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https://www.readbyqxmd.com/read/29280909/establishing-an-ambulatory-quality-and-safety-oversight-structure
#1
Steven J Kravet, Jennifer Bailey, Peter Pronovost
No abstract text is available yet for this article.
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29279973/psychiatric-symptoms-after-acute-respiratory-distress-syndrome-a-5-year-longitudinal-study
#2
O Joseph Bienvenu, Lisa Aronson Friedman, Elizabeth Colantuoni, Victor D Dinglas, Kristin A Sepulveda, Pedro Mendez-Tellez, Carl Shanholz, Peter J Pronovost, Dale M Needham
PURPOSE: We aimed to characterize anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms over 5-year follow-up after acute respiratory distress syndrome (ARDS) and determine risk factors for prolonged psychiatric morbidity. METHODS: This prospective cohort study enrolled patients from 13 medical and surgical intensive care units in four hospitals, with follow-up at 3, 6, 12, 24, 36, 48, and 60 months post-ARDS. Trained research staff administered the Hospital Anxiety and Depression Scale (HADS) (scores ≥ 8 on anxiety and depression subscales indicating substantial symptoms) and the Impact of Event Scale-Revised (IES-R, scores ≥ 1...
December 26, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/29258723/response-to-letter-to-the-editor-factors-associated-with-in-hospital-mortality-among-critically-ill-surgical-patients-with-multidrug-resistant-gram-negative-infections-methodological-issues
#3
Andrew S Jarrell, Rachel M Kruer, Loredana Diana Berescu, Peter J Pronovost, Julie B Trivedi
No abstract text is available yet for this article.
December 8, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29239831/factors-associated-with-in-hospital-mortality-among-critically-ill-surgical-patients-with-multidrug-resistant-gram-negative-infections
#4
Andrew S Jarrell, Rachel M Kruer, Loredana Diana Berescu, Peter J Pronovost, Julie B Trivedi
PURPOSE: Multidrug-resistant (MDR) Gram-negative infection increases risk of mortality, other complications, and costs. The objective of this study was to determine the prevalence of and identify factors associated with in-hospital mortality among critically ill surgical patients. MATERIALS AND METHODS: This case-control study included critically ill surgical patients from 2011 to 2014 who had a carbapenem-resistant Enterobacteriaceae (CRE), MDR P. aeruginosa, or MDR Acinetobacter spp...
November 24, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29236100/reconsidering-hospital-readmission-measures
#5
Peter J Pronovost, Daniel J Brotman, Erik H Hoyer, Amy Deutschendorf
Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five-Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and offer policy recommendations to address these biases. Hospital readmission rates are influenced by multiple sources of variation (eg, mix of patients served, bias in the performance measure); true differences in quality of care are often a much smaller source of this variation...
December 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186417/examining-influences-on-speaking-up-among-critical-care-healthcare-providers-in-the-united-arab-emirates
#6
Hanan H Edrees, Mohd Nasir Mohd Ismail, Bernadette Kelly, Christine A Goeschel, Sean M Berenholtz, Peter J Pronovost, Ali Abdul Kareem Al Obaidli, Sallie J Weaver
Objective: Assess perceived barriers to speaking up and to provide recommendations for reducing barriers to reporting adverse events and near misses. Design, setting, participants, intervention: A six-item survey was administered to critical care providers in 19 Intensive Care Units in Abu Dhabi as part of an organizational safety and quality improvement effort. Main outcome measures: Questions elicited perspectives about influences on reporting, perceived barriers and recommendations for conveying patient safety as an organizational priority...
November 23, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29183149/a-department-of-medicine-infrastructure-for-patient-safety-and-clinical-quality-improvement
#7
Simon C Mathews, Peter J Pronovost, E Lee Daugherty Biddison, Brent G Petty, Mark E Anderson, Terry S Nelson, Katie Outten, Ronald Langlotz, Denice Duda, Carrie A Herzke, Kimberly S Peairs, Sherita H Golden, Matthew B Lautzenheiser, Hailey J James, Sanjay V Desai, Sara C Keller, Leonard S Feldman, Amit K Pahwa, Stephen A Berry
Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29173288/improving-the-quality-of-data-for-inpatient-claims-based-measures-used-in-public-reporting-and-pay-for-performance-programs
#8
Hazel Crews, Peter J Pronovost, Paul R Helft, J Matthew Austin
No abstract text is available yet for this article.
December 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29169255/a-standard-setting-body-for-us-health-care-quality-measurement
#9
J Matthew Austin, Bernard Black, Peter J Pronovost
No abstract text is available yet for this article.
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29076957/reducing-and-sustaining-duplicate-medical-record-creation-by-usability-testing-and-system-redesign
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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