Joint Commission journal on quality and patient safety最新文献

{"title":"We Count Our Successes in Lives","authors":"Brent C. James MD, MStat (Clinical Professor, Clinical Excellence Research Center (CERC), Department of Medicine, Stanford University School of Medicine, Stanford and Adjunct Professor, David S. Eccles School of Business, University of Utah, Salt Lake City. Please address correspndence to Brent C. James)","doi":"10.1016/j.jcjq.2024.12.006","DOIUrl":"10.1016/j.jcjq.2024.12.006","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 2","pages":"Pages 83-85"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970975","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}

{"title":"Reducing Hospital Length of Stay: A Multimodal Prospective Quality Improvement Intervention","authors":"Joseph Walker Keach MD (is the Medical Director of Hospital Care Management and Patient Flow, Division of Hospital Medicine, at Denver Health Medical Center, and an Associate Professor at the University of Colorado School of Medicine),&nbsp;Mara Prandi-Abrams (is the Operations Manager of Patient Flow at Denver Health Medical Center),&nbsp;Allison S. Sabel MD, PhD, MPH (is the Medical Director of Clinical Data and Analytics at Denver Health Medical Center, and a Visiting Associate Professor at the University of Colorado School of Medicine),&nbsp;Romana Hasnain-Wynia PhD (is the Chief of Academic Affairs and Public Health at Denver Health Medical Center, and a Professor at the University of Colorado School of Medicine),&nbsp;Jonathan M. Mroch (is the Director of Enterprise Data at Denver Health Medical Center),&nbsp;Thomas D. MacKenzie MD, MSPH (is an Internal Medicine Physician and Senior Advisor of Health Systems Learning at Denver Health Medical Center, and a Professor at the University of Colorado School of Medicine. Please address correspondence to Joseph Walker Keach MD.)","doi":"10.1016/j.jcjq.2025.01.012","DOIUrl":"10.1016/j.jcjq.2025.01.012","url":null,"abstract":"<div><h3>Background</h3><div>Prolonged hospital stays beyond medical necessity pose avoidable risks and costs. Reducing length of stay (LOS) without compromising patient outcomes is a national priority for hospitals. The authors aimed to systematically and safely improve LOS and LOS index (LOSI) at an urban academic safety-net hospital.</div></div><div><h3>Methods</h3><div>The research team conducted a multifaceted quality improvement initiative in a 550-bed hospital, focusing on improving LOSI and reducing LOS. Interventions included institutional investment in an LOS reduction program, development of rigorous internal LOS data analytics, and multiple Diagnosis Related Group (DRG)–focused LOS reduction initiatives (specifically, sepsis, obstetric, and psychiatric DRGs). Initial interventions occurred in mid-2019, with subsequent iterative improvement through 2023. Statistical analyses assessed pre- and postintervention outcomes.</div></div><div><h3>Results</h3><div>Mean LOSI significantly improved postintervention from 1.15 to 1.02 (-0.13, <em>p</em> &lt; 0.0001), with sustained performance for more than three years. The average LOS demonstrated a non–statistically significant but clinically relevant improvement from 6.24 to 5.91 days (-0.33 days, <em>p</em> = 0.45). Excluding outlier long-LOS encounters, the LOS demonstrated a statistically significant improvement in the postintervention slope change (-0.02 per month, <em>p</em> = 0.04), indicating a delayed improvement to LOS postintervention. There were no adverse effects on readmissions or mortality.</div></div><div><h3>Conclusion</h3><div>A multifaceted approach to LOS and LOSI improvement in a safety-net hospital yielded clinically significant and sustained results, showcasing the value of integrated strategies and organizational commitment.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 321-330"},"PeriodicalIF":2.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537034","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}

