Advancing the Science of Patient Safety

Articles of Interest: May 20, 2011

A weekly compilation of articles appearing in recently released journals and newsletters, including articles funded by AHRQ or authored by AHRQ researchers, mentioning or discussing AHRQ staff, activities, and publications/products, or other research using AHRQ data or products.

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

Annals of Internal Medicine
Shekelle PG, Pronovost PJ, Wachter RM, et al. Advancing the science of patient safety. Ann Intern Med 2011 May 17; 154(10):693-6. [Supported by contract HHSA-290-2009-10001C and based on AHRQ contract final report, Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria, 2010, which was the result of an AHRQ-convened "panel of international experts in patient safety who reviewed the literature and discussed how to improve the conduct and reporting of patient safety interventions."] Select to access the abstract.

Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med 2011 May 17; 154(10):699-701. [First author is AHRQ director; comments on article by Shekelle et al. cited above; discusses AHRQ's Reengineered Discharge program (Project RED) and cites AHRQ contract final report, Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria, 2010.]

BMJ Quality and Safety
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research. BMJ Qual Saf 2011 Apr 13. [Epub ahead of print. Supported by contract HHSA-290-2009-10001C and based on AHRQ contract final report, Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria, 2010; cites AHRQ Evidence Report/Technology Assessments, Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001, and Costs and Benefits of Health Information Technology, 2006.] Select to access the abstract.

Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf 2011 May; 20(5):453-9. [Supported by contract HHSA-290-2009-10001C and based on AHRQ contract final report, Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria, 2010; cites AHRQ technical review, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, 2004.] Select to access the abstract.

AHRQ-Related Articles

American Journal of Geriatric Psychiatry
Giyeon K, DeCoster J, Chiriboga DA, et al. Associations between self-rated mental health and psychiatric disorders among older adults: do racial/ethnic differences exist? Am J Geriatr Psychiatry 2011 May; 19(5):416-22. [Mentions the recent inclusion of self-rated mental health measures in AHRQ's Medical Expenditure Panel Survey (MEPS); cites AHRQ-authored articles by Fleishman and Zuvekas (Med Care, 2007) and Zuvekas and Fleishman (Med Care, 2008).]

American Journal of Health Promotion
Fernander A, Resnicow K, Viswanath K, et al. Cigarette smoking interventions among diverse populations. Am J Health Promot 2011 May-Jun; 25(5Suppl);S1-S4. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.]

Warner KE. Disparities in smoking are complicated and consequential: what to do about them? Am J Health Promot 2011 May-Jun; 25(5Suppl);S5-S7. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.]

Cox LS, Okuyemi K, Choi WS, et al. A review of tobacco use treatments in U.S. ethnic minority populations. Am J Health Promot 2011 May-Jun; 25(5Suppl);S11-S30. [Cites article by Borrelli et al. (Prev Med, 2005) which uses AHRQ-sponsored smoking cessation guidelines as study intervention.] Select to access the abstract.

Morris CD, May MG, Devine K, et al. Multiple perspectives on tobacco use among youth with mental health disorders and addictions. Am J Health Promot 2011 May-Jun; 25(5Suppl);S31-S37. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Zhu SH, Gardiner P, Cummins S, et al. Quitline utilization rates of African-American and white smokers: the California experience. Am J Health Promot 2011 May-Jun; 25(5Suppl);S51-S58. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Burns EK, Deaton EA, Levinson AH. Rates and reasons: disparities in low intentions to use a state smoking cessation quitline. Am J Health Promot 2011 May-Jun; 25(5Suppl);S59-S65. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Tong EK, Tang H, Chen MS Jr, et al. Provider smoking cessation advice among California Asian-American smokers. Am J Health Promot 2011 May-Jun; 25(5Suppl);S70-S74. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Cluss PA, Levine MD, Landsittel D. The Pittsburgh STOP Program: disseminating an evidence-informed intervention for low-income pregnant smokers. Am J Health Promot 2011 May-Jun; 25(5Suppl);S75-S81. [Cites AHRQ-sponsored guideline, Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Brothers BM, Borrelli B. Motivating Latino smokers to quit: does type of social support matter? Am J Health Promot 2011 May-Jun; 25(5Suppl);S96-S102. [Cites AHRQ-sponsored guideline summary Treating Tobacco Use and Dependence, 2000, as published in article by Fiore et al. (JAMA, 2000).] Select to access the abstract.

