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QI in Mental Health

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60 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27864567/remembering-to-learn-the-overlooked-role-of-remembrance-in-safety-improvement
#1
Carl Macrae
No abstract text is available yet for this article.
November 18, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27672123/calibrating-how-doctors-think-and-seek-information-to-minimise-errors-in-diagnosis
#2
Ashley N D Meyer, Hardeep Singh
No abstract text is available yet for this article.
September 26, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27653833/the-evolution-of-morbidity-and-mortality-conferences
#3
Darlene Tad-Y, Heidi L Wald
No abstract text is available yet for this article.
September 21, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27798049/the-big-picture-unfolds-using-photovoice-to-study-user-participation-in-mental-health-services
#4
Jessica Pui-Shan Tang, Samson Tse, Larry Davidson
BACKGROUND: User participation is advocated on the basis that consumers know their own needs better than anyone else. Photovoice is a participatory research method that empowers the grass-root population to give voice on concerned issues for eliciting social change. AIM: This study explores the experience and impact of user participation in mental health services (MHS) in Hong Kong through photovoice. It also examines the effects of this method in studying user participation...
December 2016: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/27620686/the-exnovation-of-chronic-care-management-processes-by-physician-organizations
#5
Hector P Rodriguez, Rachel Mosher Henke, Salma Bibi, Patricia P Ramsay, Stephen M Shortell
UNLABELLED: Policy Points The rate of adoption of chronic care management processes (CMPs) by physician organizations has been fairly slow in spite of demonstrated effectiveness of CMPs in improving outcomes of chronic care. Exnovation (ie, removal of innovations) by physician organizations largely explains the slow population-level increases in practice use of CMPs over time. Expanded health information technology functions may aid practices in retaining CMPs. Low provider reimbursement by Medicaid programs, however, may contribute to disinvestment in CMPs by physician organizations...
September 2016: Milbank Quarterly
https://www.readbyqxmd.com/read/27778321/patients-as-partners-in-learning-from-unexpected-events
#6
Jason M Etchegaray, Madelene J Ottosen, Aitebureme Aigbe, Emily Sedlock, William M Sage, Sigall K Bell, Thomas H Gallagher, Eric J Thomas
IMPORTANCE: Patient safety experts believe that patients/family members should be involved in adverse event review. However, it is unclear how aware patients/family members are about the causes of adverse events they experienced. OBJECTIVE: To determine whether patients/family members interviewed could identify at least one contributing factor for the event they experienced. Secondary objectives included understanding the way patients/family members became aware of adverse events, the types of contributing factors patients/family members identified for different types of adverse events, and recommendations provided by patients/family members to address the contributing factors...
October 24, 2016: Health Services Research
https://www.readbyqxmd.com/read/27633982/multifaceted-academic-detailing-program-to-increase-pharmacotherapy-for-alcohol-use-disorder-interrupted-time-series-evaluation-of-effectiveness
#7
Alex H S Harris, Thomas Bowe, Hildi Hagedorn, Andrea Nevedal, Andrea K Finlay, Risha Gidwani, Craig Rosen, Chad Kay, Melissa Christopher
BACKGROUND: Active consideration of effective medications to treat alcohol use disorder (AUD) is a consensus standard of care, yet knowledge and use of these medications are very low across diverse settings. This study evaluated the overall effectiveness a multifaceted academic detailing program to address this persistent quality problem in the US Veterans Health Administration (VHA), as well as the context and process factors that explained variation in effectiveness across sites. METHODS: An interrupted time series design, analyzed with mixed-effects segmented logistic regression, was used to evaluate changes in level and rate of change in the monthly percent of patients with a clinically documented AUD who received naltrexone, acamprosate, disulfiram, or topiramate...
September 15, 2016: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/27468057/donabedian-s-lasting-framework-for-health-care-quality
#8
John Z Ayanian, Howard Markel
Though historians are often hesitant to declare any event a "first," one might safely claim that the contemporary health care quality movement had its "founding moment" in October 1965. Less than 3 months after the Medicare and Medicaid programs were enacted, the newly created Health Services..
