journal
MENU ▼
Read by QxMD icon Read
search

Quality Management in Health Care

journal
https://www.readbyqxmd.com/read/29280910/addressing-social-determinants-to-improve-community-health
#1
Andrew J Knighton, Elizabeth Joy, Mikelle Moore
No abstract text is available yet for this article.
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280909/establishing-an-ambulatory-quality-and-safety-oversight-structure
#2
Steven J Kravet, Jennifer Bailey, Peter Pronovost
No abstract text is available yet for this article.
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280908/expanding-the-presence-of-primary-services-at-rapid-response-team-activations-a-quality-improvement-project
#3
Alice Gallo de Moraes, John C O╩╝Horo, Ronaldo A Sevilla-Berrios, Gina Iacovella, Andrea Lenhertz, Julie Schmidt, Jennifer Elmer, Richard Oeckler, Sean Caples, Jeffrey B Jensen
Rapid response teams (RRTs) were implemented to provide critical care services for deteriorating patients outside of intensive care units. To date, research on RRT has been conflicting, with some studies showing significant mortality benefit and reduction in cardiac arrest events and others showing no benefit. However, studies have consistently showed improved outcomes when RRTs work closely with primary services. Baseline data analysis at our institution found that primary services were present only on 50% of RRT activations...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280907/a-quality-improvement-initiative-to-reduce-out-of-icu-cardiopulmonary-arrests-in-a-tertiary-care-hospital-in-india-a-2-year-learning-experience
#4
Vidya P Menon, Preetha Prasanna, Fabia Edathadathil, Sabarish Balachandran, Merlin Moni, Dipu Sathyapalan, Rajesh D Pai, Sanjeev Singh
QUALITY PROBLEM OR ISSUE: To assess impact of medical emergency team (MET) in reducing "out-of-ICU" cardiopulmonary arrests and identify barriers to its optimal utilization. INITIAL ASSESSMENT: Frequently observed critical clinical signs and laboratory values of "out-of-ICU" crashes were used to develop Amrita Early Warning Criteria. CHOICE OF SOLUTION: A physician-led MET was established to respond to code MET, activated by a primary nurse...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280906/evaluating-and-improving-the-efficiency-of-patient-flow-in-the-bronchoscopy-suite-in-a-tertiary-care-center-a-qi-project
#5
Armin Krvavac, Ghassan Kamel, Pujan P Patel, Erin Rakey, John Mwangi, Zafar Jamkhana, Setu Patolia
PURPOSE: The bronchoscopy suite is where pulmonologists perform the majority of their procedures like bronchoscopy, endobronchial ultrasound, and navigational bronchoscopy among others. Faculty and fellows in our division have reported multiple delays in the procedure start time in our bronchoscopy. OBJECTIVES: Objectives of the study were (1) to identify the areas of delays in procedure start time, (2) to identify potential high-yield areas of interventions to reduce delays, (3) to assess the impact of interventions on efficacy of bronchoscopy suit...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280905/ultrasound-guided-peripheral-intravenous-catheters-to-reduce-central-venous-catheter-use-on-the-inpatient-medical-ward
#6
Benjamin T Galen, William N Southern
PURPOSE: The traditional technique of placing a peripheral intravenous (IV) catheter is successful in most cases on inpatient wards. However, when the traditional method fails, a central venous catheter may be placed to maintain IV access. These catheters are associated with risks including central line-associated bloodstream infection. METHODS: We evaluated the effectiveness and acceptability of an ultrasound-guided peripheral IV service to reduce the number of newly placed central venous catheters on an inpatient ward...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280904/rapid-patient-discharge-contribution-to-bed-surge-capacity-during-a-mass-casualty-incident-findings-from-an-exercise-with-new-york-city-hospitals
#7
Jasmine L Jacobs-Wingo, Heather A Cook, William H Lang
BACKGROUND: Mass casualty incidents may increase patient volume suddenly and dramatically, requiring hospitals to expeditiously manage bed inventories to release acute care beds for disaster victims. Electronic patient tracking systems combined with unit walk-throughs can identify patients for rapid discharge. The New York City (NYC) Department of Health and Mental Hygiene's 2013 Rapid Patient Discharge Assessment (RPDA) aimed to determine the maximum number of beds NYC hospitals could make available through rapid patient discharge and to characterize discharge barriers...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280903/framework-for-research-on-implementation-of-process-redesigns
