Joint Commission journal on quality and patient safety最新文献

{"title":"Patient-Reported Diagnostic Excellence in Emergency Care: Cross-Site Score Variation and Purpose-Dependent Interpretation","authors":"Vadim Dukhanin MD, MHS (is Assistant Scientist, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health), Kathryn M. McDonald PhD, MM/MBA (is Bloomberg Distinguished Professor, Johns Hopkins University School of Nursing, and Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine), Diane Kuhn MD, PhD (is Emergency Physician and Assistant Professor of Emergency Medicine, Indiana University School of Medicine, and Regenstrief Institute, William M. Tierney Center for Health Services Research, Indianapolis), Sara W. Heinert PhD, MPH (is Assistant Professor and Director of Research, Department of Emergency Medicine, Rutgers Robert Wood Johnson Medical School), Elyssa B. Wood PhD, MPH, RN, FAEN (is Nurse Research Scientist, Inova Health System, Fairfax, Virginia, and Inova Children’s Hospital, Falls Church, Virginia), Kelly T. Gleason RN, PhD (is Associate Professor, Johns Hopkins University School of Nursing. Please address correspondence to Vadim Dukhanin)","doi":"10.1016/j.jcjq.2026.03.013","DOIUrl":"10.1016/j.jcjq.2026.03.013","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 313-315"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929761","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":"Harm Among Reported Patient Safety Incidents Across Age Groups in Mexican Tertiary Care Hospitals","authors":"Rosa A. Zárate-Grajales MSc (is Head of the Faculty of Nursing and Midwifery, National Autonomous University of Mexico, Mexico City.),&nbsp;Luis A. Benítez-Chavira MSc (is Professor, Faculty of Nursing and Midwifery, National Autonomous University of Mexico.),&nbsp;Sandra Hernández-Corral PhD (Research Nurse National Rehabilitation Institute Luis Guillermo Ibarra Ibarra and Professor, Faculty of Nursing and Midwifery, National Autonomous University of Mexico),&nbsp;Judith Barrientos-Sánchez MSc (is Coordinator of Nursing Research, National Institute of Pediatrics, Mexico City.),&nbsp;Paula Rodríguez-León MSc (is Coordinator of Nursing Research, Women's Hospital, Mexico City.),&nbsp;Gustavo Nigenda PhD (is Professor, Faculty of Nursing and Midwifery, National Autonomous University of Mexico.),&nbsp;Edson Serván-Mori PhD (is Senior, Center for Health Systems and Research, National Institute of Public Health, Cuernavaca, Mexico. Please address correspondence to Sandra Hernández-Corral)","doi":"10.1016/j.jcjq.2026.04.001","DOIUrl":"10.1016/j.jcjq.2026.04.001","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety incidents remain an important challenge for quality of care and hospital performance. Evidence from low- and middle-income countries is limited, particularly on whether harm among reported incidents differs across age groups. This study examined age-related differences in harm among reported inpatient patient safety incidents in Mexican public tertiary care hospitals.</div></div><div><h3>Methods</h3><div>The authors conducted a cross-sectional analysis using administrative incident-report data from 10 public tertiary care hospitals in Mexico. The study analyzed 180 eligible reported inpatient incidents identified between January and September 2019. Incident type was categorized as near miss, no-harm incident, adverse event, or sentinel event. Harm severity was classified using the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) Index and recoded as no harm vs. harm. The authors estimated adjusted predicted probabilities of harm and 95% confidence intervals (CIs) by age group using logistic regression with robust standard errors, adjusting for work shift and primary diagnosis.</div></div><div><h3>Results</h3><div>Of all reported incidents, 12.2% were near misses, 38.3% were no-harm incidents, 46.7% were adverse events, and 2.8% were sentinel events. Overall, 49.5% of reported incidents involved harm. The adjusted probability of harm among reported incidents was 49.5% (95% CI 40.7%–58.3%) overall, 77.8% (95% CI 65.1%–90.5%) among children younger than 5 years, 48.2% (95% CI 31.9%–64.5%) among those aged 5–18 years, and 22.2% (95% CI 8.6%–35.9%) among adults.</div></div><div><h3>Conclusion</h3><div>In this sample of reported inpatient incidents, harm was more frequent among younger children, particularly those younger than 5 years. These findings support age-stratified review of reported incidents, strengthening of pediatric safety processes, and improvement of hospital reporting and learning systems. The estimates describe harm within a sample of reported incidents and should not be interpreted as population-level incidence.