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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/28635297/medical-students-leading-quality-improvement-a-lean-six-sigma-approach-to-pain-management
#1
David Droullard, Samuel Porter, Anna Zuckerman, Daphne Monie, Judi Brendle, Henry Weil
No abstract text is available yet for this article.
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28629228/use-of-provider-debriefing-to-improve-fast-track-extubation-rates-following-cardiac-surgery-at-an-academic-medical-center
#2
Jordan E Goldhammer, Jillian M Dashiell, Scott Davis, Marc C Torjman, Hitoshi Hirose
When used in appropriate patient populations, fast-track extubation (FTE) anesthetic techniques and intensive care unit (ICU) protocols safely reduce intubation times, ICU length of stay, and resource utilization. The authors hypothesized that perioperative provider debriefing on success or failure of FTE would improve FTE success. This retrospective observational study included consecutive patients undergoing elective coronary artery bypass graft (CABG), valve, or combined CABG/valve surgery between February 2015 and May 2016 (N = 313)...
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28592153/does-level-of-hospital-matter-a-study-of-mortality-of-acute-myocardial-infarction-patients-in-shanxi-china
#3
Miao Cai, Echu Liu, Hongbing Tao, Zhengmin Qian, Xiaojun Lin, Zhaohui Cheng
This study compares risk-standardized mortality rates (RSMRs) of patients with acute myocardial infarction among tertiary A (typically, advanced urban hospitals with more than 800 beds), tertiary B (urban hospitals with more than 500 beds), and secondary A hospitals (rural and urban hospitals with less than 500 beds) in Shanxi, China. In all, 43 500 acute myocardial infarction inpatient records from 93 hospitals were included. Hierarchical logistic regression was used to estimate RSMRs, and Dunn's post hoc test was used to make pairwise comparisons of RSMR between hospital levels...
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28587516/noise-reduction-in-the-neonatal-intensive-care-unit-a-quality-improvement-initiative
#4
Mohamed Farooq Ahamed, Deborah Campbell, Susan Horan, Orna Rosen
Exogenous noise has deleterious effects on the developing fetus and infant. The aim of this quality improvement project was to lower the mean ambient noise level within a level IV neonatal intensive care unit (NICU) by 10% from the baseline in one year. Multiple noise reduction strategies were tested through Plan-Do-Study-Act cycles based on the Institute for Healthcare Improvement model for improvement. Strategies targeted environmental and behavioral modifications. Noise levels were recorded continuously; means and peaks were calculated...
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28573933/improving-the-effectiveness-of-the-process-of-postdischarge-communication-between-hospitalists-and-referring-providers
#5
Umesh Sharma, Asif Iqbal
No abstract text is available yet for this article.
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28573899/exploring-the-feasibility-of-incorporating-sexual-education-into-routine-adolescent-office-visits
#6
Holly A Rankin, Alisa LoSasso, Beth I Schwartz
No abstract text is available yet for this article.
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28573872/achieving-professionalism-in-health-care-organizations
#7
John R Griffith
No abstract text is available yet for this article.
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28573868/interdisciplinary-approach-to-increasing-skin-to-skin-contact-across-delivery-methods
#8
Janelle Bidlow, Nora Elfiky, Ashley Kass, Monica Oliveto, Eliza Reed, Michele Neff-Bulger
No abstract text is available yet for this article.
June 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28555507/performance-measurement-and-target-setting-in-california-s-safety-net-health-systems
#9
Shirin Hemmat, Dean Schillinger, Courtney Lyles, Sara Ackerman, Gato Gourley, Eric Vittinghoff, Margaret Handley, Urmimala Sarkar
Health policies encourage implementing quality measurement with performance targets. The 2010-2015 California Medicaid waiver mandated quality measurement and reporting. In 2013, California safety net hospitals participating in the waiver set a voluntary performance target (the 90th percentile for Medicare preferred provider organization plans) for mammography screening and cholesterol control in diabetes. They did not reach the target, and the difference-in-differences analysis suggested that there was no difference for mammography ( P = ...
May 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28482163/managing-hospice-quality-knowing-fehc-data-may-improve-cahps-scores
#10
Rebecca J Patrick, Dana Slobodian, Sarah Debanne, Hasina Momotaz, Maryjo Prince-Paul
No abstract text is available yet for this article.
