journal
MENU ▼
Read by QxMD icon Read
search

Joint Commission Journal on Quality and Patient Safety

journal
https://www.readbyqxmd.com/read/29389465/a-novel-bedside-focused-ward-surveillance-and-response-system
#1
Frank Sebat, Mary Anne Vandegrift, Sid Childers, Geoffrey K Lighthall
BACKGROUND: Rapid response systems (RRSs) have been universally adopted in much of the developed world; yet, despite broad implementation, their success has often been limited. Even with successful systems, there is a small body of evidence regarding effective organizational elements that are responsible for improved outcomes. New organizational processes were implemented that restructured the existing RRS, and the impact on the number of rapid response team (RRT) alerts, cardiac arrest, and mortality rates was evaluated...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389464/surveying-care-teams-after-in-hospital-deaths-to-identify-preventable-harm-and-opportunities-to-improve-advance-care-planning
#2
David Lucier, Patricia Folcarelli, Cheryle Totte, Alexander R Carbo, Lauge Sokol-Hessner
BACKGROUND: Reviewing in-hospital deaths is one way of learning how to improve the quality and safety of care. Postdeath surveys sent to the care team for patients who died may have a role in identifying opportunities for improvement. As part of a quality improvement initiative, a postdeath care team survey was developed to explore how it might augment the existing process for learning from deaths. METHODS: A survey was sent to the care team for all inpatient deaths on the hospital medicine and medical ICU services at one institution...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389463/temporal-trends-in-fall-rates-with-the-implementation-of-a-multifaceted-fall-prevention-program-persistence-pays-off
#3
Catherine M Walsh, Li-Jung Liang, Tristan Grogan, Courtney Coles, Norma McNair, Teryl K Nuckols
BACKGROUND: Most fall prevention programs are only modestly effective, and their sustainability is unknown. An academic medical center implemented a series of fall prevention interventions from 2001 to 2014. METHODS: The medical center's series of fall prevention interventions were as follows: reorganized the Falls Committee (2001), started flagging high-risk patients (2001), improved fall reporting (2002), increased scrutiny of falls (2005), instituted hourly nursing rounds (2006), reorganized leadership systems (2007), standardized fall prevention equipment (2008), adapted to a move to a new hospital building (2008), routinely investigated root causes (2009), mitigated fall risk during hourly nursing rounds (2009), educated patients about falls (2011), and taught nurses to think critically about risk (2012)...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389462/the-expanding-role-of-antimicrobial-stewardship-programs-in-hospitals-in-the-united-states-lessons-learned-from-a-multisite-qualitative-study
#4
Shashi N Kapadia, Erika L Abramson, Eileen J Carter, Angela S Loo, Rainu Kaushal, David P Calfee, Matthew S Simon
BACKGROUND: Misuse of antibiotics can lead to the development of antibiotic resistance, which adversely affects morbidity, mortality, length of stay, and cost. To combat the threat of antimicrobial resistance, The Joint Commission and the Centers for Medicare & Medicaid Services have initiated or proposed requirements for hospitals to have antimicrobial stewardship programs (ASPs), but implementation remains challenging. A key-informant interview study was conducted to describe the characteristics and innovative strategies of leading ASPs...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389461/antibiotic-stewardship-grows-up
#5
EDITORIAL
Arjun Srinivasan
No abstract text is available yet for this article.
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389460/improving-antimicrobial-stewardship-programs-a-call-for-papers
#6
EDITORIAL
David W Baker
No abstract text is available yet for this article.
