Special Article
The Quality of Health Care Delivered to Adults in the United States
N Engl J Med 2003; 348:2635-2645June 26, 2003DOI: 10.1056/NEJMsa022615
- Abstract
Background
We have little systematic information about the extent to which standard processes involved in health care — a key element of quality — are delivered in the United States.
Methods
We telephoned a random sample of adults living in 12 metropolitan areas in the United States and asked them about selected health care experiences. We also received written consent to copy their medical records for the most recent two-year period and used this information to evaluate performance on 439 indicators of quality of care for 30 acute and chronic conditions as well as preventive care. We then constructed aggregate scores.
Results
Participants received 54.9 percent (95 percent confidence interval, 54.3 to 55.5) of recommended care. We found little difference among the proportion of recommended preventive care provided (54.9 percent), the proportion of recommended acute care provided (53.5 percent), and the proportion of recommended care provided for chronic conditions (56.1 percent). Among different medical functions, adherence to the processes involved in care ranged from 52.2 percent for screening to 58.5 percent for follow-up care. Quality varied substantially according to the particular medical condition, ranging from 78.7 percent of recommended care (95 percent confidence interval, 73.3 to 84.2) for senile cataract to 10.5 percent of recommended care (95 percent confidence interval, 6.8 to 14.6) for alcohol dependence.
Conclusions
The deficits we have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public. Strategies to reduce these deficits in care are warranted.
Media in This Article
Table 1
Selected Quality-of-Care Indicators and Classifications Used in the Community Quality Index Study.Table 2
Characteristics of the 6712 Participants.Article Activity
- Article
The degree to which health care in the United States is consistent with basic quality standards is largely unknown.1,2 Although previous studies have documented serious quality deficits, they provide a limited perspective on the issue.3-5 Most have assessed a single condition,6,7 a small number of indicators of quality,8,9 persons with a single type of insurance coverage,10 or persons receiving care in a small geographic area.11,12 The few national studies have been limited to specific segments of the population, such as Medicare beneficiaries13-15 or enrollees in managed-care plans16; have focused on a limited set of topics, such as preventive care,17 diabetes,18 or human immunodeficiency virus19; or have assessed health outcomes without a link to specific processes involved in care.20 As a result, we have no comprehensive view of the level of quality of care given to the average person in the United States. This information gap contributes to a persistent belief that quality is not a serious national problem.1
In this article, we report results from the Community Quality Index (CQI) study, a collateral study of the Community Tracking Study (CTS).21 The CTS, conducted by the Center for Studying Health System Change (CSHSC), monitors changes in health care markets in the United States. The CTS obtains self-reported information from a random sample of the U.S. population on their insurance coverage, patterns of utilization of health care services, and health status. The CSHSC has reported on trends in health care costs,22 factors affecting the choice of employer-sponsored or public insurance,23 and changes in the structure of managed-care plans.24 However, the CTS lacks detailed information about the implications of these variations in health care markets for the quality of health care. By collaborating with the CSHSC, we were able to assess the extent to which the recommended processes of medical care — one critical dimension of quality — are delivered to a representative sample of the U.S. population for a broad spectrum of conditions.
Methods
Recruitment of Participants
In 12 metropolitan areas (Boston; Cleveland; Greenville, S.C.; Indianapolis; Lansing, Mich.; Little Rock, Ark.; Miami; Newark, N.J.; Orange County, Calif.; Phoenix, Ariz.; Seattle; and Syracuse, N.Y.), using random-digit-dial telephone surveys, the CTS deliberately recruited enough participants to assess how structural characteristics in each market (e.g., the penetration of managed care) affect patterns of access to and utilization of health care services. Between October 1998 and August 2000, we recontacted by telephone households that had participated in the CTS interviews. Participants were asked to complete a telephone interview regarding their health history and to provide a listing of all individual or institutional health care providers whom they had seen during the previous two years. Participants who orally agreed to provide access to their medical records were sent written consent forms to sign and return to RAND. Photocopies of the medical records of participants providing written consent were sent to RAND for central abstracting.
Response Rates
Because of the complex, multistage nature of the study design, several calculations of the response rate are provided. Among the 20,028 adults in the initial sample, 2091 (10 percent) were deemed ineligible, primarily because they had left the area. Among the 17,937 eligible adults, 13,275 (74 percent) participated in the telephone interview regarding their health history, including 863 (7 percent) who had had no visits to a health care provider during the previous two years. Among the 12,412 participants who had had visits, 10,404 (84 percent) agreed orally to provide access to their medical records. We obtained written consent from 7528 (61 percent of those with visits to a provider). Participants reported having seen between 1 and 17 providers (mean, 2.6) during the study period. We obtained at least one record for 6712 (89 percent) of those who returned their consent forms. Overall, we received 84 percent of the records for which we had consent forms; we received all expected records for 4612 of the 6712 participants with consent forms and records (69 percent) and all but one record for 1547 of these participants (23 percent). Sensitivity analyses revealed few differences in results related to the completeness of records, so all participants for whom we obtained at least one record were included in the results we report (37 percent of the sample of eligible adults).
Development of Indicators of Quality
The indicators of quality used in the study were derived from RAND's Quality Assessment Tools system.25 RAND staff members selected acute and chronic conditions that represented the leading causes of illness, death, and utilization of health care in each age group, as well as preventive care related to these causes. For each condition, staff physicians reviewed established national guidelines and the medical literature and proposed indicators of quality for all phases of care or medical functions (screening, diagnosis, treatment, and follow-up). We developed indicators to assess potential problems with the overuse and underuse of key processes. We primarily chose measures of processes as indicators, because they represent the activities that clinicians control most directly, because they do not generally require risk adjustment beyond the specification of eligibility, and because they are consistent with the structure of national guidelines.5,26
Four nine-member, multispecialty expert panels were convened to assess the validity of the indicators proposed by the staff, using the RAND–UCLA modified Delphi method.27 The members of the panels, nominated by the appropriate specialty societies, were diverse with respect to geography, practice setting, and sex. Indicators were rated on a 9-point scale (with 1 denoting not valid and 9 very valid). Only indicators with a median validity score of 7 or higher were included in the Quality Assessment Tools system. This method of selecting indicators is reliable28 and has been shown to have content, construct, and predictive validity in other applications.29-32
The criteria for the selection of conditions, reviews of the literature, the process followed by the panels, and the final indicators have been published elsewhere.33-36 (Further information on all the quality indicators used in this study is available at http://www.rand.org/health/mcglynn_appa.pdf or from the National Auxiliary Publications Service [NAPS].) Table 1Table 1
Selected Quality-of-Care Indicators and Classifications Used in the Community Quality Index Study. provides a brief description and classifications for a sample of the indicators we used. The classifications enabled us to examine quality from the perspective of what is being done (type of care), why it is being done (function), how it is being delivered (mode), and the nature of the quality problem (underuse or overuse). Results are based on 439 indicators for 30 conditions and preventive care.Health History Interview
We obtained selective information directly from respondents to augment information in their medical records. The health history took an average of 13 minutes to complete. The data obtained in this interview were used to refine the analysis of a respondent's eligibility for inclusion in the analysis or to augment the scoring for 22 of the 439 indicators. For example, we used reports of symptoms from participants with asthma to classify those with moderate-to-severe disease. We augmented scores for influenza or pneumococcal immunizations and screening for cancer on the basis of self-reports.
Abstracting of Charts
We developed computer-assisted abstraction software on a Visual Basic platform (version 6.0, Microsoft). The software allowed the manual abstraction of charts to be tailored to the specific record being reviewed and provided interactive checks of the quality of the data (for consistency and range), calculations (e.g., the determination of the presence of high blood pressure), and classifications (e.g., the determination of drug class) during abstraction.
Data for the study were abstracted by 20 trained registered nurses who had successfully abstracted a complex standard chart after a two-week training program. Charts were abstracted separately for each health care provider of each participant (i.e., at the dyad level). The average time required to abstract a chart for a participant–provider dyad was 50 minutes.
To assess interrater reliability, we re-abstracted charts from a randomly selected 4 percent sample of participants. Average reliability, with the use of the kappa statistic, ranged from substantial to almost perfect37 at three levels: the presence or absence of a given condition (κ=0.83), the participant's eligibility for the process represented by a given indicator (κ=0.76), and scoring of a given indicator (κ=0.80).
Statistical Analysis
We specified the combination of variables necessary to determine whether each participant was or was not eligible for the process specified by each indicator and whether each participant did or did not receive each process or some proportion of it. Each indicator was scored at one of three levels — that of the individual participant, that of the participant–provider dyad, or that of the episode — depending on the nature of the process being evaluated. The level at which an indicator was scored affected the number of times a participant was eligible for the specified process; the resulting number served as the denominator in the calculation of the aggregate score. For participant-level indicators, we gave the participant a score of “pass” if at least one of his or her health care providers had delivered the indicated care (e.g., influenza vaccination). For indicators scored at the level of the participant–provider dyad (e.g., smoking status noted in the chart), we scored every dyad separately, so the number of times the participant was counted in the denominator depended on the number of providers who saw the participant and could have performed the specified process. For indicators scored at the episode level (e.g., follow-up after hospitalization for an exacerbation of asthma), we scored every event rendering the participant eligible for the specified process and involving any of the participant's providers, so the number of eligibility events depended on the number of episodes that occurred.
In order to produce aggregate scores, we divided all instances in which recommended care was delivered by the number of times participants were eligible for indicators in the category. For example, Table 1 presents information about seven of the indicators for acute care; the number of times participants were eligible for these indicators would constitute the denominator for the acute care score. The results are presented as proportions, theoretically ranging in value from 0 to 100 percent. We used the bootstrap method to estimate standard errors directly for all the aggregate scores.38
Because everyone in the initial sample for the CQI study had participated in the CTS, we had a rich set of variables for assessing nonresponse. We used logistic-regression analysis to estimate the relations between individual characteristics (age, sex, race, educational level, income, self-reported level of use of physicians and hospitals, insurance status, and health status) and participation in the study. In general, participants tended to be older than nonparticipants (P<0.001) and were more likely than nonparticipants to be female (P<0.001) and white (P<0.001), with higher levels of education (P<0.001) and income (P<0.001). They were also more likely to have used health care services (P<0.001) and to be in other than excellent health (P=0.03). We used the coefficients from the regression equation to adjust the scores for nonresponse, and we weighted the data for the participants to be representative of the population from which they were drawn.