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 295-301"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864077","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":"When Patients’ Feelings During Their Hospital Stay Affect Their Level of Experience and Satisfaction with Quality of Care","authors":"Hélène Lazareth MD, PhD (Service de Néphrologie, Hôpital Européen Georges Pompidou, APHP, Université Paris Cité, Paris, France),&nbsp;Caroline Prunet PhD,&nbsp;Marie Gloanec MS,&nbsp;Sandrine Morin PhD,&nbsp;Laetitia May-Michelangeli MD (are affiliated with Service Évaluation et outils pour la qualité et la sécurité des soins (EvOQSS), Direction de l’amélioration de la qualité et de la sécurité des soins, French National Authority for Health (HAS), Saint-Denis-La-Plaine, France. Please address correspondence to Hélène Lazareth)","doi":"10.1016/j.jcjq.2026.03.008","DOIUrl":"10.1016/j.jcjq.2026.03.008","url":null,"abstract":"<div><h3>Background</h3><div>In France, data on patient satisfaction and experience after a hospital stay are collected through the national “e-Satis” program, based on self-administered online questionnaires. The authors aimed to assess patient and hospital stay characteristics associated with the patient’s overall experience and level of satisfaction during a hospital stay.</div></div><div><h3>Methods</h3><div>Patients included were aged ≥18 years, hospitalized between 2016 and 2022, for more than 48 hours in a medical, surgical or obstetrical department. An overall experience and satisfaction score was calculated for each patient. Three classes based on quintiles of the study population were defined: (1) “low” if the overall patient experience and satisfaction score was &lt; 63.7/100 (1st quintile); (2) “moderate” if between 63.7/100 and 84.9/100 (2nd–4th quintiles); (3) “high” if ≥ 85.0/100 (5th quintile). A multinomial logistic regression model was conducted (reference = “moderate” class) without hospital-level clustering analysis.</div></div><div><h3>Results</h3><div>A total of 1,861,077 questionnaires were analyzed. Out of all patients, 34.9% experienced extreme/intense pain, 37.7% experienced anxiety, and 30.8% other discomforts. The authors identified a significant association between a low experience and satisfaction level and the experience of anxiety only (adjusted odds ratio [aOR] 2.72, 95% confidence interval [CI] 2.65–2.79), or the combination of extreme/intense pain with anxiety and other discomforts during a same hospital stay (aOR 5.14, 95% CI 5.05–5.23), as compared with patients who did not experience it. The aORs stayed high whenever anxiety had been felt during the hospitalization.</div></div><div><h3>Conclusion</h3><div>Experiencing anxiety, pain and other discomforts during a hospital stay is associated with significantly reduced overall patient experience and satisfaction level in France. The detection and management of patients’ psychological distress (pain, anxiety, nausea, uncomfortable position, or dizziness) appear to be an integral part of the management of patients during their hospitalization.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 276-283"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771976","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":"Implementation of a Prenatal Hemorrhage Risk Screening Tool: A Quality Improvement Initiative","authors":"Andrea Sanchez Velazquez MD, MPH (is Resident, Department of Obstetrics and Gynecology, WellSpan York Hospital, York, Pennsylvania.),&nbsp;Adriane Burgess PhD, RN (is Director, OB/GYN Residency Research, Department of Obstetrics and Gynecology, WellSpan York Hospital.),&nbsp;Michelle Erickson MD MBA (is Medical Director, Transfusion Services, Department of Pathology, WellSpan York Hospital.),&nbsp;Julia Wheeling MBA, RN (is Director, Women’s and Children’s Service Line, Department of Obstetrics and Gynecology, WellSpan York Hospital.),&nbsp;Aimee Fleischman MSN, RN (is Parent Education Coordinator and Nurse Manager, Department of Obstetrics and Gynecology, WellSpan York Hospital.),&nbsp;Kelley Clark MD (is Chair, Department of Obstetrics and Gynecology, WellSpan York Hospital. Please address correspondence to Andrea Sanchez Velazquez)","doi":"10.1016/j.jcjq.2026.03.007","DOIUrl":"10.1016/j.jcjq.2026.03.007","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality. Early identification of risk during pregnancy is essential for optimizing care. This quality improvement (QI) study evaluates the implementation of a prenatal hemorrhage risk assessment integrated into the electronic health record (EHR).