{"title":"Evaluating the Prevalence of Suicide Risk Screening Practices in Accredited Hospitals","authors":"Salome O. Chitavi PhD (Is Research Scientist II, Department of Research, The Joint Commission, Oakbrook Terrace, IL),&nbsp;Scott C. Williams PsyD (is Director, Department of Research, The Joint Commission),&nbsp;Jamie Patrianakos PhD (is Research Scientist I, Department of Research, The Joint Commission),&nbsp;Stephen P. Schmaltz PhD, MPH, MS (is Senior Biostatistician, Department of Research (retired), The Joint Commission),&nbsp;Edwin D. Boudreaux PhD (is Professor, Departments of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School),&nbsp;Brian K. Ahmedani PhD, LMSW (is Director, Center for Health Policy and Health Services Research, and Director of Research, Behavioral Health Services, Henry Ford Health, Detroit),&nbsp;Kimberly Roaten PhD, ABPP (is Professor, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas),&nbsp;Katherine Anne (Kate) Comtois PhD, MPH (is Professor, Department of Psychiatry and Behavioral Sciences, University of Washington),&nbsp;Farzana Akkas MSc (is Principal Associate – Suicide Risk Reduction Project, The Pew Charitable Trusts, Springfield, Virginia),&nbsp;Gregory K. Brown PhD (is Associate Professor of Clinical Psychology in Psychiatry, Perelman School of Medicine, University of Pennsylvania. Please address correspondence to Salome Chitavi)","doi":"10.1016/j.jcjq.2025.01.010","DOIUrl":"10.1016/j.jcjq.2025.01.010","url":null,"abstract":"<div><h3>Background</h3><div>The Joint Commission's National Patient Safety Goal (NPSG) on suicide prevention (NPSG.15.01.01) requires accredited hospitals to screen all patients aged 12 years and older who are being evaluated or treated for behavioral health conditions as their primary reason for care for suicidal ideation using a validated screening tool. Some hospitals have expanded screening to include nonbehavioral health care patients.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study explored the prevalence and challenges of suicide risk screening practices among Joint Commission–accredited hospitals. An online questionnaire was sent to 859 general medical/surgical hospitals. Chi-square tests were used to evaluate differences in response rates, and responses were adjusted by hospital characteristics (bed capacity, location, system, and teaching status).</div></div><div><h3>Results</h3><div>A total of 284 (33.1%) hospitals responded. The majority (<em>n</em> = 225 [79.2%]) reported screening all patients hospitalwide, and 185 (65.1%) had implemented a suicide prevention framework that includes protocols for positive screens and risk assessment. Challenges for implementing a comprehensive universal suicide risk screening and assessment protocol included insufficient staffing and lack of secure environments for at-risk patients. Of the 59 organizations not conducting hospitalwide screening, 94.9% indicated multiple reasons, including negative impact on workflow (30 [50.8%]), burden on providers (30 [50.8%]), not a requirement (29 [49.2%]), and workflow feasibility (28 [47.5%]).</div></div><div><h3>Conclusion</h3><div>Results suggest the majority of accredited hospitals have implemented suicide risk screening practices that exceed current Joint Commission requirements. The lack of sufficient resources to adequately address patients who screen positive for suicide risk remains a key challenge to universal screening.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 342-349"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536955","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}

{"title":"Advancing Measurement of Diagnostic Excellence for Better Healthcare","authors":"Jenna Williams-Bader MPH (is Managing Director, National Quality Forum, Washington, DC),&nbsp;Kathryn M. McDonald PhD (is Bloomberg Distinguished Professor of Health Systems, Quality and Safety, Johns Hopkins University Schools of Nursing and Medicine, Baltimore, MD),&nbsp;Elizabeth E. Drye MD (is Chief Scientific Officer, National Quality Forum. Please address correspondence to Jenna Williams-Bader)","doi":"10.1016/j.jcjq.2025.01.011","DOIUrl":"10.1016/j.jcjq.2025.01.011","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 386-387"},"PeriodicalIF":2.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585802","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}

