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BMJ Quality & Safety

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https://www.readbyqxmd.com/read/28916581/optimising-impact-and-sustainability-a-qualitative-process-evaluation-of-a-complex-intervention-targeted-at-compassionate-care
#1
Jackie Bridges, Carl May, Alison Fuller, Peter Griffiths, Wendy Wigley, Lisa Gould, Hannah Barker, Paula Libberton
BACKGROUND: Despite concerns about the degree of compassion in contemporary healthcare, there is a dearth of evidence for health service managers about how to promote compassionate healthcare. This paper reports on the implementation of the Creating Learning Environments for Compassionate Care (CLECC) intervention by four hospital ward nursing teams. CLECC is a workplace educational intervention focused on developing sustainable leadership and work-team practices designed to support team relational capacity and compassionate care delivery...
September 15, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28912198/frequency-of-low-value-care-in-alberta-canada-a-retrospective-cohort-study
#2
Finlay A McAlister, Meng Lin, Jeff Bakal, Stafford Dean
OBJECTIVE: To determine how frequently 10 low-value services highlighted by Choosing Wisely are done and what factors influence their provision. METHODS: This is a retrospective cohort study using routinely collected health data from five linked data sets from 2012 to 2015 in the Canadian province of Alberta to determine the frequency with which 10 low-value services were provided. RESULTS: Between 2012 and 2015, 162 143 people (4% of all 3 814 536 adult Albertans and 5% of the 3 423 135 who saw a physician at least once in that time frame) received at least one of the 10 low-value services, including 29...
September 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28912197/standard-admission-order-sets-promote-ordering-of-unnecessary-investigations-a-quasi-randomised-evaluation-in-a-simulated-setting
#3
Benjamin Leis, Andrew Frost, Rhonda Bryce, Kelly Coverett
No abstract text is available yet for this article.
September 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28899901/do-the-stars-align-distribution-of-high-quality-ratings-of-healthcare-sectors-across-us-markets
#4
Jose Figueroa, Yevgeniy Feyman, Daniel Blumenthal, Ashish Jha
BACKGROUND: The US government created five-star rating systems to evaluate hospital, nursing homes, home health agency and dialysis centre quality. The degree to which quality is a property of organisations versus geographical markets is unclear. OBJECTIVES: To determine whether high-quality healthcare service sectors are clustered within US healthcare markets. DESIGN: Using data from the Centers for Medicare and Medicaid Services' Hospital, Dialysis, Nursing Home and Home Health Compare databases, we calculated the mean star ratings of four healthcare sectors in 304 US hospital referral regions (HRRs)...
September 12, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28893849/handoffs-what-s-good-for-residents-is-good-for-nurses%C3%A2-so-what-s-next
#5
EDITORIAL
Rebecca R Kitzmiller, Sim B Sitkin, Arpana R Vidyarthi
No abstract text is available yet for this article.
September 11, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28866621/randomised-controlled-trial-to-assess-the-effect-of-a-just-in-time-training-on-procedural-performance-a-proof-of-concept-study-to-address-procedural-skill-decay
#6
Jeremy B Branzetti, Adeyinka A Adedipe, Matthew J Gittinger, Elizabeth D Rosenman, Sarah Brolliar, Anne K Chipman, James A Grand, Rosemarie Fernandez
BACKGROUND: A subset of high-risk procedures present significant safety threats due to their (1) infrequent occurrence, (2) execution under time constraints and (3) immediate necessity for patient survival. A Just-in-Time (JIT) intervention could provide real-time bedside guidance to improve high-risk procedural performance and address procedural deficits associated with skill decay. OBJECTIVE: To evaluate the impact of a novel JIT intervention on transvenous pacemaker (TVP) placement during a simulated patient event...
September 2, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28847789/variation-and-statistical-reliability-of-publicly-reported-primary-care-diagnostic-activity-indicators-for-cancer-a-cross-sectional-ecological-study-of-routine-data
#7
Gary Abel, Catherine L Saunders, Silvia C Mendonca, Carolynn Gildea, Sean McPhail, Georgios Lyratzopoulos
OBJECTIVES: Recent public reporting initiatives in England highlight general practice variation in indicators of diagnostic activity related to cancer. We aimed to quantify the size and sources of variation and the reliability of practice-level estimates of such indicators, to better inform how this information is interpreted and used for quality improvement purposes. DESIGN: Ecological cross-sectional study. SETTING: English primary care...
August 28, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28842517/quantifying-low-value-care-a-patient-centric-versus-service-centric-lens
#8
EDITORIAL
Kelsey Chalmers, Sallie-Anne Pearson, Adam G Elshaug
No abstract text is available yet for this article.
August 19, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28821597/a-randomised-controlled-trial-assessing-the-efficacy-of-an-electronic-discharge-communication-tool-for-preventing-death-or-hospital-readmission
#9
Maria J Santana, Jayna Holroyd-Leduc, Danielle A Southern, Ward W Flemons, Maeve O'Beirne, Michael D Hill, Alan J Forster, Deborah E White, William A Ghali
OBJECTIVE: To assess the efficacy of an electronic discharge communication tool (e-DCT) for preventing death or hospital readmission, as well as reducing patient-reported adverse events after hospital discharge. The e-DCT assessed has already been shown to yield high-quality discharge summaries with high levels of patient and physician satisfaction. METHODS: This two-arm randomised controlled trial was conducted in a Canadian tertiary care centre's internal medicine medical teaching units...
