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BMJ Quality & Safety

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https://www.readbyqxmd.com/read/28468911/impact-of-two-step-urine-culture-ordering-in-the-emergency-department-a-time-series-analysis
#1
Amanda Stagg, Haydon Lutz, Sakshi Kirpalaney, John Justin Matelski, Adam Kaufman, Jerome Leis, Janine McCready, Jeff Powis
BACKGROUND: Despite evidence against the use of antimicrobials for asymptomatic bacteriuria (ASB), they are frequently prescribed leading to unnecessary adverse events. Prior studies have shown that reducing unnecessary urine cultures (UCs) results in decreased antimicrobial utilisation for ASB. Emergency departments (EDs) submit the largest volume of UCs, yet efforts to limit overordering in this patient setting have had limited success. METHODS: A new two-step model of care for urine collection, using a novel UC collection container, was implemented in the ED of a large community hospital...
May 3, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28442609/speaking-up-about-traditional-and-professionalism-related-patient-safety-threats-a-national-survey-of-interns-and-residents
#2
William Martinez, Lisa Soleymani Lehmann, Eric J Thomas, Jason M Etchegaray, Julia T Shelburne, Gerald B Hickson, Donald W Brady, Anneliese M Schleyer, Jennifer A Best, Natalie B May, Sigall K Bell
BACKGROUND: Open communication between healthcare professionals about care concerns, also known as 'speaking up', is essential to patient safety. OBJECTIVE: Compare interns' and residents' experiences, attitudes and factors associated with speaking up about traditional versus professionalism-related safety threats. DESIGN: Anonymous, cross-sectional survey. SETTING: Six US academic medical centres, 2013-2014. PARTICIPANTS: 1800 medical and surgical interns and residents (47% responded)...
April 25, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28432190/a-single-centre-hospital-wide-handoff-standardisation-report-what-is-so-special-about-that
#3
EDITORIAL
Maitreya Coffey, Lennox Huang
No abstract text is available yet for this article.
April 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28432189/safety-and-efficiency-of-a-new-generic-package-labelling-a-before-and-after-study-in-a-simulated-setting
#4
Beate Hennie Garcia, Renate Elenjord, Camilla Bjornstad, Kjell Hermann Halvorsen, Sigurd Hortemo, Steinar Madsen
BACKGROUND: Medication errors are frequent and may cause harm to patients and increase healthcare expenses. AIM: To explore whether a new labelling influences time and errors when preparing medications in accordance with medication charts in an experimental setting. METHOD: We carried out an uncontrolled before and after study with 3 months inbetween experiments. Phase I used original labelling and phase II used new generic labelling. We set up an experimental medicine room, simulating a real-life setting...
April 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28428245/thematic-analysis-of-us-stakeholder-views-on-the-influence-of-labour-nurses-care-on-birth-outcomes
#5
Audrey Lyndon, Kathleen Rice Simpson, Joanne Spetz
BACKGROUND: Childbirth is a leading reason for hospital admission in the USA, and most labour care is provided by registered nurses under physician or midwife supervision in a nurse-managed care model. Yet, there are no validated nurse-sensitive quality measures for maternity care. We aimed to engage primary stakeholders of maternity care in identifying the aspects of nursing care during labour and birth they believe influence birth outcomes, and how these aspects of care might be measured...
April 20, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28428244/the-role-of-social-media-around-patient-experience-and-engagement
#6
Ronen Rozenblum, Felix Greaves, David W Bates
No abstract text is available yet for this article.
April 20, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28424302/assessing-the-safety-culture-of-care-homes-a-multimethod-evaluation-of-the-adaptation-face-validity-and-feasibility-of-the-manchester-patient-safety-framework
#7
Martin Marshall, Lesley Cruickshank, Jenny Shand, Sarah Perry, James Anderson, Li Wei, Dianne Parker, Debra de Silva
BACKGROUND: Understanding the cultural characteristics of healthcare organisations is widely recognised to be an important component of patient safety. A growing number of vulnerable older people are living in care homes but little attention has been paid to safety culture in this sector. In this study, we aimed to adapt the Manchester Patient Safety Framework (MaPSaF), a commonly used tool in the health sector, for use in care homes and then to test its face validity and preliminary feasibility as a tool for developing a better understanding of safety culture in the sector...
April 19, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28416652/simplification-of-the-hospital-score-for-predicting-30-day-readmissions
#8
Carole E Aubert, Jeffrey L Schnipper, Mark V Williams, Edmondo J Robinson, Eyal Zimlichman, Eduard E Vasilevskis, Sunil Kripalani, Joshua P Metlay, Tamara Wallington, Grant S Fletcher, Andrew D Auerbach, Drahomir Aujesky, Jacques D Donzé
OBJECTIVE: The HOSPITAL score has been widely validated and accurately identifies high-risk patients who may mostly benefit from transition care interventions. Although this score is easy to use, it has the potential to be simplified without impacting its performance. We aimed to validate a simplified version of the HOSPITAL score for predicting patients likely to be readmitted. DESIGN AND SETTING: Retrospective study in 9 large hospitals across 4 countries, from January through December 2011...
April 17, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28404793/high-reliability-and-cargo-cult-qi-response-to-sutcliffe-et-al-bmj-qual-saf-2017-26-248-51
#9
LETTER
Andrew Smaggus, Mark Goldszmidt
No abstract text is available yet for this article.
April 12, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28400404/a-growth-mindset-approach-to-preparing-trainees-for-medical-error
#10
Jill Klein, Clare Delany, Michael D Fischer, David Smallwood, Stephen Trumble
No abstract text is available yet for this article.