{"title":"Demographic Profile and Oversight Duties of Today's Health Care Quality Leaders","authors":"Kimiyoshi J. Kobayashi MD, MBA (is Chief Quality Officer, UMass Memorial Medical Center, and Associate Professor, Departments of Medicine and Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Masschusetts),&nbsp;Amy C. Lu MD, MHP (is Chief Quality Officer and Vice President, University of California, San Francisco (UCSF) Health, and Professor, Department of Anesthesia and Perioperative Care, UCSF School of Medicine),&nbsp;Christopher S. Kim MD, MBA (is Senior Vice President and Chief Quality Officer, Wellstar Health System, Atlanta),&nbsp;Bela Patel MD, FCCP, FCCM, ATSF (is Professor of Medicine and Vice Dean of Healthcare Quality, University of Texas Health Science Center and Memorial Hermann Hospital, Houston),&nbsp;Jennifer Wiler MD, MBA, FACEP (is Professor, Department of Emergency Medicine, University of Colorado School of Medicine),&nbsp;Mbonu Ikezuagu MD, MHSA, FACP, CPE (is Vice President and Chief Quality Officer, ThedaCare, Neenah, Wisconsin),&nbsp;Jodi L. Eisenberg MHA, CPHQ (is Associate Vice President, Member Networks–Quality Executive Network, Vizient, Chicago),&nbsp;David M. Safley MD, FACC (is Vice President of Medical Affairs, Quality, Saint Luke's Health System, University of Missouri–Kansas City. Please address correspondence to Jodi Eisenberg)","doi":"10.1016/j.jcjq.2025.01.009","DOIUrl":"10.1016/j.jcjq.2025.01.009","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 381-385"},"PeriodicalIF":2.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501453","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}

{"title":"Utilizing Recorded Resuscitations for Neonatal Team Process Improvement","authors":"Audrey Moore NNP (is Neonatology Nurse Practitioner, Lucile Packard Children's Hospital Stanford, Palo Alto, California, and Center for Advanced Pediatric & Perinatal Education (CAPE), Stanford University),&nbsp;Louis P. Halamek MD (is Professor, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University),&nbsp;Janene H. Fuerch MD (is Clinical Associate Professor, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University),&nbsp;Rodrigo B. Galindo MSc, CHSOS (is CAPE Simulation Lab Manager and Operations Specialist, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University),&nbsp;Nicole K. Yamada MD, MS (is Clinical Professor, Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University. Please address correspondence to Audrey Moore)","doi":"10.1016/j.jcjq.2025.01.008","DOIUrl":"10.1016/j.jcjq.2025.01.008","url":null,"abstract":"<div><div>Newborn resuscitation requires health care professionals to quickly assemble into a high-functioning integrated team. At the authors’ academic children's hospital, there are billions of permutations of team composition that could attend a complex newborn delivery at any given time. ResusOne, a resuscitation safety and performance improvement program, uses recorded neonatal resuscitations to identify areas for improvement. The authors identified the following key areas that would support better team performance: (1) need for role clarity and task allocation among delivery team members and (2) communication challenges when calling for neonatal delivery teams. This article describes two tools that were developed to address the issues that were identified in these two areas.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 368-377"},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476621","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}

{"title":"Change in US Hospital Practice After the Joint Commission Requirement to Use Distinct Methods of Newborn Identification: A Cross-Sectional 10-Year Follow-Up Survey","authors":"Jason S. Adelman MD, MS (Associate Dean for Quality and Patient Safety; Director, Center for Patient Safety Science; Vice Chair for Quality & Patient Safety, Department of Medicine; and Associate Professor of Medicine (in Biomedical Informatics) at Columbia University Irving Medical Center, Vagelos College of Physicians & Surgeons),&nbsp;Jo R. Applebaum MPH (Research Advisor, Center for Patient Safety Science, Columbia University Irving Medical Center),&nbsp;Nicole Krenitsky MD, MBA (Fellow in Patient Safety Research and Clinical Fellow in Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center),&nbsp;Dena Goffman MD (Vice Chair for Quality and Patient Safety and Professor, Department of Obstetrics and Gynecology, Columbia University Irving Medical Center),&nbsp;Saud Khan MBBS, MHA, MS (Data Scientist, Center for Patient Safety Science, Columbia University/NewYork-Presbyterian Hospital),&nbsp;Baruch S. Fertel MD (Associate Clinical Professor, Department of Emergency Medicine, Columbia University Irving Medical Center),&nbsp;Judy L. Aschner MD (Professor, Center for Discovery and Innovation, Department of Pediatrics, Hackensack Meridian School of Medicine, Hackensack, New Jersey)","doi":"10.1016/j.jcjq.2025.01.006","DOIUrl":"10.1016/j.jcjq.2025.01.006","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 378-380"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433150","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}

