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https://www.readbyqxmd.com/read/29076957/reducing-and-sustaining-duplicate-medical-record-creation-by-usability-testing-and-system-redesign
#1
Adjhaporn Khunlertkit, Leonard Dorissaint, Allen Chen, Lori Paine, Peter J Pronovost
OBJECTIVES: Duplicate medical record creation is a common and consequential health care systems error often caused by poor search system usability and inappropriate user training. METHODS: We conducted two phases of scenario-based usability testing with patient registrars working in areas at risk of generating duplicate medical records. Phase 1 evaluated the existing search system, which led to system redesigns. Phase 2 tested the redesigned system to mitigate potential errors before health system-wide implementation...
October 25, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29056179/implementing-the-comprehensive-unit-based-safety-program-cusp-to-improve-patient-safety-in-an-academic-primary-care-practice
#2
Samantha I Pitts, Nisa M Maruthur, Ngoc-Phuong Luu, Kimberly Curreri, Renee Grimes, Candace Nigrin, Heather F Sateia, Melinda D Sawyer, Peter J Pronovost, Jeanne M Clark, Kimberly S Peairs
BACKGROUND: While there is growing awareness of the risk of harm in ambulatory health care, most patient safety efforts have focused on the inpatient setting. The Comprehensive Unit-based Safety Program (CUSP) has been an integral part of highly successful safety efforts in inpatient settings. In 2014 CUSP was implemented in an academic primary care practice. METHODS: As part of CUSP implementation, staff and clinicians underwent training on the science of safety and completed a two-question safety assessment survey to identify safety concerns in the practice...
November 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29045896/microbes-rev-up-host-metabolism-around-the-clock
#3
Geoffrey N Pronovost, Elaine Y Hsiao
There is increasing evidence that the microbiome regulates host metabolism, but specific mechanisms underlying these interactions remain poorly understood. In a recent paper in Science, Wang et al. (2017) reveal that the gut microbiota regulates the expression of circadian-clock genes to impact host lipid metabolism and body composition.
October 17, 2017: Immunity
https://www.readbyqxmd.com/read/29044631/frailty-hospital-volume-and-failure-to-rescue-after-head-and-neck-cancer-surgery
#4
Carrie L Nieman, C Matthew Stewart, David W Eisele, Peter J Pronovost, Christine G Gourin
OBJECTIVES/HYPOTHESIS: We previously reported that high-volume hospital head and neck cancer (HNCA) surgical care is associated with decreased mortality, largely explained by reduced rates of failure to rescue. Frailty is an independent predictor of mortality, but is significantly less likely in patients receiving high-volume care. We investigate whether differences in frailty rates explain the relationship between volume and outcomes in HNCA patients and whether frailty confounds the relationship between failure to rescue and mortality...
October 17, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29043537/missed-doses-of-venous-thromboembolism-vte-prophylaxis-at-community-hospitals-cause-for-alarm
#5
Brandyn D Lau, Michael B Streiff, Peggy S Kraus, Deborah B Hobson, Dauryne L Shaffer, Jonathan K Aboagye, Peter J Pronovost, Elliott R Haut
No abstract text is available yet for this article.
October 17, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29028755/finding-resolution-for-the-responsible-transparency-of-economic-models-in-health-and-medicine
#6
William V Padula, Robert Brett McQueen, Peter J Pronovost
The Second Panel on Cost-Effectiveness in Health and Medicine recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses has a number of questions unanswered with respect to the implementation of transparent, open source code interface for economic models. The possibility of making economic model source code could be positive and progressive for the field; however, several unintended consequences of this system should be first considered before complete implementation of this model...
November 2017: Medical Care
https://www.readbyqxmd.com/read/29028753/can-economic-model-transparency-improve-provider-interpretation-of-cost-effectiveness-analysis-evaluating-tradeoffs-presented-by-the-second-panel-on-cost-effectiveness-in-health-and-medicine
#7
William V Padula, Robert Brett McQueen, Peter J Pronovost
The Second Panel on Cost-Effectiveness in Health and Medicine convened on December 7, 2016 at the National Academy of Medicine to disseminate their recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses (CEAs). Following its summary, panel proceedings included lengthy discussions including the field's struggle to disseminate findings efficiently through peer-reviewed literature to target audiences. With editors of several medical and outcomes research journals in attendance, there was consensus that findings of cost-effectiveness analyses do not effectively reach other researchers or health care providers...
