American journal of medical quality : the official journal of the American College of Medical Quality最新文献_第9页

Protocolizing Natriuresis-Guided Inpatient Diuretic Therapy in Acute Decompensated Heart Failure. 急性失代偿性心力衰竭患者在钠疗指导下的住院利尿治疗方案。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-12-31 DOI: 10.1097/JMQ.0000000000000276

Pranav Puri, Ethan Kuperman, Chad M McPherson, Jonathan M Nizar, Ernesto Ruiz

引用次数: 0

Analyzing the Impact of the "Faculty Quality Collaborative": A Quality Improvement Training Experience for Physicians. “教师素质协作”对医师素质提升培训的影响分析。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-10-23 DOI: 10.1097/JMQ.0000000000000270

Mitchell J Gitkind, Meghna C Trivedi, Joann L Wagner, Allan J Walkey, Kimberly A Fisher, Penelope Iannelli

{"title":"Analyzing the Impact of the \"Faculty Quality Collaborative\": A Quality Improvement Training Experience for Physicians.","authors":"Mitchell J Gitkind, Meghna C Trivedi, Joann L Wagner, Allan J Walkey, Kimberly A Fisher, Penelope Iannelli","doi":"10.1097/JMQ.0000000000000270","DOIUrl":"10.1097/JMQ.0000000000000270","url":null,"abstract":"Despite a longstanding connection of quality improvement methodology to health care, challenges related to training physicians in this area continue, and knowledge about downstream results is limited. To address these gaps, a team of local educators, including physicians, began by developing a novel quality improvement training experience, the Faculty Quality Collaborative. Content was delivered over a full day, book-ended by a total of 3 hours of independent study. The training was delivered to over 100 physicians between 2021 and 2024, and this group was then surveyed about the effects on their professional roles. The survey aimed to capture overall experience, subsequent participation in quality improvement efforts, dissemination of learnings, and enhancement of educational, clinical, and administrative responsibilities. Survey respondents cited impacts in all these areas. The findings suggest this type of physician-targeted training can lead to meaningful engagement in related activities and help support broader educational and clinical goals.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350865","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

Trauma-Informed Care Through the Lens of Immigration-Related Trauma: A Medical Education Intervention. 透过移民相关创伤的镜头了解创伤护理：医学教育干预。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-12-31 DOI: 10.1097/JMQ.0000000000000274

Julia Gillan, Betsy Mathew, Jessica Occhiogrosso, Nathalia Arias-Alzate, Kristen M Coppola, Karen W Lin

引用次数: 0

Leading with Complexity to Improve Care Team Interactions in Anesthesiology. 以复杂性为导向，改善麻醉学护理团队的互动。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-12-31 DOI: 10.1097/JMQ.0000000000000273

D Matthew Sherrer, Brooke R Vining, Andrew H Morris, Joseph M Kreutz, Mitchell H Tsai, Sunil Eappen

引用次数: 0

A Multidisciplinary Initiative Improves Care for Psychiatric Patients Boarding in the Emergency Department. 一项多学科倡议改善了急诊科住院精神病患者的护理。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-10-23 DOI: 10.1097/JMQ.0000000000000269

Joshua J Davis, Minh Khuc, Adria Bolack, Sarah Clemons, LeeAnn Algier, Tammy Northrop, Melisa A Birkey, Jannifer Phan, Patrick McClung, Stephanie J Jordan, Matthew Sinnwell

{"title":"A Multidisciplinary Initiative Improves Care for Psychiatric Patients Boarding in the Emergency Department.","authors":"Joshua J Davis, Minh Khuc, Adria Bolack, Sarah Clemons, LeeAnn Algier, Tammy Northrop, Melisa A Birkey, Jannifer Phan, Patrick McClung, Stephanie J Jordan, Matthew Sinnwell","doi":"10.1097/JMQ.0000000000000269","DOIUrl":"10.1097/JMQ.0000000000000269","url":null,"abstract":"Emergency departments (EDs) in the United States face increasing challenges caring for psychiatric patients, resulting in prolonged boarding and delayed treatment. This single-institution quality improvement initiative used a multidisciplinary approach focused on improving efficiency and use of resources to improve care for psychiatric patients in the ED. Following implementation, time to triage decreased 23% (30-23 minutes), and patients leaving without treatment dropped from 6.5% to 4.2%. The authors showed a 24.9% reduction in time to medication for agitation (from 3.0 to 2.2 hours). ED boarding time for admitted patients decreased 10.9% (981-874 minutes), while ED length of stay for discharged patients increased 9.9% (403-443 minutes). Physical restraint use in the ED dropped 7.1% (112-104 events), with total restraint time decreasing 27.7% (4.7-3.4 hours). Results remain variably sustained at 2 years. This initiative demonstrated that structured, team-based interventions can significantly improve psychiatric emergency care.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350915","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