American Journal of Medical Quality
Carney BT, West P, Neily J, et al. Changing perceptions of safety climate in the operating room with the Veterans Health Administration Medical Team Training program. Am J Med Qual 2011 May-Jun; 26(3):181-4. [Cites AHRQ-funded articles by Sexton et al. (BMC Health Serv Res, 2006, Anesthesiology, 2006, and J Perinatol, 2006) and Makary et al. (J Am Coll Surg, 2006).] Select to access the abstract.

Fahy BG, Bowe EA, Conigliaro J. Perioperative antibiotic process improvement reaps rewards. Am J Med Qual 2011 May-Jun; 26(3):185-92. [Cites AHRQ-funded articles by Rosenthal and Dudley (JAMA, 2007) and Classen et al. (N Engl J Med, 1992).] Select to access the abstract.

Abraham J, Wade DM, O'Connell KA, et al. The use of simulation training in teaching health care quality and safety: an annotated bibliography. Am J Med Qual 2011 May-Jun; 26(3):229-38. [Cites and summarizes AHRQ-authored articles by Battles et al. {Qual Saf Health Care, 2004) and Clancy (AORN J, 2008).]

Canadian Journal of Public Health
Allard R, Gratton J, Marcotte, L, et al. Trends in duration of hospitalization for patients with tuberculosis in Montreal, Canada from 1993 to 2007. Canad J Public Health, 2011 Mar-Apr 2011, 102(2):108-11. [Cites AHRQ publication, Tuberculosis Stays in U.S. Hospitals, 2006, HCUP Statistical Brief 60, 2008.]

JAMA
Lilly CM, Cody S, Zhao H, et al. Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. JAMA 2011 May 16. [Epub ahead of print. Cites AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006).] Select to access the abstract.

Pediatric Nursing
Krenitsky-Korn S. High school students with asthma: attitudes about school health, absenteeism, and its impact on academic achievement. Pediatr Nurs 2011 Mar-Apr; 37(2):61-8. [Cites "AHRQ Medical Expenditure Panel Survey," in AHRQ Research Activities, 2000.]

Golterman L, Banasiak NC. Evaluating Web sites: reliable child health resources for parents. Pediatr Nurs 2011 Mar-Apr; 37(2):81-3. [Cites AHRQ/Mitretek Systems publication, Assessing the Quality of Internet Health Information. Summary, as published on AHRQ Web site.]

Women & Health
Betancourt H, Flynn P, Ormseth SR. Healthcare mistreatment and continuity of cancer screening among Latino and Anglo American women in southern California. Women Health 2011 Jan-Feb; 51(1):1-24. [Cites AHRQ-authored article by Zuvekas and Taliaferro (Health Aff, 2003).] Select to access the abstract.

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

Mayo Clinic Proceedings
Mintz ML, Yawn BP, Mannino DM, et al. Prevalence of airway obstruction assessed by lung function questionnaire. Mayo Clin Proc 2011 May; 86(5):375-81. [Notes that "on the basis of the [AHRQ] evidence report and the recommendations of the [USPSTF], most organizations no longer recommend this approach of universal screening, citing USPSTF recommendations on screening for chronic obstructive pulmonary disease using spirometry and associated evidence summary (both in Ann Intern Med, 2008) and AHRQ Evidence Report/Technology Assessment, Use of Spirometry for Case Finding, Diagnosis, and Management of Chronic Obstructive Pulmonary Disease, 2005.] Select to access the abstract.

