How does the NHS compare with health systems in other countries?

"The UK’s health system has strong foundations to work with. However, more could be done to prevent and treat ill health, both within and outside of the remit of the NHS."

How does the NHS compare with health systems in other countries?
N Berry
The Health Foundation
March 2015

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Report cards and outcome measurements to improve the safety of surgical care

"This review summarises the history of American College of Surgeons National Surgical Quality Improvement Project and its components, and describes the evidence that feeding outcomes back to providers, along with real-time comparisons with other hospital rates, leads to quality improvement, better patient outcomes, cost savings and overall improved patient safety."

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program
M Maggard-Gibbons
BMJ Quality and Safety, 2014; 23: 589-599

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Relationship between patient reported experience and patient reported outcomes in elective surgery

"our results have implications for the concerns of some clinicians who have questioned whether the effectiveness and safety of their practice (measured using PROMs) may instead reflect patients’ views of their level of satisfaction with the experience of care"

Relationship between patient reported experience (PREMs) and patient reported outcomes (PROMs) in elective surgery
N Black, M Varaganum, A Hutchings
BMJ Quality and Safety, 2014; 23: 534-542

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Using balanced metrics and mixed methods to better understand quality improvement interventions

"Targets for improvement will remain abundant and easily identifiable and QI work will become more complex. As hospitals and healthcare systems refine processes and improve quality—and see mixed results in the outcomes—the awareness of the need for new and valid metrics grows." 

Using balanced metrics and mixed methods to better understand QI interventions
PJ Kaboli, HJ Mosher
BMJ Quality and Safety 2014;23:437-439

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Supporting recovery in mental health services: quality and outcomes

"Recovery is a complex construct and measuring quality and outcomes is therefore bound to be a complex process. This has to be acknowledged. It cannot be reduced to a single measure or practice just because this is convenient. At the heart of recovery outcomes must be the experience of the person themselves and their unique hopes and dreams for the future."

Supporting recovery in mental health services: quality and outcomes
G Shepherd, J Boardman, M Rinaldi, G Roberts
Centre for Mental Health and Mental Health Network, NHS Confederation
March 2014

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Health economics research into supporting carers of people with dementia

"This paper reviews outcome measures commonly used in health services research and health economics research involving carers of people with dementia."

Health economics research into supporting carers of people with dementia: a systematic review of outcome measures
C Jones, R Tudor Edwards, B Hounsome
Health and Quality of Life Outcomes, 2012, 10:142

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Review of patient-reported outcome measures in chronic hepatitis C

"Further research is needed to ensure that chronic hepatitis C clinical trials evaluate concepts that are important to patients and include measures that have evidence supporting content validity, reliability, construct validity, and responsiveness."

Review of patient-reported outcome measures in chronic hepatitis C
L Kleinman, S Mannix, Y Yuan, S Kummer, G L'Italien, D Revicki
Health and Quality of Life Outcomes, 2012, 10:92

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