journal
MENU ▼
Read by QxMD icon Read
search

Joint Commission Journal on Quality and Patient Safety

journal
https://www.readbyqxmd.com/read/28325208/a-systematic-review-of-team-training-in-health-care-ten-questions
#1
Shannon L Marlow, Ashley M Hughes, Shirley C Sonesh, Megan E Gregory, Christina N Lacerenza, Lauren E Benishek, Amanda L Woods, Claudia Hernandez, Eduardo Salas
BACKGROUND: As a result of the recent proliferation of health care team training (HTT), there was a need to update previous systematic reviews examining the underlying structure driving team training initiatives. METHODS: This investigation was guided by 10 research questions. A literature search identified 197 empirical samples detailing the evaluation of team training programs within the health care context; 1,764 measures of HTT effectiveness were identified within these samples...
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325207/using-a-systematic-framework-of-interventions-to-improve-early-discharges
#2
Hemali Patel, Sasha Morduchowicz, Michelle Mourad
BACKGROUND: Late-afternoon hospital discharges can lead to admission bottlenecks and negatively affect the flow of patients needing hospital admission. Delays in discharge are a prevalent health care problem and have been linked to increased length of stay, lower patient satisfaction scores, and adverse outcomes. As a result, hospitals are placing a renewed emphasis on early discharge as a way to reduce admission delays and achieve optimal patient flow. This study shows that the Model for Improvement (MFI) is an effective approach for complex improvement efforts...
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325206/improving-glycemic-control-safely-in-non-critical-care-patients-a-collaborative-systems-approach-in-nine-hospitals
#3
Gregory A Maynard, Diana Childers, Janet Holdych, Heather Kendall, Tom Hoag, Karen Harrison
BACKGROUND: Practice variations in insulin management and glycemic adverse events led nine Dignity Health hospitals to initiate a collaborative effort to improve hypoglycemia, uncontrolled hyperglycemia, and glycemic control. METHODS: Non-critical care adult inpatients with ≥4 point-of-care blood glucose (BG) readings in a ≥2-day period were included. Balanced glucometric goals for each hospital were individualized to improve performance by 10%-20% from baseline or achieve top performance derived from Society of Hospital Medicine (SHM) benchmarking studies...
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325205/a-blueprint-for-improving-systemwide-inpatient-glucose-management
#4
EDITORIAL
Pedro Ramos, John MacIndoe
No abstract text is available yet for this article.
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325204/from-board-to-bedside-how-the-application-of-financial-structures-to-safety-and-quality-can-drive-accountability-in-a-large-health-care-system
#5
J Matthew Austin, Renee Demski, Tiffany Callender, K H Ken Lee, Ann Hoffman, Lisa Allen, Deborah A Radke, Yungjin Kim, Ronald J Werthman, Ronald R Peterson, Peter J Pronovost
BACKGROUND: As the health care system in the United States places greater emphasis on the public reporting of quality and safety data and its use to determine payment, provider organizations must implement structures that ensure discipline and rigor regarding these data. An academic health system, as part of a performance management system, applied four key components of a financial reporting structure to support the goal of top-to-bottom accountability for improving quality and safety...
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325203/developing-and-evaluating-an-automated-all-cause-harm-trigger-system
#6
Christine Sammer, Susanne Miller, Cason Jones, Antoinette Nelson, Paul Garrett, David Classen, David Stockwell
BACKGROUND: From 2009 through 2012, the Adventist Health System Patient Safety Organization (AHS PSO) used the Global Trigger Tool method for harm identification and demonstrated harm reduction. Although the awareness of harm demonstrated opportunities for improvement across the system, leaders determined that the human and fiscal resources required to continue with a retrospective manual harm identification process were unsustainable. In addition, there was growing concern that the identification of harm after the patient's discharge did not allow for intervention during the hospital stay...
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28325202/casting-a-wider-safety-net-the-promise-of-electronic-safety-event-detection-systems
#7
EDITORIAL
Eric S Kirkendall
No abstract text is available yet for this article.