April 11, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28364058/from-polyformacy-to-formacology
#11
EDITORIAL
Davina Allen
No abstract text is available yet for this article.
March 31, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28356333/patients-reports-of-adverse-events-a-data-linkage-study-of-australian-adults-aged-45-years-and-over
#12
Merrilyn Margaret Walton, Reema Harrison, Patrick Kelly, Jennifer Smith-Merry, Elizabeth Manias, Christine Jorm, Rick Iedema
BACKGROUND: Understanding a patient's hospital experience is fundamental to improving health services and policy, yet, little is known about their experiences of adverse events (AEs). This study redresses this deficit by investigating the experiences of patients in New South Wales hospitals who suffered an AE. METHODS: Data linkage was used to identify a random sample of 20 000 participants in the 45 and Up Cohort Study, out of 267 153 adults aged 45 years and over, who had been hospitalised in the prior 6 months...
March 29, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28314857/participatory-approaches-to-evaluating-integrated-care-the-vital-role-for-client-inclusion-and-participation
#13
LETTER
Nadiya Sunderji, Allyson Ion, Elizabeth Lin, Abbas Ghavam-Rassoul, Gwen Jansz
No abstract text is available yet for this article.
March 17, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28289243/use-of-standard-risk-screening-and-assessment-forms-to-prevent-harm-to-older-people-in-australian-hospitals-a-mixed-methods-study
#14
Bernice Redley, Michelle Raggatt
BACKGROUND: Standard risk screening and assessment forms are frequently used in strategies to prevent harm to older people in hospitals. Little is known about good practices for their use. OBJECTIVE: Scope the preventable harms addressed by standard forms used to screen and assess older people and how standard forms are operationalised in hospitals across Victoria, Australia. METHODS: Mixed methods study: (1) cross-sectional audit of the standard risk screening and assessment forms used to assess older people at 11 health services in 2015; (2) nine focus groups with a purposive sample of 69 participants at 9 health services...
March 13, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28280075/improving-reconciliation-following-medical-injury-a-qualitative-study-of-responses-to-patient-safety-incidents-in-new-zealand
#15
Jennifer Moore, Michelle M Mello
BACKGROUND: Despite the investment in exploring patient-centred alternatives to medical malpractice in New Zealand (NZ), the UK and the USA, patients' experiences with these processes are not well understood. We sought to explore factors that facilitate and impede reconciliation following patient safety incidents and identify recommendations for strengthening institution-led alternatives to malpractice litigation. METHODS: We conducted semistructured interviews with 62 patients injured by healthcare in NZ, administrators of 12 public hospitals, 5 lawyers specialising in Accident Compensation Corporation (ACC) claims and 3 ACC staff...
March 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28280074/large-scale-implementation-of-the-i-pass-handover-system-at-an-academic-medical-centre
#16
REVIEW
David M Shahian, Kayla McEachern, Laura Rossi, Roger Gino Chisari, Elizabeth Mort
BACKGROUND: Healthcare has become increasingly complex and care delivery models have changed dramatically (eg, team-based care, duty-hour restrictions). However, approaches to critical communications among providers have not evolved to meet these new challenges. Evidence from safety culture surveys, academic studies and malpractice claims suggests that healthcare handover quality is problematic, leading to preventable errors and adverse outcomes. To address this concern, from 2013 to 2016 Massachusetts General Hospital completed phase I of a multifaceted programme to implement standardised, structured handovers across all departments, units and direct care providers...
March 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28522695/learning-from-near-misses-in-aviation-so-much-more-to-it-than-you-thought
#17
LETTER
Robert L Wears
No abstract text is available yet for this article.
June 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27358230/implementation-of-a-structured-hospital-wide-morbidity-and-mortality-rounds-model
#18
Edmund S H Kwok, Lisa A Calder, Emily Barlow-Krelina, Craig Mackie, Andrew J E Seely, A Adam Cwinn, James R Worthington, Jason R Frank
IMPORTANCE: There is a paucity of literature on the quality and effectiveness of institutional morbidity & mortality (M&M) rounds processes. OBJECTIVE: We sought to implement and evaluate the effectiveness of a hospital-wide structured M&M rounds model at improving the quality of M&M rounds across multiple specialties. DESIGN, SETTING, PARTICIPANTS: We conducted a prospective interventional study involving 24 clinical groups (1584 physicians) at a tertiary care teaching hospital from January 2013 to June 2015...
June 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28228469/root-cause-analysis-swatting-at-mosquitoes-versus-draining-the-swamp
#19
EDITORIAL
Patricia Trbovich, Kaveh G Shojania
No abstract text is available yet for this article.
May 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27965416/a-patient-feedback-reporting-tool-for-opennotes-implications-for-patient-clinician-safety-and-quality-partnerships
#20
Sigall K Bell, Macda Gerard, Alan Fossa, Tom Delbanco, Patricia H Folcarelli, Kenneth E Sands, Barbara Sarnoff Lee, Jan Walker
BACKGROUND: OpenNotes, a national movement inviting patients to read their clinicians' notes online, may enhance safety through patient-reported documentation errors. OBJECTIVE: To test an OpenNotes patient reporting tool focused on safety concerns. METHODS: We invited 6225 patients through a patient portal to provide note feedback in a quality improvement pilot between August 2014 and 2015. A link at the end of the note led to a 9-question survey...
April 2017: BMJ Quality & Safety
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