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https://www.readbyqxmd.com/read/27866210/body-composition-in-very-preterm-infants-role-of-neonatal-characteristics-and-nutrition-in-achieving-growth-similar-to-term-infants
#1
Geneviève Tremblay, Christine Boudreau, Sylvie Bélanger, Odette St-Onge, Etienne Pronovost, David Simonyan, Isabelle Marc
BACKGROUND: The identification of factors involved in the postnatal growth of preterm infants will help achieve growth similar to that of term infants. OBJECTIVES: As per protocol: to compare body composition in very preterm infants at term-corrected age (TCA) with that in term infants, and to explore relationships between neonatal characteristics and body composition in preterm infants. METHODS: Anthropometry, nutritional characteristics, and neonatal outcomes were prospectively collected in 26 preterm (<29 weeks) and 33 term (37-40 weeks) infants...
November 19, 2016: Neonatology
https://www.readbyqxmd.com/read/27863167/influence-of-maternal-physical-activity-on-infant-s-body-composition
#2
M Bisson, F Tremblay, O St-Onge, J Robitaille, E Pronovost, D Simonyan, I Marc
BACKGROUND: Physical activity (PA) during pregnancy might contribute to reduce neonatal adiposity, a predictor of metabolic disturbances. OBJECTIVE: The objective of the study was to evaluate the association between maternal PA intensity and neonatal body composition. METHODS: Maternal PA measured by accelerometry and nutrition were documented during pregnancy, as well as neonatal body composition by dual-energy X-ray absorptiometry following delivery...
November 14, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27850723/1086-icu-ed-or-med-doctors-perceptions-of-teamwork-and-patient-transfers-evidence-from-hsops
#3
Soo-Hoon Lee, Todd Dorman, Peter Pronovost, Phillip Phan
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850315/676-factors-associated-with-survival-in-sicu-patients-with-multidrug-resistant-gram-negative-infections
#4
Andrew Jarrell, Rachel Kruer, Peter Pronovost, L Diana Berescu, Julie Trivedi
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27800590/implementation-of-the-world-health-organization-trauma-care-checklist-program-in-11-centers-across-multiple-economic-strata-effect-on-care-process-measures
#5
Angela Lashoher, Eric B Schneider, Catherine Juillard, Kent Stevens, Elizabeth Colantuoni, William R Berry, Christina Bloem, Witaya Chadbunchachai, Satish Dharap, Sydney M Dy, Gerald Dziekan, Russell L Gruen, Jaymie A Henry, Christina Huwer, Manjul Joshipura, Edward Kelley, Etienne Krug, Vineet Kumar, Patrick Kyamanywa, Alain Chichom Mefire, Marcos Musafir, Avery B Nathens, Edouard Ngendahayo, Thai Son Nguyen, Nobhojit Roy, Peter J Pronovost, Irum Qumar Khan, Junaid Abdul Razzak, Andrés M Rubiano, James A Turner, Mathew Varghese, Rimma Zakirova, Charles Mock
BACKGROUND: Trauma contributes more than ten percent of the global burden of disease. Initial assessment and resuscitation of trauma patients often requires rapid diagnosis and management of multiple concurrent complex conditions, and errors are common. We investigated whether implementing a trauma care checklist would improve care for injured patients in low-, middle-, and high-income countries. METHODS: From 2010 to 2012, the impact of the World Health Organization (WHO) Trauma Care Checklist program was assessed in 11 hospitals using a stepped wedge pre- and post-intervention comparison with randomly assigned intervention start dates...
October 31, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27786569/individualized-cost-effectiveness-analysis-of-patient-centered-care-a-case-series-of-hospitalized-patient-preferences-departing-from-practice-based-guidelines
#6
William V Padula, M Andrew Millis, Aelaf D Worku, Peter J Pronovost, John F P Bridges, David O Meltzer
OBJECTIVE: To develop cases of preference-sensitive care and analyze the individualized cost-effectiveness of respecting patient preference compared to guidelines. METHODS: Four cases were analyzed comparing patient preference to guidelines: (a) high-risk cancer patient preferring to forgo colonoscopy; (b) decubitus patient preferring to forgo air-fluidized bed use; (c) anemic patient preferring to forgo transfusion; (d) end-of-life patient requesting all resuscitative measures...