Evidence-based Practice Centers-Related Articles

American Journal of Medical Quality
Schleyer AM, Schreuder AB, Jarman KM, et al. Adherence to guideline-directed venous thromboembolism prophylaxis among medical and surgical inpatients at 33 academic medical centers in the United States. Am J Med Qual 2011 May-Jun; 26(3):174-80. [Cites AHRQ Evidence Report/Technology Assessment, Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001.] Select to access the abstract.

Annals of Internal Medicine
Abou-Setta AM, Beaupre LA, Rashiq S, et al. Comparative effectiveness of pain management interventions for hip fracture: a systematic review. Ann Intern Med 2011 May 16. [Epub ahead of print. Supported by contract HHSA 290-2007-10021; summarizes methodologies used in and findings from AHRQ research protocol document Comparative Effectiveness of Pain Management Interventions for Hip Fracture, 2009, prepared by the University of Alberta Evidence-based Practice Center (EPC) under contract 290-02-0023; uses methodological approaches outlined in the AHRQ Methods Guide for Effectiveness and Comparative Effectiveness Reviews.] Select to access the abstract.

Hussain AA. Meaningful use of information technology: a local perspective. Ann Intern Med 2011 May 17; 154(10):690-2. [Cites AHRQ Evidence Report/Technology Assessment, Costs and Benefits of Health Information Technology, 2006, and AHRQ-sponsored systematic review by Chaudhry et al. (Ann Intern Med, 2006) on the impact of health information on quality, efficiency, and costs of medical care, prepared by the Southern California EPC.] Select to access the abstract.

BMJ Quality and Safety
Render ML, Hasselbeck R, Freyberg RW, et al. Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement. BMJ Qual Saf 2011 Apr 2. [Epub ahead of print. Cites AHRQ Evidence Report/Technology Assessment, Making Health Care Safer: A Critical Analysis of Patient Safety Practices, 2001, and AHRQ-funded article by Pronovost et al. (N Engl J Med, 2006).] Select to access the abstract.

Drug Topics
Nykamp D, Schneider TE. Dietary supplements and patient counseling. Drug Topics 2011 Apr; 155(4):46-57. [Cites AHRQ evidence report summary Melatonin for Treatment of Sleep Disorders, 2004, as published on AHRQ Web site.]

Emergency Medicine Reports
Arsove P. Vaginal bleeding in the nonpregnant patient. Emerg Med Rep 2011 Apr 25; 32(10):117-27. [Cites AHRQ Evidence Report/Technology Assessment, Management of Uterine Fibroids: An Update of the Evidence, Structured Abstract, 2007, as published on AHRQ Web site.]

Health & Social Work
Liechty JM. Health literacy: critical opportunities for social work leadership in health care and research. Health Soc Work 2011 May; 36(2):99-107. [Cites AHRQ Evidence Report/Technology Assessment, Literacy and Health Outcomes, 2004, and AHRQ publication, Health Literacy Universal Precautions Toolkit, 2010.]

Mayo Clinic Proceedings
Meltzer EO, Hamilos DL. Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines. May Clin Proc 2011 May; 86(5):427-43. [Cites AHRQ Evidence Report/Technology Assessment, Update on Acute Bacterial Rhinosinusitis, 2005, and article by Benninger et al. (Otolaryngol Head Neck Surg, 2000) which summarizes the AHRQ evidence report/technology assessment Diagnosis and Treatment of Uncomplicated Acute Bacterial Rhinosinusitis, 1999.] Select to access the abstract.

Nursing Economics
Bobay KL, Yakusheva O, Weiss ME. Outcomes and cost analysis of the impact of unit-level nurse staffing on post-discharge utilization, Nurs Econ 2011 Mar-Apr; 29(2):69-78, 87. [Cites AHRQ Evidence Report/Technology Assessment, Nurse Staffing and Quality of Patient Care, 2007. Also refer to AHRQ-funded articles by Ovretveit et al. and Foy et al. (BMJ Qual Saf, 2011) cited in AHRQ-Funded/Authored Articles and article by Mintz et al. (Mayo Clin Proc, 2011) cited in U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles.]

