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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/30205697/effect-of-audit-and-feedback-on-physician-adherence-to-clinical-practice-guidelines-for-pneumonia-and-sepsis
#1
Stacy A Trent, Edward P Havranek, Adit A Ginde, Jason S Haukoos
The objective was to estimate the effect of feedback with blinded peer comparison on emergency physician adherence to guidelines for appropriate antibiotic administration for inpatient pneumonia and completion of the 3-hour Surviving Sepsis Bundle for severe sepsis. The authors performed a quasi-experiment using a stepped wedge design at a single urban safety net hospital. Attending emergency physicians were randomized into 6 clusters. Once a cluster crossed into the intervention group, physicians in that cluster began receiving detailed feedback with blinded peer comparison on their adherence to guidelines for pneumonia and sepsis...
September 12, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30198304/innovative-implementation-studies-conducted-in-us-safety-net-health-care-settings-a-systematic-review
#2
Courtney R Lyles, Margaret A Handley, Sara L Ackerman, Dean Schillinger, Pamela Williams, Marisa Westbrook, Gato Gourley, Urmimala Sarkar
Little is known about dissemination and implementation in safety net settings. The authors conducted a literature review of innovation/implementation studies in US safety net health care settings between 2008 and 2017. Each article was coded for (1) intervention characteristics, (2) implementation stage, (3) internal versus external ownership, and (4) prespecified implementation outcomes (eg, acceptability and fidelity). Twenty studies were identified; the majority were implemented within community clinics or integrated safety net systems (15 articles), most involved care process improvements (13 articles), and most were internally developed (13 articles)...
September 10, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30198303/promoting-high-value-change-by-addressing-the-structure-of-order-sets-lessons-from-the-cardiac-catheterization-lab
#3
Nagendra Pokala, Shruti Singh, Gene Hu, Timothy J Brown, Ambarish Pandey, Sandeep R Das, Arjun Gupta
No abstract text is available yet for this article.
September 10, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30196712/impact-of-hearing-loss-on-patient-provider-communication-among-hospitalized-patients-a-systematic-review
#4
Aishwarya Shukla, Carrie L Nieman, Carrie Price, Michael Harper, Frank R Lin, Nicholas S Reed
Age-related hearing loss is a highly prevalent chronic condition in older adults, but hearing loss is rarely accounted for in patient-provider communication studies. This systematic review synthesizes current evidence on the impact of age-related hearing loss on patient-provider communication in hospitalized older adults. Five databases were queried to identify original research that examined patient-provider communication in older adults with hearing loss in an inpatient setting. Of 1053 studies, 13 were included in the final review...
September 9, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30196709/taking-the-patient-out-of-patient-centered-care
#5
Harjot Uppal
No abstract text is available yet for this article.
September 9, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30196708/changes-in-care-after-implementing-a-multifaceted-intervention-to-improve-preventive-cardiology-practice-in-rheumatoid-arthritis
#6
Darcy S Majka, Ji Young Lee, Yaw A Peprah, Dawid Lipiszko, Elisha Friesema, Eric M Ruderman, Stephen D Persell
Rheumatoid arthritis (RA) increases cardiovascular disease (CVD) risk. However, CVD risk factor identification and treatment is often inadequate. The authors implemented a multifaceted rheumatology practice intervention to improve CVD risk factor measurement, assessment, and management. The intervention included clinician education, point-of-care decision support, feedback, and care management. The authors measured quality indicators from electronic health records and assessed impact with interrupted time series...
September 9, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30196711/lessons-learned-in-providing-claims-based-data-to-participants-in-health-care-innovation-models
#7
Martin F Cohen, Sarah M Irie, C Allison Russo, Veronika Pav, Shannon L O'Connor, Suzanne G Wensky
The Centers for Medicare & Medicaid Services (CMS) has been providing data to organizations participating in a range of innovation models to help them implement interventions and to provide feedback on performance. The authors studied 18 CMS models to gain a better understanding of factors contributing to model participants' use or nonuse of CMS-provided data. Factors that contribute to greater use include providing data that participants view as actionable, some type of accountability for performance, robust learning support, participants having resources to work with the data, and soliciting ongoing feedback about the data and related learning needs...
