journal
MENU ▼
Read by QxMD icon Read
search

Joint Commission Journal on Quality and Patient Safety

journal
https://www.readbyqxmd.com/read/28942780/quality-of-septic-shock-care-in-the-emergency-department-perceptions-versus-reality
#1
Jennifer Roh, Craig Rothenberg, Amitkumar Patel, John Sather, Arjun K Venkatesh
No abstract text is available yet for this article.
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942779/toward-more-proactive-approaches-to-safety-in-the-electronic-health-record-era
#2
Dean F Sittig, Hardeep Singh
No abstract text is available yet for this article.
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942778/psychometric-evaluation-of-the-hospital-culture-of-transitions-survey
#3
Mark McClelland, James Bena, Nancy M Albert, Jesse M Pines
BACKGROUND: Ineffective or inefficient transitions threaten patient safety, hinder communication, and worsen patient outcomes. The Hospital Culture of Transitions (H-CulT) survey was designed to assess a hospital's organizational culture related to within-hospital transitions in care involving patient movement. In this article, psychometric properties of the H-CulT survey were examined to assess and refine the hospital culture of transitions. METHODS: A cross-sectional, multicenter, multidisciplinary correlational design and survey methods were used to examine the psychometric properties of the H-CulT survey...
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942777/optimizing-an-enhanced-recovery-pathway-program-development-of-a-postimplementation-audit-strategy
#4
Michael C Grant, Daniel J Galante, Deborah B Hobson, Annette Lavezza, Michael Friedman, Christopher L Wu, Elizabeth C Wick
BACKGROUND: Enhanced recovery pathways (ERPs) are bundled best-practice process measures associated with reduction of preventable harm, decreased length of stay (LOS), and increased overall value of care. An auditing procedure was developed to assess compliance with 18 ERP process measures and establish a system for identifying and addressing defects in measure implementation. METHODS: For a one-year period, the electronic health records of 413 consecutive patients treated on a multidisciplinary ERP for colorectal surgery at an academic medical center were evaluated with the audit procedure...
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942776/clinician-perspectives-on-the-management-of-abnormal-subcritical-tests-in-an-urban-academic-safety-net-health-care-system
#5
Cassidy Clarity, Urmimala Sarkar, Jonathan Lee, Margaret A Handley, L Elizabeth Goldman
BACKGROUND: Missed or delayed follow-up of abnormal subcritical tests (tests that do not require immediate medical attention) can lead to poor patient outcomes. Safety-net health systems with limited resources and socially complex patients are vulnerable to safety gaps resulting from delayed management. Clinician perspectives to identify system challenges, vulnerable situations, and potential solutions were sought in focus groups. METHODS: Five semistructured focus groups were conducted in 2015 with purposefully sampled clinicians from radiology, hospital medicine, emergency medicine, risk management, and ambulatory care from an urban, academic, integrated, safety-net health system...
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942775/missed-diagnosis-of-cardiovascular-disease-in-outpatient-general-medicine-insights-from-malpractice-claims-data
#6
Gene R Quinn, Darrell Ranum, Ellen Song, Margarita Linets, Carol Keohane, Heather Riah, Penny Greenberg
BACKGROUND: Diagnostic errors are an underrecognized source of patient harm, and cardiovascular disease can be challenging to diagnose in the ambulatory setting. Although malpractice data can inform diagnostic error reduction efforts, no studies have examined outpatient cardiovascular malpractice cases in depth. A study was conducted to examine the characteristics of outpatient cardiovascular malpractice cases brought against general medicine practitioners. METHODS: Some 3,407 closed malpractice claims were analyzed in outpatient general medicine from CRICO Strategies' Comparative Benchmarking System database-the largest detailed database of paid and unpaid malpractice in the world-and multivariate models were created to determine the factors that predicted case outcomes...