Results
Characteristics of the Participants
Table 2Table 2
Characteristics of the 6712 Participants. summarizes the characteristics of the participants; these characteristics differ from population averages but parallel the profile of persons receiving medical care. For example, the average age of patients in the National Ambulatory Medical Care Survey39 is 44.7 years. Women have higher rates of visits than men (319.9 vs. 234.9 visits per 100 persons per year), and whites have higher rates of visits than blacks (293.2 vs. 210.7 visits per 100 persons per year).39 Participants were well educated. Forty-three percent had one or more of the chronic conditions we assessed, and 34 percent had one or more of the acute conditions. Preventive care was assessed for all participants; in addition, participants' care was assessed for 1.5 chronic or acute conditions, on average, for a total of 2.5 (range, 1 to 13). Participants were included in the overall denominator an average of 16 times (range, 2 to 304).Analysis of Care Delivered
Table 3Table 3
Adherence to Quality Indicators, Overall and According to Type of Care and Function., Table 4Table 4
Adherence to Quality Indicators, According to Mode., and Table 5Table 5
Adherence to Quality Indicators, According to Condition. show the number of indicators included in the aggregate score, the number of persons eligible for one or more processes within the category, the number of times participants in the sample were eligible for indicators, and the weighted mean proportion (and 95 percent confidence interval) of recommended processes that were delivered.Overall, participants received 54.9 percent of recommended care (95 percent confidence interval, 54.3 to 55.5) (Table 3). This level of performance was similar in the areas of preventive care, acute care, and care for chronic conditions. The level of performance according to the particular medical function ranged from 52.2 percent (95 percent confidence interval, 51.3 to 53.2) for screening to 58.5 percent (95 percent confidence interval, 56.6 to 60.4) for follow-up care.
“Mode” refers to the mechanism of care delivery required for the provision of the indicated process. Analysis of performance in terms of mode may identify areas in which system-wide interventions could offer solutions to problems of quality, such as improved methods for ordering, processing, and communicating laboratory results. We found greater variation among modes than among functions in adherence to the processes we studied (Table 4). Care requiring an encounter or other intervention (e.g., the annual visit recommended for patients with hypertension) had the highest rates of adherence (73.4 percent [95 percent confidence interval, 71.5 to 75.3]), and processes involving counseling or education (e.g., advising smokers with chronic obstructive pulmonary disease to quit smoking) had the lowest rates of adherence (18.3 percent [95 percent confidence interval, 16.7 to 20.0]). All pairwise differences were statistically significant at P<0.001 except those between the prescribing of medication and care requiring an encounter or other intervention (P=0.02), physical examination and immunization (P=0.001), surgery and immunization (P=0.004), and surgery and physical examination (P=0.05). The difference between surgery and laboratory testing or radiography was not significant (P=0.39).
Problems with Quality of Care
We also classified indicators according to the problem with quality that was deemed most likely to occur, and we found greater problems with underuse (46.3 percent of participants did not receive recommended care [95 percent confidence interval, 45.8 to 46.8]) than with overuse (11.3 percent of participants received care that was not recommended and was potentially harmful [95 percent confidence interval, 10.2 to 12.4]).
Variations in Quality
Table 5 shows substantial variability in the quality-of-care scores for the 25 conditions for which at least 100 persons were eligible for analysis. Persons with senile cataracts received 78.7 percent of the recommended care (95 percent confidence interval, 73.3 to 84.2); persons with alcohol dependence received 10.5 percent of the recommended care (95 percent confidence interval, 6.8 to 14.6). The aggregate scores for individual conditions were generally not sensitive to the presence or absence of any single indicator of quality.
Discussion
Overall, participants received about half of the recommended processes involved in care. These deficits in care have important implications for the health of the American public. For example, only 24 percent of participants in our study who had diabetes received three or more glycosylated hemoglobin tests over a two-year period. This finding parallels the finding by Saaddine and colleagues that 29 percent of adults with diabetes who participated in the nationally representative Behavioral Risk Factor Surveillance System reported having their blood sugar tested during the previous year.18 This routine monitoring is essential to the assessment of the effectiveness of treatment, to ensuring appropriate responses to poor glycemic control, and to the identification of complications of the disease at an early stage so that serious consequences may be prevented. In the United Kingdom Prospective Diabetes Study, tight blood glucose control and biannual monitoring decreased the risk of microvascular complications by 25 percent.40
In our study, persons with hypertension received 64.7 percent of the recommended care (95 percent confidence interval, 62.6 to 66.7). We have previously demonstrated a link between blood-pressure control and adherence to process-related measures of quality of care for hypertension.41 Persons whose blood pressure is persistently above normal are at increased risk for heart disease, stroke, and death.42 Poor blood-pressure control contributes to more than 68,000 preventable deaths annually.43
Overall, 68.0 percent (95 percent confidence interval, 64.2 to 71.8) of the recommended care for coronary artery disease was received, but only 45 percent of persons presenting with a myocardial infarction received beta-blockers, which reduce the risk of death by 13 percent during the first week of treatment and by 23 percent over the long term.44 Only 61 percent of participants with a myocardial infarction who were appropriate candidates for aspirin therapy received aspirin, which has been shown in randomized trials to reduce the risk of death from vascular causes by 15 percent, to reduce the risk of nonfatal myocardial infarction by 30 percent, and to reduce the risk of nonfatal stroke by 40 percent.45
Deficits in processes involved in primary and secondary preventive care are also associated with preventable deaths. Among elderly participants, only 64 percent had received or been offered a pneumococcal vaccine; nearly 10,000 deaths from pneumonia could be prevented annually by appropriate vaccinations.43 About 38 percent of participants had been screened for colorectal cancer; annual fecal occult-blood tests could prevent about 9600 deaths annually.43
Nonresponse bias is a potential limitation of the study. Because the sample we analyzed included 37 percent of the eligible adults, the results are likely to be biased, but the direction of that bias is not clear. For example, because our participants were more likely to use the health care system than were eligible persons who did not participate in the study, our results may be biased toward an underestimation of deficits in quality related to underuse.
The study relied primarily on the review of medical records to score indicators, which may lead some to conclude that we have identified problems with documentation rather than quality. This issue has been examined in studies that compared process-based quality scores using standardized patients, vignettes, and abstraction of medical records46 and studies that compared standardized patients with audiotapes of encounters.47 Overall, the process scores among the four conditions studied were 5 percentage points lower with the use of medical records than with the use of vignettes and 10 percentage points lower with the use of medical records than with the use of standardized patients. About two thirds of the disagreement between data from standardized patients and data from audiotapes was attributable to reports by standardized patients that they received care processes that were not confirmed by audiotape. A related study reported a false positive rate of 6.4 percent in medical-record documentation, with the highest false positive rates found for physical examination and elements of the diagnostic process.48 Thus, our scores might have been as much as 10 percentage points higher if we had used a different method of obtaining data. We used the interview about the participant's health history to partially offset this effect. For example, among elderly participants, only 15 percent had a note in any chart indicating that an influenza vaccination had been received, but 85 percent reported having received one. In general, the inclusion of self-reported data improved scores.
Our results indicate that, on average, Americans receive about half of recommended medical care processes. Although this point estimate of the size of the quality problem may continue to be debated, the gap between what we know works and what is actually done is substantial enough to warrant attention. These deficits, which pose serious threats to the health and well-being of the U.S. public, persist despite initiatives by both the federal government and private health care delivery systems to improve care.
What can we do to break through this impasse? Given the complexity and diversity of the health care system, there will be no simple solution. A key component of any solution, however, is the routine availability of information on performance at all levels. Making such information available will require a major overhaul of our current health information systems, with a focus on automating the entry and retrieval of key data for clinical decision making and for the measurement and reporting of quality.49 Establishing a national base line for performance makes it possible to assess the effect of policy changes and to evaluate large-scale national, regional, state, or local efforts to improve quality.
Supported by the Robert Wood Johnson Foundation and by career development awards (to Drs. Asch and Kerr) from the Veterans Affairs Health Services Research and Development program.
NAPS See NAPS document no. 05610 for 50 pages of supplementary material. To order, contact NAPS, c/o Microfiche Publications, 248 Hempstead Tpke., West Hempstead, NY 11552.
We are indebted to Maureen Michael, James Knickman, and Robert Hughes at the Robert Wood Johnson Foundation for their support; to Paul Ginsburg at the Center for Studying Health System Change for his support of this collaboration; to Richard Strauss at Mathematica Policy Research for developing systems for passing the initial sample from the Community Tracking Study household survey to RAND for this study; to RAND's Survey Research Group (Josephine Levy and Laural Hill) and the telephone interviewers for recruiting participants; to Peggy Wallace, Karen Ricci, and Belle Griffin for their assistance in the design of the data-collection tool, for hiring and training the nurse abstractors, and for overseeing the data-collection process; to Liisa Hiatt for serving as the project manager; and to Vector Research for developing the data-collection software.
Source Information
From RAND, Santa Monica, Calif. (E.A.M., S.M.A., J.A., J.K., J.H., A.D.); the Veterans Affairs (VA) Greater Los Angeles Health Care System, Los Angeles (S.M.A.); the Department of Medicine, University of California Los Angeles, Los Angeles (S.M.A.); the VA Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, Mich. (E.A.K.); and the Department of Medicine, University of Michigan, Ann Arbor (E.A.K.).
Address reprint requests to Dr. McGlynn at RAND, 1700 Main St., P.O. Box 2138, Santa Monica, CA 90407, or at beth_mcglynn@rand.org.