July 21, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27181736/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-for-persons-with-serious-mental-illness
#9
Gail L Daumit, Emma E McGinty, Peter Pronovost, Lisa B Dixon, Eliseo Guallar, Daniel E Ford, Elizabeth K Cahoon, Romsai T Boonyasai, David Thompson
OBJECTIVE: This study explored the risk of patient safety events and associated nonfatal physical harms and mortality in a cohort of persons with serious mental illness. This group experiences high rates of medical comorbidity and premature mortality and may be at high risk of adverse patient safety events. METHODS: Medical record review was conducted for medical-surgical hospitalizations occurring during 1994-2004 in a community-based cohort of Maryland adults with serious mental illness...
October 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27582237/a-tipping-point-for-measurement-based-care
#10
John C Fortney, Jürgen Unützer, Glenda Wrenn, Jeffrey M Pyne, G Richard Smith, Michael Schoenbaum, Henry T Harbin
OBJECTIVE: Measurement-based care involves the systematic administration of symptom rating scales and use of the results to drive clinical decision making at the level of the individual patient. This literature review examined the theoretical and empirical support for measurement-based care. METHODS: Articles were identified through search strategies in PubMed and Google Scholar. Additional citations in the references of retrieved articles were identified, and experts assembled for a focus group conducted by the Kennedy Forum were consulted...
September 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27603038/a-model-for-the-departmental-quality-management-infrastructure-within-an-academic-health-system
#11
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/27624585/overcoming-the-challenges-of-unstructured-data-in-multisite-electronic-medical-record-based-abstraction
#12
Brock Polnaszek, Andrea Gilmore-Bykovskyi, Melissa Hovanes, Rachel Roiland, Patrick Ferguson, Roger Brown, Amy J H Kind
BACKGROUND: Unstructured data encountered during retrospective electronic medical record (EMR) abstraction has routinely been identified as challenging to reliably abstract, as these data are often recorded as free text, without limitations to format or structure. There is increased interest in reliably abstracting this type of data given its prominent role in care coordination and communication, yet limited methodological guidance exists. OBJECTIVES: As standard abstraction approaches resulted in substandard data reliability for unstructured data elements collected as part of a multisite, retrospective EMR study of hospital discharge communication quality, our goal was to develop, apply and examine the utility of a phase-based approach to reliably abstract unstructured data...
October 2016: Medical Care
https://www.readbyqxmd.com/read/27590455/contextualizing-learning-to-improve-care-using-collaborative-communities-of-practices
#13
Lianne Jeffs, Julie McShane, Virginia Flintoft, Peggy White, Alyssa Indar, Maria Maione, A J Lopez, Sue Bookey-Bassett, Lauren Scavuzzo
BACKGROUND: The use of interorganizational, collaborative approaches to build capacity in quality improvement (QI) in health care is showing promise as a useful model for scaling up and accelerating the implementation of interventions that bridge the "know-do" gap to improve clinical care and provider outcomes. Fundamental to a collaborative approach is interorganizational learning whereby organizations acquire, share, and combine knowledge with other organizations and have the opportunity to learn from their respective successes and challenges in improvement areas...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27558861/the-seven-pillars-response-to-patient-safety-incidents-effects-on-medical-liability-processes-and-outcomes
#14
Bruce L Lambert, Nichola M Centomani, Kelly M Smith, Lorens A Helmchen, Dulal K Bhaumik, Yash J Jalundhwala, Timothy B McDonald
OBJECTIVE: To determine whether a communication and resolution approach to patient harm is associated with changes in medical liability processes and outcomes. DATA SOURCES/STUDY SETTING: Administrative, safety, and risk management data from the University of Illinois Hospital and Health Sciences System, from 2002 to 2014. STUDY DESIGN: Single health system, interrupted time series design. Using Mann-Whitney U tests and segmented regression models, we compared means and trends in incident reports, claims, event analyses, patient communication consults, legal fees, costs per claim, settlements, and self-insurance expenses before and after the implementation of the "Seven Pillars" communication and resolution intervention...
