American journal of medical quality : the official journal of the American College of Medical Quality最新文献

Cultivating a Quality Improvement Culture With Mayo Clinic Quality Academy. 与梅奥诊所质量学院一起培养质量改进文化。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-04-13 DOI: 10.1097/JMQ.0000000000000298

Nelly Tan, Vriddhi Rohila, Chloe Reyes, Ashley Lawrence, Hiliary Phan, Matthew D Cox, April M Gomes, Chendong Ma, Pablo Moreno Franco

{"title":"Cultivating a Quality Improvement Culture With Mayo Clinic Quality Academy.","authors":"Nelly Tan, Vriddhi Rohila, Chloe Reyes, Ashley Lawrence, Hiliary Phan, Matthew D Cox, April M Gomes, Chendong Ma, Pablo Moreno Franco","doi":"10.1097/JMQ.0000000000000298","DOIUrl":"10.1097/JMQ.0000000000000298","url":null,"abstract":"We examined outcomes of a quality improvement (QI) culture implemented through Mayo Clinic Quality Academy by retrospectively reviewing data from QI projects credited from 2019 to 2024. Data analyzed included roles, member count, region, project details, priorities, financial outcomes, methodologies, and lessons learned. During the study period, Mayo Clinic Quality Academy credited 1106 projects involving 10 063 members (median, 8 members per project). Physicians participated in 52.4% of projects, allied health professionals in 83.6%, and nurses in 55.2%. Among all projects, teamwork (54.0%) and efficiency (52.8%) were the most common organizational priorities; among National Academy of Medicine priorities, efficiency was the most common (32.2%), followed by safety (20.7%) and patient-centeredness (18.9%). Model for improvement was the most prevalent QI methodology (29.2%). Most participants (93%) believed the QI project changed the way they work. Cultivating a QI culture influences health care delivery by emphasizing efficiency, teamwork, operational performance, patient outcomes, satisfaction, and financial benefits.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147648278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healing the Divide: Bridging Physicians and Healthcare Administrators for Value-Based Care. 弥合鸿沟：为基于价值的护理架起医生和医疗保健管理人员的桥梁。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-03-25 DOI: 10.1097/JMQ.0000000000000299

Tauseef Ali, Adam McConnell, Charles R Gill, Tammy Powell, Kayla A Stangl

{"title":"Healing the Divide: Bridging Physicians and Healthcare Administrators for Value-Based Care.","authors":"Tauseef Ali, Adam McConnell, Charles R Gill, Tammy Powell, Kayla A Stangl","doi":"10.1097/JMQ.0000000000000299","DOIUrl":"10.1097/JMQ.0000000000000299","url":null,"abstract":"Misalignment between physicians and hospital administrators has long challenged US healthcare systems. The COVID-19 pandemic magnified these tensions, with physicians reporting increased burnout and administrators grappling with severe financial pressures. This narrative review synthesizes findings from peer-reviewed studies, national surveys, organizational case examples, and policy reports to evaluate physician-administrator relationships. The analysis identifies 6 thematic areas: shared vision and transparency, governance engagement, incentive alignment, administrative burden, physician well-being, technology and innovation, and organizational trust and culture. The literature consistently documents the persistence of misalignment: physicians cite loss of autonomy and administrative overload, while administrators must manage costs and ensure compliance. Evidence from health systems such as Mayo Clinic, Cleveland Clinic, and rural hospitals demonstrates that structured engagement strategies can mitigate these divides. Bridging the physician-administrator divide is critical for value-based care. In rural areas where hospital closures and workforce shortages are acute, collaborative models are urgently needed. The proposed framework highlights actionable strategies to reduce burnout, enhance retention, and strengthen patient-centered outcomes.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"151-159"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Better Safe Than Sorry?": Reconsidering ADAMTS13 Testing and Plasma Exchange for Suspected aTTP as a High‑Value Care Priority. “安全总比后悔好？”重新考虑ADAMTS13检测和血浆置换对疑似aTTP的高价值护理优先。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-04-13 DOI: 10.1097/JMQ.0000000000000304

Anil Ananthaneni, Francesca Weis, Gaelen Shimkus

引用次数: 0

Rethinking the Design of Adolescent Crisis Stabilization Units: A Mixed-Methods Study Using Physical Mock-Up Simulations and Artificial Intelligence. 重新思考青少年危机稳定单元的设计：使用实体模型模拟和人工智能的混合方法研究。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-04-13 DOI: 10.1097/JMQ.0000000000000300

Roxana Jafarifiroozabadi, Cheng Zhang, Stephen Parker, Virginia Pankey, Hani Patel, Neil Gautam, Chih-Chuan Hsu