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- Citing Articles (1153)
Citing Articles
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Scott M. Gilbert, Rodney L. Dunn, David C. Miller, Stephanie Daignault, Zaojun Ye, Brent K. Hollenbeck. (2008) Mortality After Urologic Cancer Surgery: Impact of Non-index Case Volume. Urology 71:5, 906-910
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Nsikak J. Umoh, Eddy Fan, Pedro A. Mendez-Tellez, Jonathan E. Sevransky, Cheryl R. Dennison, Carl Shanholtz, Peter J. Pronovost, Dale M. Needham. (2008) Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury*. Critical Care Medicine 36:5, 1463-1468
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Roberto B. Vargas, Loretta Jones, Chrystene Terry, Suzanne B. Nicholas, Joel Kopple, Nell Forge, Anne Griffin, Margo Louis, Lilly Barba, Linda Small, Keith C. Norris. (2008) Community-Partnered Approaches to Enhance Chronic Kidney Disease Awareness, Prevention, and Early Intervention. Advances in Chronic Kidney Disease 15:2, 153-161
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John A. Schneider, Qi Zhang, Andrew Auerbach, David Gonzales, Peter Kaboli, Jeffrey Schnipper, Tosha B. Wetterneck, David L. Pitrak, David O. Meltzer. (2008) Do Hospitalists or Physicians with Greater Inpatient HIV Experience Improve HIV Care in the Era of Highly Active Antiretroviral Therapy? Results from a Multicenter Trial of Academic Hospitalists. Clinical Infectious Diseases 46:7, 1085-1092
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Michelle D. Seelig, Wayne Katon. (2008) Gaps in Depression Care: Why Primary Care Physicians Should Hone Their Depression Screening, Diagnosis, and Management Skills. Journal of Occupational and Environmental Medicine 50:4, 451-458
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Scott M. Gilbert, Stephanie Daignault, Alon Z. Weizer, John T. Wei, Brent K. Hollenbeck. (2008) The use of tumor markers in testis cancer in the United States: A potential quality issue. Urologic Oncology: Seminars and Original Investigations 26:2, 153-157
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Marjorie L. Pearson, Valda V. Upenieks, Tracy Yee, Jack Needleman. (2008) Spreading Nursing Unit Innovation in Large Hospital Systems. JONA: The Journal of Nursing Administration 38:3, 146-152
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Moshe Hod, Linda Harnevo, Yossef Bahagon. Introduction to technological disease-management tools and eHealth networks:The future of better care delivery in diabetesand pregnancy. Informa Healthcare, 2008:439-452.
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Shamsuddin Akhtar, Sheriff Assaad, Muzna Amin, Natalie F. Holt, Paul G. Barash, David G. Silverman. (2008) Preoperative β-blocker use: impact of national guidelines on clinical practice. Journal of Clinical Anesthesia 20:2, 122-128
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D. L. Hershman, D. Buono, R. B. McBride, W. Y. Tsai, K. A. Joseph, V. R. Grann, J. S. Jacobson. (2008) Surgeon Characteristics and Receipt of Adjuvant Radiotherapy in Women With Breast Cancer. JNCI Journal of the National Cancer Institute 100:3, 199-206
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Joseph F. Sucher, Frederick A. Moore, S Rob Todd, R Matthew Sailors, Bruce A. McKinley. (2008) Computerized Clinical Decision Support: A Technology to Implement and Validate Evidence Based Guidelines. The Journal of Trauma: Injury, Infection, and Critical Care 64:2, 520-537
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Laurent G. Glance, Andrew Dick, Dana B. Mukamel, Yue Li, Turner M. Osler. (2008) Are High-Quality Cardiac Surgeons Less Likely to Operate on High-Risk Patients Compared to Low-Quality Surgeons? Evidence from New York State. Health Services Research 43:1p1, 300-312
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Randall T. Hayden, Donna J. Patterson, Dennis W. Jay, Carl Cross, Pamela Dotson, Robert E. Possel, Deo Kumar Srivastava, Joseph Mirro, Jerry L. Shenep. (2008) Computer-Assisted Bar-Coding System Significantly Reduces Clinical Laboratory Specimen Identification Errors in a Pediatric Oncology Hospital. The Journal of Pediatrics 152:2, 219-224
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Lisbeth Selby, Sunanda Kane, John Wilson, Purnima Balla, Brian Riff, Christopher Bingcang, Andrew Hoellein, Smita Pande, Willem J.S. de Villiers. (2008) Receipt of preventive health services by IBD patients is significantly lower than by primary care patients. Inflammatory Bowel Diseases 14:2, 253-258
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Katharine A. Bradley, Emily C. Williams, Carol E. Achtmeyer, Eric J. Hawkins, Alex H. S. Harris, Madeleine S. Frey, Thomas Craig, Daniel R. Kivlahan. (2007) Measuring Performance of Brief Alcohol Counseling in Medical Settings. Substance Abuse 28:4, 133-149
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Thomas Rosemann, Gunter Laux, Sabine Droesemeyer, Jochen Gensichen, Joachim Szecsenyi. (2007) Evaluation of a culturally adapted German version of the Patient Assessment of Chronic Illness Care (PACIC 5A) questionnaire in a sample of osteoarthritis patients. Journal of Evaluation in Clinical Practice 13:5, 806-813
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Rebecca S. Lipner, Weifeng Weng, Gerald K. Arnold, F Daniel Duffy, Lorna A. Lynn, Eric S. Holmboe. (2007) A Three-Part Model for Measuring Diabetes Care in Physician Practice. Academic Medicine 82:Suppl, S48-S52
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Michael F. Mulroy. (2007) A Brave New World. Regional Anesthesia and Pain Medicine 32:5, 406-411
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Daryl Jones, Helen Opdam, Moritoki Egi, Donna Goldsmith, Samantha Bates, Geoffrey Gutteridge, Andrea Kattula, Rinaldo Bellomo. (2007) Long-term effect of a Medical Emergency Team on mortality in a teaching hospital. Resuscitation 74:2, 235-241
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Daniel C. Vinson, Robin L. Kruse, J. Paul Seale. (2007) Simplifying Alcohol Assessment: Two Questions to Identify Alcohol Use Disorders. Alcoholism: Clinical and Experimental Research 31:8, 1392-1398
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Lynn Y. Kosowicz, Carol A. Pfeiffer, Maximilian Vargas. (2007) Long-term Retention of Smoking Cessation Counseling Skills Learned in the First Year of Medical School. Journal of General Internal Medicine 22:8, 1161-1165
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Senator Herb Kohl, William H. Shrank. (2007) Increasing Generic Drug Use in Medicare Part D: The Role of Government. Journal of the American Geriatrics Society 55:7, 1106-1109
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Richard W. Miles. (2007) Fallacious Reasoning and Complexity as Root Causes of Clinical Inertia. Journal of the American Medical Directors Association 8:6, 349-354
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Daniel Eisenberg, Ezra Golberstein, Sarah E. Gollust. (2007) Help-Seeking and Access to Mental Health Care in a University Student Population. Medical Care 45:7, 594-601
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Gregg C. Fonarow, Clyde W. Yancy, Nancy M. Albert, Anne B. Curtis, Wendy Gattis Stough, Mihai Gheorghiade, J. Thomas Heywood, Mandeep Mehra, Christopher M. O'Connor, Dwight Reynolds, Mary Norine Walsh. (2007) Improving the Use of Evidence-Based Heart Failure Therapies in the Outpatient Setting: The IMPROVE HF performance improvement registry. American Heart Journal 154:1, 12-38
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Georgia N.L. Johnston Polacek, Mary Carol Ramos, Robert L. Ferrer. (2007) Breast cancer disparities and decision-making among U.S. women. Patient Education and Counseling 65:2, 158-165
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Jessica Greene, Victoria W. Rogers, Michael J. Yedidia. (2007) The Impact of Implementing a Chronic Care Residency Training Initiative on Asthma Outcomes. Academic Medicine 82:2, 161-167
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William W. Stead. (2007) Rethinking Electronic Health Records to Better Achieve Quality and Safety Goals. Annual Review of Medicine 58:1, 35-47
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Jeffrey Braithwaite, Mary T. Westbrook, Joanne F. Travaglia, Rick Iedema, Nadine A. Mallock, Debbi Long, Peter Nugus, Rowena Forsyth, Christine Jorm, Marjorie Pawsey. (2007) Are health systems changing in support of patient safety?: A multi-methods evaluation of education, attitudes and practice. International Journal of Health Care Quality Assurance 20:7, 585-601
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Christine W Hartmann, Christopher N Sciamanna, Danielle C Blanch, Sarah Mui, Heather Lawless, Michael Manocchia, Rochelle K Rosen, Anthony Pietropaoli. (2007) A Website to Improve Asthma Care by Suggesting Patient Questions for Physicians: Qualitative Analysis of User Experiences. Journal of Medical Internet Research 9:1, e3
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David H Gustafson. (2007) A Good Death. Journal of Medical Internet Research 9:1, e6
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Theresa Mariero Olasveengen, Ann-Elin Tomlinson, Lars Wik, Kjetil Sunde, Petter Andreas Steen, Helge Myklebust, Jo Kramer-Johansen. (2007) A Failed Attempt to Improve Quality of Out-of-Hospital CPR Through Performance Evaluation. Prehospital Emergency Care 11:4, 427-433
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Gary Vorsanger, Jim Xiang, Donna Jordan, Jean Farrell. (2007) Post Hoc Analysis of a Randomized, Double-Blind, Placebo-Controlled Efficacy and Tolerability Study of Tramadol Extended Release for the Treatment of Osteoarthritis Pain in Geriatric Patients. Clinical Therapeutics 29:11, 2520-2535
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Steven R. Simon, Hector P. Rodriguez, Sumit R. Majumdar, Ken Kleinman, Cheryl Warner, Susanne Salem-Schatz, Irina Miroshnik, Stephen B. Soumerai, Lisa A. Prosser. (2007) Economic Analysis of a Randomized Trial of Academic Detailing Interventions to Improve Use of Antihypertensive Medications. The Journal of Clinical Hypertension 9:1, 15-20