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389459/-who-s-covering-this-patient-developing-a-first-contact-provider-fcp-designation-in-an-electronic-health-record
#7
Anisha Chandiramani, Janet Gervasio, Michelle Johnson, Jessica Kolek, Steven Zibrat, Dana Edelson
BACKGROUND: Safe and efficient inpatient care depends on accurate identification of the licensed independent practitioner (LIP) primarily responsible for each admitted patient. The inability to do so has far-reaching consequences, including poor communication among care teams, delays in patient care (including critical result reporting), and significant threats to patient safety. METHODS: At the University of Chicago Medical Center, an 800-bed academic hospital, a new Epic feature, called First-Contact Provider (FCP), was developed to identify the responsible LIP for each inpatient...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389458/an-initiative-to-change-inpatient-practice-leveraging-the-patient-medical-home-for-postdischarge-follow-up
#8
Paul Marcus, Kelly Hautala, Nazima Allaudeen
BACKGROUND: The standard of care for hospital discharge planning includes arranging follow-up appointments, usually with a primary care provider. However, follow-up phone calls instead of face-to-face visits may be an appropriate alternative for some patients. This option was explored within the framework of the US Department of Veterans Affairs (VA) patient-centered medical home model of care, the Patient Aligned Care Team. METHODS: At a VA hospital, a pilot study was conducted on the use of phone calls from members of a patient's medical home as posthospital discharge follow-up rather than the traditional face-to-face provider model...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290247/can-we-do-that-here-establishing-the-scope-of-surgical-practice-at-a-new-safety-net-community-hospital-through-a-transparent-collaborative-review-of-physician-privileges
#9
Sean M O'Neill, Sarah Seresinghe, Arun Sharma, Tara A Russell, L'Orangerie Crawford, Stanley K Frencher
PROBLEM DEFINITION: Stewarding of physician privileges wisely is imperative, but no guidelines exist for how to incorporate system-level factors in privileging decisions. A newly opened, safety-net community hospital tailored the scope of surgical practice through review of physician privileges. Martin Luther King, Jr. Community Hospital is a public-private partnership, safety-net institution in South Los Angeles that opened in July 2015. It has 131 beds, including a 28-bed emergency department, a 20-bed ICU, and 5 operating rooms...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290246/the-daily-operational-brief-fostering-daily-readiness-care-coordination-and-problem-solving-accountability-in-a-large-pediatric-health-care-system
#10
Lane F Donnelly, Kathryne C Basta, Anne M Dykes, Wei Zhang, Joan E Shook
At a pediatric health system, the Daily Operational Brief (DOB) was updated in 2015 after three years of operation. Quality and safety metrics, the patient volume and staffing assessment, and the readiness assessment are all presented. In addition, in the problem-solving accountability system, problematic issues are categorized as Quick Hits or Complex Issues. Walk-the-Wall, a biweekly meeting attended by hospital senior administrative leadership and quality and safety leaders, is conducted to chart current progress on Complex Issues...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290245/development-and-implementation-of-a-universal-suicide-risk-screening-program-in-a-safety-net-hospital-system
#11
Kimberly Roaten, Celeste Johnson, Russell Genzel, Fuad Khan, Carol S North
BACKGROUND: Many individuals who die by suicide present for nonbehavioral health care prior to death. The risk is often undetected. Universal suicide screening in health care may improve risk recognition. A quality improvement project involving a universal suicide screening program was designed and developed in a large safety-net health care system. METHODS: The steps in developing and implementing this quality improvement program were gathering intelligence, examining resources, designing the screening program, creating a clinical response, constructing an electronic health record screening protocol, clinical workforce education, and program implementation...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290244/surgical-transfer-decision-making-how-regional-resources-are-allocated-in-a-regional-transfer-network
#12
Kristy Kummerow Broman, Michael J Ward, Benjamin K Poulose, Margaret L Schwarze