December 2016: Health Services Research
https://www.readbyqxmd.com/read/27466435/six-ways-not-to-improve-patient-flow-a-qualitative-study
#15
Sara Adi Kreindler
BACKGROUND: Although well-established principles exist for improving the timeliness and efficiency of care, many organisations struggle to achieve more than small-scale, localised gains. Where care processes are complex and include segments under different groups' control, the elegant solutions promised by improvement methodologies remain elusive. This study sought to identify common design flaws that limit the impact of flow initiatives. METHODS: This qualitative study was conducted within an explanatory case study of a Canadian regional health system in which multitudinous flow initiatives had yielded no overall improvement in system performance...
July 27, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27493747/improving-the-physical-health-monitoring-of-city-hackney-assertive-outreach-service-patients
#16
Elvan Akyuz, Amit Jain, Declan Phelan, Susham Gupta
Improving physical healthcare to reduce premature mortality in people with SMI (Serious Mental Illness) is a priority for ELFT (East London NHS Foundation Trust) and NHS England. It is well know that people with schizophrenia have a life expectancy which is approximately 20% shorter than that of the general population and a substantial mortality difference exists between people with schizophrenia and the general community.[1-2] Among other risk factors, such as poor diet, physical inactivity, and high rates of smoking, the iatrogenic effects of anti-psychotic medications have been found to increase the risk of metabolic syndrome...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/26717989/value-of-small-sample-sizes-in-rapid-cycle-quality-improvement-projects
#17
REVIEW
E Etchells, M Ho, K G Shojania
No abstract text is available yet for this article.
March 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27076505/explanation-and-elaboration-of-the-squire-standards-for-quality-improvement-reporting-excellence-guidelines-v-2-0-examples-of-squire-elements-in-the-healthcare-improvement-literature
#18
Daisy Goodman, Greg Ogrinc, Louise Davies, G Ross Baker, Jane Barnsteiner, Tina C Foster, Kari Gali, Joanne Hilden, Leora Horwitz, Heather C Kaplan, Jerome Leis, John C Matulis, Susan Michie, Rebecca Miltner, Julia Neily, William A Nelson, Matthew Niedner, Brant Oliver, Lori Rutman, Richard Thomson, Johan Thor
Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting of quality improvement work, providing guidance to authors and reviewers of reports on healthcare improvement work. In the interim, enormous growth has occurred in understanding factors that influence the success, and failure, of healthcare improvement efforts. Progress has been particularly strong in three areas: the understanding of the theoretical basis for improvement work; the impact of contextual factors on outcomes; and the development of methodologies for studying improvement work...
April 13, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27193032/when-doctors-share-visit-notes-with-patients-a-study-of-patient-and-doctor-perceptions-of-documentation-errors-safety-opportunities-and-the-patient-doctor-relationship
#19
Sigall K Bell, Roanne Mejilla, Melissa Anselmo, Jonathan D Darer, Joann G Elmore, Suzanne Leveille, Long Ngo, James D Ralston, Tom Delbanco, Jan Walker
BACKGROUND: Patient advocates and safety experts encourage adoption of transparent health records, but sceptics worry that shared notes may offend patients, erode trust or promote defensive medicine. As electronic health records disseminate, such disparate views fuel policy debates about risks and benefits of sharing visit notes with patients through portals. METHODS: Presurveys and postsurveys from 99 volunteer doctors at three US sites who participated in OpenNotes and postsurveys from 4592 patients who read at least one note and submitted a survey...
May 18, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27343275/opening-up-to-open-notes-and-adding-the-patient-to-the-team
#20
Caroline Lubick Goldzweig
No abstract text is available yet for this article.
June 24, 2016: BMJ Quality & Safety
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