Strategies for Implementing Emergency Department Pharmacy Services: Results from the 2007 ASHP Patient Care Impact Program

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 Health-System Pharmacy
Witsil JC, Aazami R, Murtaza UI, et al. Strategies for implementing emergency department pharmacy services: results from the 2007 ASHP Patient Care Impact Program. Am J Health-Syst Pharm 2010 Mar 1; 67(1):375-9. [Supported by grant 5 U18 HS15818.] Select to access the abstract.

American Journal of Obstetrics and Gynecology
Toledo P, McCarthy RJ, Burke CA, et al. The effect of live and Web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios. Am J Obstet Gynecol 2010 Apr; 202(4):400.e1-400.e5. [Supported in part by Institutional Award grant T32 HS00078 (principal investigator Jane L. Holl).] Select to access the abstract.

Arthritis Care and Research
Schmajuk G, Yazdany J, Trupin L, et al. Hydroxycholoroquine treatment in a community-based cohort of patients with systemic lupus erythematosus. Arthritis Care Res 2010 Mar; 62(3):386-92. [Supported by grant 1 R01 HS13893.] Select to access the abstract.

Panopalis P, Gillis JZ, Yazdany J, et al. Frequent use of the emergency department among persons with systemic lupus erythematosus. Arthritis Care Res 2010 Mar; 62(3):401-8. [Supported by grant R01 HS13893.] Select to access the abstract.

Experimental Biology and Medicine
Tapp H and Dulin M. The science of primary health-care improvement: potential and use of community-based participatory research by practice-based research networks for translation of research into practice. Exp Biol Med 2010 Mar; 235(3):290-9. [Supported by grant R03 HS16023-01.] Select to access the abstract.

Expert Opinion on Drug Metabolism and Toxicology
Kennedy WK, Leloux M, Kitscher EC, et al. Acamprosate. Exp Opin Drug Metab Toxicol 2010 Mar; 6(3):363-80. [Supported by grant 5 U18 HS16094.] Select to access the abstract.

Future Microbiology
Winthrop KL. Pulmonary disease due to nontuberculous mycobacteria: an epidemiologist's view. Future Microbiol 2010 Mar; 5(3):343-5. [Supported by grant 1 K08 HS17552-01.] Select to access the abstract.

Health and Quality of Life Outcomes
Lee GM, Salomon JA, Gay C, et al. Preferences for health outcomes associated with Group A Streptococcal disease and vaccination. Health Qual Life Outcomes 2010 Mar 12; 8:28. [Supported by grant 5 K08 HS13908-04 (to first author). Select to access the abstract.

Healthcare Executive
Jiang HJ. Enhancing quality oversight: study findings show hospital boards increasingly focused on quality initiatives. Healthc Exec 2010 Mar-Apr; 25(2):80-3. [Author is researcher in AHRQ's Center for Delivery, Organization, and Markets; discusses AHRQ research project linking results from The Governance Institute's 2007 survey of hospitals and health systems to measures of hospital quality performance and patient outcomes (using AHRQ's inpatient quality indicators).]

International Journal of Health Geographics
Wang HE, Devereaux RS, Yealy DM, et al. National variation in United States sepsis mortality; a descriptive study. Int J Health Geogr 2010 Feb; 9:9. [Supported by Clinical Scientist Development Award grant K08 HS13628 (to first author).] Select to access the abstract.

Journal of the American Medical Informatics Association
Chang KC, Overhage JM, Hui SL, et al. Enhancing laboratory report contents to improve outpatient management of test results. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):99-103. [Supported by contract 290-04-0015.] Select to access the abstract.

Journal of Health Economics
Capps C, Dranove D, Lindrooth RC. Hospital closure and economic efficiency. J Health Econ 2010 Jan; 29(1):87-109. [Supported in part by grant 2 R01 HS10730; uses 1995-1996 (Tampa), 1998 (Tucson), and 1997 (Phoenix) Healthcare Cost and Utilization Project (HCUP) State Inpatient Database (SID) data.] Select to access the abstract.

