Friday, 23 July 2010

AHRQ

Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on health professionals’ psychological well-being


The power of safety: state reporting provides lessons in reducing harm, improving care

AHRQ Innovations Exchange: featured topic – hospital transparency in reporting medical errors (webpage)

Accountability measures: using measurement to promote quality improvement

Patient safety: what can medicine learn from aviation?

National action plan to improve health literacy

[Links to external webpages]

Australian Commission on Safety and Quality in Healthcare

The proposed national safety and quality framework: safe and high quality health care for Australia


[Links to external webpage]

Canadian Agency for Drugs and Technologies in Health

Using evidence in the real world (Presentation)
Presentation now available from a free educational program for pharmacists and other health care professionals that examined evidence-based medicine and how to apply critical appraisal skills in daily practice.

[Links to external webpage]

Centre for Health Economics

Health systems performance: how can we secure robust international comparison?



[Links to external webpage]

Cochrane Collaboration

Evidence and Policy special issue: evidence and policy in six European countries

EQUATOR seminar. Reporting your randomized trial: CONSORT 2010 and other reporting guidelines (Event, Oxford, UK)

[Links to external webpages]

Commonwealth Fund

Blueprint for the dissemination of evidence-based practices in healthcare

Carolinas Medical Center: deomonstration high quality in the public sector

Mirror, mirror on the wall: how the performance of the US health care system compares internationally

International profiles of health care systems


[Links to external webpages]

Council for Healthcare Regulatory Excellence

Managing extended practice: is there a place for ‘distributed regulation’?

CHRE viewpoint: regulation and managing risk

Fitness to practice audit report: audit of health professionals’ initial decisions


[Links to external webpages]

Department of Health

Equity and excellence: liberating the NHS (government White paper)

Liberating the NHS: provisional timetable July 2010 – June 2012

Department of Health draft structural reform plan
Information on the quality of services: final report

Building the evidence base in pre-hospital urgent and emergency care: a review of research evidence and priorities for future research

National Quality Board: NICE quality standards


[Links to external webpages]

E-watch on Innovation in Health Services

Basing healthcare on impirical evidence


The impact of competition on management quality: evidence from public hospitals

Quality of life returns from basic research

Mobilizing knowledge about the development of children, youth and families: focus on knowledge transformation and learning

Health information technology to facilitate communication involving health care providers, caregivers and paediatric patients: a scoping review

Evidence 2010: transforming healthcare (Event, London)

Selecting quality and resource use measures: a decision guide for community quality collaboratives

Knowledge brokering: exploring the process of transferring knowledge into action


[Links to external webpages]

Health and Safety Executive

Health surveillance: a time for change? Workshop proceedings 07/08

[Links to external webpage]

Health Information and Quality Authority (Ireland)

Public poll: opinions on safer better care

[Links to external webpages]

Health Foundation

Stephen Thornton’s speech at the NHS Confederation: does better quality save money?


The patient will see you now: rebalancing relationships between people who use services and those who provide them

[Links to external webpages]

Health Protection Scotland

The 2009 influenza pandemic: an independent review of the UK response to the 2009 influenza pandemic


Quarterly report on the surveillance of Staphylococcus aureus bacteraemia (S. aureus bacteraemia) in Scotland January - March 2010

Quarterly report on the Surveillance of Clostridium difficile infection (CDI) in Scotland, January 2010-March 2010

[Links to external webpages]

INAHTA

INAHTA briefs compilation volume 10, 2009-2010

Strategies for diffusion and dissemination of health technology assessment (HTA) products


[Links to external webpages]

NHS Information Centre

Health survey for England: 2008 trend tables

[Links to external webpage]

Information Commissioner's Office

European data protection Commission’s call for the UK to strengthen the powers of its national data protection authority

Poor data security in the NHS

[Links to external webpages]

Institute for Healthcare Improvement

Conflict engagement training for health professionals: recommendations for creating conflict competent organizations (Free registration required)
 Helping leaders blink correctly: split second decisions have patient safety implications



Patient and family centred care organizational assessment tool (Free registration required)


[Links to external webpages]

