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BMJ Quality & Safety

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https://www.readbyqxmd.com/read/28735293/speaking-up-against-unsafe-unprofessional-behaviours-the-difficulty-in-knowing-when-and-how
#1
EDITORIAL
Brian M Wong, Shiphra Ginsburg
No abstract text is available yet for this article.
July 22, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28733370/reliable-adherence-to-a-copd-care-bundle-mitigates-system-level-failures-and-reduces-copd-readmissions-a-system-redesign-using-improvement-science
#2
Muhammad Ahsan Zafar, Ralph J Panos, Jonathan Ko, Lisa C Otten, Anthony Gentene, Maria Guido, Katherine Clark, Caroline Lee, Jamie Robertson, Evaline A Alessandrini
BACKGROUND: Readmissions of chronic obstructive pulmonary disease (COPD) have devastating effects on patient quality-of-life, disease progression and healthcare cost. Effective interventions to reduce COPD readmissions are needed. OBJECTIVES: Reduce 30-day all-cause readmissions by (1) creating a COPD care bundle that addresses care delivery failures, (2) using improvement science to achieve 90% bundle adherence. SETTING: An 800-bed academic hospital in Ohio, USA...
July 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28733369/measurement-with-a-wink
#3
EDITORIAL
Marleen Kunneman, Victor M Montori, Nilay D Shah
No abstract text is available yet for this article.
July 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28698381/reasons-for-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors-an-observational-study-of-voided-orders
#4
Joanna Abraham, Thomas G Kannampallil, Alan Jarman, Shivy Sharma, Christine Rash, Gordon Schiff, William Galanter
OBJECTIVE: Medication voiding is a computerised provider order entry (CPOE)-based discontinuation mechanism that allows clinicians to identify erroneous medication orders. We investigated the accuracy of voiding as an indicator of clinician identification and interception of a medication ordering error, and investigated reasons and root contributors for medication ordering errors. METHOD: Using voided orders identified with a void alert, we conducted interviews with ordering and voiding clinicians, followed by patient chart reviews...
July 11, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28689193/anticipation-teamwork-and-cognitive-load-chasing-efficiency-during-robot-assisted-surgery
#5
Kevin Sexton, Amanda Johnson, Amanda Gotsch, Ahmed A Hussein, Lora Cavuoto, Khurshid A Guru
INTRODUCTION: Robot-assisted surgery (RAS) has changed the traditional operating room (OR), occupying more space with equipment and isolating console surgeons away from the patients and their team. We aimed to evaluate how anticipation of surgical steps and familiarity between team members impacted efficiency. METHODS: We analysed recordings (video and audio) of 12 robot-assisted radical prostatectomies. Any requests between surgeon and the team members were documented and classified by personnel, equipment type, mode of communication, level of inconvenience in fulfilling the request and anticipation...
July 8, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28689192/utilizing-a-transfer-of-care-bundle-to-reduce-unplanned-readmissions-to-the-cardiac-intensive-care-unit
#6
Jean Storey, Jonathan W Byrnes, Jeffrey Anderson, James Brown, Katherine Clarke-Myers, Melissa Kimball, Candice Meyer, Laurie Mustin, Gina Schoenling, Nicolas Madsen
No abstract text is available yet for this article.
July 8, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28689191/how-do-hospital-boards-govern-for-quality-improvement-a-mixed-methods-study-of-15-organisations-in-england
#7
Lorelei Jones, Linda Pomeroy, Glenn Robert, Susan Burnett, Janet E Anderson, Naomi J Fulop
BACKGROUND: Health systems worldwide are increasingly holding boards of healthcare organisations accountable for the quality of care that they provide. Previous empirical research has found associations between certain board practices and higher quality patient care; however, little is known about how boards govern for quality improvement (QI). METHODS: We conducted fieldwork over a 30-month period in 15 healthcare provider organisations in England as part of a wider evaluation of a board-level organisational development intervention...
July 8, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28679836/effects-of-the-i-pass-nursing-handoff-bundle-on-communication-quality-and-workflow
#8
Amy J Starmer, Kumiko O Schnock, Aimee Lyons, Rebecca S Hehn, Dionne A Graham, Carol Keohane, Christopher P Landrigan
BACKGROUND AND OBJECTIVE: Handoff communication errors are a leading source of sentinel events. We sought to determine the impact of a handoff improvement programme for nurses. METHODS: We conducted a prospective pre-post intervention study on a paediatric intensive care unit in 2011-2012. The I-PASS Nursing Handoff Bundle intervention consisted of educational training, verbal handoff I-PASS mnemonic implementation, and visual materials to provide reinforcement and sustainability...
July 5, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28676492/local-emergency-medical-response-after-a-terrorist-attack-in-norway-a-qualitative-study
#9
Aleidis S Brandrud, Michael Bretthauer, Guttorm Brattebø, May Jb Pedersen, Kent Håpnes, Karin Møller, Trond Bjorge, Bjørnar Nyen, Lars Strauman, Ada Schreiner, Gro S Haldorsen, Maria Bergli, Eugene Nelson, Tamara S Morgan, Per Hjortdahl
INTRODUCTION: On 22 July 2011, Norway suffered a devastating terrorist attack targeting a political youth camp on a remote island. Within a few hours, 35 injured terrorist victims were admitted to the local Ringerike community hospital. All victims survived. The local emergency medical service (EMS), despite limited resources, was evaluated by three external bodies as successful in handling this crisis. This study investigates the determinants for the success of that EMS as a model for quality improvement in healthcare...
