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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/27903769/education-for-the-next-frontier-in-patient-safety-a-longitudinal-resident-curriculum-on-diagnostic-error
#1
Emily Ruedinger, Maren Olson, Justin Yee, Emily Borman-Shoap, Andrew P J Olson
Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation...
November 29, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27884979/cost-effectiveness-of-behavior-activation-versus-supportive-therapy-on-adherence-to-eye-exams-in-older-african-americans-with-diabetes
#2
David Winters, Robin Casten, Barry Rovner, Ann Murchison, Benjamin E Leiby, Julia A Haller, Lisa Hark, David M Weiss, Laura T Pizzi
Although the importance of ophthalmologic screening in diabetic patients is widely recognized by clinicians, the cost-effectiveness of strategies aimed at improving eye care utilization in this population is not well established. A cost-effectiveness analysis was performed comparing behavior activation (BA) to supportive therapy (ST) in activating patients to receive a dilated fundus exam (DFE) and promoting healthy management of diabetes. Two hundred six subjects were randomized to receive either BA or ST between 2009 and 2013...
November 23, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27852790/prophylactic-treatment-of-preterm-delivery-at-ut-family-medicine-center-jackson
#3
Daniel Ludi, Hardie V Sorrels, Forrest L Sturgill
No abstract text is available yet for this article.
November 15, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27852789/patient-centered-medical-home-capacity-and-ambulatory-care-utilization
#4
Larry R Hearld, Kristine R Hearld, Claudia Guerrazzi
The patient-centered medical home (PCMH) has increasingly received attention as a model of care to potentially remedy the cost and quality problems that confront the US health care system, including and especially ambulatory care-related issues. This study examined the association between physician practices' PCMH capacity and 3 indicators of ambulatory care utilization: (1) emergency department utilization, (2) ambulatory care sensitive hospitalization rate, and (3) 30-day all-cause readmission rate. Results show that overall PCMH capacity is associated with lower rates, and technical aspects of the PCMH in particular were associated with lower utilization rates while interpersonal capabilities were not...
November 15, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27837163/sepsis-and-shock-response-team-impact-of-a-multidisciplinary-approach-to-implementing-surviving-sepsis-campaign-guidelines-and-surviving-the-process
#5
Ami Grek, Sandra Booth, Emir Festic, Michael Maniaci, Ehsan Shirazi, Kristine Thompson, Angela Starbuck, Chad Mcree, James M Naessens, Pablo Moreno Franco
The Surviving Sepsis Campaign guidelines are designed to decrease mortality through consistent application of a 7-element bundle. This study evaluated the impact of improvement in bundle adherence using a time-series analysis of compliance with the bundle elements before and after interventions intended to improve the process, while also looking at hospital mortality. This article describes interventions used to improve bundle compliance and hospital mortality in patients admitted through the emergency department with sepsis, severe sepsis, or septic shock...
November 10, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27784757/coding-human-factors-observations-in-surgery
#6
Tara N Cohen, Douglas A Wiegmann, Scott T Reeves, Albert J Boquet, Scott A Shappell
The reliability of the Human Factors Analysis and Classification System (HFACS) for classifying retrospective observational human factors data in the cardiovascular operating room is examined. Three trained analysts independently used HFACS to categorize observational human factors data collected at a teaching and nonteaching hospital system. Results revealed that the framework was substantially reliable overall (Study I: k = 0.635; Study II: k = 0.642). Reliability increased when only preconditions for unsafe acts were investigated (Study I: k =0...
October 25, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27777276/improving-health-care-quality-and-patient-safety-through-peer-to-peer-assessment-demonstration-project-in-two-academic-medical-centers
#7
Elizabeth Mort, Jeffrey Bruckel, Karen Donelan, Lori Paine, Michael Rosen, David Thompson, Sallie Weaver, Daniel Yagoda, Peter Pronovost
Despite decades of investment in patient safety, unintentional patient harm remains a major challenge in the health care industry. Peer-to-peer assessment in the nuclear industry has been shown to reduce harm. The study team's goal was to pilot and assess the feasibility of this approach in health care. The team developed tools and piloted a peer-to-peer assessment at 2 academic hospitals: Massachusetts General Hospital and Johns Hopkins Hospital. The assessment evaluated both the institutions' organizational approach to quality and safety as well as their approach to reducing 2 specific areas of patient harm...