November 2017: Medical Care
https://www.readbyqxmd.com/read/29025222/commentary-on-report-on-mortality-from-gluteal-fat-grafting-recommendations-from-the-aserf-task-force
#8
Peter J Pronovost, Lisa E Ishii
No abstract text is available yet for this article.
July 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28928166/addressing-the-multisectoral-impact-of-pressure-injuries-in-the-usa-uk-and-abroad
#9
EDITORIAL
William V Padula, Peter J Pronovost
No abstract text is available yet for this article.
September 19, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28918401/return-to-work-and-lost-earnings-after-acute-respiratory-distress-syndrome-a-5-year-prospective-longitudinal-study-of-long-term-survivors
#10
Biren B Kamdar, Kristin A Sepulveda, Alexandra Chong, Robert K Lord, Victor D Dinglas, Pedro A Mendez-Tellez, Carl Shanholtz, Elizabeth Colantuoni, Till M von Wachter, Peter J Pronovost, Dale M Needham
BACKGROUND: Delayed return to work is common after acute respiratory distress syndrome (ARDS), but has undergone little detailed evaluation. We examined factors associated with the timing of return to work after ARDS, along with lost earnings and shifts in healthcare coverage. METHODS: Five-year, multisite prospective, longitudinal cohort study of 138 2-year ARDS survivors hospitalised between 2004 and 2007. Employment and healthcare coverage were collected via structured interview...
September 16, 2017: Thorax
https://www.readbyqxmd.com/read/28914284/the-weekend-effect-in-hospitalized-patients-a-meta-analysis
#11
Lynn A Pauls, Rebecca Johnson-Paben, John McGready, Jamie D Murphy, Peter J Pronovost, Christopher L Wu
BACKGROUND: The presence of a "weekend effect" (increased mortality rate during Saturday and/or Sunday admissions) for hospitalized inpatients is uncertain. PURPOSE: We performed a systematic review to examine the presence of a weekend effect on hospital inpatient mortality. DATA SOURCES: PubMed, EMBASE, SCOPUS, and Cochrane databases (January 1966-April 2013) were utilized for our search. STUDY SELECTION: We examined the mortality rate for hospital inpatients admitted during the weekend compared with those admitted during the workweek...
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28911759/can-reverse-innovation-catalyse-better-value-health-care
#12
Faheem Ahmed, Na'eem Ahmed, Tim W R Briggs, Peter J Pronovost, Devi P Shetty, Ashish K Jha, Vijay Govindarajan
No abstract text is available yet for this article.
October 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28899444/use-of-implementation-science-for-a-sustained-reduction-of-central-line-associated-bloodstream-infections-in-a-high-volume-regional-burn-unit
#13
Geeta Sood, Julie Caffrey, Kelly Krout, Zeina Khouri-Stevens, Kevin Gerold, Stefan Riedel, Janet McIntyre, Lisa L Maragakis, Renee Blanding, Jonathan Zenilman, Richard Bennett, Peter Pronovost
OBJECTIVE We describe the use of implementation science at the unit level and organizational level to guide an intervention to reduce central-line-associated bloodstream infections (CLABSIs) in a high-volume, regional, burn intensive care unit (BICU). DESIGN A single center observational quasi-experimental study. SETTING A regional BICU in Maryland serving 300-400 burn patients annually. INTERVENTIONS In 2011, an organizational-level and unit-level intervention was implemented to reduce the rates of CLABSI in a high-risk patient population in the BICU...
September 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28887069/better-respiratory-education-and-treatment-help-empower-breathe-study-methodology-and-baseline-characteristics-of-a-randomized-controlled-trial-testing-a-transitional-care-program-to-improve-patient-centered-care-delivery-among-chronic-obstructive-pulmonary
#14
H Aboumatar, M Naqibuddin, S Chung, H Adebowale, L Bone, T Brown, L A Cooper, A P Gurses, A Knowlton, D Kurtz, L Piet, N Putcha, C Rand, D Roter, E Shattuck, C Sylvester, A Urteaga-Fuentes, R Wise, J L Wolff, T Yang, J Hibbard, E Howell, M Myers, K Shea, J Sullivan, L Syron, Nae-Yuh Wang, P Pronovost
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of hospitalizations. Interventional studies focusing on the hospital-to-home transition for COPD patients are few. In the BREATHE (Better Respiratory Education and Treatment Help Empower) study, we developed and tested a patient and family-centered transitional care program that helps prepare hospitalized COPD patients and their family caregivers to manage COPD at home. METHODS: In the study's initial phase, we co-developed the BREATHE transitional care program with COPD patients, family-caregivers, and stakeholders...
