Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations

This weekly compilation of articles appearing in recently released journals and newsletters includes:

• Articles funded by the Agency for Healthcare Research and Quality (AHRQ) or authored by AHRQ researchers.
• Articles mentioning or discussing AHRQ staff, activities, and publications/products.
• Articles related to AHRQ-funded Evidence-based Practice Centers.
• Articles related to the U.S. Preventive Services Task Force or Put Prevention into Practice program.
• Articles mentioning the National Healthcare Disparities Report and National Healthcare Quality Report.
• Other research using AHRQ data or products.

AHRQ-Funded/Authored Articles

American Journal of Medical Quality
Clancy CM. Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. Am J Med Qual 2010 Jan-Feb; 25(1):73-5. [Author is AHRQ director.]

Health Affairs
Werner RM, Konetzka RT. Advancing nursing home quality through quality improvement itself. Health Aff 2010 Jan-Feb; 29(1):81-6. [Supported by grant R01 HS16478-01.] Select to access the abstract.

Journal of Rural Health
Onega T, Duell EJ, Shi X, et al. Influence of place of residence in access to specialized cancer care for African Americans. J Rural Health 2010 Winter; 26(1):12-19. [Supported in part by grant T32 HS00070.] Select to access the abstract.

Basu J, Mobley LR. Impact of local resources on hospitalization patterns of Medicare beneficiaries and propensity to travel outside local markets. J Rural Health 2010 Winter; 26(1):20-9. [First author is researcher in AHRQ's Center for Primary Care, Prevention, and Clinical Partnerships; uses 2004 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) data for New York, California, and Florida, and 2003 data for Pennsylvania, citing HCUP 2004 Web site; cites several AHRQ-authored articles.] Select to access the abstract.

Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health 2010 Winter; 26(1):58-66. [Supported by grant HS15009; uses 2005 HCUP Nationwide Inpatient Sample (NIS) data and patient safety indicator software, citing AHRQ publications, Advances in Patient Safety: From Research to Implementation, 2005 and Guide to Patient Safety Indicators, Version 3.1, 2007, HCUP NIS Overview Web page, 2008, HCUP Procedure Classes Web page, 2007, Patient Safety Indicators Overview, 2006, as published on AHRQ Quality Indicators Web site; cites AHRQ-authored articles by Romano, Geppert, Davies, Miller, Elixhauser (researcher in AHRQ's Center for Delivery, Organization, and Markets), et al. (Health Aff, 2003) and Houchens, Elixhauserand Romano (Jt Comm J Qual Patient Saf, 2008).] Select to access the abstract.

AHRQ-Related Articles

American Journal of Medical Quality
Prybil LD, Peterson R, Brezinski P, et al. Board oversight of patient care quality in community health systems. Am J Med Qual 2010 Jan-Feb; 25(1):34-41. [Cites AHRQ-authored articles by Jiang, Lockee, Bass, and Fraser (first and fourth authors are researchers in AHRQ's Center for Delivery, Organization, and Markets) (J Healthc Manage, 2008); cites AHRQ-funded articles by Bazzoli et al. (Health Serv Res, 1999); cites AHRQ's NHQR, 2007.] Select to access the abstract

Welch SJ. Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual 2010 Jan-Feb; 25(1):64-72. [Notes that according to AHRQ, "the ED is the point of entry for more than half of all patients admitted to the hospital in the United States;"cites AHRQ-funded articles by Sobel (Psychosom Med, 1995), Cleary and Edgman-Levitan (JAMA, 1997), and Derose et al. (J Gen Intern Med, 2001); cites article by Davies et al. (Health Expect, 2008) which uses Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data.] Select to access the abstract.

Clarke JL. Essential elements of an educational tool kit—a "road map for success". Am J Med Qual 2010 25(1) Suppl: 12S-13S. [Mentions AHRQ's nursing home- and hospital-specific patient safety culture surveys and AHRQ publication, Preventing Hospital Acquired Venous Thromboembolism: Chapter 1. Take Essential First Steps, 2008, as published on AHRQ Web site.]

Clarke JL. Implementing a VTE prophylaxis process for hospital medical patients: evaluation of a VTE guide for executive leadership. Am J Med Qual 2010 25(1) Suppl:13S-15S. [Mentions that mentoring programs, such as those from AHRQ and others, "present opportunities for applying tools such as these."]