November 10, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/27777276/improving-health-care-quality-and-patient-safety-through-peer-to-peer-assessment-demonstration-project-in-two-academic-medical-centers
#7
Elizabeth Mort, Jeffrey Bruckel, Karen Donelan, Lori Paine, Michael Rosen, David Thompson, Sallie Weaver, Daniel Yagoda, Peter Pronovost
Despite decades of investment in patient safety, unintentional patient harm remains a major challenge in the health care industry. Peer-to-peer assessment in the nuclear industry has been shown to reduce harm. The study team's goal was to pilot and assess the feasibility of this approach in health care. The team developed tools and piloted a peer-to-peer assessment at 2 academic hospitals: Massachusetts General Hospital and Johns Hopkins Hospital. The assessment evaluated both the institutions' organizational approach to quality and safety as well as their approach to reducing 2 specific areas of patient harm...
October 23, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27749723/redefining-accountability-in-quality-and-safety-at-academic-medical-centers
#8
Simon C Mathews, Renee Demski, Peter J Pronovost
No abstract text is available yet for this article.
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27749716/comprehensive-unit-based-safety-program-cusp-to-improve-patient-experience-how-a-hospital-enhanced-care-transitions-and-discharge-processes
#9
Brent C Pottenger, Richard O Davis, Joanne Miller, Lisa Allen, Melinda Sawyer, Peter J Pronovost
OBJECTIVE: To determine whether Comprehensive Unit-based Safety Program (CUSP) teams could be used to enhance patient experience by improving care transitions and discharge processes in a 318-bed community hospital. METHODS: In 2015, CUSP teams produced feasible solutions by participating in a design-thinking initiative, coupled with performance improvement tools involving data analytics and peer-learning communities. Teams completed a 90-day sprint challenge, involving weekly meetings, monthly department leader meetings, and progress trackers...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27748659/healthcare-resource-use-and-costs-in-long-term-survivors-of-acute-respiratory-distress-syndrome-a-5-year-longitudinal-cohort-study
#10
A Parker Ruhl, Minxuan Huang, Elizabeth Colantuoni, Robert K Lord, Victor D Dinglas, Alexandra Chong, Kristin A Sepulveda, Pedro A Mendez-Tellez, Carl B Shanholtz, Donald M Steinwachs, Peter J Pronovost, Dale M Needham
OBJECTIVE: To evaluate the time-varying relationship of annual physical, psychiatric, and quality of life status with subsequent inpatient healthcare resource use and estimated costs. DESIGN: Five-year longitudinal cohort study. SETTING: Thirteen ICUs at four teaching hospitals. PATIENTS: One hundred thirty-eight patients surviving greater than or equal to 2 years after acute respiratory distress syndrome. INTERVENTIONS: None...
September 29, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27712601/the-quality-measurement-crisis-an-urgent-need-for-methodological-standards-and-transparency
#11
David M Shahian, Elizabeth A Mort, Peter J Pronovost
No abstract text is available yet for this article.
2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27701657/improving-the-physical-examination-reply
#12
LETTER
William G Nelson, Antony Rosen, Peter J Pronovost
No abstract text is available yet for this article.
October 4, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27669332/fostering-transparency-in-outcomes-quality-safety-and-costs
#13
J Matthew Austin, Elizabeth A McGlynn, Peter J Pronovost
No abstract text is available yet for this article.
October 25, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27665313/unplanned-30-day-hospital-readmission-as-a-quality-measure-in-gynecologic-oncology
#14
MaryAnn B Wilbur, Diana B Mannschreck, Ana M Angarita, Rayna K Matsuno, Edward J Tanner, Rebecca L Stone, Kimberly L Levinson, Sarah M Temkin, Martin A Makary, Curtis A Leung, Amy Deutschendorf, Peter J Pronovost, Amy Brown, Amanda N Fader
OBJECTIVES: Thirty-day readmission is used as a quality measure for patient care and Medicare-based hospital reimbursement. The primary study objective was to describe the 30-day readmission rate to an academic gynecologic oncology service. Secondary objectives were to identify risk factors and costs related to readmission. METHODS: This was a retrospective, concurrent cohort study of all surgical admissions to an academic, high volume gynecologic oncology service during a two-year period (2013-2014)...