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Elaine H. Morrato, Judy A. Staffa. (2007) Effectiveness of risk management plans: a case study of pemoline using pharmacy claims data. Pharmacoepidemiology and Drug Safety 16:1, 104-112
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Jochanan Benbassat, Reuben Baumal. (2007) Viewpoint: A Proposal for Teaching Basic Clinical Skills for Mastery: The Case Against Vertical Integration. Academic Medicine 82:1, 83-91
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Ramona O. Hopkins, Vicki J. Spuhler, George E. Thomsen. (2007) Transforming ICU Culture to Facilitate Early Mobility. Critical Care Clinics 23:1, 81-96
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David A. Taub, Rodney L. Dunn, David C. Miller, John T. Wei, Brent K. Hollenbeck. (2006) Discharge Practice Patterns Following Cystectomy for Bladder Cancer: Evidence for the Shifting of the Burden of Care. The Journal of Urology 176:6, 2612-2618
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Eric S. Holmboe, Yun Wang, Janet P. Tate, Thomas P. Meehan. (2006) The Effects of Patient Volume on the Quality of Diabetic Care for Medicare Beneficiaries. Medical Care 44:12, 1073-1077
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Penelope K. Knapp, Michael S. Hurlburt, Eric C. Kostello, Heather Ladd, Lingqi Tang, Bonnie T. Zima. (2006) Child Sociodemographic Characteristics and Common Psychiatric Diagnoses in Medicaid Encounter Data: Are they Valid?. The Journal of Behavioral Health Services & Research 33:4, 444-452
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M. L. McGory, P. G. Shekelle, C. Y. Ko. (2006) Development of Quality Indicators for Patients Undergoing Colorectal Cancer Surgery. JNCI Journal of the National Cancer Institute 98:22, 1623-1633
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Ann Scheck McAlearney. (2006) Leadership development in healthcare: a qualitative study. Journal of Organizational Behavior 27:7, 967-982
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Richard A. Mularski, J Randall Curtis, J Andrew Billings, Robert Burt, Ira Byock, Cathy Fuhrman, Anne C. Mosenthal, Justine Medina, Daniel E. Ray, Gordon D. Rubenfeld, Lawrence J. Schneiderman, Patsy D. Treece, Robert D. Truog, Mitchell M. Levy. (2006) Proposed quality measures for palliative care in the critically ill: A consensus from the Robert Wood Johnson Foundation Critical Care Workgroup. Critical Care Medicine 34:Suppl, S404-S411
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Delia Scholes, Louis Grothaus, Jennifer McClure, Robert Reid, Paul Fishman, Cynthia Sisk, Jeff E. Lindenbaum, Beverly Green, Jane Grafton, Robert S. Thompson. (2006) A randomized trial of strategies to increase chlamydia screening in young women. Preventive Medicine 43:4, 343-350
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Brent K. Hollenbeck, William W. Roberts, J. Stuart Wolf. (2006) Importance of Perioperative Processes of Care for Length of Hospital Stay after Laparoscopic Surgery. Journal of Endourology 20:10, 776-781
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Richard W. Grant, Jonathan S. Wald, Eric G. Poon, Jeffrey L. Schnipper, Tejal K. Gandhi, Lynn A. Volk, Blackford Middleton. (2006) Design and Implementation of a Web-Based Patient Portal Linked to an Ambulatory Care Electronic Health Record: Patient Gateway for Diabetes Collaborative Care. Diabetes Technology & Therapeutics 8:5, 576-586
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Frank Auton. (2006) DIRECT-TO-CONSUMER ADVERTISING (DTCA) OF PHARMACEUTICALS: AN UPDATED REVIEW OF THE LITERATURE AND DEBATE SINCE 20031. Economic Affairs 26:3, 24-32
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Michael A. DeVita, Rinaldo Bellomo, Kenneth Hillman, John Kellum, Armando Rotondi, Dan Teres, Andrew Auerbach, Wen-Jon Chen, Kathy Duncan, Gary Kenward, Max Bell, Michael Buist, Jack Chen, Julian Bion, Ann Kirby, Geoff Lighthall, John Ovreveit, R Scott Braithwaite, John Gosbee, Eric Milbrandt, Mimi Peberdy, Lucy Savitz, Lis Young, Sanjay Galhotra. (2006) Findings of the First Consensus Conference on Medical Emergency Teams*. Critical Care Medicine 34:9, 2463-2478
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T. Bruce Ferguson. (2006) Reporting for provider performance: Should we punish the bad, or try to make them all good?. American Heart Journal 152:3, 410-413
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Michael Feuerstein, Michael Hartzell, Heather L. Rogers, Steven C. Marcus. (2006) Evidence-based practice for acute low back pain in primary care: Patient outcomes and cost of care. Pain 124:1-2, 140-149
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Peter J. Pronovost, Sean M. Berenholtz, Christine A. Goeschel, Dale M. Needham, J. Bryan Sexton, David A. Thompson, Lisa H. Lubomski, Jill A. Marsteller, Martin A. Makary, Elizabeth Hunt. (2006) Creating High Reliability in Health Care Organizations. Health Services Research 41:4p2, 1599-1617
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James L. Reinertsen, Carolyn Clancy. (2006) Foreword to: Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. A Special Issue of Health Services Research*. Health Services Research 41:4p2, 1535-1538
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Roger K. Resar. (2006) Making Noncatastrophic Health Care Processes Reliable: Learning to Walk before Running in Creating High-Reliability Organizations. Health Services Research 41:4p2, 1677-1689
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Robin R. Gillies, Kate Eresian Chenok, Stephen M. Shortell, Gregory Pawlson, Julian J. Wimbush. (2006) The Impact of Health Plan Delivery System Organization on Clinical Quality and Patient Satisfaction. Health Services Research 41:4p1, 1181-1191
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Laurent G. Glance, Andrew W. Dick, Turner M. Osler, Dana B. Mukamel. (2006) Accuracy of Hospital Report Cards Based on Administrative Data. Health Services Research 0:0, 060720074824035-???
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Nicole Lurie, Allen Fremont. (2006) Looking Forward: Cross-cutting Issues in the Collection and Use of Racial/Ethnic Data. Health Services Research 0:0, 060720074824037-???
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Ann Scheck McAlearney, Deena Chisolm, Sofia Veneris, David Rich, Kelly Kelleher. (2006) Utilization of evidence-based computerized order sets in pediatrics. International Journal of Medical Informatics 75:7, 501-512
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David A. Etzioni, Elizabeth M. Yano, Lisa V. Rubenstein, Martin L. Lee, Clifford Y. Ko, Robert H. Brook, Patricia H. Parkerton, Steven M. Asch. (2006) Measuring the Quality of Colorectal Cancer Screening: The Importance of Follow-Up. Diseases of the Colon & Rectum 49:7, 1002-1010
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Giuseppe Lippi, Gian Cesare Guidi, Camilla Mattiuzzi, Mario Plebani. (2006) Preanalytical variability: the dark side of the moon in laboratory testing / Präanalytische Variabilität: die Schattenseite klinischer Laboruntersuchungen. LaboratoriumsMedizin 30:3, 129-136
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David S. Morris, David A. Taub, John T. Wei, Rodney L. Dunn, J. Stuart Wolf, Brent K. Hollenbeck. (2006) Regionalization of Percutaneous Nephrolithotomy: Evidence for the Increasing Burden of Care on Tertiary Centers. The Journal of Urology 176:1, 242-246
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Emily J. Hauenstein, Stephen Petterson, Elizabeth Merwin, Virginia Rovnyak, Barbara Heise, Douglas Wagner. (2006) Rurality, Gender, and Mental Health Treatment. Family & Community Health 29:3, 169-185
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Robert C. Geibert. (2006) Using Diffusion of Innovation Concepts to Enhance Implementation of an Electronic Health Record to Support Evidence-based Practice. Nursing Administration Quarterly 30:3, 203-210
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Philip C. Skelding, Sumit R. Majumdar, Ken Kleinman, Cheryl Warner, Susanne Salem-Schatz, Irina Miroshnik, Lisa Prosser, Steven R. Simon. (2006) Clinical and Nonclinical Correlates of Adherence to Prescribing Guidelines for Hypertension in a Large Managed Care Organization. The Journal of Clinical Hypertension 8:6, 414-419
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Richard A. Mularski, Foy White-Chu, Devorah Overbay, Lois Miller, Steven M. Asch, Linda Ganzini. (2006) Measuring Pain as the 5th Vital Sign Does Not Improve Quality of Pain Management. Journal of General Internal Medicine 21:6, 607-612
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Daniel B. Fishbein, Bayo C. Willis, William M. Cassidy, Dale Marioneaux, Carla A. Winston. (2006) A comprehensive patient assessment and physician reminder tool for adult immunization: Effect on vaccine administration. Vaccine 24:18, 3971-3983
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Allison B. Rosen. (2006) Grounding Coverage in Value. Medical Care 44:5, 389-391
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Julie M. Fritz, Gerard P. Brennan, Howard Leaman. (2006) Does the evidence for spinal manipulation translate into better outcomes in routine clinical care for patients with occupational low back pain? A case-control study. The Spine Journal 6:3, 289-295
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John W. Peabody, Robert J. Nordyke, Fimka Tozija, Jeff Luck, Jorge A. Muñoz, Anne Sunderland, Karen DeSalvo, Ninez Ponce, Charles McCulloch. (2006) Quality of care and its impact on population health: A cross-sectional study from Macedonia. Social Science & Medicine 62:9, 2216-2224
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J Michael Fitzmaurice. Computer-Based Patient Records. CRC Press, 2006:41-1-41-19.
