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American Journal of Medical Quality: the Official Journal of the American College of Medical Quality

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https://www.readbyqxmd.com/read/30019908/implementation-of-an-evidence-based-care-program-within-a-multihospital-health-care-system
#1
Rebecca M Guth, Audrey A Herring, Liana R Merz
The need for evidence-based guidance at the local hospital level is challenged by lack of clinician resources to critically appraise and synthesize evidence, and the applicability and timing of external evidence reviews are not always ideal for local settings. BJC HealthCare established an Evidence-Based Care (EBC) program to address evidence synthesis needs within the organization using a standardized rapid review process. From 2012 to 2016, 377 rapid reviews were completed. Common review topics included supplies or technology (23%), infection prevention (20%), and patient safety (18%)...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30009638/development-of-a-structured-outcomes-assessment-and-implementation-program-in-the-pediatric-intensive-care-unit
#2
Katherine M Steffen, John C Lin, Sara Malone, Allan Doctor, Mary E Hartman
This article reports on the Outcomes Program (OP) that the pediatric intensive care unit (PICU) developed to (1) monitor unit-based outcomes trends and safety data, (2) systematically identify targets for process improvement, and (3) implement new projects and care protocols with the aim of improving patient care. Following development of the OP structure in 2013, the authors have coordinated the components of outcomes data and reporting, clinical performance review, outcomes committee, knowledge translation, and implementation science programs to impact practice...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30009624/physicians-end-of-life-conversations-have-we-arrived
#3
Carolyn Ann Smith
No abstract text is available yet for this article.
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30008227/design-and-implementation-of-a-depression-registry-for-primary-care
#4
Michael Yang, Danielle F Loeb, Andrew J Sprowell, Katy E Trinkley
Registries are fundamental to the success of population health initiatives to improve care and outcomes for patients, including those with depression. The purpose of this article is to describe the design and clinical implementation of a depression registry as part of a collaborative care for depression intervention at 2 large academic outpatient internal medicine practices. The primary objective of the registry was to identify and track patients with depression and monitor antidepressant therapy. Secondary objectives of the registry were to assist in addressing pay-for-performance and value-based reimbursement metrics for depression screening and remission...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30008225/perceptions-of-health-care-executives-on-leadership-development-skills-for-residents-after-participating-in-a-longitudinal-mentorship-program
#5
Neha Patel, Divya Vemuri, Rosemary Frasso, Jennifer S Myers
Despite the fact that physicians are being asked to lead and enact change to improve a myriad of quality of care measures, there is little focus on leadership skills development during their training. One strategy to address this gap is to focus on trainees during graduate medical education, specifically those residents aspiring to careers as physician leaders in quality. The authors designed a leadership curriculum for self-selected residents who are pursuing a certificate in health care leadership in quality...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29998739/preceptor-perceptions-of-team-quality-improvement-projects-conducted-with-the-educating-pharmacists-in-quality-program
#6
Melissa L Nelson, Joni L Dean, Cameron Hannum, Terri Warholak
No abstract text is available yet for this article.
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29991275/death-of-the-swiss-cheese-model-of-medical-error
#7
John W Henson
No abstract text is available yet for this article.
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29991273/stuck-between-two-lives-the-paradox-of-eliminating-and-welcoming-errors
#8
Zhike Lei, Eitan Naveh
No abstract text is available yet for this article.
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29987938/real-time-surveys-reveal-important-safety-risks-during-interhospital-care-transitions-for-neurologic-emergencies
#9
John Sather, Craig Rothenberg, Emily B Finn, Kevin N Sheth, Charles Matouk, Laura Pham, Vivek Parwani, Andrew Ulrich, Arjun K Venkatesh
Critically ill patients may be exposed to unique safety threats as a result of the complexity of interhospital and intrahospital transitions involving the emergency department (ED). Real-time surveys were administered to clinicians in the ED and neuroscience intensive care unit of a tertiary health care system to assess perceptions of handoff safety and quality in transitions involving critically ill neurologic patients. In all, 115 clinical surveys were conducted among 26 patient transfers. Among all clinician types, 1 in 5 respondents felt the handoff process was inadequate...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29973059/incorporation-of-quality-and-safety-principles-in-maintenance-of-certification-a-qualitative-analysis-of-american-board-of-medical-specialties-member-boards
#10
Joshua J Davis, David W Price, Walter Kraft, Meghan B Lane-Fall
Maintenance of Certification (MOC) is one way physicians demonstrate to the public that they are competent to deliver safe, high-quality medical care. The authors conducted a qualitative content analysis of information from 24 Member Boards of the American Board of Medical Specialties. A constant comparative approach was used to categorize themes of quality and safety and related concepts. All Boards (24/24) had public websites with formal documents and 23/24 had at least 1 representative respond to a survey...
July 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29938520/introduction-of-a-mobile-adverse-event-reporting-system-is-associated-with-participation-in-adverse-event-reporting
#11
Daniel S Rubin, Colin Pesyna, Sharon Jakubczyk, Chuanhong Liao, Avery Tung
Physicians underutilize adverse event reporting systems. Web-based platforms have increased participation; thus, it was hypothesized that a mobile application would increase adverse event reporting. The authors developed a mobile reporting application for iOS and Android operating systems and performed a retrospective review on reporting rates by clinicians in the Department of Anesthesia and Critical Care. Monthly reporting rates were calculated for the intervention year and for the 2 prior years (2013-2016)...
