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Quality Management in Health Care

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https://www.readbyqxmd.com/read/28375961/from-the-intermountain-institute-for-healthcare-delivery-research
#1
Andrew J Knighton, R Neal Davis
No abstract text is available yet for this article.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375960/transdisciplinary-teams-spur-innovation-for-patient-safety-and-quality-improvement
#2
Jennifer W Di Mattina, Peter J Pronovost, Christine G Holzmueller
No abstract text is available yet for this article.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375959/rfid-continuance-usage-intention-in-health-care-industry
#3
Mohammad Iranmanesh, Suhaiza Zailani, Davoud Nikbin
Radio-frequency identification (RFID) has been proved to be an effective tool both for improving operational efficiency and for gaining competitive advantage in the health care industry despite its relatively low-usage rate in hospitals. The sustained use of RFID by health care professionals will promote its development in the long term. This study evaluates the acceptance continuance of RFID among health care professionals through technology continuance theory (TCT). Data were collected from 178 medical professionals in Malaysia and were then analyzed using the partial least squares technique...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375958/evidence-based-practice-standard-care-for-acute-pain-management-in-adults-with-sickle-cell-disease-in-an-urgent-care-center
#4
Sunghee Kim, Ron Brathwaite, Ook Kim
BACKGROUND: Vaso-occlusive episodes (VOEs) with sickle cell disease (SCD) require opioid treatment. Despite evidence to support rapid pain management within 30 minutes, care for these patients does not consistently meet this benchmark. This quality improvement study sought to decrease the first analgesic administration time, increase patient satisfaction, and expedite patient flow. METHODS: A prospective pre-/postevaluation design was used to evaluate outcomes with patients 18 years or older with VOEs in an urgent care (UC) center after implementation of evidence-based practice standard care (EBPSC)...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375957/effects-of-intervention-and-team-culture-on-operating-room-traffic
#5
Ricardo W Pulido, Benjamin Kester, Ran Schwarzkopf
PURPOSE: How changes in the surgical team's culture can potentially reduce operating room (OR) traffic. INTRODUCTION: Excessive OR traffic during surgical procedures can present a risk to the patient's safety and recovery. Data suggest that limiting the number of OR personnel during the intraoperative period can reduce excessive OR traffic. However, it is unclear whether the surgeon's verbal intervention can also successfully reduce intraoperative OR traffic. This study compares traffic rates in hip and knee arthroplasty cases against traffic rates during nonarthroplasty cases to examine the effects of verbal interventions implemented by the surgeon to reduce intraoperative traffic...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375956/evaluating-the-effectiveness-of-concurrent-review-does-it-improve-stroke-measure-results
#6
Celia Gomes McGillivray, Brian Silver
BACKGROUND: Concurrent review is a quality improvement strategy in which patients are tracked from admission to discharge, and messages are communicated to the responsible physician when quality stroke measures have not been met. There is little research regarding interventions that might influence clinical practice patterns and improvement in compliance with core quality measures. This study sought to evaluate whether concurrent review implementation was associated with change in performance on stroke measure outcome data...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375955/using-lean-management-to-reduce-emergency-department-length-of-stay-for-medicine-admissions
#7
Nazima Allaudeen, Anita Vashi, Julia S Breckenridge, Farnoosh Haji-Sheikhi, Sarah Wagner, Keith A Posley, Steven M Asch
BACKGROUND: The practice of boarding admitted patients in the emergency department (ED) carries negative operational, clinical, and patient satisfaction consequences. Lean tools have been used to improve ED workflow. Interventions focused on reducing ED length of stay (LOS) for admitted patients are less explored. OBJECTIVE: To evaluate a Lean-based initiative to reduce ED LOS for medicine admissions. DESIGN, SETTING, PATIENTS: Prospective quality improvement initiative performed at a single university-affiliated Department of Veterans Affairs (VA) medical center from February 2013 to February 2016...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375954/optimizing-the-care-coordinator-role-in-primary-care-a-qualitative-case-study
#8
Elizabeth C Clark, Jenna Howard, Jeanne Ferrante, Cathryn Heath, Kang Li, Susan Albin, Shawna V Hudson
BACKGROUND: Care coordinators (CCs) are increasingly employed in primary care as a means to improve health care quality, but little research examines the process by which CCs are integrated into practices. This case study provides an in-depth examination of this process and efforts to optimize the role. METHODS: Two CCs' work was observed and assessed, and attempts were made to optimize the role using workflow modeling and "Plan-Do-Study-Act" cycles. Rolling qualitative analyses of field notes from key informant interviews and team meetings were conducted using iterative cycles of "immersion/crystallization" to identify emerging themes...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375953/co-producing-interprofessional-round-work-designing-spaces-for-patient-partnership
#9
Karin Thörne, Boel Andersson-Gäre, Håkan Hult, Madeleine Abrandt-Dahlgren
Within wide-ranging quality improvement agendas, patient involvement in health care is widely accepted as crucial. Ward rounds that include patients' active participation are growing as an approach to involve patients, ensure safety, and improve quality. An emerging approach to studying quality improvement is to focus on "clinical microsystems," where patients, professionals, and information systems interact. This provides an opportunity to study ward rounds more deeply. A new model of conducting ward rounds implemented through quality improvement work was studied, using the theory of practice architectures as an analytical tool...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375952/interprofessional-barriers-a-study-of-quality-improvement-work-among-nurses-and-physicians
#10
Nomie Eriksson, Tomas Müllern
This article studies interprofessional barriers between nurses and physicians in the context of quality improvement work. A total of 17 nurses and 10 physicians were interviewed at 2 hospitals in Sweden. The study uncovered a number of barriers relating to both the relative status of each group and their defined areas of responsibility.
