A National Collaborative for Reducing Health Care-associated Infections: Current Initiatives, Challenges, and Opportunities

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 Infection Control
Flanagan ME, Welsh CA, Kiess C, Hoke S, Doebbeling BN, Agency for Healthcare Research and Quality (AHRQ) Hospital-Acquired Infections (HAI) Collaborative. A national collaborative for reducing health care-associated infections: current initiatives, challenges, and opportunities. Am J Infect Control 2011 Oct; 39(8):685-9. [Supported by contract HHSA290-2006-00013-1, task order 4; cites AHRQ publication, Advances in Patient Safety: New Directions and Alternative Approaches, Volume 2: Culture and Redesign, 2008; cites AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006).] Select to access the abstract.

Health Services Research
Nicholas LH. Modeling the impact of Medicare Advantage payment cuts on ambulatory care sensitive and elective hospitalizations. Health Serv Res 2011 Oct; 46(5):1417-35. [Supported in part by grant 1 R36 HS16836-01A1; uses 1999-2005 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) data for Arizona, Florida, and New York, citing AHRQ technical review, Refinement of the HCUP Quality Indicators, 2001, performed by the UCSF-Stanford Evidence-based Practice Center (EPC), and AHRQ publication, Tools for Monitoring the Health Care Safety Net, 2003; notes that an earlier version of this article was presented at the AHRQ Annual Research Conference.] Select to access the abstract.

Sarkar U, López A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res 2011 Oct; 46(5):1517-33. [Supported in part by grant K08 HS17594 (to first author).] Select to access the abstract.

JAMA
Qato DM, Alexander GC. Improving the Food and Drug Administration's mandate to ensure postmarketing drug safety. JAMA 2011 Oct 12; 306(14):1595-6. [Supported by grant R01 HS189960.]

Journal of General Internal Medicine
Ogedegbe G, Williams SK. Primary care equals secondary prevention in ischemic heart disease. J Gen Intern Med 2011 Oct; 26(10):1086-7. [Supported in part by grants T32 HS00066 (to second author) and R01 HS18589 (to first author); comments on and cites AHRQ-funded article by Einarsdóttir et al. (J Gen Intern Med, 2011) cited in AHRQ-Related Articles below.]

Lyles CR, Karter AJ, Young BA, et al. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med 2011 Oct; 26(10):1138-44. [Supported in part by National Research Service Award grant HS13853.] Select to access the abstract.

Grenard JL, Munjas BA, Adams JL, et al. Depression and medication adherence in the treatment of chronic diseases in the United States: a meta-analysis. J Gen Intern Med 2011 Oct; 26(10):1175-82. [Supported in part by grant T32 HS00046-14.] Select to access the abstract.

AHRQ-Related Articles

Gut
Chang CH, Lin JW, Chen HC, et al. Non-steroidal anti-inflammatory drugs and risk of lower gastrointestinal adverse events: a nationwide study in Taiwan. Gut 2011 Oct; 60(10):1372-8. [Cites AHRQ publication, Hospitalization for Gastrointestinal Bleeding in 1998 and 2006, HCUP Statistical Brief 65, 2008, as published on AHRQ's HCUP Web site; cites AHRQ-funded article by Schneeweiss et al. (Arthritis Rheum, 2006).] Select to access the abstract.

Health Services Research
Davis MA, West AN, Weeks WB, et al. Health behaviors and utilization among users of complementary and alternative medicine for treatment versus health promotion. Health Serv Res 2011 Oct; 46(5):1402-16. [Cites AHRQ-funded article by Cherkin et al. (J Am Board Fam Med, 2002).] Select to access the abstract.

Bowblis JR. Staffing ratios and quality: an analysis of minimum direct care staffing requirements for nursing homes. Health Serv Res 2011 Oct; 46(5):1495-516. [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, respectively) (J Health Econ, 1996); cites AHRQ-funded articles by Grabowski, Angelelli, and Mor (Health Aff, 2004) and Zhang and Grabowski (Gerontologist, 2004).] Select to access the abstract.