November 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28885446/implementing-a-health-system-wide-patient-blood-management-program-with-a-clinical-community-approach
#15
Steven M Frank, Rajiv N Thakkar, Stanley J Podlasek, K H Ken Lee, Tyler L Wintermeyer, Will W Yang, Jing Liu, Leo C Rotello, Thomas A Fleury, Pat A Wachter, Lisa E Ishii, Renee Demski, Peter J Pronovost, Paul M Ness
BACKGROUND: Patient blood management programs are gaining popularity as quality improvement and patient safety initiatives, but methods for implementing such programs across multihospital health systems are not well understood. Having recently incorporated a patient blood management program across our health system using a clinical community approach, we describe our methods and results. METHODS: We formed the Johns Hopkins Health System blood management clinical community to reduce transfusion overuse across five hospitals...
November 2017: Anesthesiology
https://www.readbyqxmd.com/read/28844230/high-performing-health-care-delivery-systems-high-performance-toward-what-purpose
#16
EDITORIAL
Peter J Pronovost
No abstract text is available yet for this article.
September 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28830489/the-role-of-south-north-partnerships-in-promoting-shared-learning-and-knowledge-transfer
#17
Lopa Basu, Peter Pronovost, Nancy Edwards Molello, Shamsuzzoha B Syed, Albert W Wu
While it is clear that hospitals in developing countries need to improve quality of health services and improve patient safety, hospitals in high resource countries need to do the same. Most often the focus on improvement through institutional health partnerships involves hospital teams from high resource settings attempting to aid and teach hospital staff in low resource settings, particularly in Africa. However these efforts to provide assistance may be more satisfying and sustainable if we understand that partnership learning is bi-directional whereby hospital teams from high resource settings also benefit...
August 22, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28813425/effectiveness-of-two-distinct-web-based-education-tools-for-bedside-nurses-on-medication-administration-practice-for-venous-thromboembolism-prevention-a-randomized-clinical-trial
#18
RANDOMIZED CONTROLLED TRIAL
Brandyn D Lau, Dauryne L Shaffer, Deborah B Hobson, Gayane Yenokyan, Jiangxia Wang, Elizabeth A Sugar, Joseph K Canner, David Bongiovanni, Peggy S Kraus, Victor O Popoola, Hasan M Shihab, Norma E Farrow, Jonathan K Aboagye, Peter J Pronovost, Michael B Streiff, Elliott R Haut
BACKGROUND: Venous thromboembolism (VTE) is a common cause of preventable harm in hospitalized patients. While numerous successful interventions have been implemented to improve prescription of VTE prophylaxis, a substantial proportion of doses of prescribed preventive medications are not administered to hospitalized patients. The purpose of this trial was to evaluate the effectiveness of nurse education on medication administration practice. METHODS: This was a double-blinded, cluster randomized trial in 21 medical or surgical floors of 933 nurses at The Johns Hopkins Hospital, an academic medical center, from April 1, 2014 -March 31, 2015...
2017: PloS One
https://www.readbyqxmd.com/read/28783820/time-for-transparent-standards-in-quality-reporting-by-health-care-organizations
#19
Peter J Pronovost, Albert W Wu, J Matthew Austin
No abstract text is available yet for this article.
August 22, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28768328/prescription-opioid-analgesics-commonly-unused-after-surgery-a-systematic-review
#20
Mark C Bicket, Jane J Long, Peter J Pronovost, G Caleb Alexander, Christopher L Wu
Importance: Prescription opioid analgesics play an important role in the treatment of postoperative pain; however, unused opioids may be diverted for nonmedical use and contribute to opioid-related injuries and deaths. Objective: To quantify how commonly postoperative prescription opioids are unused, why they remain unused, and what practices are followed regarding their storage and disposal. Evidence Review: MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials were searched from database inception to October 18, 2016, for studies describing opioid oversupply for adults after a surgical procedure...
November 1, 2017: JAMA Surgery
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