Liu L, Strawderman RL, Cowen ME, et al. A flexible two-part random effects model for correlated medical costs. J Health Econ 2010 Jan; 29(1):110-23. [Supported in part by grant R03 HS16543; cites AHRQ-authored article by Cowen, Dusseau, Toth, Guisinger, and Zodet (statistician in AHRQ's Center for Financing, Access, and Cost Trends) (Med Care, 1998).] Select to access the abstract.

Journal of Health and Social Behavior
Shim JK. Cultural health capital: a theoretical approach to understanding health care interactions and the dynamics of unequal treatment. J Health Soc Behav 2010 Mar; 51(1):1-15. [Supported by grant R03 HS10582-01.] Select to access the abstract.

Journal of Healthcare Management
Young G, Meterko M, White B, et al. Pay-for-performance in safety net settings: issues, opportunities, and challenges for the future. J Healthc Manag 2010 Mar-Apr; 55(2):132-42. [Supported by contract HHSA 290-2006-0000121.] Select to access the abstract.

Journal of Mental Health Policy and Economics
Wiley-Exley E, Wang PS, Patrick AR, Dormuth C, et al. Impact of drug cost sharing on service use and adverse clinical outcomes in elderly receiving antidepressants. J Ment Health Policy Econ 2010 Mar; 13(1):37-44. [Supported by grant 5 R01 HS10881-07.]

Journal of Rural Health
Thorpe JM, Van Houtven CH, Sleath BL, et al. Rural-urban differences in preventable hospitalizations among community-dwelling veterans with dementia. J Rural Health 2010 Mar; 26(2):146-55. [First author is supported in part by National Research Service Award grant T32 HS00032-15 (through the Sheps Center for Health Services Research); cites AHRQ-authored article by Clancy (Health Serv Res, 2005); cites AHRQ publication, AHRQ Quality Indicators—Guide to Prevention Quality Indicators: Hospital Admission for Ambulatory Care Sensitive Conditions, 2001; cites AHRQ-funded article by Thorpe et al. (Med Care, 2006).] Select to access the abstract.

National Cancer Institute Cancer Bulletin
Clancy C. Focusing the research enterprise on the patient. NCI Cancer Bulletin 2010 Apr 20; 7(8):Online. [Author is AHRQ director.] Select to access the abstract.

Research in Social and Administrative Pharmacy
Westrick SC. Forward and backward transitions in pharmacy-based immunization services. Res Social Adm Pharm 2010 Mar; 6(1):18-31. [Supported by grant 1 R36 HS14512.] Select to access the abstract.

AHRQ-Related Articles

Archives of Internal Medicine
Gordon CE, Feller-Kopman D, Balk EM, et al. Pneumothorax following thoracentesis: a systematic review and meta-analysis. Arch Intern Med 2010 Feb 22; 170(4):332-9. [Cites AHRQ-funded study by Boland et al. (AJR Am J Roentgeno l, 1998).] Select to access the abstract.

Katz MH. Decreasing hospital costs while maintaining quality: can it be done? Arch Intern Med 2010 Feb 22; 170(4):317-18. [Cites AHRQ Web site page AHRQ and the Recovery Act.]

Murphy DJ, Pronovost PJ. Reducing preventable harm. Arch Intern Med 2010 Feb 22; 170(4):353-55. [Second author reports receiving prior grant support from AHRQ for research to reduce central line-associated bloodstream infections, citing AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006).]

Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med 2010 Feb 22; 170(4):369-76. [Cites AHRQ-funded articles by Iezzoni (JAMA, 1997), Kuzniewicz et al. (Chest, 2008), Pronovost et al. (N Engl J Med, 2006) and others.] Select to access the abstract.

Paterniti DA, Fancher TL, Cipri CS, et al. Getting to "No": strategies primary care physicians use to deny patient requests. Arch Intern Med 2010 Feb 22; 170(4):381-8. [Cites AHRQ-funded articles by Beckett et al. (Health Serv Res, 2009), Almasi et al. (PLoS Med, 2006), Fiscella et al. (Ann Fam Med, 2007) and others.] Select to access the abstract.