James Lind Alliance

James Lind Alliance guidebook


[Links to external webpage]

Knowledge Network

Information governance newsletter – issue 25



[Links to external webpage]

King's Fund

Putting quality first in the boardroom: improving the business of caring
 [Links to external webpage]

MHRA

New physiotherapy and occupational therapy pages launched (Website)

MHRA enforcement strategy

[Links to external webpages]

Monitor

The role of boards in improving patient safety


[Links to external webpage]

OECD

Growing health spending puts pressure on government budgets, according to OECD health data 2010


[Links to external webpage]

NICE

Public consultation on Evaluation Pathway Programme process guide and methods guide


[Links to external webpage]

NHS Confederation

Where next for health and social care integration?


[Links to external webpage]

NPSA

10 years after To err is human: are we listening to patients and families yet? Focus on patient safety newsletter, volume 13, issue 1, 2010.


Medical error: what to do if things go wrong: a guide for junior doctors


[Links to external webpages]

Regulation and Quality Improvement Authority

Reducing the risk of hyponatraemia when administering intravenous infusions to children
 [Links to external webpage]

Scottish Government

Realising potential: an action plan for allied health professionals in mental health

Superbug rates at all-time low (News item)

Reduction in hospital mortality (News item)

[Links to external webpages]

UK Statistics

Social trends 40, 2010 edition


QOF prevalence rates for Scotland

Tuesday, 8 June 2010

AHRQ

Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Quality in Health Care, 2010.

Standing Up for Doctors, Speaking Out for Patients: Final Report.
This report summarizes findings from a survey querying physicians about United Kingdom National Health Service whistleblowing policies.

 
10 years after To Err Is Human: are we listening to patients and families yet? Focus on Patient Safety Newsletter. 2010;13:1-3.

 
Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report (United States)

 
2009 National Healthcare Quality Report (United States)

[Links to external webpages]

Cochrane Collaboration

The James Lind Alliance announces the launch of online Guidebook for priority setting in research
The James Lind Alliance has announced the launch of the Guidebook - an online resource designed to enable patients and clinicians to set the medical research agenda.

[Links to external webpage]

Commonwealth Fund

Enhancing the Capacity of Community Health Centers to Achieve High Performance: Findings from the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers
Federally Qualified Health Centers are community-based health centers that provide comprehensive primary care and behavioral and mental health services to patients regardless of ability to pay. This report highlights methods for strengthening FQHCs’ ability to provide care. These include formalizing partnerships with hospitals, improving office systems, adopting the medical home model, and increasing use of HIT.

Blueprint for the Dissemination of Evidence-Based Practices in Health Care
Aimed at fostering the broad adoption of effective health care interventions, this report proposes a blueprint for improving the dissemination of best practices by national quality improvement campaigns.

Evidence-Based Health Care for Children: What Are We Missing?
With the enactment of comprehensive health reform, reimbursement for a variety of health care services will likely depend on evidence to support that provision. Understanding what constitutes "evidence" will have a profound effect on the range of clinical care provided.

[Links to external webpages]

E-Watch on Innovation in Health Services

Who needs what from a national health research system: lessons from reforms to the English Department of Health's R&D system. Health Research Policy and Systems, 2010;8:11.

Introduction to Evidence-Informed Decision Making (e-learning course)

The 32nd Annual Meeting of the Society for Medical Decision Making. "Evidence, Economics, and Ethics: The Future of Health Technology Assessment", October 24 - 27, 2010, Sheraton Centre Toronto Hotel, Toronto, Canada (Conference)

 
Healthcare systems: efficiency and institutions

SIIRen: system integration and innovation research network (website)

Building a 21st century primary health care system: Australia’s first national primary health care strategy

Changing Management Cultures and Organisational Performance in the NHS (OC2)

[Links to external webpages]

Health Foundation

Sharing our ideas and learning: The Health Foundation at the The International Forum on Quality and Safety in Healthcare
Presentations and posters prepared by The Health Foundation for the International Forum but never delivered due to the Iceland volcano.