Gorina Y, Kramarow EA. Identifying chronic conditions in Medicare claims data: evaluating the Chronic Condition Data Warehouse algorithm. Health Serv Res 2011 Oct; 46(5):1610-27. [Cites AHRQ publication, Health Care Expenses for Adults with Chronic Conditions, 2005, MEPS Statistical Brief 203, as published on AHRQ's MEPS Web site; cites AHRQ-funded articles by Harrold et al. (Arthritis Rheum, 2007) and Rector et al. (Health Serv Res, 2004).] Select to access the abstract.

Fry DE. Comment on de Brantes, Rastogi, and Painter: reducing avoidable complications in patients with chronic diseases: the Prometheus approach. Health Serv Res 2011 Oct; 46(5):1683-91. [Mentions that "guidelines were developed by specialty societies to provide clinical direction," citing AHRQ's National Guideline Clearinghouse™ Web site; cites AHRQ-authored article by Fraser, Encinosa (director and researcher, respectively, in AHRQ's Center for Delivery, Organization, and Markets), and Baker (Health Serv Res, 2010).]

International Journal for Quality in Health Care
Holzer BM, Minder CE. A simple approach to fairer hospital benchmarking using patient experience data. Int J Qual Health Care 2011 Oct; 23(5):524-30. [Cites Mode and Patient-Mix Adjustment of the CAHPS® Hospital Survey (HCAHPS), as published on the CAHPS® Web site; cites AHRQ-funded article by Hargraves et al. (Med Care, 2001); cites articles by Elliott et al. (Health Serv Res, 2009) and O'Malley et al. (Health Serv Res, 2005), both of which use Consumer Assessment of Healthcare Providers and Systems (CAHPS) data.] Select to access the abstract.

Harboe KM, Bardram L. Nationwide quality improvement of cholecystectomy: results from a national database. Int J Qual Health Care 2011 Oct; 23(5):565-73. [Cites the cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate indicator in Guide to Inpatient Quality Indicators: Quality of Care in Hospitals—Volume, Mortality, and Utilization, Version 3.1, 2007, and Inpatient Quality Indicators Technical Specifications, Version 4.2, 2010, as published on AHRQ's National Quality Measures Clearinghouse Web site; cites AHRQ-funded article by El-Tamer et al. (Ann Surg, 2007).] Select to access the abstract.

Journal of General Internal Medicine
Einarsdóttir K, Preen DB, Emery JD, et al. Regular primary care plays a significant role in secondary prevention of ischemic heart disease in a Western Australian cohort. J Gen Intern Med 2011 Oct; 26(10):1092-7. [Cites AHRQ-authored article by Basu, Friedman, and Burstin (first and second authors are researchers in AHRQ's Center for Primary Care, Prevention, and Clinical Partnerships, Center for Delivery, Organization, and Markets, respectively, and last author is former AHRQ center director) (Med Care, 2002).] Select to access the abstract.

Journal of Nursing Care Quality
Bergquist-Beringer S, Gajewski B, Dunton N, et al. The reliability of the National Database of Nursing Quality Indicators pressure ulcer indicator: a triangulation approach. J Nurs Care Qual 2011 Oct-Dec; 26(4):292-301. [Cites AHRQ publication, Hospitalizations Related to Pressure Ulcers, 2006, HCUP Statistical Brief 64, 2008, as published on AHRQ's HCUP Web site.] Select to access the abstract.

Painter LM, Dudjak LA, Kidwell KM, et al. The nurse's role in the causation of compensable injury. J Nurs Care Qual 2011 Oct-Dec; 26(4):311-19. [Cites AHRQ publication, Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 2008; cites AHRQ-authored articles by Leape, Berwick, Clancy (AHRQ director) et al. (Qual Safe Health Care, 2009) and Hughes (former AHRQ researcher) and Clancy (J Nurs Care Qual, 2005); cites AHRQ-funded articles by McHugh and Lake (Res Nurs Health, 2010) and Aiken et al. (JAMA, 2003).] Select to access the abstract.

Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual 2011 Oct-Dec; 26(4):328-34. [Cites AHRQ-funded articles by Kaushal et al. (Qual Saf Health Care, 2010), Gandhi et al. (Ann Intern Med, 2006), and Hammons et al. (J Ambul Care Manage, 2003).] Select to access the abstract.

