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https://www.readbyqxmd.com/read/29574597/reducing-post-tonsillectomy-haemorrhage-rates-through-a-quality-improvement-project-using-a-swedish-national-quality-register-a-case-study
#1
Erik Odhagen, Ola Sunnergren, Anne-Charlotte Hessén Söderman, Johan Thor, Joacim Stalfors
PURPOSE: Tonsillectomy (TE) is one of the most frequently performed ENT surgical procedures. Post-tonsillectomy haemorrhage (PTH) is a potentially life-threatening complication of TE. The National Tonsil Surgery Register in Sweden (NTSRS) has revealed wide variations in PTH rates among Swedish ENT centres. In 2013, the steering committee of the NTSRS, therefore, initiated a quality improvement project (QIP) to decrease the PTH incidence. The aim of the present study was to describe and evaluate the multicentre QIP initiated to decrease PTH rates...
March 24, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29548360/quality-improvement-in-patient-safety-qips
#2
EDITORIAL
Martin A Koyle
No abstract text is available yet for this article.
February 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29482262/do-current-quality-measures-truly-reflect-the-quality-of-dialysis
#3
Nupur Gupta, Jay B Wish
The US End Stage Renal Disease (ESRD) Program, which came into existence in 1973, was initially envisioned to provide needed financial coverage for about 50 000 patients through Medicare. Over the past 45 years the evolution of the ESRD program has been quite different, and it now serves over one half million dialysis and transplant patients. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 Section 153(c) requires the Centers for Medicare and Medicaid Services (CMS) to develop and implement quality measures for dialysis patients as part of the ESRD Quality Incentive Program (QIP) beginning in payment year (PY) 2012...
February 26, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29404209/development-of-an-rna-interference-rnai-gene-knockdown-protocol-in-the-anaerobic-gut-fungus-pecoramyces-ruminantium-strain-c1a
#4
Shelby S Calkins, Nicole C Elledge, Katherine E Mueller, Stephen M Marek, M B Couger, Mostafa S Elshahed, Noha H Youssef
Members of the anaerobic gut fungi (AGF) reside in rumen, hindgut, and feces of ruminant and non-ruminant herbivorous mammals and reptilian herbivores. No protocols for gene insertion, deletion, silencing, or mutation are currently available for the AGF, rendering gene-targeted molecular biological manipulations unfeasible. Here, we developed and optimized an RNA interference (RNAi)-based protocol for targeted gene silencing in the anaerobic gut fungus Pecoramyces ruminantium strain C1A. Analysis of the C1A genome identified genes encoding enzymes required for RNA silencing in fungi (Dicer, Argonaute, Neurospora crassa QDE-3 homolog DNA helicase, Argonaute-interacting protein, and Neurospora crassa QIP homolog exonuclease); and the competency of C1A germinating spores for RNA uptake was confirmed using fluorescently labeled small interfering RNAs (siRNA)...
2018: PeerJ
https://www.readbyqxmd.com/read/29401906/50-ghz-spaced-comb-of-high-dimensional-frequency-bin-entangled-photons-from-an-on-chip-silicon-nitride-microresonator
#5
Poolad Imany, Jose A Jaramillo-Villegas, Ogaga D Odele, Kyunghun Han, Daniel E Leaird, Joseph M Lukens, Pavel Lougovski, Minghao Qi, Andrew M Weiner
Quantum frequency combs from chip-scale integrated sources are promising candidates for scalable and robust quantum information processing (QIP). However, to use these quantum combs for frequency domain QIP, demonstration of entanglement in the frequency basis, showing that the entangled photons are in a coherent superposition of multiple frequency bins, is required. We present a verification of qubit and qutrit frequency-bin entanglement using an on-chip quantum frequency comb with 40 mode pairs, through a two-photon interference measurement that is based on electro-optic phase modulation...
January 22, 2018: Optics Express
https://www.readbyqxmd.com/read/29400498/experimental-high-dimensional-einstein-podolsky-rosen-steering
#6
Qiang Zeng, Bo Wang, Pengyun Li, Xiangdong Zhang
Steering nonlocality is the fundamental property of quantum mechanics, which has been widely demonstrated in some systems with qubits. Recently, theoretical works have shown that the high-dimensional (HD) steering effect exhibits novel and important features, such as noise suppression, which appear promising for potential application in quantum information processing (QIP). However, experimental observation of these HD properties remains a great challenge to date. In this work, we demonstrate the HD steering effect by encoding with orbital angular momentum photons for the first time...