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David A. Ganz, John T. Chang, Carol P. Roth, Min Guan, Caren J. Kamberg, Fang Niu, David B. Reuben, Paul G. Shekelle, Neil S. Wenger, Catherine H. Maclean. (2006) Quality of osteoarthritis care for community-dwelling older adults. Arthritis & Rheumatism 55:2, 241-247
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Hiram C. Polk, John Birkmeyer, David R. Hunt, R Scott Jones, Anthony D. Whittemore, Bruce Barraclough. (2006) Quality and Safety in Surgical Care. Annals of Surgery 243:4, 439-448
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D. Jones, S. Bates, S. Warrillow, D. Goldsmith, A. Kattula, M. Way, G. Gutteridge, J. Buckmaster, R. Bellomo. (2006) Effect of an education programme on the utilization of a medical emergency team in a teaching hospital. Internal Medicine Journal 36:4, 231-236
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Giuseppe Lippi, Gian Cesare Guidi, Camilla Mattiuzzi, Mario Plebani. (2006) Preanalytical variability: the dark side of the moon in laboratory testing. Clinical Chemistry and Laboratory Medicine 44:4, 358-365
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D. A. Cortese, R. K. Smoldt. (2006) Healing America's Ailing Health Care System. Mayo Clinic Proceedings 81:4, 492-496
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Russell E. Glasgow, Lawrence W. Green, Lisa M. Klesges, David B. Abrams, Edwin B. Fisher, Michael G. Goldstein, Laura L. Hayman, Judith K. Ockene, C. Tracy Orleans. (2006) External validity: We need to do more. Annals of Behavioral Medicine 31:2, 105-108
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Asch , Steven M. , Kerr , Eve A. , Keesey , Joan , Adams , John L. , Setodji , Claude M. , Malik , Shaista , McGlynn , Elizabeth A. , . (2006) Who Is at Greatest Risk for Receiving Poor-Quality Health Care?. New England Journal of Medicine 354:11, 1147-1156
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Kenneth B. Wells, Jeanne Miranda. (2006) Promise of Interventions and Services Research: Can It Transform Practice?. Clinical Psychology: Science and Practice 13:1, 99-104
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C. Brand, S. Cox. (2006) Systems for implementing best practice for a chronic disease: management of osteoarthritis of the hip and knee. Internal Medicine Journal 36:3, 170-179
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Brian S. Mittman. (2006) Improving the Quality of Dementia Care: The Role of Education. Clinical Gerontologist 29:2, 61-69
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Horacio Murillo, E Albert Reece, Ralph Snyderman, Nancy S. Sung. (2006) Meeting the Challenges Facing Clinical Research: Solutions Proposed by Leaders of Medical Specialty and Clinical Research Societies. Academic Medicine 81:2, 107-112
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K.G. Heinzerling, A.H. Kral, N.M Flynn, R.L. Anderson, A. Scott, M.L. Gilbert, S.M. Asch, R.N. Bluthenthal. (2006) Unmet need for recommended preventive health services among clients of California syringe exchange programs: Implications for quality improvement. Drug and Alcohol Dependence 81:2, 167-178
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Jaan Sidorov. (2006) Computer-assisted technology: Not if, not when, but how. Journal of General Internal Medicine 21:2, 201-202
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Jaan Sidorov. (2006) Computer-Assisted Technology: Not If, Not When, But How. A Systematic Review of Interactive Computer-Assisted Technology in Diabetes Care. Journal of General Internal Medicine 21:2, 201-202
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Judith K. Ockene. (2006) Fulfilling our assignment to improve the health of all: Good Science just isn’t enough. Annals of Behavioral Medicine 31:1, 14-20
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Ravi Kalhan, Mark Mikkelsen, Pali Dedhiya, Jason Christie, Christine Gaughan, Paul N. Lanken, Barbara Finkel, Robert Gallop, Barry D. Fuchs. (2006) Underuse of lung protective ventilation: Analysis of potential factors to explain physician behavior*. Critical Care Medicine 34:2, 300-306
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Henry R. Kranzler, George Koob, David R. Gastfriend, Robert M. Swift, Mark L. Willenbring. (2006) Advances in the Pharmacotherapy of Alcoholism: Challenging Misconceptions. Alcoholism: Clinical and Experimental Research 30:2, 272-281
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Russell E. Glasgow, Karina W. Davidson, Patricia L. Dobkin, Judith Ockene, Bonnie Spring. (2006) Practical behavioral trials to advance evidence-based behavioral medicine. Annals of Behavioral Medicine 31:1, 5-13
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Jon B. Christianson, David J. Knutson, Roger S. Mazze. (2006) Physician Pay-For-Performance.. Journal of General Internal Medicine 21:S2, S9-S13
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Brent K. Hollenbeck, David A. Taub, David C. Miller, Rodney L. Dunn, John T. Wei. (2006) Use of Nephrectomy at Select Medical Centers—A Case of Follow the Crowd?. The Journal of Urology 175:2, 670-674
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Lisa M. Klesges, David A. Dzewaltowski, Alan J. Christensen. (2006) Are we creating relevant behavioral medicine research? Show me the evidence!. Annals of Behavioral Medicine 31:1, 3-4
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Jeffrey Bland. Nutrigenomics. In: Scientific Evidence for Musculoskeletal, Bariatric, and Sports Nutrition. CRC Press, 2006:27-41.
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Elizabeth A. Almasi, Randall S. Stafford, Richard L. Kravitz, Peter R. Mansfield. (2006) What Are the Public Health Effects of Direct-to-Consumer Drug Advertising?. PLoS Medicine 3:3, e145
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Robert Knutzen, Shereen Ezzat. (2006) The Cost of Medical Care for the Acromegalic Patient. Neuroendocrinology 83:3-4, 139-144
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John Bachman. (2006) Pay for Performance in Primary and Specialty Behavioral Health Care: Two "Concept" Proposals.. Professional Psychology: Research and Practice 37:4, 384-388
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Michael J. Mirro. (2006) Pay for Performance: Challenges and Opportunities. The American Heart Hospital Journal 4:1, 36-38
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Mitchell D. Feldman, Michael K. Ong, Deborah L. Lee, Eliseo J. Perez-Stable. (2006) Realigning Economic Incentives for Depression Care at UCSF. Administration and Policy in Mental Health and Mental Health Services Research 33:1, 34-38
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Jaan Sidorov. (2006) Disease Management and Its Implications for Outpatient Physician Practice. Disease Management & Health Outcomes 14:5, 259-263
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H. Bryant Nguyen, Stephen W. Corbett, Kevin Menes, Thomas Cho, Jennifer Daugharthy, Walter Klein, William A. Wittlake. (2006) Early Goal-directed Therapy, Corticosteroid, and Recombinant Human Activated Protein C for the Treatment of Severe Sepsis and Septic Shock in the Emergency Department. Academic Emergency Medicine 13:1, 109-113
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William T. Lester, Richard W. Grant, G. Octo Barnett, Henry C. Chueh. (2006) Randomized Controlled Trial of an Informatics-based Intervention to Increase Statin Prescription for Secondary Prevention of Coronary Disease. Journal of General Internal Medicine 21:1, 22-29
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William Reddy, Siobhán McCarthy. (2006) Sharing best practice. International Journal of Health Care Quality Assurance 19:7, 594-598
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Derek Yach, David Stuckler, Kelly D Brownell. (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nature Medicine 12:1, 62-66
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Eric S. Holmboe, Judith L. Bowen, Michael Green, Jessica Gregg, Lorenzo DiFrancesco, Eileen Reynolds, Patrick Alguire, David Battinelli, Catherine Lucey, Daniel Duffy. (2005) Reforming Internal Medicine Residency Training. A Report from the Society of General Internal Medicine's Task Force for Residency Reform. Journal of General Internal Medicine 20:12, 1165-1172
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Jochanan Benbassat, Reuben Baumal, Samuel N. Heyman, Mayer Brezis. (2005) Viewpoint:. Academic Medicine 80:12, 1121-1126
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Wolfgang C. Winkelmayer, Michael A. Fischer, Sebastian Schneeweiss, Philip S. Wang, Raisa Levin, Jerry Avorn. (2005) Underuse of ACE Inhibitors and Angiotensin II Receptor Blockers in Elderly Patients With Diabetes. American Journal of Kidney Diseases 46:6, 1080-1087
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Joanne R. Campione, Betsy Sleath, Andrea K Biddle, Morris Weinberger. (2005) The influence of physicians' guideline compliance on patients' statin adherence: A retrospective cohort study. The American Journal of Geriatric Pharmacotherapy 3:4, 229-239
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Jaan Sidorov, Claudia Schlosberg. (2005) Disease Management and the Medicare Modernization Act: "It's the Insurance, Stupid". Disease Management 8:6, 331-338
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Thomas A. Mackey, Frank L. Cole, Julie Lindenberg. (2005) Quality Improvement and Changes in Diabetic Patient Outcomes in an Academic Nurse Practitioner Primary Care Practice. Journal of the American Academy of Nurse Practitioners 17:12, 547-553
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J. A. Long, D. Polsky, J. P. Metlay. (2005) Changes in Veterans' Use of Outpatient Care From 1992 to 2000. American Journal of Public Health 95:12, 2246-2251
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T. D. Sequist, T. Cullen, J. Z. Ayanian. (2005) Information Technology as a Tool to Improve the Quality of American Indian Health Care. American Journal of Public Health 95:12, 2173-2179
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Antal E. Solyom. (2005) Viewpoint:. Academic Medicine 80:12, 1089-1093