Cramer ME, Jones KJ, Hertzog M. Nurse staffing in critical access hospitals: structural factors linked to quality care. J Nurs Care Qual 2011 Oct-Dec; 26(4):335-43. [Notes that of all of the sampled critical access hospitals had previously participated in AHRQ's Hospital Survey on Patient Safety Culture as part of a Partnerships in Implementing Patient Safety grant, citing Advances in Patient Safety: New Directions and Alternative Approaches, Volume 1: Assessment, 2008; cites AHRQ-funded article by Aiken et al. (JAMA, 2003).]  Select to access the abstract.

Turner SE, Anderson EF, Frith KH, et al. Evidence-based design for a safer environment without construction. J Nurs Care Qual 2011 Oct-Dec; 26(4):364-70. [Cites AHRQ publication, HCUP Facts and Figures: Statistics on Hospital-based Care in the United States, 2007, as published on AHRQ's HCUP Web site.] Select to access the abstract.

Dasgupta A, Sansgiry SS, Jacob SM, et al. Descriptive analysis of workflow variables associated with barcode-based approach to medication administration. J Nurs Care Qual 2011 Oct-Dec; 26(4):377-84. [Cites AHRQ-funded articles by Poon et al. (N Engl J Med, 2010, and Ann Intern Med, 2006), Keohane et al. (J Nurs Adm, 2008), Gurses and Carayon (Nurs Res, 2007), and Wong et al. (Crit Care Med, 2003).] Select to access the abstract.

Psychiatric Services
Olfson M, Ascher-Svanum H, Faries DE, et al. Predicting psychiatric hospital admission among adults with schizophrenia. Psychiatr Serv 2011 Oct; 62(10):1138-45. [Cites AHRQ publication, Care of Adults With Mental Health and Substance Abuse Disorders in U.S. Community Hospitals, 2004, HCUP Fact Book 10, 2007.] Select to access the abstract.

U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles

Annals of Surgical Oncology
Shen N, Hammonds LS, Madsen D, et al. Mammography in 40-year-old women: what difference does it make? The potential impact of the U.S. Preventative Services Task Force (USPSTF) mammography guidelines. Ann Surg Oncol 2011 Oct; 18(11):3066-71. [Evaluates the potential impact of the USPSTF updated breast cancer screening recommendations, citing USPSTF recommendations on screening for breast cancer and associated evidence update by Nelson et al. (both in Ann Intern Med, 2009); cites article by Hendrick and Helvie (AJR Am J Roentgenol, 2011), which discusses same recommendations.] Select to access the abstract.

Aragon R, Morgan J, Wong JH, et al. Potential impact of USPSTF recommendations on early diagnosis of breast cancer. Ann Surg Oncol 2011 Oct; 18(11):3137-42. [Evaluates the potential impact of the USPSTF updated breast cancer screening recommendations on early diagnosis of breast cancer, citing USPSTF recommendations on screening for breast cancer, associated evidence update by Nelson et al., and related AHRQ-funded article by Mandelblatt et al. (all in Ann Intern Med, 2009); cites articles by Hendrick and Helvie (AJR Am J Roentgenol, 2011) and Kopans (Radiol Clin North Am, 2010), which discuss same recommendations.] Select to access the abstract.

Journal of General Internal Medicine
Jibara G, Jandorf L, Fodera MB, et al. Adherence to physician recommendation to colorectal cancer screening colonoscopy among Hispanics. J Gen Intern Med 2011 Oct; 26(10):1124-30. [Cites USPSTF-sponsored evidence summary on screening for colorectal cancer in adults at average risk (Ann Intern Med, 2002); notes that "colorectal cancer screening has been demonstrated to be an effective tool in decreasing colorectal cancer incidence and is consistently recommended by clinical practice guidelines, citing article by Winawer et al. (Gastroenterology, 2003) which updates 1997 AHRQ-sponsored guidelines for colorectal cancer screening.] Select to access the abstract.