[Links to external webpage]

Health Protection Scotland

Hand hygiene - seventh bi-monthly audit report

Guidelines for the investigation, control and prevention of spread of group A streptococcal (GAS) infection in acute healthcare settings in the United Kingdom (Draft for consultation)

Scottish Mycobacteria Reference Laboratory - audit-study day (Course)
The Scottish Mycobacteria Reference Laboratory will be holding its biennial audit-study day on Tuesday 15 June 2010 at the Royal Infirmary of Edinburgh. It will include updates on current laboratory techniques and epidemiology of mycobacterial infections. For more details or to register please contact Mrs Shona Hannan at: shona.hannan@luht.scot.nhs.uk or telephone 0131 242 6016.

 
Quarterly report on the Surveillance of Clostridium difficile infection (CDI) in Scotland, October 2009-December 2009

[Links to external webpages]

Institute for Healthcare Improvement

Conflict Engagement Training for Health Professionals: Recommendations for Creating Conflict Competent Organizations
This resource presents an overview of current "best practices" for creating conflict competent organizations, and includes a review of the literature and input from experienced professionals who provide training to health care organizations.

$10 Million in Savings: Reducing Hospital Operating Expenses While Improving Quality July 2010 (Conference)
This two-day seminar will take place in Cambridge, Massachusetts, on July 27-28, 2010.

Helping leaders blink correctly: Split-second decisions have patient safety implications (Part 1)
This article describes two of four necessary skills health care leaders need to develop in order to "blink" appropriately (i.e., make decisions based on robust analysis and interpretation of data): understanding the messiness of improving health care, and determining why you are measuring.

International Forum on Quality and Safety in Healthcare 2011 (Conference)
The 2011 International Forum on Quality and Safety in Healthcare, co-sponsored by IHI and the BMJ Publishing Group, will be held April 5-8, 2011, in Amsterdam, The Netherlands.

Partnership for Healthcare Excellence (Website)
The Partnership for Healthcare Excellence offers numerous resources (e.g., fact sheets, posters, videos) for patients, physicians, hospitals, employers, and community organizations to educate and engage patients more directly in their own care. Example resources include questions to ask at a doctor's appointment, medication safety, infection prevention, comparing hospitals, and end-of-life planning.

[Links to external webpages]

Joseph Rowntree Foundation

Involving users in commissioning local services

[Links to external webpage]

King's Fund

Patient choice: how patients choose and how providers respond

[Links to external webpage]

MHRA

Medical Device Technology Forum: Report on registers of devices

[Links to external webpage]

Monitor

Measuring Monitor’s impact: economic evaluation report
This report highlights improvements in performance at NHS foundation trusts as a consequence of both Monitor’s assessment process for applicant trusts, and its risk-based approach to regulation. It was produced with support from Frontier Economics and the research methodology was independently validated.

NHS Foundation Trusts: clinical quality and service performance
This document is the outcome of a consultation which aimed to develop how the Compliance Framework addresses clinical quality and service performance in NHS foundation trusts.

Service-line management
Toolkits and guides for managing service lines in the healthcare setting.

[Links to external webpages]

National Academies Press

A summary of the December 2009 forum on the future of nursing: care in the community

[links to external webpage]

Scottish Government

GP Patient Experience Survey Access results for Practices 2010

The healthcare quality strategy for NHS Scotland

Study of community health partnerships

Growing up in Scotland: health inequalities in the early years

[links to external webpages]

UK Statistics

Health statistics quarterly: summer 2010

Welsh health survey 2009: initial headline results – May 2010

[links to external webpages]

World Health Organisation

Sixty-third World Health Assembly closes after passing multiple resolutions

[links to external webpage]

Tuesday, 27 April 2010

AHRQ

Patient safety research: an overview of the global evidence

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Creating champions for health care quality and safety

New Approaches to Researching Patient Safety

[links to external webpages]

Canadian Agency for Drugs and Technologies in Health

Web Cast- Health Information - Is it a Public Good?
 
