American journal of medical quality : the official journal of the American College of Medical Quality最新文献_第4页

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

Perception of Ridesharing Among Veterans With Cardiovascular Diseases in the Era of the MISSION Act. 患有心血管疾病的退伍军人对 MISSION 法案时代共享乘车的看法。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI: 10.1097/JMQ.0000000000000193

Pal Shah, Atreya Mishra, Claire Larkin, Tiago Soltes, Mladen I Vidovich

{"title":"Perception of Ridesharing Among Veterans With Cardiovascular Diseases in the Era of the MISSION Act.","authors":"Pal Shah, Atreya Mishra, Claire Larkin, Tiago Soltes, Mladen I Vidovich","doi":"10.1097/JMQ.0000000000000193","DOIUrl":"10.1097/JMQ.0000000000000193","url":null,"abstract":"The Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 expanded veteran's access to community care leading to increased utilization of non-Veterans Affairs (VA) care and prompting concerns about the sustainability and cost-effectiveness of this care model for the VA. This study seeks to explore veterans' attitudes toward ridesharing services as a means of accessing VA-based cardiovascular care. This cross-sectional, quality improvement study utilized a 7-question survey administered to patients in an urban VA Heart Center to assess transportation preferences and opinions on ridesharing. Participants were more likely to support ridesharing if they held a positive opinion of rideshare ( P = 0.024), felt safe utilizing rideshare ( P = 0.025), or were undergoing invasive procedures ( P = 0.007). Distance traveled did not influence support of ridesharing ( P = 0.617). In conclusion, investing in ridesharing for veterans may provide a cost-effective means to improve VA access and continuity of care regardless of distance.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"161-167"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560680","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

Enhancing Sepsis Outcomes: A 7-Year Multidisciplinary Endeavor. 提高败血症疗效：为期 7 年的多学科努力。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-07-26 DOI: 10.1097/JMQ.0000000000000194

Robin Paudel, Sarah Lessard, Camilla Jaekel, Pamela Albrecht, Amir Masoud Forati, Chris Heiderscheit

引用次数: 0

Patient Surveys Are Used Most Often to Assess Health Care Innovations, Rigorous Methods Are Less Common. 患者调查最常用于评估医疗创新，严谨的方法则较少见。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-07-08 DOI: 10.1097/JMQ.0000000000000197

Nabeel Qureshi, Denise D Quigley

{"title":"Patient Surveys Are Used Most Often to Assess Health Care Innovations, Rigorous Methods Are Less Common.","authors":"Nabeel Qureshi, Denise D Quigley","doi":"10.1097/JMQ.0000000000000197","DOIUrl":"10.1097/JMQ.0000000000000197","url":null,"abstract":"The Agency of Healthcare Research and Quality Healthcare Innovations Exchange (IE) was developed to collect and report on innovative approaches to improving health care. The team reviewed 348 IE innovations including patient-reported satisfaction or experience measures. Innovations most often measured overall rating of care (61% of innovations), followed by access (52%) and provider-patient communication (12%). More than half used patient satisfaction surveys (n = 187) rather than patient experience surveys (n = 64). Innovations using patient experience surveys more often measured specific aspects of patient care, for example, access, versus a general overall rating of care. Most innovations using patient experience surveys administered nonvalidated, homegrown surveys, with few using the Agency of Healthcare Research and Quality-endorsed, psychometrically-tested CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey. The most common study design was postimplementation-only (65%), highlighting that methodological rigor used to assess patient-centeredness in the IE is low. Broad use of patient experience surveys and more rigorous evaluation study designs has increased some over time but is still lacking.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"188-196"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11269007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560679","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

Optimizing Utilization of SGLT2 Inhibitors in Patients With Type 2 Diabetes Mellitus and Chronic Kidney Disease in a VA Primary Care Clinic: An Interdisciplinary Quality Improvement Project. 退伍军人事务部初级保健诊所优化 2 型糖尿病和慢性肾病患者对 SGLT2 抑制剂的使用：跨学科质量改进项目。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-07-26 DOI: 10.1097/JMQ.0000000000000188