Journal of Pediatrics
Juhola J, Magnussen CG, Viikari JS, et al. Tracking of serum lipid levels, blood pressure, and body mass index from childhood to adulthood: the Cardiovascular Risk in Young Finns Study. J Pediatr 2011 Oct; 159(4):584-90. [Notes that the USPSTF and other groups have "provided childhood cutoff points for lipid levels, blood pressure, and body mass index (BMI) to allow the identification of high-risk children," citing USPSTF recommendations on screening for obesity in children and adolescents (Pediatrics, 2010).] Select to access the abstract.

Obstetrics and Gynecology
Goff BA, Miller JW, Matthews B, et al. Involvement of gynecologic oncologists in the treatment of patients with a suspicious ovarian mass. Obstet Gynecol 2011 Oct; 118(4):854-62. [Cites the Screening for Ovarian Cancer topic page, 2004, on the USPSTF Web site.] Select to access the abstract.

Evidence-based Practice Centers-Related Articles

Health Services Research
Weiss ME, Yakusheva O, Bobay KL. Quality and cost analysis of nurse staffing, discharge preparation, and postdischarge utilization. Health Serv Res 2011 Oct; 46(5):1473-94. [Cites AHRQ Evidence Report/Technology Assessment, Nursing Staffing and Quality of Patient Care, 2007, prepared by the Minnesota EPC under contract 290-02-0009; cites AHRQ-authored article by Friedman and Basu (researchers in AHRQ's Center for Primary Care, Prevention, and Clinical Partnerships, Center for Delivery, Organization, and Markets, respectively) (Med Care Res Rev, 2004), which uses 1999 HCUP SID data; cites several AHRQ-funded articles.] Select to access the abstract.

Diana ML, Kazley AS, Menachemi N. An assessment of Health Care Information and Management Systems Society and Leapfrog data on computerized provider order entry. Health Serv Res 2011 Oct; 46(5):1575-91. [Cites AHRQ-funded systematic reviews by Chaudhry et al. (Ann Intern Med, 2006) on the impact of health information technology on quality, efficiency, and costs of medical care, and by Kaushal, Shojania, and Bates (Arch Intern Med, 2003) on effects of computerized physician order entry and clinical decision support systems on medication safety, both performed by the Southern California-University of California at San Francisco EPC; cites AHRQ-funded articles by Ray et al. (J Am Med Inform Assoc, 2006), Koppel et al. (JAMA, 2005), Bates and Gawande (N Engl J Med, 2003), and others.] Select to access the abstract.

International Journal for Quality in Health Care
Pogorzelska M, Stone PW, Furuya EY, et al. Impact of the ventilator bundle on ventilator-associated pneumonia in intensive care unit. Int J Qual Health Care 2011 Oct; 23(5):538-44. [Cites AHRQ-funded systematic review on prevention of ventilator-associated pneumonia by Collard, Saint, and Matthay (Ann Intern Med, 2003), prepared by the University of California at San Francisco-Stanford University EPC under contract 290-97-0013; cites AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006).] Select to access the abstract.

Krzyzanowska MK, Barbera L, Elit L, et al. Identifying population-level indicators to measure the quality of cancer care for women. Int J Qual Health Care 2011 Oct; 23(5):554-64. [Uses AHRQ's National Quality Measures Clearinghouse™ for literature search; includes list of sphincter-sparring procedures for rectal cancer, surveillance colonoscopy after resection of colorectal cancer, and referral to medical oncology following resection of colon cancer, citing AHRQ Evidence Report/Technology Assessment, Cancer Care Quality Measures: Diagnosis and Treatment of Colorectal Cancer, 2006, prepared by the Duke EPC under contract 290-02-0025, and for breast-conserving surgery, citing AHRQ Evidence Report/Technology Assessment, Measuring the Quality of Breast Cancer Care in Women, 2004, prepared by the University of Ottawa EPC under contract 290-02-0021, in list of 31 quality indicators selected by expert panel for evaluation.] Select to access the abstract.

