A research agenda for bridging the 'quality chasm.'.

Realizing the vision of the IOM's landmark report, Crossing the Quality Chasm, will require new knowledge to support new policy and management. This paper lays out a research agenda that must be pursued if the health care system is to bridge the quality chasm. Based on a consensus process involving leading health care researchers and authorities, the paper highlights knowledge gaps and research directions in five areas identified by the Quality Chasm report as critical to its goals of building organizational supports for change; applying evidence to health care delivery; developing information technology; aligning payment policies with quality improvement; and preparing the workforce.

[1]  L. Aiken,et al.  Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. , 2002, JAMA.

[2]  Charles Kooperberg,et al.  Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. , 2002, JAMA.

[3]  J. Newhouse.  Why is there a quality chasm? , 2002, Health affairs.

[4]  J. A. N. Eedleman,et al.  Nurse-Staffing Levels and the Quality of Care in Hospitals , 2002 .

[5]  Paul Slovic,et al.  Strategies for reporting health plan performance information to consumers: evidence from controlled studies. , 2002, Health services research.

[6]  L. Sansom,et al.  Do Internet interventions for consumers cause more harm than good? A systematic review , 2002, Health expectations : an international journal of public participation in health care and health policy.

[7]  M J Coye,et al.  No Toyotas in health care: why medical care has not evolved to meet patients' needs. , 2001, Health affairs.

[8]  D. Blumenthal,et al.  Personal, Organizational, and Market Level Influences on Physicians’ Practice Patterns: Results of a National Survey of Primary Care Physicians , 2001, Medical care.

[9]  Emery Jd.  The defined-contribution plan: the next generation of healthcare financing. , 2001 .

[10]  N. Bock,et al.  A spoonful of sugar...: improving adherence to tuberculosis treatment using financial incentives. , 2001, The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.

[11]  A Milstein,et al.  Improving the safety of health care: the leapfrog initiative. , 2000, Effective clinical practice : ECP.

[12]  W. Manning,et al.  The Unreliability of Individual Physician “Report Cards” for Assessing the Costs and Quality of Care of a Chronic Disease , 2000 .

[13]  E A Balas,et al.  Improving preventive care by prompting physicians. , 2000, Archives of internal medicine.

[14]  Robert Mittman,et al.  Health e-People: The Online Consumer Experience , 2000 .

[15]  A. Fendrick,et al.  "We got mail": electronic communication between physicians and patients. , 1999, The American journal of managed care.

[16]  M. Cabana,et al.  Why don't physicians follow clinical practice guidelines? A framework for improvement. , 1999, JAMA.

[17]  L. Casalino.  The unintended consequences of measuring quality on the quality of medical care. , 1999, The New England journal of medicine.

[18]  F Rhodes,et al.  What about money? Effect of small monetary incentives on enrollment, retention, and motivation to change behaviour in an HIV/STD prevention counselling intervention. The Project RESPECT Study Group. , 1998, Sexually transmitted infections.

[19]  P H Mitchell,et al.  Adverse outcomes and variations in organization of care delivery. , 1997, Medical care.

[20]  D. Bates,et al.  The Costs of Adverse Drug Events in Hospitalized Patients , 1997 .

[21]  David W. Bates,et al.  The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group , 1997 .

[22]  T. Louis,et al.  Leadership for quality improvement in group practices. , 1996, Medical care.

[23]  E L Hannan,et al.  Benefits and hazards of reporting medical outcomes publicly. , 1996, The New England journal of medicine.

[24]  A D Oxman,et al.  Changing physician performance. A systematic review of the effect of continuing medical education strategies. , 1995, JAMA.

[25]  A. Mulley,et al.  Developing shared decision-making programs to improve the quality of health care. , 1992, QRB. Quality review bulletin.

[26]  M. Walton.  The Deming management method , 1986 .

[27]  André L. Delbecq,et al.  A Group Process Model for Problem Identification and Program Planning , 1971 .