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https://www.readbyqxmd.com/read/29768977/primary-care-physicians-perceptions-of-practice-improvement-as-a-professional-responsibility-a-cross-sectional-study
#1
Christopher R Stephenson, Christopher M Wittich, Joel E Pacyna, Matthew K Wynia, Omar Hasan, Jon C Tilburt
Continuous quality improvement is a component of professionalism. Maintenance of Certification (MOC) is a mechanism in the USA for physicians to keep current with medical knowledge and contribute to practice improvement. Little is known about primary care physicians' perceptions of the practice improvement (Part IV) components of MOC. We aimed to determine primary care physicians' perceptions of their professional responsibility to participate in Part IV MOC. This was a cross-sectional study of primary care physicians using the American Medical Association Masterfile...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29761095/an-all-teach-all-learn-approach-to-research-capacity-strengthening-in-indigenous-primary-health-care-continuous-quality-improvement
#2
Karen McPhail-Bell, Veronica Matthews, Roxanne Bainbridge, Michelle Louise Redman-MacLaren, Deborah Askew, Shanthi Ramanathan, Jodie Bailie, Ross Bailie
In Australia, Indigenous people experience poor access to health care and the highest rates of morbidity and mortality of any population group. Despite modest improvements in recent years, concerns remains that Indigenous people have been over-researched without corresponding health improvements. Embedding Indigenous leadership, participation, and priorities in health research is an essential strategy for meaningful change for Indigenous people. To centralize Indigenous perspectives in research processes, a transformative shift away from traditional approaches that have benefited researchers and non-Indigenous agendas is required...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29745305/why-do-so-few-consumers-use-health-care-quality-report-cards-a-framework-for-understanding-the-limited-consumer-impact-of-comparative-quality-information
#3
Neeraj Bhandari, Dennis P Scanlon, Yunfeng Shi, Rachel A Smith
Despite growing investment in producing and releasing comparative provider quality information (CQI), consumer use of CQI has remained poor. We offer a framework to interpret and synthesize the existing literature's diverse approaches to explaining the CQI's low appeal for consumers. Our framework cautions CQI stakeholders against forming unrealistic expectations of pervasive consumer use and suggests that they focus their efforts more narrowly on consumers who may find CQI more salient for choosing providers...
May 1, 2018: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29744944/association-between-dietary-carbohydrate-quality-and-the-prevalence-of-obesity-and-hypertension
#4
D-Y Kim, S H Kim, H Lim
BACKGROUND: Dietary carbohydrate quality may play an important role in disease development. We evaluated the association between carbohydrate quality index (CQI) and the prevalence of obesity and metabolic disorders among adults in South Korea. METHODS: We analysed 12 027 adults aged 19-64 years from the fifth Korea National Health and Nutrition Examination Survey (KNHANES). CQI was based on four criteria: crude fibre intake, dietary glycaemic index (DGI), whole grains/total grains ratio and solid carbohydrates/total carbohydrates ratio...
May 9, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/29623271/continuous-quality-improvement-and-comprehensive-primary-health-care-a-systems-framework-to-improve-service-quality-and-health-outcomes
#5
Janya McCalman, Ross Bailie, Roxanne Bainbridge, Karen McPhail-Bell, Nikki Percival, Deborah Askew, Ruth Fagan, Komla Tsey
Continuous quality improvement (CQI) processes for improving clinical care and health outcomes have been implemented by primary health-care services, with resultant health-care impacts. But only 10-20% of gain in health outcomes is contributed by health-care services; a much larger share is determined by social and cultural factors. This perspective paper argues that health care and health outcomes can be enhanced through applying CQI as a systems approach to comprehensive primary health care. Referring to the Aboriginal and Torres Strait Islander Australian context as an example, the authors provide a systems framework that includes strategies and conditions to facilitate evidence-based and local decision making by primary health-care services...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29609656/perspectives-of-primary-health-care-staff-on-the-implementation-of-a-sexual-health-quality-improvement-program-a-qualitative-study-in-remote-aboriginal-communities-in-australia
#6
Belinda Hengel, Stephen Bell, Linda Garton, James Ward, Alice Rumbold, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Janet Knox, Rebecca Guy, Lisa Maher, John Martin Kaldor
BACKGROUND: Young people living in remote Australian Aboriginal communities experience high rates of sexually transmissible infections (STIs). STRIVE (STIs in Remote communities, ImproVed and Enhanced primary care) was a cluster randomised control trial of a sexual health continuous quality improvement (CQI) program. As part of the trial, qualitative research was conducted to explore staff perceptions of the CQI components, their normalisation and integration into routine practice, and the factors which influenced these processes...