Journal of Managed Care Pharmacy
Yeung K. Using AHRQ's evidence-based reports to improve managed care pharmacy practice: oral antidiabetic agents. J Manag Care Pharm 2011 Oct; 17(8):641-9. [Notes that the author was a temporary employee of AHRQ during the writing of the majority of the original manuscript for this article and that AHRQ researcher Scott Smith contributed to manuscript revisions prior to peer review; discusses AHRQ's conduct of systematic evidence reviews and syntheses and the establishment of and processes used by AHRQ's Evidence-based Practice Centers and Effective Health Care programs, and reviews AHRQ's updated evidence review of oral diabetes medications, citing AHRQ comparative effectiveness review, Oral Diabetes Medications for Adults with Type 2 Diabetes: An Update, 2011, associated AHRQ-funded article by Bennett et al. (Ann Intern Med, 2011), and AHRQ publications, Comparing Medications for Adults With Type 2 Diabetes, 2011, and Medicines for Type 2 Diabetes: A Review of the Research for Adults, 2011, the latter two both published on AHRQ's Effective Health Care Program Web site; cites several Effective Health Care program methodological articles and publications and American Recovery and Reinvestment Act-related publications posted on the AHRQ Web site; cites a special supplement by Qayyum and Greene (J Manag Care Pharm, 2011) which summarizes AHRQ comparative effectiveness review, Comparative Effectiveness, Safety, and Indications of Insulin Analogues in Premixed Formulations for Adults With Type 2 Diabetes, 2008, prepared by the Johns Hopkins EPC under contract 290-02-0018. Also refer to AHRQ-funded article by Nicholas et al. (Health Serv Res, 2011) cited in AHRQ-Funded/Authored Articles, and article by Sequist (J Gen Intern Med, 2011), cited in National Healthcare Quality Report (NHQR)/National Healthcare Disparities Report (NHDR)-Related Articles.]

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

International Journal for Quality in Health Care
Levinton C, Veillard J, Slutsky A, et al. The importance of place of residence in patient satisfaction. Int J Qual Health Care 2011 Oct; 23(5):495-502. [Cites AHRQ's NHQR, 2005; cites AHRQ-funded article by Rosenthal et al. (N Engl J Med, 2006).] Select to access the abstract.

Journal of General Internal Medicine
Sequist TD. Health information technology and disparities in quality of care. J Gen Intern Med 2011 Oct; 26(10):1084-5. [Cites AHRQ's NHDR, 2010; cites AHRQ-funded systematic review by Chaudhry et al. (Ann Intern Med, 2006) on the impact of health information technology on quality, efficiency, and costs of medical care, performed by the Southern California-UCSF EPC.] Select to access the abstract.

Research by Others Using AHRQ Data or Products

Health and Quality of Life Outcomes
Shippee ND, Shah ND, Williams MD, et al. Differences in demographic composition and in work, social, and functional limitations among the populations with unipolar depression and bipolar disorder: results from a nationally representative sample. Health Qual Life Outcomes 2011 Oct 13; 9(1):90. [Uses 2004-2006 MEPS Household and Medical Condition files data, citing MEPS-HC Panel Design and Data Collection Process, as published on AHRQ's MEPS Web site.] Select to access the abstract.

Health Services Research
Shreibati JB, Baker LC. The relationship between low back magnetic resonance imaging, surgery, and spending: impact of physician self-referral status. Health Serv Res 2011 Oct; 46(5):1362-81. [Uses AHRQ's Elixhauser comorbidity measures as described in article by Quan et al. (Med Care, 2005); cites AHRQ-sponsored guideline, Acute Low Back Problems in Adults, 1994; cites AHRQ-funded articles by Jarvik et al. (JAMA, 2003), Jarvik and Deyo (Ann Intern Med, 2002), and Deyo (N Engl J Med, 1994).]  Select to access the abstract.

Farley DO, Elliott MN, Haviland AM, et al. Understanding variations in Medicare Consumer Assessment of Health Care Providers and Systems scores: California as an example. Health Serv Res 2011 Oct; 46(5):1646-62. [Uses 2008 CAHPS survey data, citing Instructions for Analyzing Data from CAHPS® Surveys: Using the CAHPS Analysis Program Version 3.6, 2008, as published on AHRQ's CAHPS® Web site; cites AHRQ-authored article by Lurie, Zhan, Sangl, Bierman (first and fourth authors are current and former researchers in AHRQ's Center for Outcomes and Evidence, respectively, and third author is current researcher in AHRQ's Center for Quality Improvement and Patient Safety) et al. (Am J Manag Care, 2003), which uses CAHPS survey data; cites AHRQ-funded article by Weech-Maldonado et al. (Med Care, 2008) and article by Goldstein et al. (Health Care Financ Rev, 2001), both of which use CAHPS survey data.] Select to access the abstract.

