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]