American journal of medical quality : the official journal of the American College of Medical Quality最新文献_第2页

Measuring Improvement Capabilities in a Health System: Findings From a Content Validity Study. 衡量卫生系统的改进能力：来自内容效度研究的结果。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-11-22 DOI: 10.1097/JMQ.0000000000000208

Steve Meurer, Suzy Escalante

引用次数: 0

Improving Provider Compliance with Recommended Lab Monitoring for Patients on Mood Stabilizers and Atypical Antipsychotics. 改善提供者对心境稳定剂和非典型抗精神病药物患者推荐的实验室监测的依从性。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-11-22 DOI: 10.1097/JMQ.0000000000000184

Alisha Agrawal, Benjamin H Shapiro, Joshua D Prickel

引用次数: 0

Clinical Staff Perceptions of Pay-for-Performance Financial Incentives for HPV Vaccine Promotion. 临床医务人员对推广 HPV 疫苗的绩效薪酬经济激励措施的看法。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/JMQ.0000000000000207

Vanessa Rodriguez, Kathryn Brignole, Tara Licciardello Queen, Justin G Trogdon

{"title":"Clinical Staff Perceptions of Pay-for-Performance Financial Incentives for HPV Vaccine Promotion.","authors":"Vanessa Rodriguez, Kathryn Brignole, Tara Licciardello Queen, Justin G Trogdon","doi":"10.1097/JMQ.0000000000000207","DOIUrl":"10.1097/JMQ.0000000000000207","url":null,"abstract":"The purpose was to investigate clinical staff perceptions of pay-for-performance human papillomavirus (HPV) vaccination financial incentives. In 2022, the authors conducted a national survey of clinical staff (N = 2527; response rate = 57%). Respondents were (1) certified to practice in the United States; (2) practiced as a physician, physician assistant, nurse practitioner, advanced practice nurse, registered nurse, licensed practical/vocational nurse, medical assistant, or certified nursing assistant; (3) worked in pediatrics, family medicine, or general medicine specialties; and (4) had a role in HPV vaccination for children ages 9 through 12 years. The team used ordered regressions to model whether respondents agreed with (ie, \"Strongly agreed\" or \"Agreed\" on a 5-point Likert scale) each of the 9 statements. The statements were mapped to domains based on the theory of planned behavior: attitudes (5 statements), perceived behavioral control (2), and norms (2). Favorable responses to 9 statements ranged from 32% to 85%; 5/9 items had more than 50% favorable responses. The following example odds ratios (ORs) are for \"agree\" versus \"neutral\" or \"disagree\" to change their behavior to obtain the incentive. Clinical staff with prior experience with incentives were more likely to agree with 8/9 positive statements about incentives (eg, OR = 1.32 [95% confidence interval {CI}: 1.12-1.57]). Family medicine clinics were more likely than pediatric clinics to agree with 5/9 statements (eg, OR = 1.42 [95% CI: 1.18-1.70]). Clinical staff with more years of experience were less likely to agree with 6/9 statements (eg, OR = 0.97 [95% CI: 0.97-0.98]). Clinical staff's perceptions of pay-for-performance HPV vaccination financial incentives were generally favorable.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"267-274"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550015","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

Expanding Naloxone Coprescribing at a Regional VA Medical Center. 在地区退伍军人医疗中心扩大纳洛酮处方。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-11-07 DOI: 10.1097/JMQ.0000000000000209

Jeremy Zhang, Kathie Zhang, Joseph Phillips, Michael C Sauer, Sarah Van Dorin, Patrick Watson, Lauren Zabel, Emily Peters, Yvonne De Sloover Koch, Ethan F Kuperman, Matthew D Soltys

{"title":"Expanding Naloxone Coprescribing at a Regional VA Medical Center.","authors":"Jeremy Zhang, Kathie Zhang, Joseph Phillips, Michael C Sauer, Sarah Van Dorin, Patrick Watson, Lauren Zabel, Emily Peters, Yvonne De Sloover Koch, Ethan F Kuperman, Matthew D Soltys","doi":"10.1097/JMQ.0000000000000209","DOIUrl":"10.1097/JMQ.0000000000000209","url":null,"abstract":"Veterans are disproportionately affected by chronic pain and are more likely to be prescribed opioids. As a means of risk mitigation, the Centers for Disease Control and Prevention and Department of Defense recommend naloxone for patients on opioids with risk factors, including use of ≥50 morphine milligram equivalents daily, concurrent benzodiazepine/sedative use, and pulmonary or liver disease. An interprofessional quality improvement team consisting of 6 residents, a pharmacist, a nurse educator, and a faculty mentor was formed to increase naloxone coprescriptions at a regional VA medical center Continuity of Care Clinic. Primary intervention identified eligible patients via the VA Primary Care Almanac's Opioid Therapy Risk Report and alerted providers by email and secure messaging. Naloxone coprescription rates increased from 42% initially in June 2022 to 82% by June 2023 (29/69 to 41/50 patients, P < 0.0001). This project demonstrates that notifying providers of high-risk patients can significantly increase naloxone coprescriptions.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"275-279"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592449","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

