Christopher Nelson
This report evaluates a pilot fellowship program on patient safety. It evaluates the program curriculum’s design and content, program implementation, and training outcomes.
Full Document: PDF
Summary Only: PDF
Wednesday, September 07, 2005
RAND - Evaluation of a Patient Safety Training Program
Tuesday, September 06, 2005
Ann Intern Med - Electronic health records and the national health information network
The Costs of a National Health Information Network
Kaushal R, Blumenthal D, Poon EG, Jha AK, Franz C, Middleton B, Glaser J, Kuperman G, Christino M, Fernandopulle R, Newhouse JP, Bates DW; Cost of National Health Information Network Working Group.
Ann Intern Med. 2005 Aug 2;143(3):165-73
Abstract Full Text PDF
Perspectives
Electronic Health Records: Just around the Corner? Or over the Cliff?
Baron RJ, Fabens EL, Schiffman M, Wolf E.
Ann Intern Med. 2005 Aug 2;143(3):222-6
Abstract Full Text PDF
Editorial
Electronic health records and the national health information network: affordable, adoptable, and ready for prime time?
Basch P.
Ann Intern Med. 2005 Aug 2;143(3):227-8
Full Text PDF
Monday, September 05, 2005
Medical Care - Evaluating the Patient Safety Indicators
How Well Do They Perform on Veterans Health Administration Data?
Amy K. Rosen; Peter Rivard; Shibei Zhao; Susan Loveland; Dennis Tsilimingras; Cindy L. Christiansen; Anne Elixhauser; Patrick S. Romano
Medical Care. 43(9):873-884, September 2005
Abstract HTML PDF (413 K)
NEJM - Linking Compensation to Quality
Medicare Payments to Physicians
J. K. Iglehart
N Engl J Med. 2005 Sep 1;353(9):870-2.
Extract Full Text PDF
Friday, September 02, 2005
IOM - Building a Better Delivery System
A New Engineering/Health Care Partnership
www.iom.edu/report.asp?id=28393
This report from the National Academy of Engineering (NAE) and the Institute of Medicine (IOM) provides a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals.
The report describes the opportunities and challenges to harnessing the power of systems-engineering tools, information technologies, and complementary knowledge in social sciences, cognitive sciences, and business/management to advance the six IOM quality aims (health care should be: safe, effective, timely, patient-centered, efficient, and equitable)
Summary
Thursday, September 01, 2005
USA - Patient Safety and Quality Improvement Act
http://www.govtrack.us/congress/bill.xpd?tab=main&bill=s109-544
The new law creates a new confidential “patient safety work product” that is to be used only for analysis and review to improve health outcomes.
Full Text: Text or PDF
The new law “Amends the Public Health Service Act to make patient safety work product privileged information.
- Defines "patient safety work product" as a record concerning patient information either reported to a patient safety organization by a health care provider (doctor, hospital, etc.) or created by a patient safety organization.
- Defines a "patient safety organization" as an organization, certified under this Act, that collects such information with the goal of improving patient safety and the quality of health care delivery.
- Prohibits patient safety work product: (1) from being subject to a civil or administrative subpoena or order; (2) from being required to be admitted as evidence in any State or Federal civil or administrative proceeding…”
(read complete summary from the American Association Of Clinical Endocrinologists)
Wednesday, August 31, 2005
NPSA - Patient Safety analysis
The National Patient Safety Agency (NPSA) has published its first analysis of patient safety data in England and Wales and the first issue of the new Patient Safety Bulletin – a review of learning from reported incidents.
The new report, Building a memory: preventing harm, reducing risks and improving patient safety, offers a unique overview of what is going wrong and describes the role of the Patient Safety Observatory in supporting improvements in patient safety at a national level.
The Patient Safety Bulletin is a new way of providing feedback to the NHS to help organisations identify and address the patient safety problems or risks that they may face locally.
Patient Safety Observatory
BMJ - Best practices for safe handling of products containing concentrated potassium
Michelle Tubman, Sumit R Majumdar, Daniel Lee, Carol Friesen and Terry P Klassen
BMJ 2005;331;274-277
[Extract] [Full text] [PDF]
Tuesday, August 30, 2005
Arch Intern Med - Adherence to Heart Failure Quality-of-Care Indicators in US Hospitals
Analysis of the ADHERE Registry
Gregg C. Fonarow, Clyde W. Yancy, J. Thomas Heywood, and for the ADHERE Scientific Advisory Committee, Study Group, and Investigators
Arch Intern Med. 2005;165:1469-1477.