#8
Mahima Ashok, Dorothy Hung, Lucia Rojas-Smith, Michael T Halpern, Michael Harrison
BACKGROUND: Complex system interventions benefit from close attention to factors affecting implementation and resultant outcomes. This article describes a framework for examining these factors in process redesign (PR) and for assessing PR outcomes. METHODS: Using literature scans and expert comment on draft frameworks based on the Consolidated Framework for Implementation Research, a team of researchers developed the PR framework for the Agency for Healthcare Research and Quality...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280902/assessing-the-organizational-characteristics-influencing-quality-improvement-implementation-in-saudi-hospitals
#9
Mohammad Shamsuddin Alaraki
BACKGROUND: The health care system in Saudi Arabia has serious problems with quality and safety that can be reduced through systematic quality improvement (QI) activities. Despite the use of different QI models to improve health care in Saudi hospitals during the last 2 decades, consistent improvements have not yet been achieved and the results are still far below expectations. This may reflect a problem in introducing and implementing the QI models in the local contexts. The objective of this study is to assess the extent of QI implementation in Saudi hospitals and to identify the organizational characteristics that make Saudi hospitals particularly challenging for QI...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280901/measuring-organizational-capacity-to-accelerate-health-care-innovation-in-academic-health-centers
#10
Marilyn M Lombardi, Regena G Spratling, Wei Pan, Susan E Shapiro
In an era of rising clinical costs and shrinking federal research dollars, the survival of the academic health center may depend on its capacity to cultivate high-impact innovations in care delivery on an accelerated basis. Yet, the health sciences literature offers little guidance regarding the key organizational determinants most likely to facilitate such innovation. We report on the conceptualization, development, and preliminary testing of a new 21-item Accelerated Healthcare Innovation Capacity scale for addressing that knowledge gap...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991818/from-clinic-to-community-a-framework-for-providing-diabetes-prevention-services-that-cross-the-care-continuum
#11
Kimberly D Brunisholz, Elizabeth A Joy, Sharon Hamilton, Mark R Greenwood
No abstract text is available yet for this article.
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991817/the-moderating-role-of-hospital-size-on-the-relationship-between-patient-experience-and-patient-safety
#12
Geoffrey A Silvera
OBJECTIVES: Previous examinations of the relationship between patient experience and patient safety initiatives find that higher patient experience evaluations correspond to reduced incidence of adverse events. Little is known, however, about the impact of hospital organizational characteristics on this relationship. The purpose of this study is to examine the degree to which hospital size moderates the relationship between patient experience and patient safety. METHODS: A lagged cross-sectional ordinary least squares regression tests a hypothesis of a diminishing effect of hospital size on the relationship between patient evaluations of their interpersonal care experience and hospital's central-line associated bloodstream infection (CLABSI) is tested on a sample of 1740 US hospitals using data compiled from Hospital Compare and the American Hospital Association...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991816/does-hospital-size-affect-patient-satisfaction
#13
Daniel C McFarland, Megan Johnson Shen, Patricia Parker, Sandra Meyerson, Randall F Holcombe
BACKGROUND: Centers for Medicare & Medicaid Services reimbursement is now contingent on quality measures such as patient satisfaction as determined by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). In providing patient-centered care that is guided by patient satisfaction measures, it is critical to understand system-level factors that may influence how patients assess their care experiences. One important system-level influence to consider is hospital size...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991815/gap-between-clinical-practice-and-guidelines-a-national-survey-of-the-knowledge-of-recommended-heart-failure-guidelines-among-chinese-physicians