Improved Cardiac Rehabilitation Referral Rates following Coronary Artery Bypass Graft and Heart Valve Replacement in an Inner-City Veteran Population. 提高城市内退伍军人冠状动脉旁路移植术和心脏瓣膜置换术后的心脏康复转诊率。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/JMQ.0000000000000206

Akash Gopal, Ian Detroyer, Neiberg de Alcantara Lima, Preeti Ramappa

{"title":"Improved Cardiac Rehabilitation Referral Rates following Coronary Artery Bypass Graft and Heart Valve Replacement in an Inner-City Veteran Population.","authors":"Akash Gopal, Ian Detroyer, Neiberg de Alcantara Lima, Preeti Ramappa","doi":"10.1097/JMQ.0000000000000206","DOIUrl":"10.1097/JMQ.0000000000000206","url":null,"abstract":"Cardiac rehabilitation (CR) is underutilized due to various barriers, despite its known benefits in decreasing 5-year mortality after cardiac surgery. The authors initiated a quality improvement project to identify barriers and enhance CR referral rates and participation. The team conducted a retrospective review of cardiac surgery patients from 2015 to 2022 at the Detroit Veterans Affairs. Phase 1 covered 2015-2017 (preintervention), phase 2 was the intervention period, and phase 3 covered 2018-2022 (postintervention). Appropriate CR referral was defined as within 6 months postevent. Referral rates and 1-year post-op hospitalization were assessed. Group 1 (2015-2017) had 54 male patients, 44% Black, 89% hypertensive, with a 22% CR referral rate. Group 2 (2018-2022) had 98 male patients, 64% Caucasian, mean age 73 years, with a 36% CR referral rate postintervention ( P = 0.0018). One-year hospitalization decreased from 26% to 13% ( P = 0.20). CR is still an underutilized tool. Provider education and complete funding of CR can improve referral rates and participation.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"280-284"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550016","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 Century of Surgical Quality: Origins, Evolution, and Future Directions. 百年外科质量：起源、演变和未来方向。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-10-30 DOI: 10.1097/JMQ.0000000000000205

David B Hoyt, Clifford Y Ko, Frank G Opelka

{"title":"A Century of Surgical Quality: Origins, Evolution, and Future Directions.","authors":"David B Hoyt, Clifford Y Ko, Frank G Opelka","doi":"10.1097/JMQ.0000000000000205","DOIUrl":"10.1097/JMQ.0000000000000205","url":null,"abstract":"Over a century has passed since Ernst A. Codman's pioneering call for surgeons to take open responsibility for patient care, a concept integral to the emergence and leadership of the American College of Surgeons (ACS). Codman's End Result Idea, originating in the early 20th century, laid the groundwork for professional responsibility and accountability in surgical practice, catalyzing the formation of the ACS. His innovative use of the \"end result\" technique at Massachusetts General Hospital highlighted significant variability in surgical outcomes, spurring debates on specialization and accountability. The ACS, under John Bowman's leadership, aimed to ensure optimal care through defined standards and verification mechanisms. Codman's Bone Sarcoma Registry, initiated in 1920, marked an early attempt at quality assessment and improvement through data collection. Despite facing resistance, Codman's vision laid the foundation for modern quality initiatives in surgical care. ACS programs, spanning trauma care to cancer treatment and beyond, have significantly enhanced patient outcomes while reducing costs. Looking forward, advancing surgical quality requires measuring quality, leveraging trusted data, embracing change management, fostering collaboration, and empowering specialists. The future of surgical care depends on collective efforts to uphold standards that ensure optimal care for all.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"285-289"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550014","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

Tips From the Iceberg: Effecting Culture Change in Health Care Teams. 来自冰山的提示：在医疗团队中实现文化变革。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-08-20 DOI: 10.1097/JMQ.0000000000000198