{"title":"Rethinking the Design of Adolescent Crisis Stabilization Units: A Mixed-Methods Study Using Physical Mock-Up Simulations and Artificial Intelligence.","authors":"Roxana Jafarifiroozabadi, Cheng Zhang, Stephen Parker, Virginia Pankey, Hani Patel, Neil Gautam, Chih-Chuan Hsu","doi":"10.1097/JMQ.0000000000000300","DOIUrl":"10.1097/JMQ.0000000000000300","url":null,"abstract":"Limited research has examined safety features in nonhospital settings for adolescents experiencing behavioral health crises, including the crisis stabilization unit (CSU). This mixed-methods study investigated safety through design features (eg, open versus semi-enclosed nursing stations) in an adolescent CSU with experts (clinicians and health care designers) and design trainees (N = 17) using physical mock-up simulations and artificial intelligence (AI). Participants' feedback was obtained using questionnaires and focus groups. Simulations were video-recorded, manually coded, and an AI-driven tool was developed for automatic, real-time analysis of videos. Findings revealed that experts rated the semi-enclosed nursing station higher in visibility, whereas design trainees reported significantly higher perceived privacy in the open nursing station ( P = 0.036). AI-driven video analyses demonstrated high-accuracy performance in detecting and tracking participants (>80%) when compared with manual data. This study proposed a methodology to improve safety in future adolescent CSUs by integrating AI-driven tools and clinical mock-up simulations during the design process.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"139-150"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147648248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing Life Sustaining Treatment Note Completion in High-Risk Veterans at VA San Diego. 在退伍军人圣地亚哥增加高风险退伍军人的生命维持治疗记录完成。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 DOI: 10.1097/JMQ.0000000000000296

April Butler, John Temple

引用次数: 0

An Algorithmic Framework for Reducing Near-Fatal Aspiration Events: A Single-Institution Experience. 减少近乎致命的意外事件的算法框架：单一机构的经验。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-03-25 DOI: 10.1097/JMQ.0000000000000291

Shaarada Srivatsa, Gregory Glauser, Abby Gross, Kelly Nimylowycz, Corey Gentle, Tonya Moyse, Stacey Claus, Toms Augustin

{"title":"An Algorithmic Framework for Reducing Near-Fatal Aspiration Events: A Single-Institution Experience.","authors":"Shaarada Srivatsa, Gregory Glauser, Abby Gross, Kelly Nimylowycz, Corey Gentle, Tonya Moyse, Stacey Claus, Toms Augustin","doi":"10.1097/JMQ.0000000000000291","DOIUrl":"10.1097/JMQ.0000000000000291","url":null,"abstract":"Aspiration-related cardiopulmonary arrests (CPAs) in hospitalized patients have a survival rate under 10%, representing a serious preventable complication. In October 2023, a multidisciplinary group of physicians, nurses, and safety specialists was formed. Review of aspiration cases from 2020 to 2024 and root cause analysis identified 3 factors: unrecognized risk, refusal of nasogastric (NG) tubes, and inconsistent application of aspiration precautions. Targeted interventions included nurse and resident education, expanded swallow screens, revised NG tubes management, and new signage to flag high-risk patients. From 2020 to 2023, there were 72 aspiration-related CPAs. Following the implementation of the countermeasures, aspiration-related CPAs decreased by 52% between 2023 and 2024 (27 events vs 13 events). Statistical process control analysis using a c-chart demonstrated a significant shift below the median with 12 consecutive points under the centerline. A multipronged, multidisciplinary approach effectively reduced fatal aspiration events, suggesting comprehensive education, improved screening, and standardized precautions can lower the incidence of aspiration-related CPAs.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"126-132"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Documentation Is Care: Language, OpenNotes, and the Recorded Patient. 文档就是护理：语言、OpenNotes和记录的病人。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 DOI: 10.1097/JMQ.0000000000000302

Erin Rizor

引用次数: 0

Effective Physician-Nurse Communication: Foundation of Patient-Centered Care. 有效的医护沟通：以病人为中心护理的基础。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-04-13 DOI: 10.1097/JMQ.0000000000000303

Farzana Hoque

引用次数: 0

Quality Improvement Methods for Improving Diabetic Retinopathy Screening Rates at a Large Academic Medical Center and Affiliate Medical Group. 在大型学术医疗中心和附属医疗集团提高糖尿病视网膜病变筛查率的质量改进方法。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 Epub Date: 2026-02-25 DOI: 10.1097/JMQ.0000000000000287

John Brown, Mariam Eldeib, Barbara Scherbaum, Manjot K Gill

{"title":"Quality Improvement Methods for Improving Diabetic Retinopathy Screening Rates at a Large Academic Medical Center and Affiliate Medical Group.","authors":"John Brown, Mariam Eldeib, Barbara Scherbaum, Manjot K Gill","doi":"10.1097/JMQ.0000000000000287","DOIUrl":"10.1097/JMQ.0000000000000287","url":null,"abstract":"Diabetic eye exams are essential for the detection of diabetic retinopathy (DR); however, screening rates remain below the Healthy People 2030 target of 70%. At Northwestern Medicine, screening rates for DR were as low as 49.7%, highlighting care gaps in Chicagoland. A qualitative improvement initiative informed through Plan-Do-Study-Act cycles, root cause analysis, and data-driven decision-making was implemented. Key interventions included point-of-care retinal imaging, previsit questionnaires, practice advisory tools, clinical decision support updates, and community health worker integration. Screening rates of DR significantly increased from 49.7% to 57% within a 22-month period by improving patient access and care coordination. Same-day exam availability, seamless referrals, and targeted outreach addressed barriers to care while closing gaps effectively. This article offers interventions for elevating diabetic eye exam screening rates while sharing lessons learned and resources to adopt best practices that benefit patient outcomes and health care systems.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"110-118"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reducing ED Boarding Time as the Key to Minimizing Admission Delays: A Quality Improvement Initiative. 减少急诊科登机时间是减少入院延误的关键：一项质量改进计划。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-05-01 DOI: 10.1097/JMQ.0000000000000294

Gina Moon, Muhammad Karim, Victoria Corbin, Jesse Davis, Heather Smith, George Kurdgelashvili

引用次数: 0