December 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/27637813/management-s-discussion-and-analysis-a-tool-for-advancing-quality-and-safety
#15
EDITORIAL
Simon C Mathews, Renee Demski, Peter J Pronovost
No abstract text is available yet for this article.
September 2016: Healthcare
https://www.readbyqxmd.com/read/27637716/physical-declines-occurring-after-hospital-discharge-in-ards-survivors-a-5-year-longitudinal-study
#16
Elizabeth R Pfoh, Amy W Wozniak, Elizabeth Colantuoni, Victor D Dinglas, Pedro A Mendez-Tellez, Carl Shanholtz, Nancy D Ciesla, Peter J Pronovost, Dale M Needham
PURPOSE: Survivors of acute respiratory distress syndrome (ARDS) are at high risk for new or ongoing physical declines after hospital discharge. The objective of our study was to evaluate the epidemiology of physical declines over 5-year follow-up and identify patients at risk for decline. METHODS: This multi-site prospective cohort study evaluated ARDS survivors who completed a physical status assessment at 3 or 6 months post-discharge. Three measures were evaluated: muscle strength (Medical Resource Council sumscore); exercise capacity [6-min walk test (6MWT)]; physical functioning [36-Item Short Form Health Survey (SF-36 survey)]...
October 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27603038/a-model-for-the-departmental-quality-management-infrastructure-within-an-academic-health-system
#17
Simon C Mathews, Renee Demski, Jody E Hooper, Lee Daugherty Biddison, Stephen A Berry, Brent G Petty, Allen R Chen, Peter M Hill, Marlene R Miller, Frank R Witter, Lisa Allen, Elizabeth C Wick, Tracey S Stierer, Lori Paine, Hans A Puttgen, Rafael J Tamargo, Peter J Pronovost
As quality improvement and patient safety come to play a larger role in health care, academic medical centers and health systems are poised to take a leadership role in addressing these issues. Academic medical centers can leverage their large integrated footprint and have the ability to innovate in this field. However, a robust quality management infrastructure is needed to support these efforts. In this context, quality and safety are often described at the executive level and at the unit level. Yet, the role of individual departments, which are often the dominant functional unit within a hospital, in realizing health system quality and safety goals has not been addressed...
September 6, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27565816/technology-development-in-health-care-is-broken
#18
Peter J Pronovost, Joe Powers, Walter Jin
No abstract text is available yet for this article.
August 25, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27539199/using-clinical-data-to-predict-high-cost-performance-coding-issues-associated-with-pressure-ulcers-a-multilevel-cohort-model
#19
William V Padula, Robert D Gibbons, Peter J Pronovost, Donald Hedeker, Manish K Mishra, Mary Beth F Makic, John Fp Bridges, Heidi L Wald, Robert J Valuck, Adam J Ginensky, Anthony Ursitti, Laura Ruth Venable, Ziv Epstein, David O Meltzer
OBJECTIVE: Hospital-acquired pressure ulcers (HAPUs) have a mortality rate of 11.6%, are costly to treat, and result in Medicare reimbursement penalties. Medicare codes HAPUs according to Agency for Healthcare Research and Quality Patient-Safety Indicator 3 (PSI-03), but they are sometimes inappropriately coded. The objective is to use electronic health records to predict pressure ulcers and to identify coding issues leading to penalties. MATERIALS AND METHODS: We evaluated all hospitalized patient electronic medical records at an academic medical center data repository between 2011 and 2014...
August 18, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/27535458/is-the-meaningful-use-venous-thromboembolism-vte-6-measure-meaningful-a-retrospective-analysis-of-one-hospital-s-vte-6-cases
#20
Norma E Farrow, Brandyn D Lau, Eric A JohnBull, Deborah B Hobson, Peggy S Kraus, Elizabeth R Taffe, Dauryne L Shaffer, Victor O Popoola, Michael B Streiff, Peter J Pronovost, Elliott R Haut
BACKGROUND: Venous thromboembolism (VTE) is a common, often deadly cause of preventable harm for hospitalized patients. The Centers for Medicare & Medicaid Services Meaningful Use VTE-6 measure automatically captures data documented in a Meaningful Use-certified electronic health record (EHR) to identify patients with potentially preventable VTE, defined as those who developed radiologically confirmed, in-hospital VTE and did not receive prophylaxis between admission and the day prior to the diagnostic test order date...
September 2016: Joint Commission Journal on Quality and Patient Safety
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