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28375951/interactional-resources-for-quality-improvement-learning-from-participants-through-a-qualitative-study
#11
Joanna Veazey Brooks, Ksenia Gorbenko, Charles Bosk
BACKGROUND: Implementing quality improvement in hospitals requires a multifaceted commitment from leaders, including financial, material, and personnel resources. However, little is known about the interactional resources needed for project implementation. The aim of this analysis was to identify the types of interactional support hospital teams sought in a surgical quality improvement project. METHODS: Hospital site visits were conducted using a combination of observations, interviews, and focus groups to explore the implementation of a surgical quality improvement project...
April 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030467/information-for-authors
#12
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030466/from-the-intermountain-institute-for-health-care-delivery-research
#13
Andrew J Knighton, Robert S Kristiansson, Tom Belnap, Peter Daneryd
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030465/mutual-mentorship-patient-partnered-care-starts-at-the-patient-ceo-level
#14
Donna R Cryer, Richard O Davis, Peter J Pronovost
No abstract text is available yet for this article.
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030464/selecting-health-care-improvement-projects-a-methodology-integrating-cause-and-effect-diagram-and-analytical-hierarchy-process
#15
Özlem Müge Testik, Amir Shaygan, Erdi Dasdemir, Guray Soydan
OBJECTIVES: It is often vital to identify, prioritize, and select quality improvement projects in a hospital. Yet, a methodology, which utilizes experts' opinions with different points of view, is needed for better decision making. METHODS: The proposed methodology utilizes the cause-and-effect diagram to identify improvement projects and construct a project hierarchy for a problem. The right improvement projects are then prioritized and selected using a weighting scheme of analytical hierarchy process by aggregating experts' opinions...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030463/promoting-continuous-quality-improvement-in-the-alabama-child-health-improvement-alliance-through-q-sort-methodology-and-learning-collaboratives
#16
Matthew Fifolt, Julie Preskitt, Andrew Rucks, Kathryn Corvey, Elizabeth Cason Benton
OBJECTIVE: Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives. METHODS: Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030462/examining-the-relationship-between-perceived-quality-of-care-and-actual-quality-of-care-as-measured-by-30-day-readmission-rates
#17
Stanley R Salinas
OBJECTIVE: To test the relationship between patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and actual quality of care, as measured by 30-day readmission rates. DATA SOURCES: Both HCAHPS data and outcome data reported to the Centers of Medicare & Medicaid Services (CMS). STUDY DESIGN: This secondary, nationwide (N = 4060), hospital-level study focused only on acute care hospitals...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030461/does-the-proportion-of-same-day-and-24-hour-appointments-impact-patient-satisfaction
#18
Jason P Richter, Lynn Downs, Brad Beauvais, Peter V Huynh, Jessica E Hamilton, Forest Kim, Fred Weigel
BACKGROUND: The relationship between open access and patient satisfaction is mixed. Our study is the first to assess the relationship between open access appointment scheduling and patient satisfaction in the Military Health System (MHS). It is also unique in that we examine both same-day and 24-hour access through a relationship with satisfaction. METHODS: We conducted a panel time-series analysis with general estimating equations on the Army population of outpatient facilities (N = 32), with 32 364 957 total observations...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030460/health-care-professionals-usage-and-documentation-of-a-swedish-quality-registry-regarding-preventive-nutritional-care
#19
Linda Johansson, Helle Wijk, Lennart Christensson
OBJECTIVES: To describe health care staff members' usage and documentation in a Swedish quality registry focusing on a preventive care process regarding the risk area of malnutrition among persons with dementia. The preventive care process includes risk assessment, analysis of underlying causes, planning and performing interventions, as well as evaluating effects. METHODS: Data were collected from 2 Swedish quality registries, Senior Alert and the Swedish Dementia Register (Svedem)...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28030459/implementation-and-sequencing-of-practice-transformation-in-urban-practices-with-underserved-patients
#20
Denise D Quigley, Zachary S Predmore, Alex Y Chen, Ron D Hays
BACKGROUND: Patient-centered medical home (PCMH) has gained momentum as a model for primary-care health services reform. METHODS: We conducted interviews at 14 primary care practices undergoing PCMH transformation in a large urban federally qualified health center in California and used grounded theory to identify common themes and patterns. RESULTS: We found clinics pursued a common sequence of changes in PCMH transformation: Clinics began with National Committee for Quality Assurance (NCQA) level 3 recognition, adding care coordination staff, reorganizing data flow among teams, and integrating with a centralized quality improvement and accountability infrastructure...
January 2017: Quality Management in Health Care
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