Weida NA, Phillips RL Jr, Basemore AW. Does graduate medical education also follow green? Arch Intern Med 2010 Feb 22; 170(4):389-90. [Cites AHRQ-funded article by Macinco, Starfield, and Shi (Health Serv Res, 2003).]

Critical Care Medicine
Stelfox HT, Bobranska-Artiuch B, Nathens A, et al. A systematic review of quality indicators for evaluating pediatric trauma care. Crit Care Med 2010 Apr; 38(4):1187-96. [Cites AHRQ's Quality Indicators Web site.] Select to access the abstract.

Family Medicine
Kraus CK. A teacher in pain. Fam Med 2010 Apr; 42(4):243-4. [Cites AHRQ-funded article by Morrison et al. (J Gerontol A Biol Sci Med Sc i, 2003).]

De Maesschalck S, Willems S, De Maeseneer J, et al. Development and validation of EMP-3: an instrument to measure physician's attitudes toward ethnic minority patients. Fam Med 2010 Apr; 42(4):262-7. [Cites AHRQ-funded article by Street, Gordon, and Haidet (Soc Sci Med, 2007).] Select to access the abstract.

Hospitals and Health Networks
McKinney M. 'Huge potential' for EHRs and comparative effectiveness. Hosp Health Netw 2010 Apr; 84(4):41-2. [Quotes remarks by Gurvaneet Randhawa, researcher in AHRQ's Center for Outcomes and Evidence, on AHRQ-funded research on comparative effectiveness research and electronic health records.]

Journal of the American Medical Informatics Association
Moxey A, Robertson J, Newby D, et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):25-33. [Cites AHRQ-funded article by Tierney et al. (JAMA, 1993).] Select to access the abstract.

Hota B, Lin M, Doherty JA, et al. Formulation of a model for automating infection surveillance: algorithmic detection of central-line associated bloodstream infection. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):42-8. [Cites AHRQ-funded article by Pronovost et. al. (N Engl J Med, 2006).] Select to access the abstract.

Hysong SJ, Sawhney MK, Wilson L, et al. Provider management strategies of abnormal test result alerts: a cognitive task analysis. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):71-7. [Cites AHRQ-funded articles by Poon et al. (Arch Intern Med, 2004, and J Biomed Inform, 2003).] Select to access the abstract.

Yackel TR, Embi PJ. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):104-7. [Cites AHRQ-funded articles by Poon et al. (Arch Intern Med, 2004).] Select to access the abstract.

Journal of Healthcare Management
Reiss-Brennan B, Briot PC, Savitz LA, et al. Cost and quality impact of Intermountain's mental health integration program. J Healthc Manag 2010 Mar-Apr; 55(2):97-113; discussion 113-14. [Cites AHRQ publications, Hospital Stays Related to Mental Health, 2006, HCUP Statistical Brief No. 62, 2008, and The Five Most Costly Conditions, 1996 and 2006: Estimates for the U.S. Civilian Noninstitutionalized Population, MEPS Statistical Brief No. 248, 2009, both published on AHRQ Web site.] Select to access the abstract.

Journal of Rural Health
Grace C, Kutzko D, Alston WK, et al. The Vermont model for rural HIV care delivery: eleven years of outcome data comparing urban and rural clinics. J Rural Health 2010 Mar; 26(2):113-19. [Cites AHRQ-funded articles by Graham et al. (Med Care Res Rev, 1995), Cohn et al. (J Acquir Immune Defic Syndr, 2001), and Schur et al. (J Rural Health, 2002).] Select to access the abstract.