D Matthew Sherrer, Brooke R Vining, Martha Anne Rich

引用次数: 0

A Multidisciplinary Initiative to Increase Patient Portal Enrollment. 增加患者门户登记的多学科倡议。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-11-01 Epub Date: 2024-11-22 DOI: 10.1097/JMQ.0000000000000187

Mahip Grewal, Jamie Schlacter, Michael J Martinez, Kevin P Eaton

引用次数: 0

Leapfrog Safety Grades in California Hospitals: A Data Analysis. 加州医院的 Leapfrog 安全评级：数据分析。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-09-01 Epub Date: 2024-08-20 DOI: 10.1097/JMQ.0000000000000200

Daniel Razick, Noorhan Amani, Lara Ali, Mark Bachir, Ahmed Salem, Vijay Khatri

{"title":"Leapfrog Safety Grades in California Hospitals: A Data Analysis.","authors":"Daniel Razick, Noorhan Amani, Lara Ali, Mark Bachir, Ahmed Salem, Vijay Khatri","doi":"10.1097/JMQ.0000000000000200","DOIUrl":"10.1097/JMQ.0000000000000200","url":null,"abstract":"Within the realm of health care quality assessment, quality assurance and safety grading systems play a vital role in gauging hospital performance and communicating results to the general public. The primary objective of this review is to analyze the hospitals in California through the lens of Leapfrog Safety Grades and discuss the complex interplay of geographical location, hospital size, and larger system affiliation status. Leapfrog Safety Grades, hospital characteristics, and geographic information were collected. Hospitals were categorized by geographic region, size, rural/urban classification, and larger system affiliation status. Of the 284 hospitals included in the study, 95 were given a grade of A, 68 given a grade of B, 93 given a grade of C, 23 given a grade of D, 2 given a grade of F, and 3 were not graded. The vast majority of hospitals in California were classified as urban, with 183 falling under this category. The average number of hospital beds and SD was 227 ± 47.57. On average, hospitals that received a grade of D were significantly smaller in size than those that received a grade of A, while hospitals that received a grade of B or C were similar in size. A total of 107 hospitals were affiliated with a larger health care system. About 70% of hospitals affiliated with a system received an A or B grade, while 50% of unaffiliated hospitals received an A or B grade. Results of this study demonstrate a need for improving health care access and quality in medically underserved urban and rural areas. Hospitals affiliated with a larger health care system received higher grades than unaffiliated hospitals, suggesting that affiliation may also play a role in the implementation and mitigation of factors that contribute to Leapfrog Safety Grades.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"251-255"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006257","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

The Healthcare Improvement and Innovation in Quality (THINQ) Collaborative: A Novel Quality Improvement Training Program for Undergraduate and Postgraduate Students. 医疗保健质量改进与创新（THINQ）合作项目：面向本科生和研究生的新颖质量改进培训计划。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-06-25 DOI: 10.1097/JMQ.0000000000000192

Dhwani Krishnan, Abhinav Kareddy, Caitlin Chen, Russel Kerbel, Erin Dowling, Wendy Simon, Anna Dermenchyan

{"title":"The Healthcare Improvement and Innovation in Quality (THINQ) Collaborative: A Novel Quality Improvement Training Program for Undergraduate and Postgraduate Students.","authors":"Dhwani Krishnan, Abhinav Kareddy, Caitlin Chen, Russel Kerbel, Erin Dowling, Wendy Simon, Anna Dermenchyan","doi":"10.1097/JMQ.0000000000000192","DOIUrl":"10.1097/JMQ.0000000000000192","url":null,"abstract":"The Healthcare Improvement and Innovation in Quality (THINQ) Collaborative is a uniquely designed program that engages undergraduate and postgraduate students to participate in improving health care and addressing important clinical problems. In 9 years, over 120 THINQ Fellows have been trained in quality improvement (QI) frameworks and methodologies focusing on research skills, social justice, leadership development, and problem-solving. Program evaluation has included surveying current and former THINQ Fellows about their experiences with the program and its subsequent impact on their careers. THINQ's research and outreach initiatives have contributed to improvements in workflows and clinical care on topics such as interdisciplinary team communication, discharge and care transition, sepsis management, and physician burnout. The THINQ Program has equipped future health care leaders to engage with and address QI issues in clinical practice. The structures, processes, and outcomes discussed here can guide other institutions in creating similar QI programs.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"174-182"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0