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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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Integrating Social Drivers of Health into Hospital Ratings with Application to the 100 Top Hospitals Study. 将健康的社会驱动因素纳入医院评级，并应用于 100 强医院研究。
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.0000000000000191
Michael Korvink, Hyeong Choi, Madeleine Biondolillo, Louise Zrull, Jessica Trail, John Martin, Amy Ballard, Tara Bain, Daniel DeBehnke
{"title":"Integrating Social Drivers of Health into Hospital Ratings with Application to the 100 Top Hospitals Study.","authors":"Michael Korvink, Hyeong Choi, Madeleine Biondolillo, Louise Zrull, Jessica Trail, John Martin, Amy Ballard, Tara Bain, Daniel DeBehnke","doi":"10.1097/JMQ.0000000000000191","DOIUrl":"10.1097/JMQ.0000000000000191","url":null,"abstract":"<p><p>The objective was to investigate the relationship between social drivers of health (SDOH) and hospital performance within the 100 Top Hospitals study, exploring methods to recognize hospitals serving marginalized communities. Publicly available data sourced from the Centers for Medicare and Medicaid Services and the 2023 100 Top Hospitals study was used. The study employed multivariable hierarchical generalized linear regression models to assess the association between an SDOH composite variable derived using principal component analysis and overall hospital performance measures within the 100 Top Hospitals study. The analysis revealed a statistically significant association between SDOH factors and study ranking results. The SDOH composite variable is a significant predictor of performance within the 100 Top Hospitals study. Accounting for SDOH is essential to recognize high-performing hospitals serving marginalized communities. The findings suggest a need for broader considerations of SDOH in hospital ranking methodologies across various industry programs.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"137-144"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560678","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
Improving Barriers to Timely Colonoscopies: A New Approach to Overcoming Gaps in Medical Care. 改善及时进行结肠镜检查的障碍：克服医疗差距的新方法。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-03 DOI: 10.1097/JMQ.0000000000000176
Alex Borgen, Hannah Regan, Brittany Strelow
{"title":"Improving Barriers to Timely Colonoscopies: A New Approach to Overcoming Gaps in Medical Care.","authors":"Alex Borgen, Hannah Regan, Brittany Strelow","doi":"10.1097/JMQ.0000000000000176","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000176","url":null,"abstract":"<p><p>This study investigates delays in transitioning from positive noninvasive multitarget stool DNA test results to scheduled diagnostic colonoscopies and identifies strategies aimed at improving patient care. A retrospective review revealed a 53% reduction in the average time from positive multitarget stool DNA test results to ordering colonoscopies postintervention. The findings demonstrate the significance of implementing a new communication system to expedite transitions in health care processes, showcasing its potential to significantly improve efficiency in patient care and health care provider workflows across various clinical testing scenarios. The findings emphasize the transformative impact of this communication system, shedding light on its ability to streamline processes and enhance patient care and staff experience.</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":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878370","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
Capturing the Patient Voice for Diabetes Eye Exams. 在糖尿病眼科检查中捕捉患者的声音。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000175
Senxi Du, Sylvia Lambrechts, Maria Han
{"title":"Capturing the Patient Voice for Diabetes Eye Exams.","authors":"Senxi Du, Sylvia Lambrechts, Maria Han","doi":"10.1097/JMQ.0000000000000175","DOIUrl":"10.1097/JMQ.0000000000000175","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"133-134"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878371","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 Barriers to Timely Colonoscopies: A New Approach to Overcoming Gaps in Medical Care. 改善及时进行结肠镜检查的障碍：克服医疗差距的新方法。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000176
Alex Borgen, Hannah Regan, Brittany Strelow
{"title":"Improving Barriers to Timely Colonoscopies: A New Approach to Overcoming Gaps in Medical Care.","authors":"Alex Borgen, Hannah Regan, Brittany Strelow","doi":"10.1097/JMQ.0000000000000176","DOIUrl":"10.1097/JMQ.0000000000000176","url":null,"abstract":"<p><p>This study investigates delays in transitioning from positive noninvasive multitarget stool DNA test results to scheduled diagnostic colonoscopies and identifies strategies aimed at improving patient care. A retrospective review revealed a 53% reduction in the average time from positive multitarget stool DNA test results to ordering colonoscopies postintervention. The findings demonstrate the significance of implementing a new communication system to expedite transitions in health care processes, showcasing its potential to significantly improve efficiency in patient care and health care provider workflows across various clinical testing scenarios. The findings emphasize the transformative impact of this communication system, shedding light on its ability to streamline processes and enhance patient care and staff experience.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"115-117"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878372","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 the Pipeline of Trainee Projects and Publications. 改进受训人员的项目和出版物渠道。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000179
Mary Reich Cooper
{"title":"Improving the Pipeline of Trainee Projects and Publications.","authors":"Mary Reich Cooper","doi":"10.1097/JMQ.0000000000000179","DOIUrl":"10.1097/JMQ.0000000000000179","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"97-98"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878374","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