</div></div><div><h3>Methods</h3><div>As part of a systemwide QI initiative, a prenatal PPH risk assessment tool was developed and embedded in the EHR in 2023 to identify patients with risk factors during the prenatal period. A retrospective chart review assessed adherence to screening across 28 outpatient obstetric clinics between October 2023 and June 2024. A subset analysis of patients screened from October to December 2023 examined risk levels, risk factors, adherence to recommendations, and delivery outcomes.</div></div><div><h3>Results</h3><div>Between October 2023 and June 2024, 4,688 birthing people completed their first prenatal visit, of whom 93.6% (<em>n</em> = 4,390) were screened. In the subset analysis, 12.0% (n=131) were classified as moderate risk and 13.0% (<em>n</em> = 139) as high risk. Common moderate-risk factors included &gt; 4 vaginal deliveries (33.6%, <em>n</em> = 44) and body mass index (BMI) &gt; 50 (19.1%, <em>n</em> = 25). Among high-risk patients, prior PPH (55.4%, <em>n</em> = 77) and prior cesarean delivery (16.5%, <em>n</em> = 23) were the most frequent risk factors. Of the high-risk cohort, 92.8% (<em>n</em> = 129) received a blood bank consultation, and 9.4% (<em>n</em> = 13) experienced PPH at delivery.</div></div><div><h3>Conclusion</h3><div>Embedding a prenatal hemorrhage risk assessment into the EHR with standardized workflows supports timely referrals, consultations, and resource allocation. Automated alerts and multidisciplinary coordination enhance clinical decision-making and care cohesion. This approach offers significant potential for improving maternal outcomes, particularly in resource-limited settings.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 284-294"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772011","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":"Digital Health Safety Surveillance: Improving Patient Support Throughout the Diagnostic Trajectory","authors":"Brett Moran MD (is Senior Vice President and Chief Health Officer, Parkland Health, Dallas, and Adjunct Professor of Internal Medicine at UT Southwestern Medical Center,),&nbsp;Jenny L. Weon MD, PhD (is an Assistant Professor, Informatics and Neuropathology, Department of Pathology, UT Southwestern Medical Center, Dallas, and Medical Director of Pathology Informatics and Associate Medical Informatics Officer, Parkland Health,),&nbsp;Margaret Hinshelwood PhD (is Scientific Writer, Office of Research Administration, Parkland Health,),&nbsp;Vasu Polineni MHA (is Senior Director of Business Planning and Development, Parkland Health,),&nbsp;Reagan Power RN (is Associate Nurse Manager, Digital Health Center, Parkland Health,),&nbsp;L. Steven Brown MS (is Senior Biostatistician, Health Systems Research, Parkland Health,),&nbsp;Albert Karam MS, MBA (is Chief Information Officer, Parkland Center for Clinical Innovation, Dallas,),&nbsp;Alex Turicchi BBA (is Manager, Virtual Care Technology, Parkland Health,),&nbsp;Anarose Palumbo LVN (is a Nurse and Patient Advocate, Digital Health Center, Parkland Health,),&nbsp;Molly Case RN, MHA (was Senior Director, Virtual Care Center, Parkland Health. Please address correspondence to Brett Moran)","doi":"10.1016/j.jcjq.2026.04.004","DOIUrl":"10.1016/j.jcjq.2026.04.004","url":null,"abstract":"<div><h3>Background</h3><div>Missed and delayed diagnoses are a challenging critical patient safety concern and disproportionately affect minority populations. There is an urgent need for comprehensive approaches to diagnostic safety improvement.</div></div><div><h3>Methods</h3><div>In response to a sentinel event in 2013, Parkland Health established a centralized digital Safety Net Surveillance (SNS) program. The program initial focused on tracking delayed follow-up imaging resulting from incidental radiology findings and has now expanded to manage six high-risk diagnostic scenarios. By 2022 the SNS program was incorporated into the newly launched Digital Health Center, supported by a specialized team with bilingual capabilities using motivational interviewing health-related social needs screening, social worker integration, and electronic health record–integrated workflows to effectively identify and guide patients through follow-up care.