDF (401 KB)

Risk-Adjusted Morbidity in Teaching Hospitals

Correlates with Reported Levels of Communication and Collaboration on Surgical Teams but Not with Scale Measures of Teamwork Climate, Safety Climate, or Working Conditions
Daniel L. Davenport, William G. Henderson, Cecilia L. Mosca, Shukri F. Khuri, Robert M. Mentzer, Participants in the Working Conditions of Surgery Residents and Quality of Care Study
J Am Coll Surg. 2007 Dec;205(6):778-84.

Abstract Full Text Full-Text PDF (191 KB)

J Hosp Med - Articles on hospital discharge

Hospital discharge information and older patients: Do they get what they need?
Journal of Hospital Medicine 2007 Sep;2(5):291-296
Jonathan Flacker, Wansoo Park, Addie Sims
Abstract References HTML, PDF


Understanding rehospitalization risk: Can hospital discharge be modified to reduce recurrent hospitalization?
Journal of Hospital Medicine 2007 Sep;2(5):297-304
Lee Strunin, Meg Stone, Brian Jack
Abstract References HTML, PDF


Editorial

Executing high-quality care transitions: A call to do it right
Eric A. Coleman, Mark V. Williams
Journal of Hospital Medicine 2007 Sep;2(5):287-290.
Abstract References HTML, PDF

Patient Safety Tools

www.ahrq.gov/qual/pips/

17 toolkits designed to help doctors, nurses, hospital managers, patients and others reduce medical errors was released by Agency for Healthcare Research and Quality (AHRQ).

The toolkits correlate with the Joint Commission's National Patient Safety Goals.

Press Release

Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital

Michael Buist, Julia Harrison, Ellie Abaloz, Susan Van Dyke
BMJ 2007;335:1210-1212
Abstract] [Full text] [PDF]


Editorial

Recognising and responding to acute illness in patients in hospital
Kathryn M Rowan, David A Harrison
BMJ 2007;335:1165-1166
[Extract] [Full text] [PDF]

Evaluating Physician Performance at Individualizing Care

A Pilot Study Tracking Contextual Errors in Medical Decision Making
Saul J. Weiner, Alan Schwartz, Rachel Yudkowsky, Gordon D. Schiff, Frances M. Weaver, Julie Goldberg, and Kevin B. Weiss
Med Decis Making 2007 27: 726-734.
[Abstract] [PDF] [References]


Editorial

Measuring the Care of the Patient in Context
Paul N. Gorman
Med Decis Making 2007 27: 724-725.
[PDF] [References]

The National Emergency Department Safety Study: Study Rationale and Design

Ashley F. Sullivan, Carlos A. Camargo, Jr., Paul D. Cleary, James A. Gordon, Edward Guadagnoli, Rainu Kaushal, David J. Magid, Sowmya R. Rao, and David Blumenthal
Acad Emerg Med 2007 14: 1182-1189.

[Abstract] [Full Text] [PDF] [National Emergency Department Safety Survey] [National Emergency Department Safety Study Adverse Event Form]

Pay-for-Performance Principles That Promote Patient-Centered Care: An Ethics Manifesto

L. Snyder, R. L. Neubauer and for the American College of Physicians Ethics, Professionalism and Human Rights Committee
Ann Intern Med 2007; 792-794.

Abstract Full Text PDF

Medication Use Leading to Emergency Department Visits for Adverse Drug Events in Older Adults

D. S. Budnitz, N. Shehab, S. R. Kegler and C. L. Richards
Ann Intern Med 2007; 755-765.

Abstract Full Text PDF

Future of quality measurement

Helen Lester, Martin Roland
BMJ 2007;335:1130-1131

[Extract] [Full text] [PDF]

Interpreting Market Share Changes as Evidence for Effectiveness of Quality Report Cards.

Mukamel, Dana B. ; Weimer, David L. ; Mushlin, Alvin I.
Medical Care. 45(12):1227-1232, December 2007.