Medical Care Research and Review
Schwappach DL. Review: engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev 2010 Apr; 67(2):119-48. [Mentions that "focus group discussions of the [AHRQ's] "20 Tips" campaign reveal that patients prefer messages with an unambiguous directive tone that clearly address what information should be provided, which issues to monitor, and which actions to take, when, how, and toward whom", citing article by Swift et al. (Health Care Financ Rev, 2001); cites John M. Eisenberg Patient Safety Award article by Anthony et al. (Jt Comm J Qual Patient Saf, 2003); cites AHRQ-funded articles by Hibbard et al. (Med Care Res Rev, 2005), Parnes et al. (Qual Safe Health Care, 2007), Kuo et al. (Qual Safety Health Care, 2008), and others.] Select to access the abstract.

Durkin EM, Deutsch A, Heinemann AW. Inpatient rehabilitation facilities: variation in organizational practice in response to prospective payment. Med Care Res Rev 2010 Apr; 67(2):149-72. [Cites AHRQ-funded articles by Alexander, Feinglass and Holloway (Med Care Rev, 1991) and D'Aunno, and Succi (J Health Soc Behav, 1996).] Select to access the abstract.

Molleman E, Broekhuis M, Stoffels R, et al. Consequences of participating in multidisciplinary medical team meetings for surgical, nonsurgical, and supporting specialties. Med Care Res Rev 2010 Apr; 67(2):173-93. [Cites AHRQ-funded articles by Cummings, Savitz, and Konrad (Health Serv Res, 2001) and Rodriguez et al. (Med Care Res Rev, 2008).] Select to access the abstract.

Vaughan Sarrazin MS, Bayman L, Cram P. Trends during 1993-2004 in the availability and use of revascularization after acute myocardial infarction in markets affected by certificate of need regulations. Med Care Res Rev 2010 Apr; 67(2):213-31. [Cites AHRQ-funded article by Wennberg et al. (JAMA, 2004).] Select to access the abstract.

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

Annals of Internal Medicine
Zieman SJ, Ouyang P. Statins for primary prevention in older adults: who is high risk, who is old, and what denotes primary prevention? Ann Intern Med 2010 Apr 20; 152(8):528-30, W183. [Cites USPSTF-sponsored systematic review summary on emerging risk factors for coronary heart disease (Ann Intern Med, 2009).]

When evidence collides with anecdote, politics, and emotion: breast cancer screening. Ann Intern Med 2010 Apr 20;152(8):531-2. [Discusses the controversy and debate surrounding release of USPSTF updated breast cancer screening recommendations (Ann Intern Med, 2009).]

British Medical Journal
Kamerow D. Prevention and the new US health reform act. BMJ 2010 Apr 21; 340(7752):898. [Notes provisions in the Patient Protection and Affordable Care Act requiring new U.S. health insurance policies to "cover every evidence based clinical preventive service recommended by the [USPSTF]."]

Journal of the American Academy of Physician Assistants
DelRosario G, Gottesman GS. Newborn screening tests in the 21st century: what PAs need to know. JAAPA 2010 Apr; 23(4):30-5. [Cites AHRQ publication, Universal Newborn Hearing Screening: Systematic Review to Update the 2001 U.S. Preventive Services Task Force Recommendation, 2008, as published on AHRQ Web site.]

Journal of Ambulatory Care Management
Robinson CM, Beach ML, Greene MA, et al. Staffing time required to increase cancer-screening rates through telephone support. J Ambul Care Manage 2010 Apr-Jun; 33(2):143-54. [Cites USPSTF recommendation statements, Screening for Cervical Cancer, 2003, Screening for Breast Cancer, 2002, and Screening for Colorectal Cancer, 2002, all published on AHRQ Web site.] Select to access the abstract.

Lancet
Kahn R, Alperin P, Eddy D, et al. Age at initiation and frequency of screening to detect type 2 diabetes: a cost-effectiveness analysis. Lancet 2010 Apr 17; 375(9723):1365-74. [Cites USPSTF recommendation statement on screening for type 2 diabetes mellitus in adults (Ann Intern Med, 2008); uses AHRQ's Medical Expenditure Panel Survey (MEPS) to determine frequencies at which to screen simulated individuals for hyperlipidaemia and hypertension, citing AHRQ's MEPS Web site.] Select to access the abstract.

