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Quality Management in Health Care

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https://www.readbyqxmd.com/read/29596273/using-telehealth-to-provide-the-right-care-at-the-right-time-anywhere
#1
Jordan A Albritton, Joseph Dalto, Brian Wayling
No abstract text is available yet for this article.
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596272/saving-the-lifesavers-using-improvement-science-to-better-clinician-well-being
#2
Lauren E Benishek, Jed Wolpaw, Sean Berenholtz, Peter J Pronovost
No abstract text is available yet for this article.
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596271/health-literacy-demands-of-patient-reported-evaluation-tools-in-orthopedics-a-mixed-methods-case-study
#3
Kristie Hadden, Latrina Y Prince, C Lowry Barnes
BACKGROUND: In response to an assessment of organizational health literacy practices at a major academic health center, this case study evaluated the health literacy demands of patient-reported outcome measures commonly used in orthopedic surgery practices to identify areas for improvement. METHODS: A mixed-methods approach was used to analyze the readability and patient feedback of orthopedic patient-reported outcome materials. Qualitative results were derived from focus group notes, observations, recordings, and consensus documents...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596270/an-assessment-of-organizational-health-literacy-practices-at-an-academic-health-center
#4
Latrina Y Prince, Carsten Schmidtke, Jules K Beck, Kristie B Hadden
BACKGROUND: Organizational health literacy is the degree to which an organization considers and promotes the health literacy of patients. Addressing health literacy at an organizational level has the potential to have a greater impact on more health consumers in a health system than individual-level approaches. OBJECTIVE: The purpose of this study was to assess health care practices at an academic health center using the 10 attributes of a health-literate health care organization...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596269/va-quality-scholars-quality-improvement-coach-model-to-facilitate-learning-and-success
#5
Danielle M Olds, Mary A Dolansky, Kari Gali, Carol Callaway-Lane
Despite the increase in quality improvement (QI) education both in practice and in health professions' education, gaps exist in the usefulness and success of QI projects. Barriers to successful QI are a result of delays in implementation, teamwork issues, and lack of QI knowledge. These barriers can be addressed using a QI Coach. A QI Coach is an expert in QI principles who has excellent communication and collaboration skills, and is experienced with organizational policies. The purpose of this article is to (a) describe the VA Quality Scholars (VAQS) QI Coach Model that includes the role of a coach and effective coaching strategies and (b) discuss lessons learned from the application of the VAQS QI Coach Model...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596268/characteristics-of-volunteer-coaches-in-a-clinical-process-improvement-program
#6
Katharine E Morley, Constance M Barysauskas, Victoria Carballo, Orinta Kalibatas, Sandhya K Rao, Joseph O Jacobson, Brian M Cummings
INTRODUCTION: The Partners Clinical Process Improvement Leadership Program provides quality improvement training for clinicians and administrators, utilizing graduates as volunteer peer coaches for mentorship. We sought to understand the factors associated with volunteer coach participation and gain insight into how to improve and sustain this program. METHODS: Review of coach characteristics from course database and survey of frequent coaches. RESULTS: Out of 516 Partners Clinical Process Improvement Leadership Program graduates from March 2010 to June 2015, 117 (23%) individuals volunteered as coaches...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596267/a-stewardship-program-to-optimize-the-use-of-inhaled-nitric-oxide-in-pediatric-critical-care
#7
Tanya Di Genova, Christina Sperling, Ashley Gionfriddo, Zelia Da Silva, Leanne Davidson, Jason Macartney, Michael Finelli, Robert P Jankov, Peter C Laussen
PURPOSE: Inhaled nitric oxide (iNO) is a pulmonary vasodilator that is approved for use in term and near-term neonates with hypoxic respiratory failure associated with evidence of pulmonary hypertension. However, it is commonly used in infants and children to treat a variety of other cardiopulmonary diseases associated with pulmonary hypertension and hypoxic respiratory failure. In critically ill children, iNO therapy may be continued for a prolonged period, and this increases the risk for adverse consequences including toxicity and unnecessary costs...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596266/the-utility-of-failure-modes-and-effects-analysis-of-consultations-in-a-tertiary-academic-medical-center
#8
Yaron Niv, David Itskoviz, Michal Cohen, Hagit Hendel, Yonit Bar-Giora, Evgeny Berkov, Irit Weisbord, Yifat Leviron, Assaf Isasschar, Arian Ganor
BACKGROUND: Failure modes and effects analysis (FMEA) is a tool used to identify potential risks in health care processes. We used the FMEA tool for improving the process of consultation in an academic medical center. METHODS: A team of 10 staff members-5 physicians, 2 quality experts, 2 organizational consultants, and 1 nurse-was established. The consultation process steps, from ordering to delivering, were computed. Failure modes were assessed for likelihood of occurrence, detection, and severity...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29596265/a-multidisciplinary-discharge-timeout-checklist-improves-patient-education-and-captures-discharge-process-errors
#9
Michael C Gao, Paul B Martin, Julius Motal, Laura F Gingras, Christina Chai, Megan E Maikoff, Alex M Sarkisian, Nadine Rosenthal, Brian M Eiss
OBJECTIVE: To design and implement a discharge timeout checklist, and to assess its effects on patients' understanding as well as the potential impact on preventable medical errors surrounding hospital discharges to home. METHODS: Based on the structure successfully used for surgical procedures and using the Model for Improvement framework, we designed a discharge checklist to review and assess patients' understanding of discharge medications, catheters, home care plans, follow-up, symptoms, and who to call with problems after discharge...
April 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280910/addressing-social-determinants-to-improve-community-health
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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