September 8, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30196706/a-guide-to-evaluation-of-quality-improvement-and-patient-safety-educational-programs-lessons-from-the-va-chief-resident-in-quality-and-safety-program
#8
Rebecca L Butcher, Kathleen L Carluzzo, Bradley V Watts, Karen E Schifferdecker
With the recent proliferation of quality improvement (QI) and patient safety (PS) education programs, guidance is needed on how to assess the effectiveness of these programs. Without a systematic approach, evaluation efforts may end up being disjointed, lead to excess participant burden, or yield unhelpful feedback because of poor fit with program priorities. This article presents a framework for developing a multilevel evaluation infrastructure using examples from the evaluation of the national Department of Veterans Affairs Chief Resident in Quality and Safety program, a 1-year, post-accreditation program to develop leadership and teaching skills in QI and PS...
September 8, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30182723/adopting-rca-2-the-interrater-reliability-of-safety-assessment-codes
#9
Timothy L Switaj, Brian M Cummings, Merranda S Logan, Elizabeth A Mort
Safety assessment codes (SACs) are one method to evaluate adverse events and determine the need for a root cause analysis. Few facilities currently use SACs, and there is no literature examining their interrater reliability. Two independent raters assigned frequency, actual harm, and potential harm ratings to a sample of patient safety reports. An actual and potential SAC were determined. Percent agreement and Cohen's κ were calculated. Substantial agreement existed for the actual SAC (κ = 0.626, P < ...
September 5, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30175591/effect-of-a-resident-led-icd-10-code-focused-review-of-inpatient-documentation-on-length-of-stay
#10
Rachel E Elam, Monique Bethel, P Chela Brown, Garrett Collins, Richard L Perry, Lee Merchen, David J Fallaw, N Stanley Nahman
No abstract text is available yet for this article.
September 3, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30160164/improved-supervision-and-safety-of-discharges-through-formal-discharge-education
#11
Lily L Ackermann, Emily A Stewart, Jeffrey M Riggio
The goal of this study is to evaluate change in residents' assessment of supervision and safety of the discharge process after formal discharge instruction education. An educational lecture and workshop addressing high-risk medications, medication reconciliation, follow-up, and handoffs were provided to internal medicine residents. Residents were given a longitudinal survey before and after the discharge education session. Significant improvement in perception was demonstrated in review of discharge instructions ( P < ...
August 30, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30132334/performance-on-electronic-clinical-quality-measures-in-the-comprehensive-primary-care-initiative
#12
Christiane T LaBonte, Perry Payne, William Rollow, Mark W Smith, Abdul Nissar, Patrice Holtz, Laura L Sessums
Electronic clinical quality measures (eCQMs) that capture data from electronic health records promise accurate and timely measurement, but their use has been limited in payment. The Comprehensive Primary Care initiative sponsored by the Centers for Medicare & Medicaid Services used eCQMs as part of a shared savings incentive. To assess performance, the authors developed benchmarks for 11 measures and compared performance of initiative and benchmark practices. Initiative practices outperformed benchmark practices on 8 measures in 2015 (between 6...
August 22, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30126293/optimizing-leadership-roles-of-the-medical-executive-committee-within-community-hospitals
#13
M Shafeeq Ahmed, Peter J Pronovost
No abstract text is available yet for this article.
August 20, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30126289/willingness-and-practice-regarding-voluntary-unpaid-blood-donation-among-college-students-in-shandong-china
#14
(no author information available yet)
No abstract text is available yet for this article.
