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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/29212342/reducing-unnecessary-testing-ultrasound-in-acute-kidney-injury
#1
Arham Barakzai, Lucinda Wenzlick, Nisha Deol, Syem Barakzai, Sarwan Kumar
No abstract text is available yet for this article.
December 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29185357/when-old-habits-train-a-new-generation-findings-from-a-national-survey-of-internal-medicine-program-directors-on-procedural-training
#2
Daniel N Ricotta, C Christopher Smith, Jakob I McSparron, Saima I Chaudhry, Furman S McDonald, Grace C Huang
Resident physicians routinely perform bedside procedures that pose substantial risk to patients. However, no standard programmatic approach to supervision and procedural competency assessment among residents currently exists. The authors performed a national survey of internal medicine (IM) program directors to examine procedural assessment and supervision practices of IM residency programs. Procedures chosen were those commonly performed by medicine residents at the bedside. Of the 368 IM programs, 226 (61%) completed the survey...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29183169/united-states-registered-nurse-workforce-report-card-and-shortage-forecast-a-revisit
#3
Xiaoming Zhang, Daniel Tai, Hugh Pforsich, Vernon W Lin
This is a reevaluation of registered nurse (RN) supply and demand from 2016 to 2030 using a previously published work forecast model and grading methodology with more recent workforce data. There will be a shortage of 154 018 RNs by 2020 and 510 394 RNs by 2030; the South and West regions will have higher shortage ratios than Northeast and Midwest regions. This reflects a nearly 50% overall improvement when compared with the authors' prior study, and the low-performing states have improved from 18 "D" and 12 "F" grades as published earlier to 13 "D" and 1 "F" in this study...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29183149/a-department-of-medicine-infrastructure-for-patient-safety-and-clinical-quality-improvement
#4
Simon C Mathews, Peter J Pronovost, E Lee Daugherty Biddison, Brent G Petty, Mark E Anderson, Terry S Nelson, Katie Outten, Ronald Langlotz, Denice Duda, Carrie A Herzke, Kimberly S Peairs, Sherita H Golden, Matthew B Lautzenheiser, Hailey J James, Sanjay V Desai, Sara C Keller, Leonard S Feldman, Amit K Pahwa, Stephen A Berry
Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29169255/a-standard-setting-body-for-us-health-care-quality-measurement
#5
J Matthew Austin, Bernard Black, Peter J Pronovost
No abstract text is available yet for this article.
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29144156/upmc-prescription-for-wellness-a-quality-improvement-case-study-for-supporting-patient-engagement-and-health-behavior-change
#6
Rebecca J Maners, Eric Bakow, Michael D Parkinson, Gary S Fischer, Geoffrey R Camp
Addressing patient health and care behaviors that underlie much of chronic disease continues to challenge providers, medical practices, health systems, and insurers. Improving health and care as described by the Quadruple Aim requires innovation at the front lines of clinical care: the doctor-patient interaction and office practice. This article describes the use of Lean Six Sigma in a quality improvement (QI) effort to design an effective and scalable method for physicians to prescribe health coaching for healthy behaviors in a primary care medical home within a large integrated delivery and financing system...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29139318/improved-newborn-care-evidence-based-protocol-for-the-evaluation-and-management-of-early-onset-sepsis
#7
Christine Klingaman, Luke King, Michele Neff-Bulger
No abstract text is available yet for this article.
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29139307/skin-to-skin-contact-as-quality-measurement
#8
Michael Stark
No abstract text is available yet for this article.
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29094618/the-proceedings-of-medical-quality-2017
#9
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29090611/us-internal-medicine-program-director-perceptions-of-alignment-of-graduate-medical-education-and-institutional-resources-for-engaging-residents-in-quality-and-safety
#10
Karen M Chacko, Andrew J Halvorsen, Sara L Swenson, Sandhya Wahi-Gururaj, Alwin F Steinmann, Stephanie Call, Jennifer S Myers, Arpana Vidyarthi, Vineet M Arora
Alignment between institutions and graduate medical education (GME) regarding quality and safety initiatives (QI) has not been measured. The objective was to determine US internal medicine residency program directors' (IM PDs) perceived resourcing for QI and alignment between GME and their institutions. A national survey of IM PDs was conducted in the Fall of 2013. Multivariable linear regression was used to test association between a novel Integration Score (IS) measuring alignment between GME and the institution via PD perceptions...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29090585/the-importance-of-pharmaceutical-care-in-oncologic-patients-undergoing-oral-antineoplastic-treatment-a-pilot-study-on-adherence-quality-of-life-and-perceptions-of-the-information-received
#11
Graziele Baldan Ferrari, Marília Berlofa Visacri, Júlia Coelho França Quintanilha, Gabriela Galhardo de Vito, Cristina Rosa Barbosa, Lara Paro Dias, Carmen Silvia Passos Lima, Patricia Moriel
No abstract text is available yet for this article.