</div></div><div><h3>Results</h3><div>The number of cases supported by SNS staff for radiology findings increased from 223 (2018) to 819 (2022), with completion of follow-up scans improving from 41.3% at baseline to 96.6% after program implementation. Among those benefiting from intensified support and imaging follow-up, 3.1% required surgical intervention and 4.3% were diagnosed with cancer. The program demonstrated consistent improvement as it was expanded to additional high-risk triggers, including abnormal tumor markers (85.3% to 88.8%; <em>p</em> = 0.001) and new cancer follow-up (48.4% to 74.7%; <em>p</em> &lt; 0.001). The program addressed diagnostic error inequities and implemented corrective measures for patients with missed diagnoses―49.7% Spanish-speaking, 65.9% women, and more than 40% from disadvantaged communities.</div></div><div><h3>Conclusion</h3><div>Parkland Health’s SNS program significantly improved identification and management of missed and delayed follow-up to diagnostic tests. The program’s innovative and replicable approach to comprehensive patient support offers a blueprint for other healthcare organizations to systematically address diagnostic errors and care disparities.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 267-275"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874528","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":"Implementing the SSKIN Bundle in Home Healthcare: A Tool Tutorial for Reducing Pressure Injuries","authors":"Mohammed Aldhoun MSc, MBA, PhDc (is Director of Nursing, Home Healthcare Services, Hamad Medical Corporation, Doha, Qatar.),&nbsp;Maryam Ali K M Al Tamimi MSN (is Director of Nursing, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Hanadi Al Hamad MD (is Deputy Chief Medical Officer, Hamad Medical Corporation.),&nbsp;Nadya Al-Rauili MSN (is Executive Director of Nursing, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Fatima Ali B Bouladi PhD (is Assistant Executive Director of Nursing, Pediatric Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Maqsood Ibrahim Adam MBA (is Assistant Executive Director Business Development, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Sybil Binu George BSN (is Senior Quality Improvement Reviewer, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Latha Ayyar Thevar BSN (is Quality Management/Improvement Reviewer, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Cini Joseph MSN (is Head Nurse, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Enas Abdrabo Mohamed SA Elgezery MSN (is Nurse Educator, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Amira Abdelsalam A/Elmotalab BSN (is Registered Nurse, Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Mervat Khader Mahmoud Hammoudeh BSN (is Nursing Educator, Pediatric Home Healthcare Services, Hamad Medical Corporation.),&nbsp;Kalpana Singh PhD (is Senior Epidemiologist, Nursing & Midwifery Research Department, Hamad Medical Corporation.),&nbsp;Fatima Ahmad Ajaj PharmD (is Clinical Pharmacist, Home Healthcare Services, Hamad Medical Corporation. Please address correspondence to Mohammed Aldhoun)","doi":"10.1016/j.jcjq.2026.03.012","DOIUrl":"10.1016/j.jcjq.2026.03.012","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries remain a significant source of preventable harm in home healthcare settings where standardized prevention approaches are often inconsistent, and caregiver support varies substantially. The object of this study was to provide a comprehensive, replicable toolkit for implementing the SSKIN bundle (Support surfaces, Skin inspection, Keep moving, Incontinence management, Nutrition) in home healthcare to reduce pressure injury incidence.</div></div><div><h3>Methods</h3><div>The authors implemented the SSKIN bundle across Qatar’s Home Healthcare Services, serving approximately 2,650 patients monthly. The intervention comprised structured training for 110 nursing staff (January–March 2023), culturally adapted Arabic and English educational materials for caregivers, standardized risk assessment protocols using the Braden Scale, and enhanced referral pathways. Implementation began in April 2023 across all four geographic districts simultaneously. The study measured monthly pressure injury incidence rates from January 2023 through December 2025.