HTML PDF (222 K)

Analysing low-risk patient populations allows better discrimination between high-performing and low-performing hospitals

a case study using inhospital mortality from acute myocardial infarction
Michael Coory and Ian Scott
Qual Saf Health Care 2007; 16: 324-328.

[Abstract] [Full text] [PDF]

Application of statistical process control in healthcare improvement: systematic review

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

[Abstract] [Full text] [PDF]

Measuring performance and missing the point?

Iona Heath, Julia Hippisley-Cox, Liam Smeeth
BMJ 2007;335:1075-1076
[Extract] [Full text] [PDF]


Editorial

Careful what you measure
Fiona Godlee
BMJ 2007;335, doi:10.1136/bmj.39406.590822.47
[Extract] [Full text]

The choice between different statistical approaches to risk-adjustment influenced the identification of outliers

Ugo Fedeli , Stefano Brocco , Natalia Alba , Rosalba Rosato , Paolo Spolaore
Journal of Clinical Epidemiology- 2007 Vol. 60, Issue 8, Pages 858-862

Abstract Full Text Full-Text PDF (101 KB)

Health state information derived from secondary databases is affected by multiple sources of bias

Darcey D. Terris, David G. Litaker, Siran M. Koroukian
Journal of Clinical Epidemiology- 2007 Vol. 60, Issue 7, Pages 734-741
Abstract Full Text Full-Text PDF (304 KB)

Editorial

Understanding secondary databases: a commentary on “Sources of bias for health state characteristics in secondary databases”
Journal of Clinical Epidemiology- 2007 Vol. 60, Issue 7, Pages 648-650
Full Text Full-Text PDF (63 KB)

How Much Time Do Physicians Spend Providing Care Outside of Office Visits?

J. Farber, A. Siu and P. Bloom
Ann Intern Med 2007; 693-698.
Abstract Full Text PDF


Editorial

Coordinating Care: A Major (Unreimbursed) Task of Primary Care
T. Bodenheimer
Ann Intern Med 2007; 730-731.
Full Text PDF

The Association of Registered Nurse Staffing Levels and Patient Outcomes: Systematic Review and Meta-Analysis.

Kane, Robert L. ; Shamliyan, Tatyana A. ; Mueller, Christine ; Duval, Sue ; Wilt, Timothy J.
Medical Care. 45(12):1195-1204, December 2007.

Abstract HTML PDF (411 K)

Cross-National Comparative Performance of Three Versions of the ICD-10 Charlson Index.

Sundararajan, Vijaya; Quan, Hude; Halfon, Patricia; Fushimi, Kiyohide; Luthi, Jean-Christophe; Burnand, Bernard; Ghali, William A. ; for the International Methodology Consortium for Coded Health Information (IMECCHI)
Medical Care. 45(12):1210-1215, December 2007.

Abstract HTML PDF (223 K)

Effect of a Rapid Response Team on Hospital-wide Mortality and Code Rates Outside the ICU in a Children’s Hospital

Paul J. Sharek; Layla M. Parast; Kit Leong; Jodi Coombs; Karla Earnest; Jill Sullivan; Lorry R. Frankel; Stephen J. Roth
JAMA. 2007;298(19):2267-2274.

ABSTRACT FULL TEXT PDF


Editorial

Pediatric Rapid Response Teams: Is It Time?
Jeffrey E. Nowak; Richard J. Brilli
JAMA. 2007;298(19):2311-2312.
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Should We Add Clinical Variables to Administrative Data?: The Case of Risk-Adjusted Case fatality Rates After Admission for Acute Myocardial Infarctio

Johnston, Trisha C. ; Coory, Michael D. ; Scott, Ian ; Duckett, Stephen
Medical Care. 45(12):1180-1185, December 2007.

Abstract HTML PDF (232 K)

AHRQ - Health Care Innovations Exchange

http://www.innovations.ahrq.gov/

The Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange is a new program designed to support health care professionals in sharing and adopting innovations that improve health care quality.