Research By Others Using AHRQ Data or Products

Accident Analysis and Prevention
Peek-Asa C, Yang J, Ramirez M, et al. Factors affecting hospital charges and length of stay from teenage motor vehicle crash-related hospitalizations among United States teenagers, 2002-2007. Accid Anal Prev 2011 May; 43(3):595-600. [Uses 2002-2007 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) data and AHRQ's Clinical Classifications Software (CCS).] Select to access the abstract.

American Journal of Medical Quality
Donahue M, Miller M, Smith L, et al. A leadership initiative to improve communication and enhance safety. Am J Med Qual 2011 May-Jun; 26(3):206-11. [Uses AHRQ's Hospital Survey on Patient Safety Culture; cites AHRQ-funded Institute of Medicine report, Keeping Patients Safe: Transforming the Work Environment of Nurses, 2003.]

Borders TF, Lensing S, Xu KT. Health confidence and racial and ethnic disparities in consumers' assessments of health care. Am J Med Qual 2011 May-Jun; 26(3):220-38. [Uses 2005 MEPS data and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey questions, citing AHRQ publications, Instructions for Analyzing Data from CAHPS® Surveys: using the CAHPS® Analysis Program Version 3.6 and CAHPS® Surveys and Tools to Advance Patient-Centered Care, as published on AHRQ's CAHPS® Web site.] Select to access the abstract.

Annals of Surgical Oncology
Robinson CN, Chen GJ, Balentine CJ, et al. Minimally invasive surgery is underutilized for colon cancer. Ann Surg Oncol 2011 May; 18(5):1412-18. [Uses 2005-2007 HCUP NIS data.] Select to access the abstract.

Annals of Thoracic Surgery
Rhamidipati CM, La Par DJ, Mehta GS, et al. Have thoracic endografting outcomes improved since US Food and Drug Administration approval? Ann Thorac Surg 2011 May; 91(5):1314-22. [Uses 2005-2007 HCUP NIS data as published on AHRQ's HCUP Web site and uses AHRQ's Elixhauser comorbidity measures (Elixhauser et al., Med Care, 1998).] Select to access the abstract.

ASPE Research Brief
The value of health insurance: few of AHRQ-Funded/Authored Articles Advances in Skin and Wound Care Sharkey S, Hudak S, Horn SD, Spector W. Leveraging certified nursing assistant documentation and knowledge to improve clinical decision making: the on-time quality improvement the uninsured have adequate resources to pay potential hospital bills. ASPE Res Brief 2011 May. Online. [Uses 2006-2007 MEPS data, the analysis of which was performed by Jessica Banthin and Didem Bernard (researchers in AHRQ's Center for Financing, Access, and Cost Trends) using methods described in AHRQ-authored article by Bernard et al. (Health Aff, 2009), and uses 2008 HCUP NIS data.]

Journal of Hand Surgery
Barzin A, Hernandez-Boussard T, Lee GK, et al. Adverse events following digital replantation in the elderly. J Hand Surg 2011 May; 36(5):870-4. [Uses 1998-2007 HCUP NIS data and AHRQ's Patient Safety Indicators.] Select to access the abstract.

Journal of Nursing Administration
Hickey PA, Gauvreau K, Jenkins K, et al. Statewide and national impact of California's staffing law on pediatric cardiac surgery outcomes. J Nurs Admin 2011 May; 41(5):218-25. [Uses 2003-2006 HCUP Kids' Inpatient Database (KID) data.] Select to access the abstract.

Page last reviewed May 2011
Internet Citation: Advancing the Science of Patient Safety: Articles of Interest: May 20, 2011. May 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsroom/articles-of-interest/052011.html