#14
Tianyi Gan, Yuhui Zhang, Nini Liu, Yuhui Huang, Tuo Liang, Xuemei Zhao, Jian Zhang
OBJECTIVE: We investigated the current level of knowledge of Chinese heart failure (HF) guidelines among physicians, as a reference for the promotion and transformation of HF knowledge. METHODS AND RESULTS: Physicians from 88 hospitals in 27 provinces of China completed our survey between July and December 2014. The questions covered the main points included in the Chinese HF diagnosis and treatment guidelines (2014). A total of 2146 physicians, aged 20 to 62 years (35...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991814/management-of-traumatic-brain-injury-in-the-emergency-department-guideline-adherence-and-patient-safety
#15
Tomas Vedin, Marcus Edelhamre, Mathias Karlsson, Michael Bergenheim, Per-Anders Larsson
BACKGROUND: Traumatic brain injury is a common reason not only for emergency visits worldwide but also for significant morbidity and mortality. Several clinical guidelines exist but adherence is generally low. AIM: To study attitudes toward computed tomography of the head among emergency department Change to physicians throughout the article who manage patients with trauma to the head and doctors' adherence to guidelines. METHODS: Quantitative questionnaire study with questionnaires collected over 3 months before introduction of new guidelines...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991813/using-discrete-event-simulation-to-promote-quality-improvement-and-efficiency-in-a-radiation-oncology-treatment-center
#16
Robin M Famiglietti, Emily C Norboge, Valentine Boving, James R Langabeer, Thomas A Buchholz, Osama Mikhail
BACKGROUND: To meet demand for radiation oncology services and ensure patient-centered safe care, management in an academic radiation oncology department initiated quality improvement efforts using discrete-event simulation (DES). Although the long-term goal was testing and deploying solutions, the primary aim at the outset was characterizing and validating a computer simulation model of existing operations to identify targets for improvement. METHODS: The adoption and validation of a DES model of processes and procedures affecting patient flow and satisfaction, employee experience, and efficiency were undertaken in 2012-2013...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28991812/the-affordable-care-act-and-its-effects-on-physician-leadership-a-qualitative-systematic-review
#17
Jennifer M Sterbenz, Kevin C Chung
OBJECTIVES: The Affordable Care Act (ACA) shifted the focus in medical care from quantity to quality. This qualitative systematic review aimed to determine the key skills necessary for effective physician leaders after the implementation of the ACA, and to compare them with key skills identified prior to its implementation. METHODS: A qualitative systematic review was conducted. A systematic literature search on leadership skills for physicians returned 26 articles published between 2009 and 2016...
October 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665910/a-lean-tool-supporting-continuous-improvement-at-intermountain
#18
Jason L Scott, Jefrey L Huntington
No abstract text is available yet for this article.
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665909/what-a-real-preoccupation-with-failure-could-look-like
#19
Peter J Pronovost, Lori Paine, Eileen M Kasda, Melinda D Sawyer
No abstract text is available yet for this article.
July 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/28665908/small-rural-hospitals-have-a-harder-time-achieving-success-in-continuous-quality-improvement-an-example-from-a-stroke-care-network
#20
Kelley Elkins, Lisa Bellamy, Jing Guo, Michael R Dobbs
BACKGROUND: University of Kentucky HealthCare established a Stroke Care Network (SCN) in 2008 to address the challenges of rural stroke care and improve care quality. METHODS: The SCN collects quality data from each affiliate that include volumes, mortality, length of stay, turnaround times, rt-PA door-to-needle time, 8 stroke core measures, and dysphagia screen measure. Characteristics of affiliate hospital studies include number of beds, Stroke Disease-Specific Care (DSC) certification by The Joint Commission, Appalachian designated county or not, time dedicated to stroke coordinator, submission of quality data for the calendar year, success of data, and utilization of American Heart Association's Get With the Guidelines...
July 2017: Quality Management in Health Care
journal
journal
31315
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"