Evidence-based Practice Centers-Related Articles

American Journal of Nursing
Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs 2010 Apr; 110(4):24-34. [Cites AHRQ Evidence Report/Technology Assessment, Systems to Rate the Strength of Scientific Evidence, 2002; cites AHRQ publication, Hospital Survey on Patient Safety Culture: 2009 Comparative Database, 2009.] Select to access the abstract.

Annals of Internal Medicine
Shaukat A, Levitt MD, Taylor BC, et al. Systematic review: effective management strategies for lactose intolerance. Ann Intern Med 2010 Apr 19. [Epub ahead of print. Supported by contract number HHSA 290-2007-10064-I (to the Minnesota Evidence-based Practice Center); first, third, sixth (Kane), and seventh (Wilt) authors report previous AHRQ funding; cites AHRQ Evidence Report/Technology Assessment, Lactose Intolerance and Health, 2010 (as prepared by Minnesota Evidence-based Practice Center, under contract number HHSA 290-2007-10064-I).] Select to access the abstract.

Suchy FJ, Brannon PM, Carpenter TO, et al. National Institutes of Health Consensus Development Conference: lactose intolerance and health. [Based on AHRQ-funded systematic review conducted by the Minnesota Evidence-based Practice Center cited above; Stephanie Chang, medical officer for the Evidence-based Practice Centers Program in AHRQ's Center for Outcomes and Evidence, is listed as a member of the Planning Committee.]

Hearing Review
Rawool VW. Invisible hearing loss among obvious multiple disabilities, Part 2: the case of the missing hearing aids. Hearing Rev 2010 Feb; 17(2):32-7. [Cites AHRQ systematic evidence review Newborn Hearing Screening, 2001, conducted by the Oregon Health and Science University Evidence-based Practice Center under contract 290-97-0018.]

Journal of the American Medical Informatics Association
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc 2010 Jan-Feb; 17(1):78-84. [Cites AHRQ-funded article by Kaushal, Shojania, and Bates (Arch Intern Med, 2003) from the University of California at San Francisco-Sanford Evidence-based Practice Center under contract 290-97-0013.] Select to access the abstract.

Nursing Forum
Lamontagne C. Intimidation: a concept analysis. Nurs Forum 2010 Jan; 45(1):54-65. [Quotes excerpts from AHRQ Evidence Report/Technology Assessment, The Effect of Working Conditions on Patient Safety, 2003, as published on AHRQ Web site (but gives incorrect URL.] Select to access the abstract.

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

Journal of Ambulatory Care Management
Shalowitz JI. Implementing successful quality outcome programs in ambulatory care: key questions and recommendations. J Ambul Care Manage 2010 Apr-Jun; 33(2):117-23. [Cites AHRQ's NHQR, 2002.] Select to access the abstract.

Research by Others Using AHRQ Data or Products

American Journal of Obstetrics and Gynecology
Moczygemba CK, Paramsothy P, Meikle S, et al. Route of delivery and neonatal birth trauma. Am J Obstet Gynecol 2010 Apr; 202(4):361.e1-361.e6. [Cites 2004-2005 HCUP NIS data, citing HCUP NIS Overview Web page; uses AHRQ's patient safety indicators, citing AHRQ publication, Guide to Patient Safety Indicators, version 2.1, revision 3, as published on AHRQ Web site; cites article by Grobman, Feinglass, and Murthy (Am J Obstet Gynecol, 2006), using AHRQ's obstetric trauma indicators.] Select to access the abstract.

Anesthesiology
Bateman BT, Schmidt U, Berman MF, et al. Temporal trends in the epidemiology of severe postoperative sepsis after elective surgery: a large, nationwide sample. Anesthesiology 2010 Apr; 112(4):917-25. [Uses 1997-2006 HCUP NIS data, citing 1997-2006 HCUP NIS data and 1997-2006 HCUP Clinical Classification Software (CCS) for ICD-9-CM; uses AHRQ's patient safety indicator measure of postoperative sepsis, citing AHRQ publication, Patient Safety Indicators Download: AHRQ Quality Indicators, 2007.] Select to access the abstract.

