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

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The Effect of Individualized Surgeon Comparative Feedback on Arthroplasty Outcomes: An Interrupted Time Series Analysis. 个体化外科医生比较反馈对关节置换术结果的影响：中断时间序列分析。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-05-02 DOI: 10.1097/JMQ.0000000000000252
Stephen E Asche, Ella A Chrenka, Steven P Dehmer, Jeanette Y Ziegenfuss, Ann M Werner, Marc F Swiontkowski, Megan Reams, Leif I Solberg
{"title":"The Effect of Individualized Surgeon Comparative Feedback on Arthroplasty Outcomes: An Interrupted Time Series Analysis.","authors":"Stephen E Asche, Ella A Chrenka, Steven P Dehmer, Jeanette Y Ziegenfuss, Ann M Werner, Marc F Swiontkowski, Megan Reams, Leif I Solberg","doi":"10.1097/JMQ.0000000000000252","DOIUrl":"10.1097/JMQ.0000000000000252","url":null,"abstract":"<p><p>The impact of providing comparative individual surgeon performance feedback on outcomes has received little attention. The objective was to determine whether repeated distribution and discussion among orthopedic surgeons of their own customized comparative surgeon performance feedback concerning Patient-Reported Outcome Measures, implant costs, and procedure time had an impact on these same outcomes, surgeon rating, and procedure time. This quality improvement initiative utilized a single-group interrupted time series design evaluating pre- to postexposure to surgeon feedback reports for surgeries in 2236 total knee arthroplasty and 1582 total hip arthroplasty patients to assess differences in implant costs, procedure time, change in patient-reported Oxford Knee/Hip Scores, surgeon rating after surgery, and shared decision after surgery. There was no consistent evidence that the receipt and discussion of comparative surgeon performance feedback by surgeons resulted in improvement in the outcomes considered.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"227-234"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060149","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
What Is Health Care For? Proposing a Purpose That Connects and Transforms. 医疗保健是用来干什么的？提出一个连接和改变的目标。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-09-01 Epub Date: 2025-06-12 DOI: 10.1097/JMQ.0000000000000257
Zachary Schulman, Peter Pronovost
{"title":"What Is Health Care For? Proposing a Purpose That Connects and Transforms.","authors":"Zachary Schulman, Peter Pronovost","doi":"10.1097/JMQ.0000000000000257","DOIUrl":"10.1097/JMQ.0000000000000257","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"243-244"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288034","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
Uncovering Latent Failures Using Human Factors Approach as a Diagnostic Tool for Quality Improvement in Orthopedic Surgery. 利用人为因素方法发现潜在故障，作为提高骨科手术质量的诊断工具。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-25 DOI: 10.1097/JMQ.0000000000000265
Asfandyar Khan, Tara Cohen, Scott A Shappell, Albert J Boquet
{"title":"Uncovering Latent Failures Using Human Factors Approach as a Diagnostic Tool for Quality Improvement in Orthopedic Surgery.","authors":"Asfandyar Khan, Tara Cohen, Scott A Shappell, Albert J Boquet","doi":"10.1097/JMQ.0000000000000265","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000265","url":null,"abstract":"<p><strong>Conclusions: </strong>The HFACS framework demonstrated strong reliability in identifying systemic weaknesses within orthopedic surgical workflows. These findings emphasize the urgent need for structured interventions that reduce distractions, improve team communication, and regulate vendor interactions in the operating room, all essential steps toward advancing safety and enhancing overall patient care quality.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700885","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
A Physician Conduct Improvement Program to Address Disruptive Behavior in a Health Care Setting. 医生行为改进方案，以解决在卫生保健环境中的破坏性行为。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-03 DOI: 10.1097/JMQ.0000000000000262
Morris Kharasch, Lindsay T Fazio, Tabitha Rosca, Nancy Schindler, Susan G Fisher, Lakshmi K Halasyamani
{"title":"A Physician Conduct Improvement Program to Address Disruptive Behavior in a Health Care Setting.","authors":"Morris Kharasch, Lindsay T Fazio, Tabitha Rosca, Nancy Schindler, Susan G Fisher, Lakshmi K Halasyamani","doi":"10.1097/JMQ.0000000000000262","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000262","url":null,"abstract":"<p><p>In an effort to provide comprehensive and consistently high-quality health care, the need to address professional behavior is rising. The physician conduct program was designed to reduce physician conduct concerns while providing an organizational culture in which physicians would thrive. This program includes a trained team, an event-reporting system, and a physician advisory council. Root causes, perspectives, and corrective strategies for each reported incident are explored with identified individuals in each incident. Over the 4 past years, complaints (n = 583) have included: rude or disrespectful comments to colleagues (52%), lack of physician communication with colleagues (15%), disrespectful interactions (23%) and inadequate communication with patients (5%), and violation of organizational policies (5%). The professional conduct program has provided a cohesive, systematic resource aligned with the health system's focus on teamwork, collegiality, and excellence in patient care.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556372","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
Pilot-Testing an Influenza Vaccination Program Tailored for Nephrology Care. 为肾病护理量身定制的流感疫苗接种计划试点测试。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1097/JMQ.0000000000000242
Junichi Ishigami, Ivy Simmons, Lucille Fields, Sumeska Thavarajah, Bernard G Jaar