April 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29565142/-tube-feeding-monitoring-as-a-clinical-quality-indicator-at-intensive-care-units
#7
Sara Bermejo de Las Heras, Licia De la Calle de la Rosa, Javier Arias Díaz, Manuel Giner, Antonio Luis Blesa Malpica
BACKGROUND: Malnutrition is particularly prevalent among intensive care unit (ICU) patients, being associated with poor clinical results. Enteral nutrition (EN) offers multiple benefits on critically ill patients and its monitoring was established by the Spanish Society of Critical Care (SEMICYUC) as a clinical quality indicator (CQI; EN patients correctly monitorized / all EN patients, as %). However, no results have been published on its regulated monitoring. OBJECTIVES: Assessing CQI's compliance, identifying difficulties and possibilities for its use...
January 10, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29415024/identifying-evidence-practice-gaps-and-strategies-for-improvement-in-aboriginal-and-torres-strait-islander-maternal-health-care
#8
Melanie E Gibson-Helm, Jodie Bailie, Veronica Matthews, Alison F Laycock, Jacqueline A Boyle, Ross S Bailie
INTRODUCTION: Adverse pregnancy outcomes are more common among Aboriginal and Torres Strait Islander populations than non-Indigenous populations in Australia. Later in life, most of the difference in life expectancy between Aboriginal and Torres Strait Islander women and non-Indigenous women is due to non-communicable diseases (NCDs). Most Aboriginal and Torres Strait Islander women attend health services regularly during pregnancy. Providing high-quality care within these appointments has an important role to play in improving the current and future health of women and babies...
2018: PloS One
https://www.readbyqxmd.com/read/29315152/impact-of-surgeon-self-evaluation-and-positive-deviance-on-postoperative-adverse-events-after-non-cardiac-thoracic-surgery
#9
Jelena Ivanovic, Fargol Mostofian, Caitlin Anstee, Sebastien Gilbert, Donna E Maziak, Farid M Shamji, Ramanadhan Sudhir Sundaresan, Patrick James Villeneuve, Andrew J E Seely
As an innovative approach to improve quality of surgical care, we combined surgeon self-assessment and anonymized peer comparison with continuous quality improvement seminars using positive deviance (CQI/PD) to identify surgeon(s) with the lowest rates of adverse events (AEs) to guide group practice recommendations. Our objective was to quantify the impact these interventions on postoperative AEs rates after major non-cardiac chest operations. All postoperative AEs after all thoracic operations (n = 1,084, March, 2013 to February, 2016, single-center) were prospectively collected using the thoracic morbidity and mortality system, based on Clavien-Dindo schema...
January 8, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/29298857/using-a-composite-morbidity-score-and-cultural-survey-to-explore-characteristics-of-high-proficiency-neonatal-intensive-care-units
#10
Joseph W Kaempf, Lian Wang, Michael Dunn
BACKGROUND: Continuous quality improvement (CQI) collaboration has not eliminated the morbidity variability seen among neonatal intensive care units (NICUs). Factors other than inconstant application of potentially better practices (PBPs) might explain divergent proficiency. OBJECTIVE: Measure a composite morbidity score and determine whether cultural, environmental and cognitive factors distinguish high proficiency from lower proficiency NICUs. DESIGN/METHODS: Retrospective analysis using a risk-adjusted composite morbidity score (Benefit Metric) and cultural survey focusing on very low birth weight (VLBW) infants from 39 NICUs, years 2000-2014...
January 3, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29280641/-assessment-of-the-clinical-quality-indicator-early-enteral-nutrition-in-intensive-care-units
#11
Licia De la Calle de la Rosa, Sara Bermejo de Las Heras, Antonio Blesa, Manuel Giner, Javier Arias Díaz
BACKGROUND: Early enteral nutrition (EN) offers multiple benefits on critically ill patients and its monitoring was established as a clinical quality indicator (CQI) for intensive care units (ICU) by the Spanish Society of Critical Care (SEMICYUC). However, no results have been published on the systematized monitoring of this CQI. OBJECTIVE: To assess the compliance of the CQI "Early EN" at ICU. METHODS: A retrospective longitudinal study was conducted on 386 consecutive ICU patients receiving EN...
November 17, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29244035/interprofessional-collaboration-and-peer-mentors-for-bowel-education-in-spinal-cord-injury-a-case-consultation
#12
Ralph D Cabigon, Elizabeth Wojciechowski, Lisa Rosen, David Miller, Cristina Mix, David Chen
BACKGROUND: Evidence shows that having a bowel management program prevents rehospitalization postacute rehabilitation discharge for persons with a spinal cord injury (SCI). Peer mentors have been used to assist patients in managing their care. PURPOSE: The aim of the study was to illustrate how interprofessional collaboration led to utilizing resources of the inpatient rehabilitation facility's peer mentor program and incorporating peer mentors into bowel education for persons with SCI...