{"title":"Use of the Model for Improvement to Reduce Hyperglycemia in Adult Patients Admitted to a Public Tertiary Care Hospital","authors":"Gabriela Berlanda Ph.D. (Pharmacist, Hospital de Clínicas de Porto Alegre (HCPA) and Postgraduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil),&nbsp;Luiza Daniel de Souza (RN, HCPA and UFRGS),&nbsp;Juliana da Silva Lima MSc. (RN, HCPA),&nbsp;Caroline Tortato (Pharmacist, HCPA),&nbsp;Simone Silveira Pasin MSc. (RN, HCPA),&nbsp;Eloni Rotta MSc. (Pharmacist, HCPA),&nbsp;Melissa Hemesath MSc. (RN, HCPA),&nbsp;Thais Ortiz Hammes PhD. (RD, HCPA),&nbsp;Fernanda Rosa Indriunas Perdomini MSc. (RN, HCPA),&nbsp;Claudia Carolina Schnorr (MD, HCPA),&nbsp;Helena Barreto dos Santos PhD. (MD, HCPA),&nbsp;Cristiane Bauermann Leitao PhD. (MD, HCPA and Associate Professor, UFRGS),&nbsp;Beatriz D. Schaan PhD. (MD, HCPA and Full Professor, UFRGS. Please address correspondence to Gabriela Berlanda)","doi":"10.1016/j.jcjq.2025.01.004","DOIUrl":"10.1016/j.jcjq.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>The objective of this study was to reduce by 50% the occurrence of average daily blood glucose (ADBG) &gt; 180 mg/dL among noncritical patients admitted to a surgical ward at a public tertiary care hospital.</div></div><div><h3>Methods</h3><div>This project ran from April 2022 to June 2023 and used the Model for Improvement (MFI) method. Health care Failure Modes and Effects Analysis was used to identify and analyze failure modes in hyperglycemia management, and a driver diagram (DD) was used to prioritize and structure changes. The Plan-Do-Study-Act (PDSA) tool facilitated the change process. Data were collected using standardized forms and monitored with run charts, considering process, outcome, and balance indicators. The DD included 12 changes focusing on protocol implementation, adequate medical prescription, correct insulin administration, proper blood glucose monitoring, appropriate diet prescription, safe care transitions between units, routine of publication and discussion of indicators, leadership engagement with frontline workers on hyperglycemia management, educational actions, and defining roles and responsibilities.</div></div><div><h3>Results</h3><div>A 69.0% reduction in ADBG &gt; 180 mg/dL and a 100% reduction in ADBG &gt; 300 mg/dL were achieved, though hypoglycemic events increased from 8 to 11 per 100 patient-days using insulin or oral antidiabetic medications. Reductions in nonconformities in medical prescription and insulin administration (50.0% and 71.4%, respectively) were also achieved.</div></div><div><h3>Conclusion</h3><div>In this pilot project, use of the MFI led to improved prescription practices, insulin administration, and blood glucose control, reducing the rate of hyperglycemia in hospitalized patients.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 313-320"},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537010","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}

{"title":"Patient Safety Culture Among Nurses in Hospital Settings Worldwide: A Systematic Review and Meta-Analysis","authors":"Georgia Kyriakeli MBA, RN (is Deputy Director of Nursing Service, Department of Nursing Service, General Hospital Papageorgiou, Thessaloniki, Greece),&nbsp;Anastasia Georgiadou RM (is Registered Midwife, B’ Neonatal Intensive Care Unit, General Hospital Papageorgiou),&nbsp;Agapi Symeonidou MBA, RN (is Deputy Nurse Manager, 3rd Department of Internal Medicine, General Hospital Papageorgiou),&nbsp;Zoi Tsimtsiou PhD, MD (is Associate Professor, Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece),&nbsp;Theodoros Dardavesis PhD, MD (is Professor, Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, and Dean, School of Health Sciences, Aristotle University of Thessaloniki),&nbsp;Vasilios Kotsis PhD, MD (is Professor, 3rd Department of Internal Medicine, School of Medicine, Aristotle University of Thessaloniki. Please address correspondence to Georgia Kyriakeli)","doi":"10.1016/j.jcjq.2025.01.007","DOIUrl":"10.1016/j.jcjq.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>Assessment of patient safety culture (PSC) is critical for health care organizations worldwide to recognize areas that require urgent attention, promote patient safety, and improve quality of care. The aim of this systematic review was to determine the overall PSC score among nurses worldwide and identify the dimensions of PSC that score the highest and the lowest, as well as any geographical differentiations.</div></div><div><h3>Methods</h3><div>Literature research was conducted in PubMed and Scopus search engines and the Agency for Healthcare Research and Quality (AHRQ) Research Reference List to identify studies published in English between January 2004 and May 2023 that used the Hospital Survey on Patient Safety Culture, version 1, to measure hospital nurses’ assessment of PSC. This review followed the PRISMA 2020 guidelines and was registered in PROSPERO.</div></div><div><h3>Results</h3><div>From 1,507 records, 21 studies were included with 10,951 participants. The overall PSC score was 3.341 (95% confidence interval [CI] 3.221–3.460). The dimension scored highest was Teamwork Within Units, with a mean score of 3.719 (95% CI 3.594–3.844). Staffing, with a mean score of 3.096 (95% CI 2.980–3.212) was scored lowest. Statistically significant differences related to geographical distribution were found for overall PSC score and five of the PSC dimensions.</div></div><div><h3>Conclusion</h3><div>Nurses throughout the world rated the PSC at their organizations moderate to good. Certain dimensions of PSC were reported to need reinforcement to create a strong overall safety culture in health care. Participants rated European hospitals as having a stronger PSC than South American or Middle Eastern hospitals. Differentiations need to be further studied and analyzed for effective and targeted global interventions.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 350-360"},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515649","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}