New Pilot Project: Therapeutic Reviews

[links to external webpages]

Care Commission

Majority of Scottish Care Services Are Making the Grade

[links to external webpage]

Centers for Disease Control and Prevention

New CDC Study Finds Colorectal Cancer Screening Practices Need Improvement

[links to external webpages]

Centre for Reviews and Dissemination

CRD databases - Wednesday 21 April 2010 update

[links to external webpage]

Cochrane Collaboration

Institutions in Germany gain access to the Cochrane Library for 10 years

New web-based cost conversion tool

[links to external webpages]

Department of Health

Inclusion Health: improving primary care for socially excluded people

The Nursing Roadmap for Quality: a signposting map for nursing

The Healthy NHS Board: Principles for Good Governance

Quality and productivity

Clinical governance and adult safeguarding: an integrated process

Making Policy Count: Developing Performance Indicators for Health and Social Care Partnerships

The Communicating Organisation: Using Communication to Support the Development of High-performing Organisations

The NHS Operating Framework for England for 2010/11

NHS 2010 - 2015: From good to Great. Preventative, People-centred, Productive

Improving Quality in Primary Care

Checklist for reporting, managing and investigating information governance serious untoward incidents

 
Meeting the quality and productivity challenge for the NHS in partnership

The Health and Social Care Act 2008: Code of Practice for healthcare, including primary care, and adult social care on the prevention and control of infections and related guidance - draft for consultation

Inclusion Health: improving primary care for socially excluded people

National Quality Board annual report

Improving care and saving money: learning the lessons on prevention and early intervention for older people

Making policy count: developing performance indicators for health and social care partnerships

Launch of the National Care Service

NHS continues strong performance

NHS goes Global

NHS celebrates 10 years of improvement in cardiac care

 
New study to drive further improvements in health care for the most vulnerable

 
Integrated care network to drive up quality of care

[links to external webpages]

E-Watch on Innovation in Health Services,

Immunisation Scotland website

Quarterly report on the Surveillance of Clostridium difficile infection (CDI) in Scotland, October 2009-December 2009

Focus: HIV in Scotland, 2009: Review

WHO report on global health risks

[links to external webpages]

Health Foundation

New chartbook reviews the quality of heart failure care in England

Revision of professional roles and quality improvement

 
Role revision can improve the quality of care

[links to external webpages]

Health Governance Review

Monitor invents ‘Quality governance’

Report on NHS failure to implement patient safety alerts

Re-imagining corporate governance

Crisis governance

[links to external webpages]

Health and Safety Executive

Safety bulletin – health and social care providers

Work related stress – together we can tackle the causes [case studies]

Electric profiling beds in residential and nursing homes

[links to external webpages]

Institute for Healthcare Improvement

A healthy bottom line: Healthy life expectancy as an outcome measure for health improvement efforts

The hospital standardised mortality ratio: A powerful tool for Dutch hospitals to assess their quality of care?

Nursing's role in transforming healthcare

LEAD Program Case Studies: Transforming Safety and Quality Performance

[links to external webpages]

Irish Soc. for Quality and Safety in Healthcare

Health Matters - Spring Issue

Framework for Public & Service User Involvement in Health and Social Care Regulation in Ireland - launched by The Health and Social Care Regulatory Forum

[links to external webpages]

Joint Commission

Joint Commission Annual Report Shows Gains in Patient Care Quality

[links to external webpage]

King's Fund

Getting the most out of PROMs: Putting health outcomes at the heart of NHS decision-making

Getting the measure of quality: opportunities and challenges

Radical changes to the delivery and commissioning of care needed, say new reports from The King's Fund and the Nuffield Trust

New patient data has the power to transform health care management – new report published today

The King's Fund response to the Marmot Review of Health Inequalities

Quality measures can improve quality of care but risk misinterpretation – The King’s Fund

[links to external webpages]

Monitor

Compliance Framework 2010-11. The Compliance Framework sets out the approach Monitor will take to assess the compliance of NHS foundation trusts with their Terms of Authorisation.

[links to external webpages]

National Academies Press

Future Directions for the National Healthcare Quality and Disparities Reports

Informing the Future: Critical Issues in Health, Fifth Edition

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (full printed version)

[links to external webpages]

NPSA


[links to external webpage]

New Zealand Ministry of Health


[links to external webpage]

NHS Employers

Equality and diversity - are we meeting your needs?