August 20, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30112916/closing-the-loop-assuring-that-skin-biopsy-results-are-received-by-patients-following-hospital-discharge
#15
Samantha R Pop, Niraj Butala, Warren R Heymann
No abstract text is available yet for this article.
August 16, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30101596/multiyear-performance-trends-analysis-of-primary-care-practices-demonstrating-patient-centered-medical-home-transformation-an-observation-of-quality-improvement-indicators-among-outpatient-clinics
#16
Vincent Pereira, Meghan Hufstader Gabriel, Lynn Unruh
Despite the ever-changing requirements of modern policy, payers seek interventions for care delivery improvement through value-based care models. Prior research acknowledges the Patient-Centered Medical Home (PCMH) as a tool for performance and outcomes improvement. However, these studies lack empirical evidence of performance trends across medical homes. A retrospective observational study was conducted to describe national trends in National Committee for Quality Assurance PCMH recognition for more than 23 000 primary care practices across the United States from 2008 to 2017...
August 12, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30095983/provider-focused-intervention-to-promote-comprehensive-screening-for-adolescent-idiopathic-scoliosis-by-primary-care-pediatricians
#17
Maria Carmen G Diaz, Tim Wysocki, James H Crutchfield, James P Franciosi, Lloyd N Werk
Screening can detect adolescent idiopathic scoliosis (AIS). The objective was to determine if computer-based simulation (CBS) and computerized clinical decision-support systems (CCDSS) would improve primary care providers' AIS screening exams as noted in their documentation. All participants received AIS screening CBS training. Participants were then randomized to receive either CCDSS when an eligible patient was seen (intervention arm) or no further intervention (comparison arm). Eligible patients' documentation was analyzed looking for a complete AIS screening exam...
August 10, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30089397/differences-in-safety-climate-perception-by-health-care-worker-work-schedule-and-workplace-characteristics
#18
Sharon R Silver, James M Boiano
Safety climate has been associated with patient and health care worker safety and outcomes. However, few studies have examined how perceptions of workplace safety differ by worker, work schedule, and workplace characteristics. Data from 10 168 participants in the National Institute for Occupational Safety and Health's Health and Safety Practices Survey of Healthcare Workers were analyzed. Multivariable regression analyses examined associations among worker and workplace characteristics and items measuring 5 areas of workplace safety perception...
August 9, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30078350/can-medical-students-lead-effective-quality-improvement-initiatives-a-systematic-review
#19
Meelad Sayma, Dina Saleh, Keenan Saleh, Andrew Gaukroger, Theodore Howard, Christian Hesford, Hywel Rhys Williams, Lady-Namera Ejaimike, Yasmin Zolfaghari, Ashley Ong
Quality improvement project (QUIP) concepts are becoming embedded into medical school curricula, with many students now expected to conduct a QUIP as part of their progression. This study aimed to assess whether student-led QUIPs can be effective and sustainable. A systematic literature search was conducted using 5 databases: MEDLINE, Embase, Ovid, CINAHL, and PsycINFO. The authors searched for articles published between January 28, 1978, and January 28, 2018. In all, 3965 articles were identified through database searching, and an additional 9 articles through hand searches...
August 6, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/30078347/an-initiative-to-decrease-time-to-antibiotics-for-patients-with-fever-and-neutropenia
#20
Beth L Emerson, Stephanie Prozora, Alby Jacob, Kristen Clark, Deborah Kotrady, Lauren Edwards, Rebecca Ciaburri, Antonio Riera
The objective was to decrease the time to antibiotic administration for patients arriving in the pediatric emergency department with fever and neutropenia. A multidisciplinary team was assembled and engaged in process analysis through interviews and data review. These findings were used to develop key drivers, and Pareto charts were utilized to prioritize interventions. Interventions were tested and implemented using rapid Plan-Do-Study-Act cycles. Progress was monitored using process control charts. Interventions included leveraging a secure text-based messaging platform, creating a new antibiotic pathway, and educating staff and family...
August 6, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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