Annals of Internal Medicine
Dunn KM, Saunders KW, Rutter CM, et al. Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med 2010 Jan 19; 152(2):85-92. [Cites AHRQ-funded articles by Romano, Roos, and Jollis (J Clin Epidemiol, 1993) and Fishman et al. (Med Care, 2003).] Select to access the abstract.

Circulation
Ockene I, Salmoirago-Blotcher E. Varenicline for smoking cessation in patients with coronary heart disease. Circulation 2010 Jan 19; 121(2):188-90. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008; comments on article by Rigotti et al., as cited below.]

Gibbons RJ. Get with the guidelines: a new chapter? Circulation 2010 Jan 19; 121(2):194-6. [Cites AHRQ-funded article by Hlatky et al. (Lancet, 2009).]

Rigotti NA, Pipe AL, Benowitz NL, et al. Efficacy and safety of varenicline for smoking cessation in patients with cardiovascular disease: a randomized trial. Circulation 2010 Jan 19; 121(2):221-9. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008; see editorial by Ockene et al. cited above.] Select to access the abstract.

Health Affairs
Smith DB, Feng Z. The accumulated challenges of long-term care. Health Aff 2010 Jan-Feb; 29(1):29-34. [Cites AHRQ-funded article by Mor et al. (Milbank Q, 2004).] Select to access the abstract.

Stevenson DG, Grabowski DC. Sizing up the market for assisted living. Health Aff 2010 Jan-Feb; 29(1):35-43. [Cites AHRQ-authored article by Cohen and Spector (researchers in AHRQ's Center for Financing, Access, and Cost Trends and Center for Delivery, Organization, and Markets, respectfully) (J Health Econ, 1996); cites AHRQ-funded article by Hawes et al. (Gerontologist, 2003).] Select to access the abstract.

Mor V, Intrator O, Feng Z, et al. The revolving door of rehospitalization from skilled nursing facilities. Health Aff 2010 Jan-Feb; 29(1):57-64. [Cites AHRQ's HCUPnet, 2009, as published on AHRQ Web site.] Select to access the abstract.

Konetzka RT, Werner RM. Applying market-based reforms to long-term care. Health Aff 2010 Jan-Feb; 29(1):74-80. [Cites AHRQ-authored articles by Zinn, Spector (researcher in AHRQ's Center for Delivery, Organization, and Markets), et al. (Gerontologist, 2005) and Mukamel, Weimer, Spector et al. (Health Serv Res, 2008); cites AHRQ-funded articles by Rosenthal et al. (N Engl J Med, 2006), Rosenthal and Frank (Med Care Res Rev, 2006), Rosenthal and Dudley (JAMA, 2007), and others.] Select to access the abstract.

Levine C, Halper D, Peist A, et al. Bridging troubled waters: family caregivers, transitions, and long-term care. Health Aff 2010 Jan-Feb; 29(1):116-24. [Cites AHRQ publication, 20 Tips to Help Prevent Medical Errors: Patient Fact Sheet, 2000, as published on AHRQ Web site.] Select to access the abstract.

McDevitt R, Gabel J, Lore R, et al. Group insurance: a better deal for most people than individual plans. Health Aff 2010 Jan-Feb; 29(1):156-64. [Cites AHRQ-authored article by Banthin, Cunningham, and Bernard (first and third authors are researchers in AHRQ's Center for Financing, Access, and Cost Trends) (Health Aff, 2008).] Select to access the abstract.

Jha A, Epstein A. Hospital governance and the quality of care. Health Aff 2010 Jan-Feb; 29(1):182-7. [Cites AHRQ-funded articles by Jiang, Lockee, Bass, and Fraser (first and fourth authors are researchers in AHRQ's Center for Delivery, Organization, and Markets) (J Healthc Manage, 2008 and 2009).] Select to access the abstract.

JAMA
Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA 2010 Jan 20; 303(3):258-66. [Cites AHRQ-funded articles by Gandhi et al. (N Engl J Med, 2003 and Liu et al. (Ann Intern Med, 2008).] Select to access the abstract.

Journal of Family Practice
White C, Wigle PR, Albert LG, et al. Answers to your questions about SSRIs. J Fam Pract 2010 Jan; 59(1):19-25. [Cites AHRQ press release, Newer Class of Antidepressants Similar in Effectiveness But Side Effects Differ, 2007.] Select to access the abstract.