The health of health professionals

[links to external webpages]

Nat.Library for Health


[links to external webpages]

NHS Institute for Innovation and Improvement


[links to external webpage]

NICE

[links to external webpage]

Regulation and Quality Improvement Authority


[links to external webpages]

RCN

Latest Clinical Governance eBulletin from the RCN now available

[links to external webpage]

Scottish Government

Patient Rights Bill

NHS Quality Strategy

Budget 2010-11

Information about Harm Leaflet

Standards in Quality Improvement and Regulation Workstream: Final Report

Delivering Quality Through Leadership: NHSScotland Leadership Development Strategy

[links to external websites]

UK Statistics

Alcohol-related deaths in the United Kingdom - 2010
 
Suicides in the United Kingdom - 2010

Drinking: adults' behaviour and knowledge - 2009 report

Monthly Digest of Statistics - January 2010

[links to external webpages]

World Health Organisation

[links to external webpage]

Wednesday, 6 January 2010

AHRQ

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427. "In this piece, the American College of Obstetricians and Gynecologists emphasizes principles and objectives for patient safety in obstetrics and gynecology practices. The guidelines include encouraging a safety culture, reducing surgical errors, improving communication with patients and providers, and prioritizing safety." [AHRQ text. Text online]

Advancing patient safety: a decade of evidence, design, and implementation. Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084. "This publication highlights AHRQ's patient safety research efforts in the 10 years since the Institute of Medicine report, To Err Is Human, was published." [AHRQ description / book. Free full text]

Announcing 2009 Leapfrog top hospitals. Washington, DC: Leapfrog Group; December 4, 2009. "This news announcement highlights the 45 urban, children's, and rural hospitals recognized for highly efficient performance and continuous improvement in patient safety based on the 2009 Leapfrog Hospital Survey results." [AHRQ text. Free full text]

Deaths in acute hospitals: caring to the end? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. [AHRQ description / book. Free full text]

Disclosure and apology: what's missing? Advancing programs that support clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009. "This report describes results of a multidisciplinary effort to develop programs to help clinicians cope with errors that result in patient harm." [AHRQ description / book. Free full text]

Leadership in healthcare organizations: a guide to Joint Commission leadership standards. Schyve PM. San Diego, CA: Governance Institute; 2009. "This white paper provides comprehensive information on leadership standards for health care organizations and explains topics including leadership structure, hospital culture, and system performance."[AHRQ description. Free full text]

NPSF call for 2010 research and solutions poster presentations. Boston, MA: National Patient Safety Foundation. "This announcement solicits research and solutions posters to be displayed at the National Patient Safety Foundation annual conference in May 2010. The deadline for submitting abstracts is February 5, 2010." [AHRQ text]

The role of hospitalists in patient safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. "This book discusses the rise of the hospitalist movement within the context of quality and safety and reviews how hospitalists can support several National Patient Safety Goals." [AHRQ description / book]

What’s new archive.

Links to external web pages.

Audit Commission

"Oneplace, the reporting website for Comprehensive Area Assessment, is now live. The site includes independent information about how councils, police, health services and others are tackling the major issues in every area in England. Visit the site at www.direct.gov.uk/oneplace." [Audit Commission description media release 9 December - further information online]

Link to external web page.

Audit Scotland

Overview of the NHS in Scotland's performance 2008/09 [issued 10 December]

Main report [colour]

Plus: Main report [black and white version]

Plus: Media release

Priorities and risks framework: a national planning tool for 2009/10 NHS Scotland audits. [report dated October 2009 - issued 30 November]

Links to external web pages.

BMA

"Government must change immigration rules to stop doctor exodus, says BMA." (media release - Friday 4 Dec 2009)

Link to external web page.

CADTH

Common drug review – issue 63. Issue focuses on consultations on patient input December 2009 to January 15th 2010.