International Journal for Quality in Health Care
Luxford K, Safran DG, Delbanco T. Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. Int J Qual Health Care 2011 Oct; 23(5):510-15. [Uses HCAHPS, Clinician/Group-CAHPS, and Health Plan-CAHPS patient care data for selected health care organizations to evaluate patient care experience data trends; cites article by Davies et al. (Health Expect, 2008) which uses CAHPS® survey data; cites Patient-and Family-Centered Care Initiative is Associated with High Patient Satisfaction and Positive Outcomes for Total Joint Replacement Patients, 2008, as published on AHRQ's Innovation Exchange Web site.] Select to access the abstract.

Journal of Clinical Hypertension
Kim J, Philips P. Socioeconomic factors influencing the failure to measure the blood pressure of children during clinical examinations. J Clin Hypertens 2011 Oct; 13(10):767-73. [Uses 2006-2007 MEPS data, citing MEPS H113 Codebook 2007 Full Year Consolidated Data File, 2009, as published on AHRQ's MEPS Web site.] Select to access the abstract

Journal of General Internal Medicine
Steinman MA, Harlow JB, Massie BM, et al. Age and receipt of guideline-recommended medications for heart failure: a nationwide study of veterans. J Gen Intern Med 2011 Oct; 26(10):1152-9. [Uses the AHRQ-funded adaptation of the Charlson comorbidity index described in AHRQ-funded article by Deyo, Cherkin, and Ciol (J Clin Epidemiol, 1992).] Select to access the abstract.

Ettner SL, Steers WN, Turk N, et al. Drug benefit changes under Medicare Advantage Part D: heterogeneous effects on pharmaceutical use and expenditures. J Gen Intern Med 2011 Oct; 26(10):1195-1200. [Uses AHRQ's Clinical Classifications Software (CCS), citing Clinical Classifications Software (CCS) for ICD-9-CM, as published on AHRQ's HCUP Web site.] Select to access the abstract.

Medical Care
Rosen AK, Itani KM, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? Med Care 2011 Oct 15. [Epub ahead of print. Uses AHRQ's Patient Safety Indicators software version 3.1a, citing Patient Safety Indicators Download, 2007, and AHRQ Quality Indicators Validation Pilot, both published on AHRQ's Quality Indicators Web site, and AHRQ publications, AHRQ Quality Indicators: Patient Safety Indicators Composite SAS Documentation, Version 3.1a, 2007, Advances in Patient Safety: From Research to Implementation, Volume 2: Concepts and Methodology, 2005, AHRQ Quality Indicators: Patient Safety Indicators: Software Documentation, Version 3.2, SAS, 2003, and AHRQ Quality Indicators: Guide to Patient Safety Indicators, 2003; cites AHRQ-authored articles by Rivard, Elixhauser (researcher in AHRQ's Center for Delivery, Organization, and Markets) et al. (Med Care Res Rev, 2010), Houchens, Elixhauser, and Romano (Jt Comm J Qual Patient Saf, 2008), Zhan, Battles, Chiang (first and third authors are researchers in AHRQ's Center for Outcomes and Evidence and second author is a researcher in AHRQ's Center for Quality Improvement and Patient Safety) et al. (Jt Comm J Qual Patient Saf, 2007), and others, all of which use various AHRQ Patient Safety Indicators; cites several AHRQ-funded and other articles, all of which use various AHRQ Patient Safety Indicators. Also refer to AHRQ-funded article by Nicholas et al. (Health Serv Res, 2011) cited in AHRQ-Funded/Authored Articles above and article by Krzyzanowska et al. (Int J Qual Health Care, 2011) cited in Evidence-based Practice Centers-Related Articles.] Select to access the abstract.