{"title":"Developing a Standardized Process to Visualize, Analyze, and Communicate NSQIP Data Using an Advanced Visual Data Analytics Tool","authors":"Linda C. Alongi MSN (is Surgical Quality Improvement Coordinator, Park Nicollet Methodist Hospital, St. Louis Park, Minnesota),&nbsp;Brady Alsaker MSN (formerly Clinical Analyst, Park Nicollet Methodist Hospital, is Registered Nurse, Minnesota Department of Veterans Affairs, St. Paul, Minnesota),&nbsp;David J. Willis MD (is Surgeon, Park Nicollet Methodist Hospital, and System Medical Director of Quality Improvement, Surgical Services, HealthPartners, Minneapolis),&nbsp;William A. Burns (is Primary Research Assistant, HealthPartners Institute, Bloomington, Minnesota),&nbsp;Charles R. Watts MD, PhD (is Neurosurgeon and Chair of Neurosurgery, Park Nicollet Methodist Hospital. Please address correspondence to Charles R. Watts)","doi":"10.1016/j.jcjq.2025.01.003","DOIUrl":"10.1016/j.jcjq.2025.01.003","url":null,"abstract":"<div><h3>Background</h3><div>To help surgeons improve quality, the American College of Surgeons National Quality Improvement Program (ACS NSQIP) Semiannual Reports and Interim Semiannual Reports provide high-level views of 30-day morbidity and mortality rates. Surgeons at one hospital requested the ability to visualize data with interactive navigation and analysis of comorbidities monthly. Using advanced visual data analytics, the authors constructed a surgical scorecard to provide the desired feedback.</div></div><div><h3>Methods</h3><div>The authors undertook a proof-of-concept project tracking surgical site infections (SSIs) and associated medical comorbidities. An anonymized training dataset of 3,438 patients was sampled between January 1, 2021, and October 31, 2022, from the hospital's NSQIP data. For proof-of-concept interface/system testing and to maintain data privacy, a synthetic 5,000-patient NSQIP database was generated using the Synthetic Data Vault, Python 3.7. Comorbidity variables were: diabetes mellitus, HgbA1c, immunosuppressive therapy, hypertension requiring medication, body mass index, and smoking within one year. The primary outcome was SSI. The research team generated scorecards for SSIs as a function of time, surgical department, and medical comorbidity. Odds ratios with confidence intervals and chi-square tests were used to analyze the relationships between SSI and comorbidities.</div></div><div><h3>Results</h3><div>Advanced visual data analytics improved the timeliness of NSQIP Semiannual Reports and Interim Semiannual Reports from 6 months to 45 days. The scorecard allowed for visualization of data trends as a function of time, specialty, and procedural group. Statistical testing allowed for the identification of surgeons who were statistical outliers with regard to SSIs.</div></div><div><h3>Conclusion</h3><div>Implementation of an on-demand scorecard for data visualization and analysis allowed for up-to-date analysis of the relationship between medical comorbidities and SSI and identification of performance outliers.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 5","pages":"Pages 361-367"},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531398","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}