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29088919/physician-perceptions-of-performance-feedback-in-a-quality-improvement-activity
#12
Aimee R Eden, Elizabeth Hansen, Michael D Hagen, Lars E Peterson
Physician performance and peer comparison feedback can affect physician care quality and patient outcomes. This study aimed to understand family physician perspectives of the value of performance feedback in quality improvement (QI) activities. This study analyzed American Board of Family Medicine open-ended survey data collected between 2004 and 2014 from physicians who completed a QI module that provided pre- and post-QI project individual performance data and peer comparisons. Physicians made 3480 comments in response to a question about this performance feedback, which were generally positive in nature (86%)...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29082750/assessment-of-adherence-to-baseline-quality-measures-for-cirrhosis-and-the-impact-of-performance-feedback-in-a-regional-va-medical-center
#13
Jennifer A Cahill, Syed Rizvi, Kia Saeian
Baseline adherence to cirrhotic quality improvement measures was assessed and a system to improve adherence with provider performance feedback was developed, with impact of feedback measured over time. A 6-year retrospective database was created of cirrhotic patients seen between 2006 and 2012, and reviewed for hepatitis A and B serologies, hepatocellular carcinoma (HCC) screening, variceal screening, and vaccinations. Cumulative performance feedback was distributed to providers. In all, 265 charts were reviewed retrospectively...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29072487/measuring-perceived-level-of-integration-during-the-process-of-primary-care-behavioral-health-implementation
#14
Erin M Staab, Mara Terras, Pooja Dave, Nancy Beckman, Sachin Shah, Lisa M Vinci, Daniel Yohanna, Neda Laiteerapong
Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with ≥80 representing a highly integrated clinic...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29034685/improving-performance-on-preventive-health-quality-measures-using-clinical-decision-support-to-capture-care-done-elsewhere-and-patient-exceptions
#15
Michael E Bowen, Deepa Bhat, Jason Fish, Brett Moran, Temple Howell-Stampley, Lynne Kirk, Stephen D Persell, Ethan A Halm
Preventive services required for performance measurement often are completed in outside health systems and not captured in electronic medical records (EMRs). A before-after study was conducted to examine the ability of clinical decision support (CDS) to improve performance on preventive quality measures, capture clinician-reported services completed elsewhere, and patient/medical exceptions and to describe their impact on quality measurement. CDS improved performance on colorectal cancer screening, osteoporosis screening, and pneumococcal vaccination measures ( P < ...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29027473/developing-diverse-leaders-at-academic-health-centers-a-prerequisite-to-quality-health-care
#16
Ulfat Shaikh, David A Acosta, Julie A Freischlag, Heather M Young, Amparo C Villablanca
No abstract text is available yet for this article.
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29027472/using-decisional-conflict-to-evaluate-patient-engagement-during-hospital-discharge
#17
Erin P Dowling, Aram A Namavar, Sitaram Vangala, Ashley Busuttil, Nasim Afsar-Manesh
No abstract text is available yet for this article.
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28980474/impact-of-remote-clinical-supervision-of-medical-residents
#18
Yael Koton, Kathy Schnitzer, Naiel Bisharat
No abstract text is available yet for this article.
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28978224/sustained-improvement-in-administration-of-the-hepatitis-b-vaccine-birth-dose-a-quality-improvement-initiative
#19
Sheri L Nemerofsky, Bolanle Akingboye, Claudia Ferguson, Dawn Africa
The New York State Department of Health recommends the administration of the hepatitis B vaccine birth dose within 12 hours of life (HOL) for all full-term babies irrespective of maternal hepatitis B status. The primary and secondary aims of the project were to improve the timeliness of vaccine administration and increase the total number of infants vaccinated prior to discharge. Multiple Plan-Do-Study-Act cycles were performed. Statistical process charts of percentages of vaccination within 12 HOL and prior to discharge were constructed with 3-σ (data within 3 standard deviations from a mean) control limits...
October 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29156949/ajmq-newsletter-acmq-strategic-planning-2017
#20
Mark Lyles
No abstract text is available yet for this article.
November 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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