January 19, 2018: Physical Review Letters
https://www.readbyqxmd.com/read/29392736/nutrition-focused-quality-improvement-program-results-in-significant-readmission-and-length-of-stay-reductions-for-malnourished-surgical-patients
#7
Krishnan Sriram, Suela Sulo, Gretchen VanDerBosch, Sarah Kozmic, Malgorzata Sokolowski, Wm Thomas Summerfelt, Jamie Partridge, Refaat Hegazi, Sanja Nikolich
BACKGROUND: Addressing nutrition needs of inpatients results in improved health outcomes. We conducted a post hoc analysis of previously published data. The aim of this analysis was to evaluate the clinical benefits of a nutrition quality improvement program (QIP) in surgical patients when compared with medical patients. METHODS: Data were collected from 1269 QIP patients and 1319 historical controls. These combined 2588 patients were categorized into surgical (390, 15%) and medical (2198, 85%) patient subgroups...
February 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29237108/the-relationship-between-bloodstream-infections-and-hemodialysis-catheters-in-hospital-based-hemodialysis-units
#8
Caroline Steward
As the number of patients requiring hemodialysis increases, so does the number of patients who require complex care and whose care requires a hospital hemodialysis unit setting rather than a freestanding unit. As a result, hospital units may have a higher ratio of complex patients, and some quality incentive program (QIP) measures may need modification to be meaningful in these settings.
January 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29216894/early-winners-and-losers-in-dialysis-center-pay-for-performance
#9
Milda R Saunders, Haena Lee, Marshall H Chin
BACKGROUND: We examined the association of dialysis facility characteristics with payment reductions and change in clinical performance measures during the first year of the United States Centers for Medicare & Medicaid Services (CMS) End Stage Renal Disease Quality Incentive Plan (ESRD QIP) to determine its potential impact on quality and disparities in dialysis care. METHODS: We linked the 2012 ESRD QIP Facility Performance File to the 2007-2011 American Community Survey by zip code and dichotomized the QIP total performance scores-derived from percent of patients with urea reduction rate > 65, hemoglobin < 10 g/dL, and hemoglobin > 12 g/dL-as 'any' versus 'no' payment reduction...
December 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29171947/-perception-by-the-oncologist-of-the-parental-distress-in-childhood-cancer-survivor
#10
M Vander Haegen, C Stassart, A-M Etienne
The aim of the study was to assess the degree of similarity between the distress expressed by parents of a child cancer survivor and the distress perceived by the oncologist. Overall, 61 parents of a child cancer survivor (between 4 and 6 years of cancer remission) were recruited in Belgian hospitals (Province of Liège). Parents filled out questionnaires about the intolerance of uncertainty (IUS), positive beliefs about worry (WW-II), parental worries about the evolution of their child's health (QIPS-R15), problem orientation (NPOQ), cognitive avoidance (CAQ), ruminations (Mini-CERTS), and anxiety/depression (HADS)...
November 2017: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29170328/31-the-quality-improvement-qip-improving-multidisciplinary-staff-engagement-with-quality-improvement-in-the-rvh-emergency-department
#11
Olly Bannon, Emma Greenwood
: In recent years the RVH Emergency Department (ED) had been under intense pressure and public scrutiny. This led to a demoralised workforce who had become disengaged with quality improvement (QI). QI projects had become an exercise in data collection with little focus on improving care for patients.Two consultants undertook training in QI and then decided to develop a QI project aiming to empower staff and embed QI as daily practice. An ED QI steering group of interested multidisciplinary members was formed and devised an improvement plan to increase staff engagement with QI...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29091373/medicare-program-end-stage-renal-disease-prospective-payment-system-payment-for-renal-dialysis-services-furnished-to-individuals-with-acute-kidney-injury-and-end-stage-renal-disease-quality-incentive-program-final-rule
#12
(no author information available yet)
This rule updates and makes revisions to the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2018. It also updates the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). This rule also sets forth requirements for the ESRD Quality Incentive Program (QIP), including for payment years (PYs) 2019 through 2021.
November 1, 2017: Federal Register
https://www.readbyqxmd.com/read/29040342/area-level-poverty-race-ethnicity-dialysis-star-ratings
#13
Abhijit V Kshirsagar, Raj N Manickam, Yi Mu, Jennifer E Flythe, Andrew I Chin, Heejung Bang
The Centers for Medicare and Medicaid Services recently released a five star rating system as part of 'Dialysis Facility Compare' to help patients identify and choose high performing clinics in the US. Eight dialysis-related measures determine ratings. Little is known about the association between surrounding community sociodemographic characteristics and star ratings. Using data from the U.S. Census and over 6000 dialysis clinics across the country, we examined the association between dialysis clinic star ratings and characteristics of the local population: 1) proportion of population below the federal poverty level (FPL); 2) proportion of black individuals; and 3) proportion of Hispanic individuals, by correlation and regression analyses...