July 4, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28655713/peers-without-fears-barriers-to-effective-communication-among-primary-care-physicians-and-oncologists-about-diagnostic-delays-in-cancer
#10
Allison Lipitz-Snyderman, Minal Kale, Laura Robbins, David Pfister, Elizabeth Fortier, Valerie Pocus, Susan Chimonas, Saul N Weingart
OBJECTIVE: Relatively little attention has been devoted to the role of communication between physicians as a mechanism for individual and organisational learning about diagnostic delays. This study's objective was to elicit physicians' perceptions about and experiences with communication among physicians regarding diagnostic delays in cancer. DESIGN, SETTING, PARTICIPANTS: Qualitative analysis based on seven focus groups. Fifty-one physicians affiliated with three New York-based academic medical centres participated, with six to nine subjects per group...
June 27, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28652260/keep-calm%C3%A2-and-prepare
#11
EDITORIAL
Tobias Gauss, Fabrice Cook
No abstract text is available yet for this article.
June 26, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28652259/is-everyone-really-breathing-20-times-a-minute-assessing-epidemiology-and-variation-in-recorded-respiratory-rate-in-hospitalised-adults
#12
Jack Badawy, Oanh Kieu Nguyen, Christopher Clark, Ethan A Halm, Anil N Makam
BACKGROUND: Respiratory rate (RR) is an independent predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalised adults. Yet, it is unclear if RR is recorded accurately. We sought to assess the potential accuracy of RR by analysing the distribution and variation as a proxy, since RR should be normally distributed if recorded accurately. METHODS: We conducted a descriptive observational study of electronic health record data from consecutive hospitalisations from 2009 to 2010 from six diverse hospitals...
June 26, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28642333/patients-and-providers-perceptions-of-the-preventability-of-hospital-readmission-a-prospective-observational-study-in-four-european-countries
#13
Louise S van Galen, Mikkel Brabrand, Tim Cooksley, Peter M van de Ven, Hanneke Merten, Ralph Kl So, Loes van Hooff, Harm R Haak, Rachel M Kidney, Christian H Nickel, John Ty Soong, Immo Weichert, Mark Hh Kramer, Christian P Subbe, Prabath Wb Nanayakkara
OBJECTIVES: Because of fundamental differences in healthcare systems, US readmission data cannot be extrapolated to the European setting: To investigate the opinions of readmitted patients, their carers, nurses and physicians on predictability and preventability of readmissions and using majority consensus to determine contributing factors that could potentially foresee (preventable) readmissions. DESIGN: Prospective observational study. Readmitted patients, their carers, and treating professionals were surveyed during readmission to assess the discharge process and the predictability and preventability of the readmission...
June 22, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28615344/advancing-infection-prevention-and-antimicrobial-stewardship-through-improvement-science
#14
EDITORIAL
Jerome A Leis
No abstract text is available yet for this article.
June 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28615343/preventing-hospital-readmissions-the-importance-of-considering-impactibility-not-just-predicted-risk
#15
EDITORIAL
Adam Steventon, John Billings
No abstract text is available yet for this article.
June 14, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28607037/international-comparison-of-emergency-hospital-use-for-infants-data-linkage-cohort-study-in-canada-and-england
#16
Katie Harron, Ruth Gilbert, David Cromwell, Sam Oddie, Astrid Guttmann, Jan van der Meulen
OBJECTIVES: To compare emergency hospital use for infants in Ontario (Canada) and England. METHODS: We conducted a population-based data linkage study in infants born ≥34 weeks' gestation between 2010 and 2013 in Ontario (n=253 930) and England (n=1 361 128). Outcomes within 12 months of postnatal discharge were captured in hospital records. The primary outcome was all-cause unplanned admissions. Secondary outcomes included emergency department (ED) visits, any unplanned hospital contact (either ED or admission) and mortality...
June 12, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28600453/engaging-patients-and-the-public-in-choosing-wisely
#17
EDITORIAL
Karen B Born, Angela Coulter, Angela Han, Moriah Ellen, Wilco Peul, Paul Myres, Robyn Lindner, Daniel Wolfson, R Sacha Bhatia, Wendy Levinson
No abstract text is available yet for this article.
June 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28600452/are-facebook-user-ratings-associated-with-hospital-cost-quality-and-patient-satisfaction-a-cross-sectional-analysis-of-hospitals-in-new-york-state
#18
Lauren Campbell, Yue Li
BACKGROUND: Hospital care costs are high while quality varies across hospitals. Patient satisfaction may be associated with better clinical quality, and social media ratings may offer another opportunity to measure patient satisfaction with care. OBJECTIVES: To test if Facebook user ratings of hospitals are associated with existing measures of patient satisfaction, cost and quality. RESEARCH DESIGN: Data were obtained from Centers for Medicare and Medicaid Services Hospital Compare, the Hospital Inpatient Prospective Payment System impact files and the Area Health Resource File for 2015...
June 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28596422/interruptions-in-medication-administration-are-we-asking-the-right-questions
#19
EDITORIAL
Anne Marie Rafferty, Bryony Dean Franklin
No abstract text is available yet for this article.
June 8, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28578303/mobilising-or-standing-still-a-narrative-review-of-surgical-safety-checklist-knowledge-as-developed-in-25-highly-cited-papers-from-2009-to-2016
#20
REVIEW
Bethan Mitchell, Sayra Cristancho, Bryanna B Nyhof, Lorelei A Lingard
No abstract text is available yet for this article.
June 3, 2017: BMJ Quality & Safety
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