Solanus de la Serna, Sruti Prathivadhi-Bhayankaram, Rachel Anderson, Arya Zandvakili, Jonathan Day, Mackenzie Hines, Naomi Vather-Wu, Joseph Salomone, Marcia Zeithamel, Meaghan Meyer, Leslie Brettell, Krista Johnson, Samuel Zetumer, Derek Hupp

引用次数: 0

"Near Miss": A Mixed-Methods Analysis of Medical Student Assignments in Patient Safety. "险些失手"：医学生病人安全作业的混合方法分析》。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-07-12 DOI: 10.1097/JMQ.0000000000000196

Thomas Plugge, Amanda Breviu, Katie Lappé, Mariah Sakaeda, Sonja Raaum

{"title":"\"Near Miss\": A Mixed-Methods Analysis of Medical Student Assignments in Patient Safety.","authors":"Thomas Plugge, Amanda Breviu, Katie Lappé, Mariah Sakaeda, Sonja Raaum","doi":"10.1097/JMQ.0000000000000196","DOIUrl":"10.1097/JMQ.0000000000000196","url":null,"abstract":"The purpose of this study is to inform the curriculum for Entrustable Professional Activity 13 through analysis of fourth year medical student patient safety event assignments. From 2016 to 2021, students were asked to identify a patient safety event and indicate if the event required an incident report. Assignments were reviewed and coded based on Joint Commission incident definitions. Qualitative analysis was performed to evaluate incident report justification. There were 473 student assignments included in the analysis. Assignments reported incidents regarding communication, medical judgment, medication errors, and coordination of care. Students indicated only 18.0% (85/473) would warrant an incident report. Justification for not filing an incident report included lack of harm to the patient or that it was previously reported. Students were able to identify system issues but infrequently felt an incident report was required. Justifications for not filing an incident report suggest a need for a curriculum focused on the value of reporting near misses and hazardous conditions.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"168-173"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592557","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

Improving Inpatient Colonoscopy Bowel Preparation: A Successful Quality Improvement Project. 改善住院病人结肠镜检查肠道准备：一个成功的质量改进项目。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-07-01 Epub Date: 2024-05-30 DOI: 10.1097/JMQ.0000000000000189

Sofi Damjanovska, Shota Watanabe, Daniel B Karb, Michael Kurin, Gerard Isenberg

{"title":"Improving Inpatient Colonoscopy Bowel Preparation: A Successful Quality Improvement Project.","authors":"Sofi Damjanovska, Shota Watanabe, Daniel B Karb, Michael Kurin, Gerard Isenberg","doi":"10.1097/JMQ.0000000000000189","DOIUrl":"10.1097/JMQ.0000000000000189","url":null,"abstract":"Inadequate inpatient bowel preparation can lead to repeat procedures, prolonged hospital stays, and increased financial burden. In this quality improvement project, the authors developed an electronic medical record (EMR)-based order set with precise instructions and anticipatory guidance for inpatient bowel preparation before colonoscopy. The current study is a nonrandomized intervention study. The authors compared 2 groups: an intervention group using a newly developed, consensus-based, standardized EMR bowel preparation order set and a control group using previously existing EMR bowel preparation orders. Bowel preparation outcomes were followed over the course of 16 months. The aim was to improve inpatient colonoscopy bowel preparation, as evaluated by the Boston Bowel Preparation Scale, procedure delays, and length of hospital stay. We additionally evaluated the groups' demographics and patient-level factors. A total of 459 inpatient colonoscopies were evaluated over a 16-month period. The intervention group consisted of 227 inpatient colonoscopies, while the control group consisted of 232. The intervention group showed superior Boston Bowel Preparation Scale score and decreased length of hospital stay. The number of adequate bowel preparations increased in the intervention group when compared to the control group from 77% to 86%. The creation of an EMR-based order set is a low-cost and sustainable action that can be easily implemented throughout a hospital system.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"154-160"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422404","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