August 18, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28794244/determining-the-optimal-place-and-time-for-procedural-education
#10
EDITORIAL
Martin V Pusic, Marc M Triola
No abstract text is available yet for this article.
August 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28794243/malpractice-claims-related-to-diagnostic-errors-in-the-hospital
#11
Ashwin Gupta, Ashley Snyder, Allen Kachalia, Scott Flanders, Sanjay Saint, Vineet Chopra
BACKGROUND: Little is known about the incidence or significance of diagnostic error in the inpatient setting. We used a malpractice claims database to examine incidence, predictors and consequences of diagnosis-related paid malpractice claims in hospitalised patients. METHODS: The US National Practitioner Database was used to identify paid malpractice claims occurring between 1 January 1999 and 31 December 2011. Patient and provider characteristics associated with paid claims were analysed using descriptive statistics...
August 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28794242/getting-back-on-track-a-systematic-review-of-the-outcomes-of-remediation-and-rehabilitation-programmes-for-healthcare-professionals-with-performance-concerns
#12
REVIEW
Jan-Willem Weenink, Rudolf B Kool, Ronald H Bartels, Gert P Westert
OBJECTIVE: To provide an overview of the evidence regarding outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns, and to explore if outcomes differ for specific concerns and professions. METHODS: A search in four databases (Medline, Embase, PsycINFO and CINAHL) was conducted from 1 January 1990 to 7 May 2017. Studies reporting on outcomes of nationwide and state-wide programmes aimed at remediation and rehabilitating healthcare professionals with performance concerns (ie, dentists, midwives, nurses, pharmacists, physicians, physiotherapists, psychologists and psychotherapists) were included...
August 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28784842/identifying-patient-and-practice-characteristics-associated-with-patient-reported-experiences-of-safety-problems-and-harm-a-cross-sectional-study-using-a-multilevel-modelling-approach
#13
Ignacio Ricci-Cabello, David Reeves, Brian G Bell, Jose M Valderas
OBJECTIVE: To identify patient and family practice characteristics associated with patient-reported experiences of safety problems and harm. DESIGN: Cross-sectional study combining data from the individual postal administration of the validated Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire to a random sample of patients in family practices (response rate=18.4%) and practice-level data for those practices obtained from NHS Digital...
August 7, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28784841/controlled-trial-to-improve-resident-sign-out-in-a-medical-intensive-care-unit
#14
Rahul Nanchal, Brian Aebly, Gabrielle Graves, Jonathon Truwit, Gagan Kumar, Amit Taneja, Gaurav Dagar, Jeanette Graf, Erin Hubertz, Vijaya Ramalingam, Kathlyn E Fletcher
OBJECTIVE: Poor sign-out or handover of care may lead to preventable patient harm. Critically ill patients in intensive care units (ICU) are complex and prone to rapid clinical deterioration. If clinical deterioration occurs, timeliness of appropriate interventions is essential to prevent or reduce adverse outcomes. Therefore sign-outs need to efficiently transmit key information and provide anticipatory guidance. Interventions to improve resident-to-resident ICU sign-outs have not been well described...
August 7, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28784840/correction-advancing-implementation-science-for-quality-and-safety-in-primary-health-care-the-integrated-care-for-older-adults-with-complex-health-needs-study-icoach
#15
(no author information available yet)
No abstract text is available yet for this article.
August 7, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28784839/problems-with-discharge-summaries-produced-by-electronic-health-records-why-are-the-vendors-not-named
#16
LETTER
Walter Joseph O'Donnell
No abstract text is available yet for this article.
August 7, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28780533/nursing-home-facebook-reviews-who-has-them-and-how-do-they-relate-to-other-measures-of-quality-and-experience
#17
Jennifer Gaudet Hefele, Yue Li, Lauren Campbell, Adrita Barooah, Joyce Wang
BACKGROUND: The growing use of social media creates opportunities for patients and families to provide feedback and rate individual healthcare providers. Whereas previous studies have examined this emerging trend in hospital and physician settings, little is known about user ratings of nursing homes (NHs) and how these ratings relate to other measures of quality. OBJECTIVE: To examine the relationship between Facebook user-generated NH ratings and other measures of NH satisfaction/experience and quality...
August 5, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28768712/factors-influencing-the-reporting-of-adverse-medical-device-events-qualitative-interviews-with-physicians-about-higher-risk-implantable-devices
#18
Anna R Gagliardi, Ariel Ducey, Pascale Lehoux, Thomas Turgeon, Sue Ross, Patricia Trvovich, Anthony Easty, Chaim Bell, David Urbach
BACKGROUND: Postmarket surveillance of medical devices is reliant on physician reporting of adverse medical device events (AMDEs). Little is known about factors that influence whether and how physicians report AMDEs, an essential step in developing behaviour change interventions. This study explored factors that influence AMDE reporting. METHODS: Qualitative interviews were conducted with physicians who differed by specialties that implant cardiovascular and orthopaedic devices prone to AMDEs, geography and years in practice...
August 2, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28768711/how-to-attribute-causality-in-quality-improvement-lessons-from-epidemiology
#19
EDITORIAL
Alan J Poots, Julie E Reed, Thomas Woodcock, Derek Bell, Don Goldmann
No abstract text is available yet for this article.
August 2, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28765505/drug-shortage-leading-to-serendipitous-adoption-of-high-value-care-practice
#20
EDITORIAL
Arjun Gupta, Anita Rahman, Kristin S Alvarez, John W Gard, David H Johnson, Deepak Agrawal
No abstract text is available yet for this article.
August 1, 2017: BMJ Quality & Safety
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