OBJECTIVE Limited consumer use of health care report cards may be due to the large amount of information presented in report cards, which can be difficult to understand. These limitations may be overcome with summary measures. Our objective was to evaluate consumer response to summary measures in the setting of nursing homes. DATA SOURCES/STUDY SETTING 2005-2010 nursing home Minimum Data Set ...

Objectives To examine the feasibility of detecting adverse events through record review in British hospitals and to make preliminary estimates of the incidence and costs of adverse events. Design Retrospective review of 1014 medical and nursing records. Setting Two acute hospitals in Greater London area. Main outcome measure Number of adverse events. Results 110 (10.8%) patients experienced an ...

This study explores relationships between current levels of information technology (IT) sophistication and seven reportable quality measures (QMs) in 210 nursing homes in Missouri. Between December 2006 and August 2007, each nursing home completed a survey providing IT sophistication levels measured within nine subscales. During this same time, nationally reported QMs were collected for each nu...

Impact of System and Physician Factors on the Detection of Obstructive Coronary Disease With Diagnostic Angiography in Stable Ischemic Heart Disease Harindra C. Wijeysundera, MD, PhD; Feng Qiu, MSc; Maria C. Bennell, MSc, MPH; Madhu K. Natarajan, MD MSc; Warren J. Cantor, MD; Stuart Smith, MD; Kori J. Kingsbury, MSN, MPA; Dennis T. Ko, MD, MSc · · · · · · · · · · · · · · · · · · · · · · · · · ·...

PURPOSE This study investigated whether cognitively impaired nursing home residents are particularly vulnerable to harmful effects during single-person, intrabuilding room transfers. DESIGN AND METHODS A variation of a pretest-posttest experimental-comparison group design was used. Data on cognitive status, mortality, and seven morbidity outcome measures were abstracted from the Minimum Data ...

BACKGROUND The objective of the study was to use routinely collected data to compare the mortality experience of people admitted to nursing homes from hospital and the community; and to describe changes in mortality over a 5 year period. METHODS A retrospective cohort study and survival analysis were carried out. The subjects were 841 people admitted as Local Authority funded long-stay reside...

BACKGROUND This was a prospective study of dementia to elucidate mechanisms of disease risk factors amenable to modification and specifically to determine whether midlife cognitive and physical leisure activities are associated with delayed onset or reduced risk of dementia within older male twin pairs. METHODS The co-twin control design used prospectively collected exposure information to pr...