Play it SAFE: Evaluating Self-Efficacy of Healthcare Providers Following Sexual Assault Forensic Examiner Certification Training. 安全行事：评估性侵犯法医认证培训后医疗服务提供者的自我效能。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-12-31 DOI: 10.1097/JMQ.0000000000000275

Erin Lavin, Samantha Blaine, Leah Gancz, Michelle Tepper, Amy Smith, Samita M Heslin

引用次数: 0

Transforming Safety Culture: A Systemwide High Reliability Approach to Preventing Serious Harm in Healthcare. 转变安全文化：预防医疗保健严重危害的全系统高可靠性方法。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2026-01-01 Epub Date: 2025-12-31 DOI: 10.1097/JMQ.0000000000000278

Mallory A Koshiol, Juliana Aadland, Julie M Lauria, Venkateshwaran K Iyer, Ganesh Asaithambi

{"title":"Transforming Safety Culture: A Systemwide High Reliability Approach to Preventing Serious Harm in Healthcare.","authors":"Mallory A Koshiol, Juliana Aadland, Julie M Lauria, Venkateshwaran K Iyer, Ganesh Asaithambi","doi":"10.1097/JMQ.0000000000000278","DOIUrl":"10.1097/JMQ.0000000000000278","url":null,"abstract":"Preventable medical error is a leading cause of death in the United States. While high-reliability organization (HRO) implementation efforts have become widespread, they often lack integration across culture, learning systems, and ambulatory care. A large health system launched a systemwide HRO improvement effort to drive reductions in serious safety events (SSEs), improve safety reporting culture, and align executive leadership with frontline safety practice. This is a retrospective observational study conducted between January 2019 and June 2025 across 12 hospitals and over 90 ambulatory clinics. The systemwide HRO intervention included leadership development, a unified safety reporting system, tiered safety huddles, and structured root cause analysis feedback. Safety culture scores were measured using Agency for Healthcare Research and Quality surveys in 2021 and 2024. SSEs were standardized as serious safety event reports (SSERs) per 10,000 patient-days. Hospital SSERs decreased significantly by 71% ( P < 0.001 for trend). Ambulatory SSERs increased due to enhanced harm detection efforts, but not significantly ( P = 0.356 for trend). Safety culture composite scores improved in 11 of 13 individual domains, with the largest percentage improvements in scores for leadership support and communication. A systemwide, unified HRO approach that holistically incorporates HRO-aligned standard work, executive leadership alignment, and proactive systems design can result in lasting preventable harm reductions and cultural transformation.","PeriodicalId":101338,"journal":{"name":"American journal of medical quality : the official journal of the American College of Medical Quality","volume":" ","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764927","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

Using a Thromboelastography-Based Transfusion Protocol for Acute Gastrointestinal Bleeding in Cirrhotic Patients. 使用基于血栓弹性成像的输血方案治疗肝硬化患者的急性胃肠道出血。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-11-01 Epub Date: 2025-10-31 DOI: 10.1097/JMQ.0000000000000264

Himsikhar Khataniar, Fjona Tabaku, Ashni Dharia, Dheera Grover, Mrudula Gadani, Aakash Gadani

引用次数: 0

Culture of Civility Drives Safe Patient Care in High-Reliability Organizations. 在高可靠性组织中，文明文化推动患者安全护理。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-11-01 Epub Date: 2025-06-12 DOI: 10.1097/JMQ.0000000000000260

Farzana Hoque

引用次数: 0

Identifying Inappropriate Dual Antiplatelet Therapy (DAPT) Utilization in the Outpatient Setting: A Quality Improvement Proposal. 识别不适当的双重抗血小板治疗（DAPT）的使用在门诊设置：一个质量改进建议。

American journal of medical quality : the official journal of the American College of Medical Quality Pub Date : 2025-11-01 Epub Date: 2025-10-31 DOI: 10.1097/JMQ.0000000000000263

Youssef Elfatatry, Julia Palecki, Amry Majeed, Nevin Varghese, Alexis Wickersham

引用次数: 0