BACKGROUND: Tertiary care centers often operate above capacity, limiting access to emergency surgical care for patients at nontertiary facilities. For nontraumatic surgical emergencies there are no guidelines to inform patient selection for transfer to another facility. Such decisions may be particularly difficult for gravely ill patients when the benefits of transfer are uncertain. METHODS: To characterize surgeons' decision-making strategies for transfer, a qualitative analysis of semistructured interviews was conducted with 16 general surgeons who refer and accept patients within a regional transfer network...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290243/promising-practices-for-improving-hospital-patient-safety-culture
#13
Joanne Campione, Theresa Famolaro
BACKGROUND: Patient safety culture has a positive influence on the effectiveness of patient safety and quality improvement interventions. A study was conducted to gain knowledge about promising best practices used by hospitals to improve patient safety culture hospitalwide. METHODS: Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Cultureā„¢ (SOPS) Hospital Survey longitudinal results from 536 hospitals that submitted data to the Hospital SOPS database from 2007 to 2014 were analyzed...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290242/perspectives-on-implementing-quality-improvement-collaboratives-effectively-qualitative-findings-from-the-chipra-quality-demonstration-grant-program
#14
Rachel A Burton, Rebecca A Peters, Kelly J Devers
BACKGROUND: The most frequently pursued intervention in the $100 million, 18-state Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) quality demonstration (2010-2015) was quality improvement collaboratives, which 12 states offered to more than 300 primary care practices. A study was conducted to identify which aspects of these collaboratives were viewed by organizers and participants as working well and which were not. METHODS: Some 223 interviews were conducted in these states near the end of their collaboratives...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29290241/universal-suicide-risk-screening-in-the-hospital-setting-still-a-pandora-s-box
#15
EDITORIAL
Lisa M Horowitz, Edwin D Boudreaux, Michael Schoenbaum, Maryland Pao, Jeffrey A Bridge
No abstract text is available yet for this article.
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29173290/advances-in-rapid-response-patient-monitoring-and-recognition-of-and-response-to-clinical-deterioration
#16
Juan C Rojas, Claire Shappell, Michael Huber
No abstract text is available yet for this article.
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29173289/user-centered-collaborative-design-and-development-of-an-inpatient-safety-dashboard
#17
Eli Mlaver, Jeffrey L Schnipper, Robert B Boxer, Dominic J Breuer, Esteban F Gershanik, Patricia C Dykes, Anthony F Massaro, James Benneyan, David W Bates, Lisa S Lehmann
Patient safety remains a key concern in hospital care. This article summarizes the iterative participatory development, features, functions, and preliminary evaluation of a patient safety dashboard for interdisciplinary rounding teams on inpatient medical services. This electronic health record (EHR)-embedded dashboard collects real-time data covering 13 safety domains through web services and applies logic to generate stratified alerts with an interactive check-box function. The technological infrastructure is adaptable to other EHR environments...
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29173288/improving-the-quality-of-data-for-inpatient-claims-based-measures-used-in-public-reporting-and-pay-for-performance-programs
#18
Hazel Crews, Peter J Pronovost, Paul R Helft, J Matthew Austin
No abstract text is available yet for this article.
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29173287/pragmatic-insights-on-patient-safety-priorities-and-intervention-strategies-in-ambulatory-settings
#19
Urmimala Sarkar, Kathryn McDonald, Aneesa Motala, Patricia Smith, Lorri Zipperer, Robert M Wachter, Roberta Shanman, Paul G Shekelle
No abstract text is available yet for this article.
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29173286/an-airway-rapid-response-system-implementation-and-utilization-in-a-large-academic-trauma-center
#20
Joshua H Atkins, Christopher H Rassekh, Ara A Chalian, Jing Zhao
BACKGROUND: Rapid response teams mobilize resources to patients experiencing acute deterioration. Failed airway management results in death or anoxic brain injury. A codified, systems-based approach to bring personnel and equipment to the bedside for multidisciplinary airway assessment and rescue was reflected in the initial implementation of an airway rapid response (ARR) team. METHODS: A retrospective review of records of 117 ARR events in a 40-month period (August 2011-November 2014) was undertaken at the Hospital of the University of Pennsylvania, a 789-bed, academic, urban, tertiary care, Level 1 trauma center...
December 2017: 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"