Annals of Internal Medicine
Smith-Spangler CM, Juusola JL, Enns EA, et al. Population strategies to decrease sodium intake and the burden of cardiovascular disease: a cost-effectiveness analysis. Ann Intern Med 2010 Apr 20; 152(8):481-7, W170-W173. [Uses 2006 MEPS data, citing MEPS, Household Component, 2006 full year consolidated data file, HC-105, as published on AHRQ's MEPS Web site.] Select to access the abstract.

Annals of Surgery
Son JK, Lillehei CW, Gauvreau K, et al. A risk adjustment method for newborns undergoing noncardiac surgery. Ann Surg 2010 Apr; 251(4):754-8. [Uses 2000 and 2003 HCUP Kids' Inpatient Database (KID) data, citing 2001 HCUP KID data.] Select to access the abstract.

Archives of Internal Medicine
Chen LM, Jha AK, Guterman S, et a. Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? Arch Intern Med 2010 Feb 22; 170(4):340-6. [Uses AHRQ's Elixhauser Cormorbidity Index (Elixhauser et al., Med Care, 1998); cites Medicare hospital discharge data from AHRQ's HCUPnet Web site and AHRQ-funded article by McCormick et al. (Am J Med, 1991).] Select to access the abstract.

Archives of Otolaryngology, Head and Neck Surgery
Shah RK, Patel A, Lander L, et al. Management of foreign bodies obstructing the airway in children. Arch Otolaryngol Head Neck Surg 2010 Apr; 136(4):373-9. [Uses 2003 HCUP KID data, as published on AHRQ's HCUP Web site.] Select to access the abstract.

Archives of Surgery
Friedman AL, Cheung K, Roman SA, et al. Early clinical and economic outcomes of patients undergoing living donor nephrectomy in the United States. Arch Surg 2010 Apr; 145(4):356-62. [Uses 1999-2005 HCUP NIS data, as published on AHRQ's HCUP Web site.] Select to access the abstract.

British Medical Journal
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ 2010 Apr 17; 340(7751):861-3. [Uses the "top 25 diagnosis... that in 2006-2007 led to the largest number of deaths in the trust "from AHRQ's "Clinical Classification System", citing AHRQ publication, Clinical Classifications for Health Policy Research: Discharge Statistics by Principal Diagnosis Procedure, Provider Studies Research Note 17, 1993; cites AHRQ clinical practice guidelines archive as published on AHRQ Web site.] Select to access the abstract.

Gastroenterology Nursing
Ellett ML. A literature review of the safety and efficacy of using propofol for sedation in endoscopy. Gastroenterol Nurs 2010 Mar-Apr; 33(2):111-17. [Uses AHRQ's National Guideline Clearinghouse™ for literature review on "evidence regarding sedation medications including propofol".] Select to access the abstract.

Prehospital and Disaster Medicine
Cliff BJ, Morlock L, Curtis AB. Is there an association between risk perception and disaster preparedness in rural US hospitals? Prehosp Disaster Med 2009 Nov-Dec; 24(6):512-17. [Uses adaptation of an AHRQ data collection tool developed "to assess the capacity of hospitals and health systems to respond to a disaster", citing AHRQ publications, Bioterrorism Emergency Planning and Preparedness Questionnaire for Healthcare Facilities, 2001, Bioterrorism Emergency Planning and Preparedness Questionnaire for Healthcare Facilities, 2002, and Preparedness Questionnaire for Healthcare Facilities, 2005, all published on AHRQ Web site; cites AHRQ publication, Surge Capacity: Education and Training for a Qualified Workforce, 2006, as published on AHRQ Web site; notes that "the AHRQ framework represented an excellent measurement tool and should be considered as a consistent standard"; acknowledges the utilization of study data originally collected as part of a larger project funded by grant 5 R01 HS11444. Also refer to the article by Kahn et al. (Lancet, 2010), cited in U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles.] Select to access the abstract.