2017: PloS One
https://www.readbyqxmd.com/read/28988674/quality-improvement-and-patient-safety-reality-and-responsibility-from-codman-to-today
#14
Martin A Koyle, Leah C C Koyle, G Ross Baker
Quality improvement and patient safety (QIPS) has become increasingly important in the practice of medicine, particularly since the Institute of Medicine's report, "To Err is Human." Despite surgery having been initially at the forefront in instituting QIPS, there has been a lag in promoting its importance until recently. A short history of QIPS is presented along with an introduction to the SQUIRE guidelines used for standardizing QIPS publications. As surgeons we are becoming even more accountable in promoting value in health care...
August 3, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28969238/a-comprehensive-approach-towards-quality-and-safety-in-diagnostic-imaging-services-our-experience-at-a-rural-tertiary-health-care-center
#15
Viral Patel, Geetika Sindhwani, Monica Gupta, Sweta Arora, Arpita Mishra, Jayesh Bhatt, Manali Arora, Anisha Gehani
INTRODUCTION: An organization's transformation from imple-mentation of small, distinct Quality Improvement (QI) efforts to complete incorporation of Quality Improvement Program (QIP) into its culture occurs through a process of churning the foundational elements over time. AIM: To develop a quality culture across the employees, identify measurable indicators and various tools to impart effective quality care and develop a learning culture for continuous quality improvement in the field of imaging services...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28959778/improving-the-care-of-patients-with-cystic-fibrosis-cf
#16
Ahsan Aftab Khan, Edward F Nash, Joanna Whitehouse, Rifat Rashid
BACKGROUND: The West Midlands Adult Cystic Fibrosis (CF) Centre based at Birmingham Heartlands Hospital provides care for adults with CF in the West Midlands. People with CF are prone to pulmonary exacerbations, which often require inpatient admission for intravenous antibiotics. We observed that the admission process was efficient during working hours (9:00-17:00, Monday-Friday) when the CF team are routinely available, but out-of-working hours, there were delays in these patients being clerked and receiving their first antibiotic dose...
2017: BMJ Open Quality
https://www.readbyqxmd.com/read/28805359/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities-for-fy-2018-snf-value-based-purchasing-program-snf-quality-reporting-program-survey-team-composition-and-correction-of-the-performance-period-for-the-nhsn-hcp
#17
(no author information available yet)
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also revises and rebases the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, and Repair Services. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP), including measure and standardized resident assessment data policies and policies related to public display...
August 4, 2017: Federal Register
https://www.readbyqxmd.com/read/28783094/ability-to-work-among-patients-with-eskd-relevance-of-quality-care-metrics
#18
Nancy G Kutner, Rebecca Zhang
Enabling patient ability to work was a key rationale for enacting the United States (US) Medicare program that provides financial entitlement to renal replacement therapy for persons with end-stage kidney disease (ESKD). However, fewer than half of working-age individuals in the US report the ability to work after starting maintenance hemodialysis (HD). Quality improvement is a well-established objective in oversight of the dialysis program, but a more patient-centered quality assessment approach is increasingly advocated...
August 7, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28725031/polarization-entangled-photon-pair-sources-based-on-spontaneous-four-wave-mixing-assisted-by-polarization-mode-dispersion
#19
Pisek Kultavewuti, Eric Y Zhu, Xingxing Xing, Li Qian, Vincenzo Pusino, Marc Sorel, J Stewart Aitchison
Photonic-based qubits and integrated photonic circuits have enabled demonstrations of quantum information processing (QIP) that promises to transform the way in which we compute and communicate. To that end, sources of polarization-entangled photon pair states are an important enabling technology. However, such states are difficult to prepare in an integrated photonic circuit. Scalable semiconductor sources typically rely on nonlinear optical effects where polarization mode dispersion (PMD) degrades entanglement...
July 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28682303/quantum-information-processing-with-superconducting-circuits-a-review
#20
G Wendin
During the last ten years, superconducting circuits have passed from being interesting physical devices to becoming contenders for near-future useful and scalable quantum information processing (QIP). Advanced quantum simulation experiments have been shown with up to nine qubits, while a demonstration of quantum supremacy with fifty qubits is anticipated in just a few years. Quantum supremacy means that the quantum system can no longer be simulated by the most powerful classical supercomputers. Integrated classical-quantum computing systems are already emerging that can be used for software development and experimentation, even via web interfaces...
July 6, 2017: Reports on Progress in Physics
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