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Robert S Rhodes, Andrew Resnick. (2005) Towards optimal surgical outcomes. Expert Review of Pharmacoeconomics & Outcomes Research 5:6, 741-749
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James McGuire, Robert Rosenheck. (2005) The Quality of Preventive Medical Care for Homeless Veterans with Mental Illness. Journal for Healthcare Quality 27:6, 26-32
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James H Herndon. (2005) 2004 ABJS EARL McBRIDE LECTURE: Patient Safety. Clinical Orthopaedics and Related Research 440:&NA;, 242-250
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W Gregory Feero. (2005) Letter: Peas, Priorities and Primary Care: Cultural competency starts at home.. Genetics in Medicine 7:8, 588-589
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Lillian C. Min, David B. Reuben, Catherine H. MacLean, Paul G. Shekelle, David H. Solomon, Takahiro Higashi, John T. Chang, Carol P. Roth, Caren J. Kamberg, John Adams, Roy T. Young, Neil S. Wenger. (2005) Predictors of Overall Quality of Care Provided to Vulnerable Older People. Journal of the American Geriatrics Society 53:10, 1705-1711
1019
Thomas Bodenheimer. (2005) Helping Patients Improve Their Health-Related Behaviors: What System Changes Do We Need?. Disease Management 8:5, 319-330
1020
Bonnie Spring, Sherry Pagoto, Peter G. Kaufmann, Evelyn P. Whitlock, Russell E. Glasgow, Timothy W. Smith, Kimberlee J. Trudeau, Karina W. Davidson. (2005) Invitation to a dialogue between researchers and clinicians about evidence-based behavioral medicine. Annals of Behavioral Medicine 30:2, 125-137
1021
Joseph A. Caprini, Victor F. Tapson, Thomas M. Hyers, Albert L. Waldo, Ann K. Wittkowsky, Richard Friedman, Kevin J. Colgan, Alicia C. Shillington. (2005) Treatment of venous thromboembolism: Adherence to guidelines and impact of physician knowledge, attitudes, and beliefs. Journal of Vascular Surgery 42:4, 726-733
1022
Harold J. Manley, Carrie A. Cannella, George R. Bailie, Wendy L. St. Peter. (2005) Medication-Related Problems in Ambulatory Hemodialysis Patients: A Pooled Analysis. American Journal of Kidney Diseases 46:4, 669-680
1023
H. Q. Nguyen. (2005) Dyspnea Self-Management in Patients With Chronic Obstructive Pulmonary Disease: Moderating Effects of Depressed Mood. Psychosomatics 46:5, 402-410
1024
Janice Davies, Paul Ireland, Heather Buchan. (2005) Closing the knowing–doing gap. Evidence-based Healthcare and Public Health 9:5, 361-364
1025
Brennan , Troyen A. , Gawande , Atul , Thomas , Eric , Studdert , David , . (2005) Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine 353:13, 1405-1409
Full Text1026
Andrew Kolbasovsky, Leonard Reich. (2005) Overcoming Challenges to Integrating Behavioral Health into Primary Care. Journal for Healthcare Quality 27:5, 34-42
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Tracey L. Krupski, Jonathan Bergman, Lorna Kwan, Mark S. Litwin. (2005) Quality of prostate carcinoma care in a statewide public assistance program. Cancer 104:5, 985-992
1028
Alice G. Gosfield. (2005) Better margins, better quality: seizing the moment. Community Oncology 2:5, 441-444
1029
Ellen Meara, Richard G. Frank. (2005) Spending on substance abuse treatment: how much is enough?. Addiction 100:9, 1240-1248
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Natalie Wong. (2005) Medical education in critical care. Journal of Critical Care 20:3, 270-273
1031
John E. Brush, Martha J. Radford, Harlan M. Krumholz. (2005) Integrating Clinical Practice Guidelines Into the Routineof Everyday Practice. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine 4:3, 161-167
1032
Julie Schmittdiel, Thomas Bodenheimer, Neil A. Solomon, Robin R. Gillies, Stephen M. Shortell. (2005) Brief Report: The Prevalence and Use of Chronic Disease Registries in Physician Organizations. A National Survey. Journal of General Internal Medicine 20:9, 855-858
1033
Trivedi , Amal N. , Zaslavsky , Alan M. , Schneider , Eric C. , Ayanian , John Z. , . (2005) Trends in the Quality of Care and Racial Disparities in Medicare Managed Care. New England Journal of Medicine 353:7, 692-700
Free Full Text1034
Tayab Andrabi, Marc Rozner. Preoperative Anesthesia Evaluation. In: Acute Care of the Cancer Patient. CRC Press, 2005:243-258.
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DAVID C. MILLER, JAMES E. MONTIE, JOHN T. WEI. (2005) MEASURING THE QUALITY OF CARE FOR LOCALIZED PROSTATE CANCER. The Journal of Urology 174:2, 425-431
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Rodney A. Hayward, Steven M. Asch, Mary M. Hogan, Timothy P. Hofer, Eve A. Kerr. (2005) Sins of Omission. Getting Too Little Medical Care May be the Greatest Threat to Patient Safety. Journal of General Internal Medicine 20:8, 686-691
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Eric Holmboe, Nancy Kim, Sarah Cohen, Maureen Curry, Anne Elwell, Marcia K. Petrillo, Thomas P. Meehan. (2005) Primary care physicians, office-based practice, and the meaning of quality improvement. The American Journal of Medicine 118:8, 917-922
1038
Steven Doherty. (2005) History of evidence-based medicine. Oranges, chloride of lime and leeches: Barriers to teaching old dogs new tricks. Emergency Medicine Australasia 17:4, 314-321
1039
W. Brian Gibler, Christopher P. Cannon, Andra L. Blomkalns, Douglas M. Char, Barbara J. Drew, Judd E. Hollander, Allan S. Jaffe, Robert L. Jesse, L. Kristin Newby, E. Magnus Ohman, Eric D. Peterson, Charles V. Pollack. (2005) Practical Implementation of the Guidelines for Unstable Angina/Non–ST-Segment Elevation Myocardial Infarction in the Emergency Department. Annals of Emergency Medicine 46:2, 185-197
1040
Theodore W. Marcy, Joan Skelly, Richard N. Shiffman, Brian S. Flynn. (2005) Facilitating adherence to the tobacco use treatment guideline with computer-mediated decision support systems: physician and clinic office manager perspectives. Preventive Medicine 41:2, 479-487
1041
Jha , Ashish K. , Li , Zhonghe , Orav , E. John , Epstein , Arnold M. , . (2005) Care in U.S. Hospitals — The Hospital Quality Alliance Program. New England Journal of Medicine 353:3, 265-274
Free Full Text1042
Williams , Scott C. , Schmaltz , Stephen P. , Morton , David J. , Koss , Richard G. , Loeb , Jerod M. , . (2005) Quality of Care in U.S. Hospitals as Reflected by Standardized Measures, 2002–2004. New England Journal of Medicine 353:3, 255-264
Free Full Text1043
Romano , Patrick S. , . (2005) Improving the Quality of Hospital Care in America. New England Journal of Medicine 353:3, 302-304
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Joseph Lipscomb. Outcomes Research. In: Encyclopedia of Biostatistics. John Wiley & Sons, Ltd, 2005.
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Robert L. Wears, David J. Magid. (2005) Thinking Globally, Acting Locally. Annals of Emergency Medicine 46:1, 61-63
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Elizabeth W. Loder, Fred Sheftell. (2005) The Quality of Headache Treatment in The United States: Review and Analysis of Recent Data. Headache: The Journal of Head and Face Pain 45:7, 939-946
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Bernard S. Bloom. (2005) Effects of continuing medical education on improving physician clinical care and patient health: A review of systematic reviews. International Journal of Technology Assessment in Health Care 21:03,
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Alan Lyles,. (2005) Making Real-World Studies Relevant to Evidence-Based Decisions. Clinical Therapeutics 27:7, 1090-1091
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Ashish Chandra, Charles E. Pettry, David P. Paul. (2005) Telemedicine from a Macromarketing Viewpoint: A Critical Evaluation with Proposed Licensing Strategies. Journal of Nonprofit & Public Sector Marketing 13:1-2, 111-135
1050
James T. Dove. (2005) The Electronic Health Record?The Time Is Now. The American Heart Hospital Journal 3:3, 193-200
1051
Iver A. Juster. (2005) Technology-Driven Interactive Care Management Identifies and Resolves More Clinical Issues than a Claims-Based Alerting System. Disease Management 8:3, 188-197
1052
Melanie S. Joy, Renee M. DeHart, Cheryl Gilmartin, David M. Hachey, Joanna Q. Hudson, Maria Pruchnicki, Peter Dumo, Darren W. Grabe, Joseph Saseen, Alan J. Zillich. (2005) Clinical Pharmacists as Multidisciplinary Health Care Providers in the Management of CKD: A Joint Opinion by the Nephrology and Ambulatory Care Practice and Research Networks of the American College of Clinical Pharmacy. American Journal of Kidney Diseases 45:6, 1105-1118
1053
Eric S. Holmboe, Leslie Prince, Michael Green. (2005) Teaching and Improving Quality of Care in a Primary Care Internal Medicine Residency Clinic. Academic Medicine 80:6, 571-577
1054
Steven R. Simon, Sumit R. Majumdar, Lisa A. Prosser, Susanne Salem-Schatz, Cheryl Warner, Ken Kleinman, Irina Miroshnik, Stephen B. Soumerai. (2005) Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: a cluster-randomized controlled trial. The American Journal of Medicine 118:5, 521-528
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Russell E. Glasgow, Edward H. Wagner, Judith Schaefer, Lisa D. Mahoney, Robert J. Reid, Sarah M. Greene. (2005) Development and Validation of the Patient Assessment of Chronic Illness Care (PACIC). Medical Care 43:5, 436-444
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Stephen E. Muething, Uma Kotagal. (2005) Reliability of the health care delivery system. The Journal of Pediatrics 146:5, 581-582
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Richard M. Bergenstal, Soma S. Nag, Jane E. B. Reusch, Shiva G. Sajjan, Charles M. Alexander. (2005) MACROVASCULAR RISK FACTORS IN PATIENTS WITH DIABETES: PHYSICIAN TREATMENT STRATEGIES AND EXTENT OF CONTROL. Endocrine Practice 11:3, 172-179
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Shamsuddin Akhtar, Muzna Amin, Hossam Tantawy, Audrey Senior, Paul G. Barash, David G. Silverman. (2005) Preoperative β-blocker use: is titration to a heart rate of 60 beats per minute a consistently attainable goal?. Journal of Clinical Anesthesia 17:3, 191-197