New England Journal of Medicine
Mushlin AI, Ghomrawi H. Health care reform and the need for comparative-effectiveness research. N Engl J Med 2010 Jan 21; 362(3):e6(1)-e6(3). [Discusses AHRQ's possible role in sponsoring comparative-effectiveness research.]

Pharmacoeconomics
Foster T, Miller JD, Boye ME, et al. Economic burden of follicular non-Hodgkin's lymphoma. Pharmacoeconomics 2009; 27(8):657-79. [Summarizes findings from article by Chrischilles et al. (Pharmacotherapy, 2005) which used data from the Iowa SEER program linked to data from the Iowa HCUP SID database.] Select to access the abstract.

Evidence-based Practice Centers-Related Articles

American Journal of Medical Quality
Zeltser MV, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual 2010 Jan-Feb; 25(1):13-23. [Discusses and cites AHRQ Evidence Report/Technology Assessment, Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001, and AHRQ publication, TeamSTEPPS™: National Implementation, 2007, as published on AHRQ Web site; mentions the identification of additional relevant studies "using the search terms Medteams and TeamStepps [sic], which denote well-established CRM vendors;" lists article by Marshall and Manus (AORN J, 2007) which studied organizational safety climate using AHRQ's Hospital Survey on Patient Safety Culture; notes that "AHRQ provides comprehensive materials for the TeamSTEPPS™ program online, including a package of CRM training modules and a set of guides for preassessment, training implementation, and evaluation."] Select to access the abstract.

Health Affairs
Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff 2010 Jan-Feb; 29(1):165-73. [States that the elevation in research priority of healthcare-associated infections was promoted by "an influential 2001 [AHRQ] evidence report," citing AHRQ Evidence Report/Technology Assessment, Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001; notes a "much stronger engagement by AHRQ, NQF... and others" in comment on "National and international organizational interventions" grade in Exhibit 1; describes in detail AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006), referred to as "the seminal study describing the use of checklists to prevent central line—associated bloodstream infections in more than 100 intensive care units (ICUs) in Michigan;" includes in table of patient safety milestones "2001, AHRQ receives $50 million from Congress to begin a patient-safety research and improvement program" and"2006, Publication of the Michigan ICU study in the New England Journal of Medicine, demonstrating remarkable reductions in catheter-related bloodstream infections through the use of a checklist and associated interventions" (referring to AHRQ-funded article by Pronovost et al. N Engl J Med, 2006); cites article by Rosenthal, 2007, as published on AHRQ Web M&M Web site; author reports "receiving funding under a contract from the [AHRQ] for editing two patient-safety Web sites and royalties from publishers from two books on patient safety"; cites AHRQ-authored article by Zhan, Friedman (researchers in AHRQ's Center for Outcomes and Evidence and Center for Delivery, Organization, and Markets, respectively) (Health Aff, 2006); cites AHRQ-funded articles by Brennan et al. (N Engl J Med, 1991), Berenholtz et al. (Crit Care Med, 2004), Pronovost et al. (N Engl J Med, 2006), and others.] Select to access the abstract.

Journal of the American Geriatrics Society
Frick KD, Kung JY, Parrish JM, et al. Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults. J Am Geriatr Soc 2010 Jan; 58(1):136-41. [Cites publication, Fall Prevention Interventions in the Medicare Population, 2003, which uses AHRQ's evidence review and synthesis methods.]

Journal of Family Practice
Saab R, Stevermer JJ, Meadows S. Should patients with acute DVT limit activity? J Fam Pract 2010 Jan; 59(1):50-2. [Cites guideline article by Snow et al. (Ann Intern Med, 2007) based on AHRQ Evidence Report/Technology Assessment, Diagnosis and Treatment of Deep Vein Thrombosis and Pulmonary Embolism, 2003, and updated evidence review (Ann Intern Med, 2007).] Select to access the abstract.

National Healthcare Quality Report (NHQR)/National Healthcare Disparities Report (NHDR)-Related Articles

American Journal of Medical Quality
Gannon M, Qaseem A, Snow V. Community-based primary care: improving and assessing diabetes management. Am J Med Qual 2010 Jan-Feb; 25(1):6-12. [Cites AHRQ's NHQR, 2004; cites AHRQ publication, HCUP Facts and Figures: Statistics on Hospital-based Care in the United States, 2007, as published on AHRQ Web site; cites Medical Expenditure Panel Survey (MEPS), 2006.] Select to access the abstract.