By the Spring of 2008, the Health Care Innovations Exchange will include the following:

• Searchable profiles of a wide range of innovations.
• Learning networks.
• Educational materials.

Respecting the subjective: quality measurement from the patient's perspective

Glyn Elwyn, Stephen Buetow, Judith Hibbard, Michel Wensing
BMJ 2007;335:1021-1022

[Extract] [Full text] [PDF]

Comparison of administrative-only versus administrative plus chart review data for reporting HEDIS hybrid measures.

Pawlson LG, Scholle SH, Powers A.
Am J Manag Care.
2007 Oct;13(10):553-8.
Abstract : Full Text : PDF : Appendix : Web Exclusive : Web Exclusive


Editorial

The performance of performance measures.
Kmetik KS, Chung J, Sims S.
Am J Manag Care. 2007 Oct;13(10):547-9.
Full Text : PDF

Do Hospital Bed Reduction and Multiple System Reform Affect Patient Mortality?:

A Trend and Multilevel Analysis in New Zealand Over the Period 1988-2001.
Peter Davis, Roy Lay-Yee, Alastair Scott, Robin Gauld
Medical Care. 45(12):1186-1194, December 2007.

Abstract HTML PDF (385 K)

AHRQ - Preventable Hospitalization Costs, a county level mapping tool

www.qualityindicators.ahrq.gov/mappingtool.htm

The Agency for Healthcare Research and Quality (AHRQ) released the Preventable Hospitalization Costs Mapping Tool for Windows

"The AHRQ Preventable Hospitalization Costs (PHC) is a software program that:

1. maps selected AHRQ Quality Indicators (QIs) for a State, by county,
2. estimates the cost savings associated with reducing the level of potentially avoidable hospitalizations. "

Improving the quality of care with performance indicators

Azeem Majeed, Helen Lester, Andrew B Bindman
BMJ 2007;335:916-918

[Extract] [Full text] [PDF]

Making performance indicators work: experiences of US Veterans Health Administration

Eve A Kerr, Barbara Fleming
BMJ 2007;335:971-973

[Extract] [Full text] [PDF]

NCQA - Physician Practice Connections

Seeking new ways to pay family doctors for high-quality medical care the National Committee for Quality Assurance presented a program, Physician Practice Connections, to recognize physician practices that use information systematically to enhance the quality of patient care.


PPC web page
PPC standards (pdf)
PPC Publications

A Model for Health Care That Pays for Quality New York Times

A Framework for Health Care Organizations to Develop and Evaluate a Safety Scorecard

Peter J. Pronovost; Sean M. Berenholtz; Dale M. Needham
JAMA. 2007;298(17):2063-2065.

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Combining Administrative and Clinical Data to Stratify Surgical Risk

Fry DE, Pine M, Jordan HS, Elixhauser A, Hoaglin DC, Jones B, Warner D, Meimban R.
Annals of Surgery. 246(5):875-885, November 2007.

Abstract HTML PDF (483 K)

The Canadian Medical Association (CMA) published its new Handbook on Clinical Practice Guidelines; it is a useful guidance on how to promote systematic develop and effective implement clinical practice guidelines to achieve optimal outcomes of patient care.

pdf


Commentary

A guide to the Canadian Medical Association Handbook on Clinical Practice Guidelines
Valerie A. Palda, MD MSc, Dave Davis, MD, and Joanne Goldman, MSc
CMAJ 2007 177: 1221-1226.
[Full Text] [PDF]

Patterns of Technical Error Among Surgical Malpractice Claims

An Analysis of Strategies to Prevent Injury to Surgical Patients.
Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA.
Annals of Surgery. 246(5):705-711, November 2007.
Abstract HTML PDF (513 K)


Editorial

The Origins of Malpractice Claims.
Richard C. Karl
Annals of Surgery. 246(5):712, November 2007.
HTML PDF (89 K)

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.

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Is P4P Really FFS?

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

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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