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942774/evaluation-of-patient-and-family-outpatient-complaints-as-a-strategy-to-prioritize-efforts-to-improve-cancer-care-delivery
#7
Jennifer W Mack, Joseph Jacobson, David Frank, Angel M Cronin, Kathleen Horvath, Victoria Allen, Jennifer Wind, Deborah Schrag
BACKGROUND: Limited systematic data about complaints related to cancer care are available. Patient complaints related to ambulatory care at a large academic cancer center were examined to better understand patient experiences of care and prioritize opportunities for quality improvement. METHODS: Content analysis of outpatient complaints made to the Patient/Family Relations Office at Dana-Farber Cancer Institute, Boston, in a two-year period (January 2013-December 2014) were conducted...
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28942773/patient-and-family-complaints-in-cancer-care-what-can-we-learn-from-the-tip-of-the-iceberg
#8
EDITORIAL
Kimberly A Fisher, Kathleen M Mazor
No abstract text is available yet for this article.
October 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844235/improving-pain-management-and-safe-use-of-opioids-a-call-for-papers
#9
EDITORIAL
David W Baker
No abstract text is available yet for this article.
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844234/using-simulation-to-improve-systems-based-practices
#10
Aimee K Gardner, Maximilian Johnston, James R Korndorffer, Imad Haque, John T Paige
BACKGROUND: Ensuring the safe, effective management of patients requires efficient processes of care within a smoothly operating system in which highly reliable teams of talented, skilled health care providers are able to use the vast array of high-technology resources and intensive care techniques available. Simulation can play a unique role in exploring and improving the complex perioperative system by proactively identifying latent safety threats and mitigating their damage to ensure that all those who work in this critical health care environment can provide optimal levels of patient care...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844233/do-hospitals-support-second-victims-collective-insights-from-patient-safety-leaders-in-maryland
#11
Hanan H Edrees, Laura Morlock, Albert W Wu
BACKGROUND: Second victims-defined as health care providers who are emotionally traumatized after a patient adverse event-may not receive needed emotional support. Although most health care organizations have an employee assistance program (EAP), second victims may be reluctant to access this service because of worries about confidentiality. A study was conducted to describe the extent to which organizational support for second victims is perceived as desirable by patient safety officers in acute care hospitals in Maryland and to identify existing support programs...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844232/a-multicomponent-fall-prevention-strategy-reduces-falls-at-an-academic-medical-center
#12
Dan France, Jenny Slayton, Sonya Moore, Henry Domenico, Julia Matthews, Robin L Steaban, Neesha Choma
BACKGROUND: While the reduction in fall rates has not kept pace with the reduction of other hospital-acquired conditions, patient safety research and quality improvement (QI) initiatives at the system and hospital levels have achieved positive results and provide insights into potentially effective risk reduction strategies. An academic medical center developed a QI-based multicomponent strategy for fall prevention and pilot tested it for six months in three high-risk units-the Neuroscience Acute Care Unit, the Myelosuppression/Stem Cell Transplant Unit, and the Acute Care for the Elderly Unit-before implementing and evaluating the strategy hospitalwide...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844231/what-defines-a-high-performing-health-care-delivery-system-a-systematic-review
#13
REVIEW
Sangeeta C Ahluwalia, Cheryl L Damberg, Marissa Silverman, Aneesa Motala, Paul G Shekelle
BACKGROUND: Purchasers, payers, and policy makers are increasingly measuring and rewarding high-performing health systems, which use a variety of definitions of high performance, yet it is unclear if a consistently applied definition exists. A systematic review was conducted to determine if there is a commonly used, agreed-on definition of what constitutes a "high-performing" health care delivery system. METHODS: Searches were conducted for English-language articles defining high performance with respect to a health care system or organization in PubMed and WorldCat databases from 2005 to 2015 and the New York Academy of Medicine Grey Literature Report from 1999 to 2016...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844230/high-performing-health-care-delivery-systems-high-performance-toward-what-purpose
#14
EDITORIAL
Peter J Pronovost
No abstract text is available yet for this article.