December 13, 2017: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29226006/next-generation-quality-assessing-the-physician-in-clinical-history-completeness-and-diagnostic-interpretations-using-funnel-plots-and-normalized-deviations-plots-in-3-854-prostate-biopsies
#13
Michael Bonert, Ihab El-Shinnawy, Michael Carvalho, Phillip Williams, Samih Salama, Damu Tang, Anil Kapoor
Background: Observational data and funnel plots are routinely used outside of pathology to understand trends and improve performance. Objective: Extract diagnostic rate (DR) information from free text surgical pathology reports with synoptic elements and assess whether inter-rater variation and clinical history completeness information useful for continuous quality improvement (CQI) can be obtained. Methods: All in-house prostate biopsies in a 6-year period at two large teaching hospitals were extracted and then diagnostically categorized using string matching, fuzzy string matching, and hierarchical pruning...
2017: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29218305/editorial-continuous-quality-improvement-cqi-advancing-understanding-of-design-application-impact-and-evaluation-of-cqi-approaches
#14
EDITORIAL
Ross Bailie, Jodie Bailie, Sarah Larkins, Edward Broughton
No abstract text is available yet for this article.
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28982818/impact-of-policy-support-on-uptake-of-evidence-based-continuous-quality-improvement-activities-and-the-quality-of-care-for-indigenous-australians-a-comparative-case-study
#15
Ross Bailie, Veronica Matthews, Sarah Larkins, Sandra Thompson, Paul Burgess, Tarun Weeramanthri, Jodie Bailie, Frances Cunningham, Ru Kwedza, Louise Clark
OBJECTIVES: To examine the impact of state/territory policy support on (1) uptake of evidence-based continuous quality improvement (CQI) activities and (2) quality of care for Indigenous Australians. DESIGN: Mixed-method comparative case study methodology, drawing on quality-of-care audit data, documentary evidence of policies and strategies and the experience and insights of stakeholders involved in relevant CQI programmes. We use multilevel linear regression to analyse jurisdictional differences in quality of care...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28967322/no-show-rates-when-phone-appointment-reminders-are-not-directly-delivered
#16
Alan R Teo, Christopher W Forsberg, Heather E Marsh, Somnath Saha, Steven K Dobscha
Promoting patient engagement in treatment and reducing frequency of missed appointments result in higher value through both improved outcomes and improved efficiency. For this reason, continuous quality improvement (CQI) efforts to increase engagement are important in service operations. This column illustrates the results of a CQI study to determine the impact of method of delivery of phone appointment reminders on attendance rates for a cohort of 250 primary care patients with depression. Results indicated that the type of reminder had a significant impact on attendance...
October 2, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28878928/evaluation-of-a-guided-continuous-quality-improvement-program-in-community-pharmacies
#17
Chanadda Chinthammit, Michael T Rupp, Edward P Armstrong, Tara Modisett, Rebecca P Snead, Terri L Warholak
BACKGROUND: The importance of creating and sustaining a strong culture of patient safety has been recognized as a critical component of safe medication use. This study aims to assess changes in attitudes toward patient safety culture and frequency of quality-related event (QRE) reporting after guided implementation of a continuous quality improvement (CQI) program in a panel of community pharmacies in the United States (U.S.). METHODS: Twenty-one community pharmacies volunteered to participate in the project and were randomly assigned to intervention or control groups...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28833811/sustained-participation-in-annual-continuous-quality-improvement-activities-improves-quality-of-care-for-aboriginal-and-torres-strait-islander-children
#18
Daniel McAullay, Kimberley McAuley, Ross Bailie, Veronica Mathews, Peter Jacoby, Karen Gardner, Beverly Sibthorpe, Natalie Strobel, Karen Edmond
AIM: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. METHODS: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included...
February 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28826235/best-practices-in-health-promotion-the-joy-of-chasing-the-uncatchable
#19
Paul E Terry
Continuous quality improvement (CQI) systems enable organizations to get better and better at what they do, thereby increasing the value of the products they make or the services they provide. This editorial argues that CQI principles are closely related to the goal of this journal to advance best practices in health promotion. To this end, contributors of articles are called on to write a discussion section that offers soaring insights alongside practical takeaways for our readers. Unlike other sections of an article, the discussion section is where scientists should feel emboldened to speculate, admit surprises, and muse about possible cause and effect relationships they found gratifying or troubling...
September 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28746072/accreditation-of-medical-education-programs-moving-from-student-outcomes-to-continuous-quality-improvement-measures
#20
Danielle Blouin, Ara Tekian
Accreditation of undergraduate medical education programs aims to ensure the quality of medical education and promote quality improvement, with the ultimate goal of providing optimal patient care. Direct linkages between accreditation and education quality are, however, difficult to establish. The literature examining the impact of accreditation predominantly focuses on student outcomes, such as performances on national examinations. However, student outcomes present challenges with regard to data availability, comparability, and contamination...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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