The competent surgeon: individual accountability in the era of "systems" failure.

Whittemore AD.

Ann Surg. 2009 July 29; [Epub ahead of print].

link

Associations of Physician Volume and Weekend Admissions With Ischemic Stroke Outcome in Taiwan: A Nationwide Population-Based Study

Tung, Yu-Chi; Chang, Guann-Ming; Chen, Yi-Hau
Medical Care. 47(9):1018-1025, September 2009.
link

Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported

Wallace LM, Spurgeon P, Adams S, Earll L, Bayley
J. Qual Saf Health Care. 2009;18:288-291.
Pubmed

Setting Priorities for Patient Safety: Ethics, Accountability, and Public Engagement

Peter J. Pronovost; Ruth R. Faden
JAMA. 2009;302(8):890-891.
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Improving Chronic Illness Care: A Longitudinal Cohort Analysis of Large Physician Organizations

Shortell, Stephen M.; Gillies, Robin; Siddique, Juned; Casalino, Lawrence P.; Rittenhouse, Diane; Robinson, James C.; McCurdy, Rodney K.
Medical Care. 47(9):932-939, September 2009.
link

Editorial
A Decade With the Chronic Care Model: Some Progress and Opportunity for More
Jackson, George L.; Weinberger, Morris
Medical Care. 47(9):929-931, September 2009.
link

What’s the difference between a hospital and a bottling factory?

A Morton, J Cornwell
BMJ 2009;339:b2727
[Extract] [Full text]

Reality check for checklists.

Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ.
Lancet. 2009;374:444-445.
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Peter Pronovost: champion of checklists in critical care
Jeremy Laurance
Lancet. 2009;374:443
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see also
The checklist.
Gawande A.
The New Yorker. December 10, 2007;83:86-95.
full text

Heart Failure Performance Measures and Outcomes: Real or Illusory GainsGregg C. Fonarow;

Eric D. Peterson
JAMA. 2009;302(7):792-794.
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Registries for Robust Evidence

Nancy A. Dreyer; Sarah Garner
JAMA. 2009;302(7):790-791.
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Data-Based Risk Calculators Becoming More Sophisticated—and More Popular

Mike Mitka
JAMA. 2009;302(7):730-731.
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Doctors condemn NHS comparison website

Jo Carlowe
BMJ 2009;339:b3341, doi: 10.1136/bmj.b3341
http://www.bmj.com/cgi/content/extract/339/aug14_2/b3341?papetoc

see also:
www.nhs.uk/choiceintheNHS/Toolsandresources/Pages/helpingyouchoose.aspx

Evolution of the surgeon-volume, patient-outcome relationship.

Boudourakis LD, Wang TS, Roman SA, Desai R, Sosa JA.
Ann Surg. 2009 Jul;250(1):159-65.
PubMed

Application of AHRQ patient safety indicators to English hospital data.

Bottle A, Aylin P.
Qual Saf Health Care. 2009;18:303-308.
Pubmed

Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study

M Zegers, M C de Bruijne, C Wagner, L H F Hoonhout, R Waaijman, M Smits, F A G Hout, L Zwaan, I Christiaans-Dingelhoff, D R M Timmermans, P P Groenewegen, and G van der Wal
Qual Saf Health Care 2009; 18: 297-302.
[Abstract] [Full Text] [PDF]

International Forum on Quality and Safety in Health Care, 2009 Berlin

2009 Forum Video & Speaker Presentations

Video
Keynote plenary sessions and 10 other sessions from this year’s International Forum are now available to view online – View Here

Presentations
To view 2009 speaker presentations - click here

Quality and Safety Education.

Dolansky MA, Singh MK, eds.
Qual Manage Healthc. 2009;18:149-227.

Special issue on patient safety and quality educational initiatives.

Table of contents

Addressing the quality and safety gap

Princeton, NJ: Robert Wood Johnson Foundation; July 2009.

Information
Part I: Free full text (PDF)
Part II: Free full text (PDF)

Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis

Vikram R Comondore, P J Devereaux, Qi Zhou, Samuel B Stone, Jason W Busse, Nikila C Ravindran, Karen E Burns, Ted Haines, Bernadette Stringer, Deborah J Cook, Stephen D Walter, Terrence Sullivan, Otavio Berwanger, Mohit Bhandari, Sarfaraz Banglawala, John N Lavis, Brad Petrisor, Holger Schünemann, Katie Walsh, Neera Bhatnagar, and Gordon H Guyatt
BMJ 2009;339 b2732
[Abstract] [Full text] [PDF]

Performance evaluation of inpatient service in Beijing: a horizontal comparison with risk adjustment based on Diagnosis Related Groups

Weiyan Jian, Yinmin Huang, Mu Hu, and Xiumei Zhang
BMC Health Serv Res. 2009; 9: 72.
Abstract Full Text PDF–462K

Application of patient safety indicators internationally: a pilot study among seven countries

Saskia E. Drösler, Niek S. Klazinga, Patrick S. Romano, Daniel J. Tancredi, Maria A. Gogorcena Aoiz, Moira C. Hewitt, Sarah Scobie, Michael Soop, Eugene Wen, Hude Quan, William A. Ghali, Soeren Mattke, and Edward Kelley
Int J Qual Health Care 2009 21: 272-278;
[Abstract] [Full Text] [PDF]

The incidence of adverse events in Swedish hospitals: a retrospective medical record review study

Michael Soop, Ulla Fryksmark, Max Köster, and Bengt Haglund
Int J Qual Health Care 2009 21: 285-291;
[Abstract] [FREE Full Text] [PDF]

The assessment of adverse events in hospitals in Brazil

Walter Mendes, Mônica Martins, Suely Rozenfeld, and Claudia Travassos
Int J Qual Health Care 2009 21: 279-284;
[Abstract] [Full Text] [PDF]

A comparison of hospital adverse events identified by three widely used detection methods

James M. Naessens, Claudia R. Campbell, Jeanne M. Huddleston, Bjorn P. Berg, John J. Lefante, Arthur R. Williams, and Richard A. Culbertson
Int J Qual Health Care 2009 21: 301-307;
[Abstract] [Full Text] [PDF]

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes

Marleen Smits, Jasper Janssen, Riekie de Vet, Laura Zwaan, Danielle Timmermans, Peter Groenewegen, and Cordula Wagner
Int J Qual Health Care 2009 21: 292-300;
[Abstract] [Full Text] [PDF] [Supplementary Data]