Annals of Internal Medicine
Bhalla R, Kalkut G. Could Medicare readmission policy exacerbate health care system inequity? Ann Intern Med 2010 Jan 19; 152(2):114-17. [Cites AHRQ's NHDR, 2007; cites AHRQ publication, Nationwide Frequency and Costs of Potentially Preventable Hospitalizations, 2006,HCUP Statistical BriefNo.72, 2009.] Select to access the abstract.

Health Affairs
Fennell ML, Feng Z, Clark MA, et al. Elderly Hispanics more likely to reside in poor-quality nursing homes. Health Aff 2010 Jan-Feb; 29(1):65-73. [Cites AHRQ's NHDR Factsheet, 2002; cites AHRQ-authored/funded article by Mukamel and Spector (researcher in AHRQ's Center for Financing, Access, and Cost Trends) (Gerontologist, 2003); cites AHRQ-funded articles by Mor et al. (Milbank Q, 2004) and Gerardo, Teno, and Mor (J Am Med Dir Assoc, 2009).] Select to access the abstract.

Journal of Rural Health
Baldwin LM, Chan L, Andrilla CH, et al. Quality of care for myocardial infarction in rural and urban hospitals. J Rural Health 2010 Winter; 26(1):51-7. [Cites AHRQ's NHQR, 2006).] Select to access the abstract.

Research By Others Using AHRQ Data or Products

BMJ
Talmud PJ, Hingorani AD, Cooper JA, et al. Utility of genetic and non-genetic risk factors in prediction of type 2 diabetes: Whitehall II prospective cohort study. BMJ 2010 Jan 14; 340:b4838. [Uses study cohort data from the Whitehall II study, previously funded by AHRQ.] Select to access the abstract.

Circulation
Sofat R, Hingorani AD, Smeeth L, et al. Separating the mechanism-based and off-target actions of cholesteryl ester transfer protein inhibitors with CETP gene polymorphisms. Circulation 2010 Jan 5; 121(1):52-62, [Uses study cohort data from the Whitehall II study, previously funded by AHRQ.] Select to access the abstract.

Health Affairs
Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff 2010 Jan-Feb; 29(1):11-21. [Uses 2005-2006 MEPS data, citing MEPS 2005 and 2006 micro data files.] Select to access the abstract.

Journal of Rural Health
Krishna S, Gillespie KN, McBride TM. Diabetes burden and access to preventive care in the rural United States. J Rural Health 2010 Winter; 26(1):3-11. [Uses 2001-2002 MEPS data, citing AHRQ publications, MEPS Full Year Consolidated Data File, MEPS HC-072: 2001 and 2002, 2005 and MEPS-HC Sample Design and Collection Process, as published on AHRQ Web site; cites AHRQ-authored articles by Bernard, Banthin, and Encinosa (researchers in AHRQ's Center for Financing, Access, and Cost Trends and Center for Delivery, Organization, and Markets) (Med Care, 2006) and Cohen, Cohen, and Banthin (researcher, director, and researcher, respectively, in AHRQ's Center for Financing, Access, and Cost Trends) (Med Care, 2009), using MEPS data.] Select to access the abstract.

Dao TK, Chu D, Springer J, et al. Depression and geographic status as predictors for coronary artery bypass surgery outcomes. J Rural Health 2010 Winter; 26(1):36-43. [Uses 2004 HCUP NIS data.] Select to access the abstract.

Tudiver F, Edwards JB, Pfortmiller DT. Depression screening patterns for women in rural health clinics. J Rural Health 2010 Winter; 26(1):44-50. [Uses guidelines published through AHRQ's National Quality Measures Clearinghouse™ to calculate rate of depression screening, citing publication, Guidelines for Screening and Measurement Procedures, as published on AHRQ Web site.] Select to access the abstract.

Laryngoscope
Higgins TS, Cohen JC, Sinacori JT. Laryngeal mucous membrane pemphigoid: a systematic review and pooled-data analysis. Laryngoscope 2010 Jan 7. [Epub ahead of print. Uses AHRQ's National Guideline Clearinghouse™ to identify relevant studies.] Select to access the abstract.