April 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28266920/morbidity-and-mortality-conferences-a-narrative-review-of-strategies-to-prioritize-quality-improvement
#8
Vanessa Giesbrecht, Selena Au
BACKGROUND: The morbidity and mortality conference (MMC) provides a valuable opportunity to review patient care processes and safety concerns, aligning with a growing quality improvement (QI) mandate. Yet the structure, processes, and aims of many MMCs are often ill-defined. This review summarizes strategies employed by medical, surgical, and critical care departments in the development of patient safety-centered MMCs. METHODS: A structured narrative review of literature was conducted using combinations of the search terms "morbidity and mortality conference(s)," "morbidity and mortality meetings," or "morbidity and mortality round(s)...
November 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28266919/outpatient-management-of-neonatal-abstinence-syndrome-a-quality-improvement-project
#9
Kim T Chau, Jacqueline Nguyen, Branko Miladinovic, Carol M Lilly, Terri L Ashmeade, Maya Balakrishnan
BACKGROUND: An increasing number of infants are diagnosed with neonatal abstinence syndrome (NAS). The study's primary objectives were to describe an academic medical center's level IV neonatal ICU's (NICU's) comprehensive outpatient NAS management effort, measure guideline compliance, and assess its safety. Secondary objectives were to describe the duration and cumulative methadone exposure, and to improve parent and provider knowledge of NAS. METHODS: The study included 22 infants having a gestational age of 35-41 weeks, diagnosed with NAS, and discharged for outpatient methadone management...
November 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28266918/virtual-breakthrough-series-part-2-improving-fall-prevention-practices-in-the-veterans-health-administration
#10
Lisa Zubkoff, Julia Neily, Pat Quigley, Christina Soncrant, Yinong Young-Xu, Shoshana Boar, Peter D Mills
BACKGROUND: The Veterans Health Administration (VHA) implemented a Virtual Breakthrough Series (VBTS) collaborative to help prevent falls and fall-related injuries. This project enabled teams to expand program infrastructure, redesign improvement strategies, and enhance program evaluation. METHODS: A VBTS collaborative involves prework, action, and continuous improvement. Actions included educational calls, monthly reports, coaching, and feedback. Evaluation included assessment of interventions, team capacity and infrastructure changes, and rates of falls and fall-related major injuries...
November 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28266917/virtual-breakthrough-series-part-1-preventing-catheter-associated-urinary-tract-infection-and-hospital-acquired-pressure-ulcers-in-the-veterans-health-administration
#11
Lisa Zubkoff, Julia Neily, Beth J King, Mary Ellen Dellefield, Sarah Krein, Yinong Young-Xu, Shoshana Boar, Peter D Mills
BACKGROUND: In 2014 the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) implemented a Virtual Breakthrough Series (VBTS) collaborative to help VHA facilities prevent hospital-acquired conditions: catheter-associated urinary tract infection (CAUTI) and hospital-acquired pressure ulcers (HAPUs). METHODS: During the prework phase, participating facilities assembled a multidisciplinary team, assessed their current system for CAUTI or HAPU prevention, and examined baseline data to set improvement aims...
November 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28266916/learning-from-the-virtual-breakthrough-series-collaboratives-in-the-veterans-health-administration
#12
Brook Watts, Wynne E Norton
No abstract text is available yet for this article.
November 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535460/in-search-of-water-south-carolina-hospitals-apply-high-reliability-thinking-to-protect-patients-in-the-midst-of-flooding
#13
J Thornton Kirby
No abstract text is available yet for this article.
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535459/improving-transitions-of-care-for-hospitalized-patients-on-warfarin
#14
Margaret Day, Molly Malone, Alyson Burkeybile, Kristen Deane
BACKGROUND: Transitions in care create challenges for warfarin management, including dosing errors, medication nonadherence, and/or insufficient monitoring. Adverse drug events from warfarin following transitions have been found to have serious consequences. Before the intervention, at the time of hospital discharge, individual physicians identified warfarin management plans on paper forms on the basis of their personal practice preferences. With the implementation of a computerized physician order entry in the electronic health record (EHR) in November 2010, the paper form became obsolete...