When Good Was Not Enough. 当好还不够
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000185
Victor Olaolu Kolade
{"title":"When Good Was Not Enough.","authors":"Victor Olaolu Kolade","doi":"10.1097/JMQ.0000000000000185","DOIUrl":"10.1097/JMQ.0000000000000185","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"131-132"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878377","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 Use of a Checklist to Optimize Electrolyte Replacement in the ICU. 使用核对表优化重症监护室的电解质补充。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000177
Jack DePriest, Joanna Nixon
{"title":"The Use of a Checklist to Optimize Electrolyte Replacement in the ICU.","authors":"Jack DePriest, Joanna Nixon","doi":"10.1097/JMQ.0000000000000177","DOIUrl":"10.1097/JMQ.0000000000000177","url":null,"abstract":"<p><p>Electrolyte replacement protocols are routinely used in intensive care units (ICU) to guide magnesium replacement. Guided by serum levels, these protocols include no patient-specific factors despite a literature showing ICU patients routinely have significant deficits despite normal serum levels. The authors developed a checklist to help identify patients requiring more aggressive magnesium replacement than the electrolyte replacement protocol would provide. The checklist included risk factors for having significant magnesium deficits and for developing arrhythmias. The checklist was retrospectively applied to 364 medical ICU patients. Diabetic patients prescribed outpatient diuretics were defined as the highest-risk population. A total of 88% of patients in this subgroup had normal magnesium levels. Despite averaging 3.4 risk factors per patient, only 3 of 32 patients received magnesium. Applying the checklist would have suggested additional repletion for at least 85% of patients. A checklist can help identify ICU patients who may require more aggressive magnesium supplementation than protocols will provide.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"118-122"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878376","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
One Result, Many Eyes: Creating a Results Safety Net in a University Hospital-Based Reproductive Endocrinology and Infertility Clinic. 一个结果，多只眼睛：在大学医院生殖内分泌和不孕不育诊所建立结果安全网。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000170
Blake Vessa, Radhika Malhotra, Anat Chemerinski, David Howard, Sara Morelli
{"title":"One Result, Many Eyes: Creating a Results Safety Net in a University Hospital-Based Reproductive Endocrinology and Infertility Clinic.","authors":"Blake Vessa, Radhika Malhotra, Anat Chemerinski, David Howard, Sara Morelli","doi":"10.1097/JMQ.0000000000000170","DOIUrl":"10.1097/JMQ.0000000000000170","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"135-136"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878375","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 Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home. 提高孕产妇保健质量和成果：妊娠医疗之家评估。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-05-01 DOI: 10.1097/JMQ.0000000000000183
Lisa M Schilling, Brittney R Fraumeni, Amy S Nacht, Alison G Abraham, Hannah D Bauguess, Gregory Matesi, Melanie E Fringuello, Leah Rashidyan, Sarah J Billups
{"title":"Improving Maternal Health Care Quality and Outcomes: Evaluation of a Pregnancy Medical Home.","authors":"Lisa M Schilling, Brittney R Fraumeni, Amy S Nacht, Alison G Abraham, Hannah D Bauguess, Gregory Matesi, Melanie E Fringuello, Leah Rashidyan, Sarah J Billups","doi":"10.1097/JMQ.0000000000000183","DOIUrl":"10.1097/JMQ.0000000000000183","url":null,"abstract":"<p><p>Current maternal care recommendations in the United States focus on monitoring fetal development, management of pregnancy complications, and screening for behavioral health concerns. Often missing from these recommendations is support for patients experiencing socioeconomic or behavioral health challenges during pregnancy. A Pregnancy Medical Home (PMH) is a multidisciplinary maternal health care team with nurse navigators serving as patient advocates to improve the quality of care a patient receives and health outcomes for both mother and infant. Using bivariate comparisons between PMH patients and reference groups, as well as interviews with project team members and PMH graduates, this evaluation assessed the impact of a PMH at an academic medical university on patient care and birth outcomes. This PMH increased depression screenings during pregnancy and increased referrals to behavioral health care. This evaluation did not find improvements in maternal or infant birth outcomes. Interviews found notable successes and areas for program enhancement.</p>","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 3","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878373","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 Real-World Foundation of Adapting Clinical Guidelines for the Digital Age. 为数字时代调整临床指南的现实基础。
American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2024-03-01 DOI: 10.1097/JMQ.0000000000000167
Maria Michaels, Priya Jakhmola, Ira M Lubin, Laura J Fochtmann, Donald E Casey, Frank G Opelka, Julia Skapik, Kevin Larsen, Amrita Tailor, Dyann Matson-Koffman
{"title":"The Real-World Foundation of Adapting Clinical Guidelines for the Digital Age.","authors":"Maria Michaels, Priya Jakhmola, Ira M Lubin, Laura J Fochtmann, Donald E Casey, Frank G Opelka, Julia Skapik, Kevin Larsen, Amrita Tailor, Dyann Matson-Koffman","doi":"10.1097/JMQ.0000000000000167","DOIUrl":"10.1097/JMQ.0000000000000167","url":null,"abstract":"","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":"39 2","pages":"89-90"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998749","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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