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844229/understanding-facilitators-and-barriers-to-care-transitions-insights-from-project-achieve-site-visits
#15
Allison M Scott, Jing Li, Sholabomi Oyewole-Eletu, Huong Q Nguyen, Brianna Gass, Karen B Hirschman, Suzanne Mitchell, Sharon M Hudson, Mark V Williams
BACKGROUND: Care transitions between clinicians or settings are often fragmented and marked by adverse events. To increase patient safety and deliver more efficient and effective health care, new ways to optimize these transitions need to be identified. A study was conducted to delineate facilitators and barriers to implementation of transitional care services at health systems that may have been adopted or adapted from published evidence-based models. METHODS: From March 2015 through December 2015, site visits were conducted across the United States at 22 health care organizations-community hospitals, academic medical centers, integrated health systems, and broader community partnerships...
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28844228/optimizing-care-transitions-adapting-evidence-informed-solutions-to-local-contexts
#16
EDITORIAL
Lianne P Jeffs
No abstract text is available yet for this article.
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28738988/use-of-cascading-a3s-to-drive-systemwide-improvement
#17
Laura E Winner, Timothy J Burroughs, Julie A Cady-Reh, Richard Hill, Robert E Hody, Richard L Powers, Tiffany Callender, Renee Demski, Peter J Pronovost
No abstract text is available yet for this article.
August 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28738987/evaluation-of-sensor-technology-to-detect-fall-risk-and-prevent-falls-in-acute-care
#18
Patricia Potter, Kelly Allen, Eileen Costantinou, William Dean Klinkenberg, Jill Malen, Traci Norris, Elizabeth O'Connor, Wilhemina Roney, Heidi Hahn Tymkew, Laurie Wolf
BACKGROUND: Sensor technology that dynamically identifies hospitalized patients' fall risk and detects and alerts nurses of high-risk patients' early exits out of bed has potential for reducing fall rates and preventing patient harm. During Phase 1 (August 2014-January 2015) of a previously reported performance improvement project, an innovative depth sensor was evaluated on two inpatient medical units to study fall characteristics. In Phase 2 (April 2015-January 2016), a combined depth and bed sensor system designed to assign patient fall probability, detect patient bed exits, and subsequently prevent falls was evaluated...
August 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28738986/pilot-testing-fall-tips-tailoring-interventions-for-patient-safety-a-patient-centered-fall-prevention-toolkit
#19
Patricia C Dykes, Megan Duckworth, Stephanie Cunningham, Sasha Dubois, Melissa Driscoll, Zinnia Feliciano, Michael Ferrazzi, Farah E Fevrin, Stephanie Lyons, Mary Ellen Lindros, Allison Monahan, Matthew M Paley, Saby Jean-Pierre, Maureen Scanlan
BACKGROUND: Patient falls during an acute hospitalization cause injury, reduced mobility, and increased costs. The laminated paper Fall TIPS Toolkit (Fall TIPS) provides clinical decision support at the bedside by linking each patient's fall risk assessment with evidence-based interventions. Strategies were needed to integrate this evidence into clinical practice. METHODS: The Institute for Healthcare Improvement's Framework for Spread is the conceptual model for pilot implementation of Fall TIPS at Brigham and Women's Hospital (BWH; Boston) and Montefiore Medical Center (MMC; Bronx, New York)...
August 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28738985/intraoperative-handoffs-among-anesthesia-providers-increase-the-incidence-of-documentation-errors-for-controlled-drugs
#20
Richard H Epstein, Franklin Dexter, David M Gratch, David A Lubarsky
BACKGROUND: When electronic anesthesia records are compared to pharmacy transactions, discrepancies in total doses of controlled drugs are commonly found (≈16% of cases), potentially affecting patient safety and placing hospitals at risk for regulatory action. Errors (≈5%) persisted even with near real-time drug reconciliation feedback to providers. A study was conducted to test the hypothesis of greater risks of discrepancy for longer-duration cases and for intraoperative handoff involving a permanent handoff of care...
August 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"