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535458/is-the-meaningful-use-venous-thromboembolism-vte-6-measure-meaningful-a-retrospective-analysis-of-one-hospital-s-vte-6-cases
#15
Norma E Farrow, Brandyn D Lau, Eric A JohnBull, Deborah B Hobson, Peggy S Kraus, Elizabeth R Taffe, Dauryne L Shaffer, Victor O Popoola, Michael B Streiff, Peter J Pronovost, Elliott R Haut
BACKGROUND: Venous thromboembolism (VTE) is a common, often deadly cause of preventable harm for hospitalized patients. The Centers for Medicare & Medicaid Services Meaningful Use VTE-6 measure automatically captures data documented in a Meaningful Use-certified electronic health record (EHR) to identify patients with potentially preventable VTE, defined as those who developed radiologically confirmed, in-hospital VTE and did not receive prophylaxis between admission and the day prior to the diagnostic test order date...
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535457/operating-room-to-icu-patient-handovers-a-multidisciplinary-human-centered-design-approach
#16
Noa Segall, Alberto S Bonifacio, Atilio Barbeito, Rebecca A Schroeder, Sharon R Perfect, Melanie C Wright, James D Emery, B Zane Atkins, Jeffrey M Taekman, Jonathan B Mark
BACKGROUND: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach entailed (1) the study of existing practices, (2) the redesign of the handover on the basis of the input of hand over participants and evidence in the medical literature, and (3) the study of the effects of this change on processes and communication...
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535456/applying-the-high-reliability-health-care-maturity-model-to-assess-hospital-performance-a-va-case-study
#17
Jennifer L Sullivan, Peter E Rivard, Marlena H Shin, Amy K Rosen
BACKGROUND: The lack of a tool for categorizing and differentiating hospitals according to their high reliability organization (HRO)-related characteristics has hindered progress toward implementing and sustaining evidence-based HRO practices. Hospitals would benefit both from an understanding of the organizational characteristics that support HRO practices and from knowledge about the steps necessary to achieve HRO status to reduce the risk of harm and improve outcomes. The High Reliability Health Care Maturity (HRHCM) model, a model for health care organizations' achievement of high reliability with zero patient harm, incorporates three major domains critical for promoting HROs-Leadership, Safety Culture, and Robust Process Improvement ®...
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27535455/building-the-road-to-high-reliability
#18
Erin DuPree, David W Baker
No abstract text is available yet for this article.
September 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27456420/patient-safety-culture-and-the-second-victim-phenomenon-connecting-culture-to-staff-distress-in-nurses
#19
Rebecca R Quillivan, Jonathan D Burlison, Emily K Browne, Susan D Scott, James M Hoffman
BACKGROUND: Second victim experiences can affect the wellbeing of health care providers and compromise patient safety. Many factors associated with improved coping after patient safety event involvement are also components of a strong patient safety culture, so that supportive patient safety cultures may reduce second victim-related trauma. A cross-sectional survey study was conducted to assess the influence of patient safety culture on second victim-related distress. METHODS: The Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPSC) and the Second Victim Experience and Support Tool (SVEST), which was developed to assess organizational support and personal and professional distress after involvement in a patient safety event, were administered to nurses involved in direct patient care...
August 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27456419/implementing-delivery-room-checklists-and-communication-standards-in-a-multi-neonatal-icu-quality-improvement-collaborative
#20
Stacie C Bennett, Neil Finer, Louis P Halamek, Nick Mickas, Mihoko V Bennett, Courtney C Nisbet, Paul J Sharek
BACKGROUND: The 2015 American Academy of Pediatrics Neonatal Resuscitation Program (NRP) and International Liaison Committee on Resuscitation (ILCOR) resuscitation guidelines state, "It is still suggested that briefing and debriefing techniques be used whenever possible for neonatal resuscitation." Effective communication and reliable delivery of evidence-based best practices are critical aspects of the 2015 NRP guidelines. To promote optimal communication and best practice-focused checklists use during active neonatal resuscitation, the Readiness Bundle (RB) was integrated within the larger change package deployed in the California Perinatal Quality Care Collaborative's (CPQCC) 12-month Delivery Room Management Quality Improvement Collaborative...
August 2016: Joint Commission Journal on Quality and Patient Safety
journal
journal
40953
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"