Wednesday, September 07, 2005

RAND - Evaluation of a Patient Safety Training Program

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

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:

  1. Work through partnerships – within CMS, with Federal and State agencies, and especially with non-governmental partners – to achieve specific quality goals.
  2. Develop and provide quality measures and information, as a basis for supporting more effective quality improvement efforts.
  3. 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.
  4. Assist practitioners and providers in making care more effective, particularly including the use of effective electronic health systems.
  5. 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.

Wednesday, August 24, 2005

JAMA - Efficiency in the Health Care Industries

A View From the Outside
Andrew S. Grove
JAMA. 2005;294:490-492.
EXTRACT FULL TEXT PDF

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

JAMA - Adding Value to Evidence-Based Clinical Guidelines

Editorial
Patrick J. O’Connor
JAMA. 2005;294:741-743.
EXTRACT FULL TEXT PDF

Monday, August 22, 2005

NEJM - Bar Coding for Patient Safety

A. A. Wright and I. T. Katz
N Engl J Med 2005 353: 329-331
Extract Full Text PDF

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.