October 23, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27738129/medicaid-stage-1-meaningful-use-ehr-incentive-payments-are-associated-with-higher-quality-but-not-improvements-in-quality
#8
Zachary M Grinspan, Yuhua Bao, Alison Edwards, Phyllis Johnson, Rainu Kaushal, Lisa M Kern
This was a retrospective cohort study of ambulatory care quality by physicians who received payment for Medicaid Stage 1 Meaningful Use (MU) in 2012 using New York State Medicaid Claims (2010-2013). Eight quality measures were used to compare performance of physicians who received payments to Adopt, Implement, or Use (AIU) an electronic health record in 2011 but not for MU in 2012 (AIU-only group) and physicians who cared for Medicaid patients but received no payments (no-incentive group), using propensity score-weighted difference-in-difference logistic regression analyses, clustering by physician...
October 13, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27655960/quality-improvement-curriculum-for-physical-medicine-and-rehabilitation-residents-a-needs-assessment
#9
Ashlee Jaffe, Melissa Klein, Mary McMahon, David Pruitt
This needs assessment survey of physical medicine and rehabilitation (PM&R) program directors (PDs) from Accreditation Council for Graduate Medical Education-accredited programs aimed to (1) describe current quality improvement (QI) training, (2) characterize PDs' perceptions of their own and their faculty's QI knowledge and skill, and (3) determine PDs' opinions of optimal QI training to inform the development of a future QI curriculum. Descriptive statistics were used for data analysis. Forty-five percent of PDs (35/78) responded...
September 21, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27630130/student-perceptions-of-clinical-quality-and-safety
#10
Lakshmana Swamy, Colleen Badke, Arvind Suguness, Jacob McKeegan, Karen Kirkham, Nicole J Borges
No abstract text is available yet for this article.
September 14, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27807276/ajmq-newsletter-new-chapters-for-the-college
#11
Mark A Lyles, Diana Huang, Sonia Kohli, Sydney Ramsey
No abstract text is available yet for this article.
November 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27807214/the-proceedings-of-medical-quality-2016
#12
(no author information available yet)
No abstract text is available yet for this article.
November 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27535940/annotated-bibliography-understanding-ambulatory-care-practices-in-the-context-of-patient-safety-and-quality-improvement
#13
Maria F Montano, Harshal Mehdi, David B Nash
The ambulatory care setting is an increasingly important component of the patient safety conversation. Inpatient safety is the primary focus of the vast majority of safety research and interventions, but the ambulatory setting is actually where most medical care is administered. Recent attention has shifted toward examining ambulatory care in order to implement better health care quality and safety practices. This annotated bibliography was created to analyze and augment the current literature on ambulatory care practices with regard to patient safety and quality improvement...
November 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27083504/department-of-veterans-affairs-chief-resident-in-quality-and-patient-safety-program-a-model-to-spread-change
#14
Bradley V Watts, Douglas E Paull, Linda C Williams, Julia Neily, Robin R Hemphill, Judy L Brannen
No abstract text is available yet for this article.
November 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/26491116/a-multidisciplinary-sepsis-program-enabled-by-a-two-stage-clinical-decision-support-system-factors-that-influence-patient-outcomes
#15
Robert C Amland, James M Haley, Jason J Lyons
Sepsis is an inflammatory response triggered by infection, with risk of in-hospital mortality fueled by disease progression. Early recognition and intervention by multidisciplinary sepsis programs may reverse the inflammatory response among at-risk patient populations, potentially improving outcomes. This retrospective study of a sepsis program enabled by a 2-stage sepsis Clinical Decision Support (CDS) system sought to evaluate the program's impact, identify early indicators that may influence outcomes, and uncover opportunities for quality improvement...
November 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27580925/ajmq-newsletter-a-new-recipe-from-cms-macramoni
#16
Mark A Lyles
No abstract text is available yet for this article.
September 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27520099/using-statistical-process-control-to-improve-clinical-productivity
#17
Melanie E Mayberry
No abstract text is available yet for this article.
September 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27122621/burnout-s-prevalence-estimations-a-house-of-cards
#18
LETTER
Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent
No abstract text is available yet for this article.
September 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27122620/chest-radiographs-immediately-after-cardiac-surgery
#19
LETTER
Rupert Parker, Robert Doyle, Rakesh Vaja
No abstract text is available yet for this article.
September 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27122618/addressing-our-deficiencies-in-end-of-life-care-perspectives-from-a-resident-physician
#20
LETTER
Ramy Sedhom
No abstract text is available yet for this article.
September 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
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