Continuing medical education course: “A new online continuing medical education (CME) course is available entitled “PPIs and the Treatment of GERD, Dyspepsia and NSAID-associated Peptic Ulcer Disease.” “The course was developed by MDcme.ca using CADTH’s series of optimal therapy reports on proton pump inhibitors (PPIs), including clinical and cost-effectiveness evidence and recommendations for optimal prescribing and use. The launch of this course is the latest example of how CADTH provides stakeholders with credible, evidence-based information that supports patient care and the effective use of health care resources.” [CADTH text – 7 December 2009]

Therapeutic reviews. “On December 7, 2009 the Canadian Agency for Drugs and Technologies in Health (CADTH) announced a pilot project for conducting a concurrent review of a CDR submission(s) and a therapeutic review of the same drug class or category as the CDR submission.” [CADTH text – 7 December 2009]

Links to external pages.

Canadian Patient Safety Institute

Home care and patient safety formative research team - web page.

Patient safety in mental health - web page. [includes links to resources such as a research paper on patient safety issues for mental health patients in Canada]

Patient/resident safety in long-term care - web page. [similar to that above]

Simulation Network - web page.

Links to external web pages.

Care Commission

Care Homes - BAPEN’s Nutrition Screening Week 12-14 Jan 2010. "BAPEN’s Nutrition Screening Week 12-14 January 2010 aims to create the most comprehensive dataset on malnutrition on admission to care in the UK ever produced." [SCRC text - further information online]

Education facilitators for care homes. "The Scottish Government are funding 14 posts for Education Facilitators to work with nurse mentors in care homes for older people. The posts are funded for a two year period or until the 31 March 2012." [SCRC text - further information online]

Links to external web pages.

Care Quality Commission

BBC documentary: can Gerry Robinson fix dementia care homes? [media release - 3 December 2009]

CQC to scrutinise care for people with learning disabilities. [media release - 15 December 2009]

Equality and human rights scheme consultation. [media release - 3 December 2009]

Guidance on meeting new essential standards of quality and safety. [media release - 8 December 2009]

Our statement on the quality of adult social care. [media release - 3 December 2009]

Links to external web pages.

Centers for Disease Control & Prevention

Statement regarding first release of global adult tobacco survey results by Bangladesh. [media release - 23 December 2009]

Link to external web page.

Centre for Health Economics

Health economics news – issue 7 – December 2009.

The link between ill-health and retirement age varies markedly across European countries, according to new research from the University of York. [media release - 17 December 2009]

York Expert Workshops in the Socio Economic Evaluation of Medicines 2010:

Quality of Life - 16th June - 18th June 2010
Foundations - 21st June - 25th June 2010
Advanced - 28th June - 2nd July 2010

Links to external web pages.

Centre for Reviews and Dissemination

CRD databases – weekly updates (using the string below as the RESTRICT NEW FILTER will capture the previous week’s updates only) -

Go to: http://www.crd.york.ac.uk/CRDWeb/search.aspx

Copy following search string into the Search box:

(abstract:ty not "provisional abstract":ty) or ("economic evaluation":ty not "partial economic evaluation") or publication:ty or project:ty) RESTRICT NEW

Archive of weekly newsletters [November 25th, December 2nd, 9th, 16th]
http://www.york.ac.uk/inst/crd/newsletter_archive.htm


Links to external web pages.

Cochrane Collaboration

Cochrane Collaboration calendar of events.

Cochrane Journal Club: second issue.

Cochrane news – issue 47. [10 December]

Online learning resources for undertaking a systematic review - For UK-based Cochrane review authors.

Steering Group Bulletin and meeting minutes now available. [Oct 10th and 15th 2009 - Singapore]

Workshops with places available:

2010

19 Jan - 20 Jan: Developing a Protocol for a Review (2 day workshop) - Oxford, UK

21 Jan: Introduction to Analysis - Oxford, UK

18 May - 21 May: The Nottingham Systematic Review Course 2010

Sense About Science – briefing paper on systematic reviews. [full text]

Website for the 2010 Cochrane UK and Ireland-based contributors meeting is now live. [posted December 22nd]


Links to external web pages.

Commonwealth Fund

Texas Health Harris Methodist–Cleburne: a system approach to surgical improvement. Author: Aimee Lashbrook. [case study – full text available as PDF].

Link to external web page.