{"title":"Pilot-Testing an Influenza Vaccination Program Tailored for Nephrology Care.","authors":"Junichi Ishigami, Ivy Simmons, Lucille Fields, Sumeska Thavarajah, Bernard G Jaar","doi":"10.1097/JMQ.0000000000000242","DOIUrl":"10.1097/JMQ.0000000000000242","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"137-139"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045661","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
Independent Risk Factors for Less Than "Top Box" Doctor Communication Patient Experience Survey Scores in an Urban Teaching Hospital. 某城市教学医院医生沟通患者体验调查得分低于“顶盒”的独立危险因素分析
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 Epub Date: 2025-03-12 DOI: 10.1097/JMQ.0000000000000238
Richard H Savel, Payam Benson, Carmen Collins, Srinivas Gongireddy, Christina Oquendo, Kwaku Gyekye, Eva Villar-Trinidad, Jill Fennimore, Ije Akunyili
{"title":"Independent Risk Factors for Less Than \"Top Box\" Doctor Communication Patient Experience Survey Scores in an Urban Teaching Hospital.","authors":"Richard H Savel, Payam Benson, Carmen Collins, Srinivas Gongireddy, Christina Oquendo, Kwaku Gyekye, Eva Villar-Trinidad, Jill Fennimore, Ije Akunyili","doi":"10.1097/JMQ.0000000000000238","DOIUrl":"10.1097/JMQ.0000000000000238","url":null,"abstract":"<p><p>This study explored the independent risk factors for patients giving a less than \"top box\" score on their Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys in the \"doctor communication\" domain (DCD). After adjusting for age, gender, length of stay, receiving a postdischarge phone call (PC), new medication during hospitalization, highest education level, language spoken at home, and zip code, results from 803 HCAHPS surveys (from January 1 to December 31, 2023) revealed that not receiving a PC was associated with a more than doubling of the odds that a patient would give less than a \"top box\" score for the DCD (overall adjusted odds ratio of 2.22; 95% confidence interval: 1.77-2.78) and a nearly doubling the actual probability of doing so (34.3% less than \"top box\" score if no PC, 17.9% less than \"top box\" score if PC). These findings support the potential value of a post-discharge patient PC.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"140-145"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607673","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
Peer Support for Caregivers: An Acute Care Quality Improvement Initiative. 护理人员的同伴支持：急性护理质量改善倡议。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 DOI: 10.1097/JMQ.0000000000000249
Adrianne Smiley, Joan M Griffin, Lynne M Vitagliano, Angela K Wold, Tish Mailloux, Beverly B Hansen, Kelli D Strader, Sherry Chesak, Nandita Khera, Michelle R Burns
{"title":"Peer Support for Caregivers: An Acute Care Quality Improvement Initiative.","authors":"Adrianne Smiley, Joan M Griffin, Lynne M Vitagliano, Angela K Wold, Tish Mailloux, Beverly B Hansen, Kelli D Strader, Sherry Chesak, Nandita Khera, Michelle R Burns","doi":"10.1097/JMQ.0000000000000249","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000249","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 4","pages":"208-209"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532521","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
To Err Is Human: Failing to Reduce Overall Harm Is Inhumane. 犯错是人：不能减少整体伤害是不人道的。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 Epub Date: 2025-04-25 DOI: 10.1097/JMQ.0000000000000250
Peter J Pronovost, J Matthew Austin, Arnold Milstein
{"title":"To Err Is Human: Failing to Reduce Overall Harm Is Inhumane.","authors":"Peter J Pronovost, J Matthew Austin, Arnold Milstein","doi":"10.1097/JMQ.0000000000000250","DOIUrl":"10.1097/JMQ.0000000000000250","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"199-201"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003489","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
An Analysis of Exposure Keratopathy Cases to Promote Changes in Eye Care Practice in Intensive Care Units. 暴露性角膜病变病例分析促进重症监护病房眼科护理实践的改变。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 Epub Date: 2025-04-25 DOI: 10.1097/JMQ.0000000000000240
Susanna Betti, Harrison Bell, Jonathan Glatt, Erika J Yoo, David A Oxman
{"title":"An Analysis of Exposure Keratopathy Cases to Promote Changes in Eye Care Practice in Intensive Care Units.","authors":"Susanna Betti, Harrison Bell, Jonathan Glatt, Erika J Yoo, David A Oxman","doi":"10.1097/JMQ.0000000000000240","DOIUrl":"10.1097/JMQ.0000000000000240","url":null,"abstract":"<p><p>Exposure keratopathy (EK) is corneal damage from prolonged environmental exposure. If untreated, EK can lead to corneal scarring and/or blindness. Critically ill patients are at high risk. A case of EK in our intensive care unit led us to investigate the incidence of EK in our critical care units and understand the interventions needed to reduce its impact. We found 44 cases of EK over 3 years. 95% received mechanical ventilation and 32% received paralytic agents. Average time to diagnosis was 15.8 days from intensive care unit admission. More than a quarter (27%) of patients had severe EK at diagnosis, and 52% of patients had received prior eye care. EK occurred frequently in our critical care units. Many subjects did not receive prophylaxis and disease was diagnosed at a late stage. To address this, we plan a 3-pronged approach focusing on prevention, early recognition, and timely initiation of treatment.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"173-176"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049496","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
Evaluating Bias in Substance Use Screening for Hospitalized Obstetric Patients. 评估住院产科患者药物使用筛查的偏倚。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-07-01 DOI: 10.1097/JMQ.0000000000000253
Julia Liu, Makenzie Perdue, Rebecca Mercier
{"title":"Evaluating Bias in Substance Use Screening for Hospitalized Obstetric Patients.","authors":"Julia Liu, Makenzie Perdue, Rebecca Mercier","doi":"10.1097/JMQ.0000000000000253","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000253","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"40 4","pages":"210-211"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532519","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
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