May 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28482161/gamification-and-microlearning-for-engagement-with-quality-improvement-gameqi-a-bundled-digital-intervention-for-the-prevention-of-central-line-associated-bloodstream-infection
#11
Benjamin Orwoll, Shelley Diane, Duncan Henry, Lisa Tsang, Kristin Chu, Carrie Meer, Kevin Hartman, Arup Roy-Burman
Central line-associated bloodstream infections (CLABSIs) cause major patient harm, preventable through attention to line care best practice standards. The objective was to determine if a digital self-assessment application (CLABSI App), bundling line care best practices with social gamification and in-context microlearning, could engage nurses in CLABSI prevention. Nurses caring for children with indwelling central venous catheters in 3 high-risk units were eligible to participate. All other units served as controls...
May 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28467733/is-it-time-to-abandon-hospital-accreditation
#12
John R Griffith
Hospitals contracting with the Centers for Medicare & Medicaid Services (CMS) must comply with Conditions of Participation (CoP), enforced by 4 certified independent accrediting organizations (AOs) or individual state survey. Recent work documents that the system fails to achieve consistent clinical outcomes, allowing several-fold variation in mortality and patient safety. Other publicly reported evidence shows weaker clinical performance by state-surveyed hospitals, inexplicable variation in individual state surveys, and recurring disagreement between initial and audit surveyors...
May 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28467104/the-effectiveness-of-standardized-handoff-tool-interventions-during-inter-and-intra-facility-care-transitions-on-patient-related-outcomes-a-systematic-review
#13
Jennifer L Rosenthal, Robert Doiron, Sarah C Haynes, Brock Daniels, Su-Ting T Li
Improving physician handoffs is a patient safety priority. The authors hypothesize that standardized handoff interventions during care transitions improve patient-related outcome measures. PubMed, Cochrane, PsycINFO, CINAHL, Embase, and Web of Science were searched for publications from 2000 to May 2016. Eligible studies compared standardized handoff intervention(s) with no standardized handoff intervention and measured patient-related outcomes. Studies were evaluated independently for eligibility for inclusion by at least 2 authors in a 2-stage process; 14 articles met inclusion criteria...
May 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28460533/a-multidisciplinary-approach-to-impact-acute-care-utilization-in-sickle-cell-disease
#14
Rhea E Powell, Paris B Lovett, Albert Crawford, John McAna, David Axelrod, Lawrence Ward, Dianne Pulte
Sickle cell disease (SCD), an inherited red blood cell disorder, is characterized by anemia, end-organ damage, unpredictable episodes of pain, and early mortality. Emergency department (ED) visits and hospitalizations are frequent, leading to increased burden on patients and increased health care costs. This study assessed the effects of a multidisciplinary care team intervention on acute care utilization among adults with SCD. The multidisciplinary care team intervention included monthly team meetings and development of individualized care plans...
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28452233/improving-wisely-using-physician-metrics
#15
Martin A Makary, Ambar Mehta, Tim Xu
No abstract text is available yet for this article.
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28447853/finding-balance-standardizing-practice-is-corseting-physician-judgement
#16
Peter J Pronovost, Stephen A Berry, Kathleen M Sutliffe
No abstract text is available yet for this article.
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28412836/reducing-time-to-internal-medicine-consultation-in-the-ed-of-a-community-based-hospital-a-commentary-on-a-quality-improvement-initiative
#17
Melissa Di Santo, Elaina Orlando, Madelyn P Law
No abstract text is available yet for this article.
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28402709/how-can-we-effectively-engage-physicians-in-the-deprescribing-process
#18
Laurence Djatche, David Singer, Arianna Heyer, Marco Lombardi, Stefano Del Canale, Vittorio Maio
No abstract text is available yet for this article.
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28402683/improving-quality-management-in-medicine-is-it-catch-22-all-over-again
#19
Ayala Kobo-Greenhut, Racheli Megnezi, Haim Reuveni, Izhar Ben Shlomo
No abstract text is available yet for this article.
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/28399639/quality-indicators-associated-with-the-level-of-ncqa-accreditation
#20
Jason P Richter, Brad Beauvais
The National Committee for Quality Assurance (NCQA) is the most widely used accrediting body of health plans, but no study has explored how differences in health quality affect the accreditation level. Consumers may benefit as they guide health insurance purchasing decisions toward a cost-quality evaluation. The authors conducted a multinomial logistic regression analysis using data from the 2015 NCQA Quality Compass of 351 health plans. This study's outcome variable represented NCQA accreditation at 3 levels: accredited, commendable, and excellent...
April 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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