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J. Timothy Harrington, Harvey L. Barash, Sherry Day, Joellen Lease. (2005) Redesigning the care of fragility fracture patients to improve osteoporosis management: A health care improvement project. Arthritis & Rheumatism 53:2, 198-204
1060
Lisa M. Klesges, Paul A. Estabrooks, David A. Dzewaltowski, Sheana S. Bull, Russell E. Glasgow. (2005) Beginning with the application in mind: Designing and planning health behavior change interventions to enhance dissemination. Annals of Behavioral Medicine 29:2, 66-75
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Peter A. L Bonis. (2005) Quality Incentive Payment Systems. Journal of Clinical Gastroenterology 39:Supplement 2, S176-S182
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Robert M. Kaplan, Dominick L. Frosch. (2005) Decision Making in Medicine and Health Care. Annual Review of Clinical Psychology 1:1, 525-556
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Donald M. Berwick. (2005) The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Services Research 40:2, 317-336
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C. Tracy Orleans. (2005) The behavior change consortium: expanding the boundaries and impact of health behavior change research. Annals of Behavioral Medicine 29:2, 76-79
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Stephen Colameco, John Armando, Christopher Trotz. (2005) Opiate Dependence Treatment with Buprenorphine. Journal of Addictive Diseases 24:2, 25-32
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Durieux , Pierre , . (2005) Electronic Medical Alerts — So Simple, So Complex. New England Journal of Medicine 352:10, 1034-1036
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Ed Kelley, Ernest Moy, Daniel Stryer, Helen Burstin, Carolyn Clancy. (2005) The National Healthcare Quality and Disparities Reports. Medical Care 43:Supplement, I-3-I-8
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Kaytura Felix-Aaron, Ernest Moy, Minsun Kang, Mona Patel, Francis D. Chesley, Carolyn Clancy. (2005) Variation in Quality of Men??s Health Care by Race/Ethnicity and Social Class. Medical Care 43:Supplement, I-72-I-81
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Daniel L Riddle, Bruce E Hillner, Philip S Wells, Robert E Johnson. (2005) Improving the Diagnostic Process for Deep Vein Thrombosis in Orthopaedic Outpatients. Clinical Orthopaedics and Related Research &NA;:432, 258-266
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(2005) Editorial. Worldviews on Evidence-Based Nursing 2:1, 1-3
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Russell L. Rothman, Robb Malone, Betsy Bryant, Ayumi K. Shintani, Britton Crigler, Darren A. Dewalt, Robert S. Dittus, Morris Weinberger, Michael P. Pignone. (2005) A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. The American Journal of Medicine 118:3, 276-284
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Charles R. Denham. (2005) Patient Safety Practices: Leaders Can Turn Barriers Into Accelerators. Journal of Patient Safety 1:1, 41-55
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Dwight McNeill, Ed Kelley. (2005) How the National Healthcare Quality and Disparities Reports Can Catalyze Quality Improvement. Medical Care 43:Supplement, I-82-I-88
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Ralitsa B. Akins, Bryan R. Cole. (2005) Barriers to Implementation of Patient Safety Systems in Healthcare Institutions. Journal of Patient Safety 1:1, 9-16
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Michael E. Whitcomb. (2005) Using Clinical Outcomes Data to Reform Medical Education. Academic Medicine 80:2, 117
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Joel S. Weissman, Eric C. Schneider. (2005) Social disparities in cancer: lessons from a multidisciplinary workshop. Cancer Causes & Control 16:1, 71-74
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John R. Clarke. (2005) Making surgery safer. Journal of the American College of Surgeons 200:2, 229-235
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Bonnie T. Zima, Michael S. Hurlburt, Penny Knapp, Heather Ladd, Lingqi Tang, Naihua Duan, Peggy Wallace, Abram Rosenblatt, John Landsverk, Kenneth B. Wells. (2005) Quality of Publicly-Funded Outpatient Specialty Mental Health Care for Common Childhood Psychiatric Disorders in California. Journal of the American Academy of Child & Adolescent Psychiatry 44:2, 130-144
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Lisa R. Shugarman, Karl Lorenz, Joanne Lynn. (2005) End-of-Life Care: An Agenda for Policy Improvement. Clinics in Geriatric Medicine 21:1, 255-272
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Frist , William H. , . (2005) Health Care in the 21st Century. New England Journal of Medicine 352:3, 267-272
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Vincent N. Mosesso, Daniel R. Swayze, Paul M. Paris. (2005) Letter To The Editor. Prehospital Emergency Care 9:3, 375-375
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Joseph J Saseen, Setareh A Williams, Robert J Valuck, John C O??Donnell, Kenneth McDonough. (2005) The Performance Gap between Clinical Trials and Patient Treatment for Dyslipidemia. Disease Management & Health Outcomes 13:4, 255-265
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Colleen Metge, Ruby Grymonpre, Matthew Dahl, Marina Yogendran. (2005) Pharmaceutical Use among Older Adults: Using Administrative Data to Examine Medication-Related Issues. Canadian Journal on Aging / La Revue canadienne du vieillissement 24:S1, 81
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Michael E. Whitcomb. (2005) Why We Must Teach Evidence-Based Medicine. Academic Medicine 80:1, 1-2
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Amanda L Graham, David B Abrams. (2005) Reducing the Cancer Burden of Lifestyle Factors: Opportunities and Challenges of the Internet. Journal of Medical Internet Research 7:3, e26
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Geoffrey C. Williams, Kathryn M. Markakis, Deborah Ossip-Klein, Scott McIntosh, Scott Tripler, Tana Grady-Weliky. (2005) Evidence-based behavior change curriculum for the ambulatory clerkship: The double helix. Health Education 105:2, 142-153
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Fevzi Akinci, Joseph S Coyne, Joni Minear, Kenn Daratha, Dan Simonson. (2005) Examining the Association Between Preventive Screenings and Subsequent Health Services Utilization by Patients with Type 2 Diabetes Mellitus. Disease Management & Health Outcomes 13:2, 129-135
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S Trent Rosenbloom, Nunzia Bettinsoli Giuse, Rebecca N. Jerome, Jennifer U. Blackford. (2005) Providing Evidence-Based Answers to Complex Clinical Questions: Evaluating the Consistency of Article Selection. Academic Medicine 80:1, 109-114
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Peter J. Pronovost, David A. Thompson, Christine G. Holzmueller, Lisa H. Lubomski, Laura L. Morlock. (2005) Defining and measuring patient safety. Critical Care Clinics 21:1, 1-19
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Tinetti , Mary E. , Bogardus , Sidney T. Jr. , Agostini , Joseph V. , . (2004) Potential Pitfalls of Disease-Specific Guidelines for Patients with Multiple Conditions. New England Journal of Medicine 351:27, 2870-2874
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R. L. Johnson, D. Roter, N. R. Powe, L. A. Cooper. (2004) Patient Race/Ethnicity and Quality of Patient-Physician Communication During Medical Visits. American Journal of Public Health 94:12, 2084-2090
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Cathy Donald Sherbourne, Robert Weiss, Naihua Duan, Chloe E. Bird, Kenneth B. Wells. (2004) Do the Effects of Quality Improvement for Depression Care Differ for Men and Women?. Medical Care 42:12, 1186-1193
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D. Joe Boone. (2004) Is it safe to have a laboratory test?. Accreditation and Quality Assurance 10:1-2, 5-9
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Niek Klazinga, Johan Mackenbach. (2004) Concurrerende uitkomsten. Reflecties over de relatie tussen stelselwijziging van de gezondheidszorg en volksgezondheid. B en M - Beleid en Maatschappij 31:4, 232-241
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Thomas Jeffery Wieman, Eric Andrew Wieman. (2004) A systems approach to error prevention in medicine. Journal of Surgical Oncology 88:3, 115-121
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Pim A. J. Luijsterburg, Arianne P. Verhagen, Sigrid Braak, Anushka Oemraw, Cees J. J. Avezaat, Bart W. Koes. (2004) Neurosurgeons’ management of lumbosacral radicular syndrome evaluated against a clinical guideline. European Spine Journal 13:8, 719-723
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J TEITELBAUM, S ROSENBAUM, E GOPLERUD. (2004) State laws permitting intoxication exclusions in insurance contracts: Implications for public health policy and practice. Public Health Reports 119:6, 585-587
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David E. Pollio, Jennifer McClendon, Donna L. Reid. (2004) Certification and Program Regulations for Inpatient Services to Youth with Addiction: A State-Level Analysis. Journal of Psychoactive Drugs 36:4, 499-509
1099
William Gardner, Kelly J. Kelleher, Kathleen Pajer, John V. Campo. (2004) Follow-up care of children identified with ADHD by primary care clinicians: A prospective cohort study. The Journal of Pediatrics 145:6, 767-771
1100
Marilyn Barry. (2004) What Did They Know?. Medical Reference Services Quarterly 23:4, 75-85
1101
John W. Peabody, Jeff Luck, Sharad Jain, Dan Bertenthal, Peter Glassman. (2004) Assessing the Accuracy of Administrative Data in Health Information Systems. Medical Care 42:11, 1066-1072
1102
Stephen M. Shortell, Jill A. Marsteller, Michael Lin, Marjorie L. Pearson, Shin-Yi Wu, Peter Mendel, Shan Cretin, Mayde Rosen. (2004) The Role of Perceived Team Effectiveness in Improving Chronic Illness Care. Medical Care 42:11, 1040-1048
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Gordon L. Pierpont, Thomas E. Moritz, Steven Goldman, William C. Krupski, Fred Littooy, Herbert B. Ward, Edward O. McFalls. (2004) Disparate opinions regarding indications for coronary artery revascularization before elective vascular surgery. The American Journal of Cardiology 94:9, 1124-1128