ABSTRACT FULL TEXT
Editorial
Quality: The Need for Intelligent Efforts
Lawrence Baruch; Robert A. Phillips
Arch Intern Med. 2005;165:1455-1456.
EXTRACT FULL TEXT PDF
Monday, August 29, 2005
CMS - Quality Improvement Roadmap
http://www.cms.hhs.gov/quality/quality%20roadmap.pdf
the CMS quality roadmap features five main strategies to achieve the goal of high-quality care:
- Work through partnerships – within CMS, with Federal and State agencies, and especially with non-governmental partners – to achieve specific quality goals.
- Develop and provide quality measures and information, as a basis for supporting more effective quality improvement efforts.
- Pay in a way that reinforces our commitment to quality, and that helps providers and patients take steps to improve health and avoid unnecessary costs.
- Assist practitioners and providers in making care more effective, particularly including the use of effective electronic health systems.
- Bring effective new treatments to patients more rapidly and help develop better evidence so that doctors and patients can use medical technologies more effectively.
Ministero della Salute - Attività di ricovero opedaliero 2003
Il Rapporto, da quest’anno, si è arricchito di nuove tabelle che riguardano la frequenza dei ricoveri ripetuti, la modalità di dimissione, la presenza degli stranieri e le cause di traumatismo.
Rapporto annuale 2003 sull'attività di ricovero opedaliero
I principali dati del flusso SDO, oltre che nel formato cartaceo predefinito di questa pubblicazione, sono disponibili anche su supporto informatico e sono interrogabili in modo personalizzato e flessibile.
Ricerca di informazioni sui ricoveri ospedalieri
Friday, August 26, 2005
ASSR - Monitor n.13 Focus on: Il programma "Mattoni del SSN"
E’ stato pubblicato il n. 13 di Monitor, la rivista bimestrale dell’Agenzia per i Servizi Sanitari Regionali.
Il Focus di Monitor 13 è dedicato a: Il programma "Mattoni del SSN".
AHRQ - National Project Launched To Reduce Surgical Complications by 25 Percent
http://www.ahrq.gov/news/press/pr2005/scippr.htm
In an effort to improve surgical care in hospitals nationwide, a partnership of leading public and private health care organizations has launched a project to reduce surgical complications by 25 percent by the year 2010.
The Surgical Care Improvement Project (SCIP): www.medqic.org/scip
Thursday, August 25, 2005
CMWF - Primary Care and Health System Performance
Adults' Experiences in Five Countries
Cathy Schoen, Robin Osborn, Phuong Trang Huynh, Michelle Doty, Karen Davis, Kinga Zapert, and Jordon Peugh.
This survey, from The Commonwealth Fund, of patients in five industrialized nations finds shortfalls in delivering safe, effective, timely, or patient-centered primary care to be an international problem.
- View a webcast of the presentation of these survey findings from the Commonwealth Fund's 2004 International Health Policy Symposium.
- read the Health Affairs Web Exclusive
Wednesday, August 24, 2005
Health Affairs - Health Spending Worldwide
Health Spending In The United States And The Rest Of The Industrialized World
Gerard F. Anderson, Peter S. Hussey, Bianca K. Frogner, and Hugh R. Waters
Health Affairs, Vol 24, Issue 4, 903-914
[Abstract] [Full Text] [PDF]
Editorial:
U.S. Health Spending Habits Grab International Attention
John K. Iglehart
Health Affairs, Vol 24, Issue 4, 902
[Extract] [Full Text] [PDF]
Tuesday, August 23, 2005
JAMA - Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
Implications for Pay for Performance
Cynthia M. Boyd; Jonathan Darer; Chad Boult; Linda P. Fried; Lisa Boult; Albert W. Wu
JAMA. 2005;294:716-724.
ABSTRACT FULL TEXT PDF
Monday, August 22, 2005
Friday, August 19, 2005
IHI - Reducing Hospital Mortality Rates
Reducing Hospital Mortality Rates (Part 2)
Whittington J, Simmonds T, Jacobsen D
Cambridge, Massachusetts: Institute for Healthcare Improvement; 2005
This white paper presents an update on IHI's work to reduce hospital mortality rates first introduced in the "Move Your Dot" white paper.