June 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29938518/a-dashboard-for-monitoring-opioid-related-adverse-drug-events-following-surgery-using-a-national-administrative-database
#12
Alexander B Stone, Mark R Jones, Nikhilesh Rao, Richard D Urman
Opioid-related adverse drug events (ORADEs) include a range of complications, from respiratory arrest to ileus and urinary retention. ORADEs correlate to morbidity, mortality, and increased costs. The Centers for Medicare & Medicaid Services database, which represents approximately 35% of hospital discharges. The authors searched for previously published ICD-9 codes that defined ORADEs. A group of surgical diagnosis-related groups (DRGs) were selected. Recurring queries were programmed using these ICD codes and DRGs and used to update an online dashboard...
June 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29936862/implementation-and-impact-of-a-hospital-wide-instrument-set-review-early-experiences-at-a-multisite-tertiary-care-academic-institution
#13
Seungwon Yoon, Corinna C Zygourakis, Joshua Seaman, Min Zhu, A Karim Ahmed, Tamara Kliot, Sheila Antrum, Andrew N Goldberg
A multidisciplinary team of nurses, sterile processing technicians, and surgeons reviewed 609 otolaryngology-head and neck surgery (OHNS) surgical instrument sets at the study institution's 3 hospitals. Implementation of the 4-phase instrument review resulted in decreased OHNS surgical instrument set types from 261 to 234 sets, and a decreased number of instruments in these sets from 18 952 to 17 084. The instrument set review resulted in an estimated savings of $35 665 in sterile processing costs for the OHNS department...
June 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29888610/individual-surgeon-s-contribution-to-value
#14
Florence E Turrentine, Min-Woong Sohn, Margaret C Tracci, Adriana G Ramirez, Gilbert R Upchurch, R Scott Jones
Estimating surgeon-level value in health care remains relatively unexplored. American College of Surgeons National Surgical Quality Improvement Program Participant Use Files (2005-2013) were linked with total costs at a single institution. Random intercepts in 3-level random effects logistic regression models predicted 30-day postoperative mortality or morbidity for each surgeon each year. Value was defined as quality (morbidity or mortality) divided by costs for surgeons performing general surgery and vascular procedures...
June 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29877091/adoption-and-implementation-of-the-surgical-safety-checklist-improving-safety-in-an-italian-teaching-hospital
#15
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29848000/preventable-hospital-admissions-and-30-day-all-cause-readmissions-does-hospital-participation-in-accountable-care-organizations-improve-quality-of-care
#16
Askar Chukmaitov, David W Harless, Gloria J Bazzoli, David B Muhlestein
This study evaluates quality performance of hospitals participating in Medicare Shared Savings and Pioneer Accountable Care Organization (ACO) programs relative to nonparticipating hospitals. Overall, 198 ACO participating and 1210 propensity score matched, nonparticipating hospitals were examined in a difference-in-difference analysis, using data from 17 states in the years 2010-2013. The authors studied preventable hospitalizations for conditions sensitive to high-quality ambulatory care-chronic obstructive pulmonary disease (COPD) and asthma, chronic heart failure (CHF), complications of diabetes-and 30-day all-cause readmissions potentially influenced by hospital care...
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29808703/ideal-hospitalist-workload-in-a-12-hour-shift
#17
Umesh Sharma
No abstract text is available yet for this article.
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29808700/the-teachers-of-quality-academy-evaluation-of-the-effectiveness-and-impact-of-a-health-systems-science-training-program
#18
Danielle S Walsh, Suzanne Lazorick, Luan Lawson, Donna Lake, Herbert G Garrison, Jason Higginson, Paul Vos, Elizabeth Baxley
This project aimed to evaluate the effectiveness of a faculty development program in health systems science (HSS)-the Teachers of Quality Academy (TQA). Participants in TQA and a comparison group were evaluated before, during, and 1 year after the program using self-perception questionnaires, tests of HSS knowledge, and tracking of academic productivity and career advancement. Among program completers (n = 27), the mean self-assessed ratings of knowledge and skills of HSS topics immediately after the program, as compared to baseline, increased significantly compared to controls (n = 30)...
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29790371/clinical-quality-and-patient-experience-in-the-adult-ambulatory-setting
#19
Susan Congiusta, Philip Solomon, Joseph Conigliaro, Roseanne O'Gara-Shubinsky, Nina Kohn, Ira S Nash
Quality and patient experience are important dimensions of care delivery. The extent to which they are related in the adult outpatient setting is unknown. This brief study utilized data from a large integrated health system over a 1-year period in 2015 and measured the degree of correlation between physicians' patient experience scores and 8 standardized quality metrics. These quality measures were paired into similar groups to create 4 composite measures: outcome, screening, vaccination, and adherence. Measures of outcome ( r = 0...
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29790370/environmental-factors-on-facebook-reviews-using-social-media-as-feedback-to-improve-hospital-quality
#20
Mariam Alkazemi, Sara Bayramzadeh, Ayman Alayoub, Nouf Alkhubaizi
No abstract text is available yet for this article.
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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