1104
Ginsburg , Paul B. , . (2004) Controlling Health Care Costs. New England Journal of Medicine 351:16, 1591-1593
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David A. Dzewaltowski, Russell E. Glasgow, Lisa M. Klesges, Paul A. Estabrooks, Elizabeth Brock. (2004) RE-AIM: Evidence-based standards and a web resource to improve translation of research into practice. Annals of Behavioral Medicine 28:2, 75-80
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Karina W. Davidson, Kimberlee J. Trudeau, Judith K. Ockene, C. Tracy Orleans, Robert M. Kaplan. (2004) A primer on current evidence-based review systems and their implications for behavioral medicine. Annals of Behavioral Medicine 28:3, 226-238
1107
Lora A. Hasse, P. Neal Ritchey, Robert Smith. (2004) Quantifying Headache Symptoms and Other Headache Features From Chart Notes. Headache: The Journal of Head and Face Pain 44:9, 873-884
1108
Peter J. Pronovost, Michael L. Rinke, Katherine Emery, Cheryl Dennison, Charles Blackledge, Sean M. Berenholtz. (2004) Interventions to reduce mortality among patients treated in Intensive Care Units. Journal of Critical Care 19:3, 158-164
1109
Irene Fraser. (2004) Organizational Research with Impact: Working Backwards. Worldviews on Evidence-Based Nursing 1:s1, S52-S59
1110
THOMAS M. WICKIZER, GARY M. FRANKLIN, ROBERT D. MOOTZ, DEBORAH FULTON-KEHOE, ROY PLAEGER-BROCKWAY, DIANA DRYLIE, JUDITH A. TURNER, TERRI SMITH-WELLER. (2004) A Communitywide Intervention to Improve Outcomes and Reduce Disability among Injured Workers in Washington State. The Milbank Quarterly 82:3, 547-567
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Ashish K. Jha, Eric C. Schneider. (2004) From motives to results: Improving the effectiveness of quality improvement. The American Journal of Medicine 117:5, 359-361
1112
Harlan M. Krumholz. (2004) The year in health care delivery and outcomes research. Journal of the American College of Cardiology 44:5, 1130-1136
1113
Michael J. Wolk, Eric Peterson, Ralph Brindis, Kim Eagle. (2004) President's page: The appropriate cardiologist: Responsible stewardship in a golden era of cardiology. Journal of the American College of Cardiology 44:4, 933-935
1114
C. A. Bond, Cynthia L. Raehl. (2004) Pharmacist-Provided Anticoagulation Management in United States Hospitals: Death Rates, Length of Stay, Medicare Charges, Bleeding Complications, and Transfusions. Pharmacotherapy 24:8, 953-963
1115
Joel A. DeLisa. (2004) Physiatry: Medical Errors, Patient Safety, Patient Injury, and Quality of Care. American Journal of Physical Medicine & Rehabilitation 83:8, 575-583
1116
Karen Davis. (2004) Consumer-Directed Health Care: Will It Improve Health System Performance?. Health Services Research 39:4p2, 1219-1234
1117
Laura A. Tollen, Murray N. Ross, Stephen Poor. (2004) Risk Segmentation Related to the Offering of a Consumer-Directed Health Plan: A Case Study of Humana Inc.. Health Services Research 39:4p2, 1167-1188
1118
Thomas M. Wickizer, Gary Franklin, Deborah Fulton-Kehoe, Judith A. Turner, Robert Mootz, Terri Smith-Weller. (2004) Patient Satisfaction, Treatment Experience, and Disability Outcomes in a Population-Based Cohort of Injured Workers in Washington State: Implications for Quality Improvement. Health Services Research 39:4p1, 727-748
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Jeffrey R Curtis, Kenneth G Saag. (2004) Evaluating and improving the quality of care in rheumatic disease. Expert Review of Pharmacoeconomics & Outcomes Research 4:4, 429-439
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Janice C. Zgibor, Harsha Rao, Jacqueline Wesche-Thobaben, Nancie Gallagher, Janis McWilliams, Mary T. Korytkowski. (2004) Improving the Quality of Diabetes Care in Primary Care Practice. Journal for Healthcare Quality 26:4, 14-21
1121
Edward M Phillips, Carol F Bodenheimer, Randolph L Roig, David X Cifu. (2004) Geriatric rehabilitation. 4. Physical medicine and rehabilitation interventions for common age-related disorders and geriatric syndromes. Archives of Physical Medicine and Rehabilitation 85, 18-22
1122
Fiona Godlee, Neil Pakenham-Walsh, Dan Ncayiyana, Barbara Cohen, Abel Packer. (2004) Can we achieve health information for all by 2015?. The Lancet 364:9430, 295-300
1123
Carolyn M. Clancy. (2004) AHRQ's FY 2005 Budget Request: New Mission, New Vision. Health Services Research 39:3, xi-xviii
1124
Thomas M. Vogt, Mikel Aickin, Faruque Ahmed, Mark Schmidt. (2004) The Prevention Index: Using Technology to Improve Quality Assessment. Health Services Research 39:3, 511-530
1125
H HOLMAN. (2004) Patient self-management: a key to effectiveness and efficiency in care of chronic disease. Public Health Reports 119:3, 239-243
1126
Timothy P. Hofer, Judith K. Zemencuk, Rodney A. Hayward. (2004) When there is too much to do. Journal of General Internal Medicine 19:6, 646-653
1127
Elizabeth H. Bradley, Jeph Herrin, Jennifer A. Mattera, Eric S. Holmboe, Yongfei Wang, Paul Frederick, Sarah A. Roumanis, Martha J. Radford, Harlan M. Krumholz. (2004) Hospital-Level Performance Improvement. Medical Care 42:6, 591-599
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Francois de Brantes, Raymond J. Fabius, Robert S. Galvin. (2004) Transparency Is a Prerequisite of Pay for Performance. The American Heart Hospital Journal 2:3, 170-174
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Curtis E Margo. (2004) Quality care and practice variation: the roles of practice guidelines and public profiles. Survey of Ophthalmology 49:3, 359-371
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Gary Franklin. (2004) PHYSICIAN AUTONOMY AND EVIDENCE-BASED MEDICINE. Neurology Today 4:5, 4
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Megan B. Bestul, Marianne McCollum, Laura B. Hansen, Joseph J. Saseen. (2004) Impact of the Women’s Health Initiative Trial Results on Hormone Replacement Therapy. Pharmacotherapy 24:4, 495-499
1132
Rinaldo Bellomo, Donna Goldsmith, Shigehiko Uchino, Jonathan Buckmaster, Graeme Hart, Helen Opdam, William Silvester, Laurie Doolan, Geoffrey Gutteridge. (2004) Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates*. Critical Care Medicine 32:4, 916-921
1133
David A. Dzewaltowski, Paul A. Estabrooks, Russell E. Glasgow. (2004) The Future of Physical Activity Behavior Change Research: What Is Needed to Improve Translation of Research into Health Promotion Practice?. Exercise and Sport Sciences Reviews 32:2, 57-63
1134
Bryan G. Kane, Linda C. Degutis, Helen K. Sayward, Gail D'Onofrio. (2004) Compliance with the Centers for Disease Control and Prevention Recommendations for the Diagnosis and Treatment of Sexually Transmitted Diseases. Academic Emergency Medicine 11:4, 371-377
1135
Patricia R. Salber. (2004) Outcomes Research Priorities in Chronic Care. Medical Care 42:suppl, III-6-III-10
1136
Peter J Pronovost, Thomas Nolan, Scott Zeger, Marlene Miller, Haya Rubin. (2004) How can clinicians measure safety and quality in acute care?. The Lancet 363:9414, 1061-1067
1137
Peter H Gilligan. (2004) The development of antimicrobials and vaccines against bacterial bioterrorism agents – where are we?. Drug Discovery Today 9:5, 205-206
1138
John Komlos, Marieluise Baur. (2004) From the tallest to (one of) the fattest: the enigmatic fate of the American population in the 20th century. Economics & Human Biology 2:1, 57-74
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Stephan D Fihn, Mary B McDonell, Paula Diehr, Stephen M Anderson, Katharine A Bradley, David H Au, John A Spertus, Marcia Burman, Gayle E Reiber, Catarina I Kiefe, Marisue Cody, Karen M Sanders, Mary A Whooley, Kenneth Rosenfeld, Linda A Baczek, Arthur Sauvigne. (2004) Effects of sustained audit/feedback on self-reported health status of primary care patients. The American Journal of Medicine 116:4, 241-248
1140
Epstein , Arnold M. , Lee , Thomas H. , Hamel , Mary Beth , . (2004) Paying Physicians for High-Quality Care. New England Journal of Medicine 350:4, 406-410
Full Text1141
Helen Burns. (2004) Patient safety: developing policies for engagement in the prevention of harm to patients. Journal of Professional Nursing 20:1, 4-75
1142
Alison B. White. (2004) Case Management and the National Quality Agenda. Lippincott's Case Management 9:3, 132-140
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Linda Pearson. (2004) Sixteenth Annual Legislative Update. The Nurse Practitioner 29:1, 26-31
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Donald W. Light. (2004) Measuring Fairness: An Opportunity for Empirical Ethics. The American Journal of Bioethics 4:3, 105-106
1145
Mary Faith Marshall. (2004) Vulnerable Subjects and Civic Professionalism: Would Six-Sigma Research and Research Ethics Consultation Solve the Vulnerability Problem?. The American Journal of Bioethics 4:3, 54-55
1146
A. D. Struthers. (2003) Should hospitals have a designated consultant with a specific interest in heart failure?. QJM 96:12, 877-879
1147
(2003) Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine 349:19, 1866-1868
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(2003) The Imperative for Quality: A Call for Action to Medical Schools and Teaching Hospitals. Academic Medicine 78:11, 1085-1089
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John McB. Hodgson. (2003) The discharge. Catheterization and Cardiovascular Interventions 60:1, 115-117
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Carolyn J. Humphrey. (2003) The Gap Between Actual Practice and Evidence-Based “Best Practice”. Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 21:9, 575
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Steven J. Phillips. (2003) Physician Ownership in Specialty Hospitals Raises the Bar for Health Care and the Ire of Senator Breaux. The American Heart Hospital Journal 1:3, 231-232
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Steinberg , Earl P. , . (2003) Improving the Quality of Care — Can We Practice What We Preach?. New England Journal of Medicine 348:26, 2681-2683
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TIMOTHY K. DAUGHERTY. (2003) PHYSICIANS' PERCEPTIONS OF COMPLIANCE AND ATTITUDES TOWARD COMPLEMENTARY CARE. Psychological Reports 93:6, 479
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