</div></div><div><h3>Results</h3><div>Monthly pressure injury incidence declined from a baseline of 0.48% (January–April 2023, <em>n</em> = 47 injuries over 4 months) to 0.36% in 2024 (<em>n</em> = 115 injuries over 12 months) and 0.34% in 2025 (<em>n</em> = 111 injuries over 12 months), representing a sustained 29% relative reduction. Nursing staff compliance with SSKIN documentation protocols exceeded 97% by 18 months postimplementation. The median monthly incidence shifted from 0.50% preintervention to 0.34% postintervention, indicating statistically significant improvement.</div></div><div><h3>Conclusion</h3><div>Systematic implementation of the SSKIN bundle in home healthcare effectively reduces pressure injury incidence when combined with comprehensive staff education, cultural adaptation of materials, and standardized documentation. This toolkit provides replicable resources for organizations seeking to implement evidence-based pressure injury prevention in community settings.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 302-312"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351653","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":"Anxiety, Experience, and the Hidden Drivers of Quality","authors":"Laura Cooley PhD (is Editor-in-Chief, Journal of Patient Experience. Please address correspondence to Laura Cooley)","doi":"10.1016/j.jcjq.2026.04.009","DOIUrl":"10.1016/j.jcjq.2026.04.009","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 7","pages":"Pages 265-266"},"PeriodicalIF":3.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963709","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":"A Clinical Decision Support (CDS) Tool for Management of Pro Re Nata (PRN) Range Orders in Phase I Postanesthesia Care Unit (PACU): One Organization's Experience Standardizing Registered Nurse Use.","authors":"Jennifer M Paquette, Philip J Trapskin, Rhonda R Gessler, Kenneth J Van Dyke, Ann R Keenan","doi":"10.1016/j.jcjq.2026.05.007","DOIUrl":"https://doi.org/10.1016/j.jcjq.2026.05.007","url":null,"abstract":"<p><p>For organizations using range orders, Joint Commission requires the standardization of range order interpretation, utilization, and nurse training. The aim of this work was to create a tool outlining the standard approach applied by postanesthesia care unit (PACU) registered nurses (RNs) treating patient pain using as needed intravenous opioid range orders. Engaging PACU RNs in the development of the tool and using scenario-based training demonstrated standardized interpretation and utilization, which was validated in Joint Commission's on-site surveys. Appropriate use of this tool demonstrates that RNs can use opioid range orders to safely and effectively meet individual patients' pain management goals.</p>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148828445","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":"Surgical Advance Care Planning: Initial Validation of Patient Portal Messages for a Multisite Randomized Controlled Trial","authors":"Lindsay Welton MD, MAMG (is General Surgery Resident, Department of Surgery, University of Minnesota, and Fellow, Center for Learning Health System Sciences, University of Minnesota),&nbsp;Rebecca L. Sudore MD (is Professor, Department of Medicine, Division of Geriatrics, University of California, San Francisco),&nbsp;Chloe Botsford MPH (is Health Outcomes Researcher, Center for Learning Systems Sciences, University of Minnesota),&nbsp;Samuel O’Brien MS (is Clinical Research Coordinator, Department of Surgery, University of California, San Francisco),&nbsp;Joseph C. Carmichael MD (is Professor, Division of Colon and Rectal Surgery, University of California, Irvine (UCI), and Chief Medical Officer and Senior Vice President, UCI Health),&nbsp;Genevieve B. Melton MD, PhD (is Professor of Surgery, University of Minnesota, and Core Faculty Member, Institute of Health Informatics, University of Minnesota),&nbsp;Elizabeth Wick MD (is Professor, Department of Surgery, University of California, San Francisco. Please address correspondence to Dr. Elizabeth Wick)","doi":"10.1016/j.jcjq.2026.03.002","DOIUrl":"10.1016/j.jcjq.2026.03.002","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 5","pages":"Pages 231-234"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838158","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 Knee MRI to Assess Osteoarthritis—Room for Improvement?","authors":"Eric R. Bohm BEng, MD, MSc (is Professor, Department of Surgery, University of Manitoba, and Surgeon, Concordia Joint Replacement Group, Winnipeg, Manitoba, Canada),&nbsp;Sarah Slagerman MSc (is Quality Improvement and Research Coordinator, George & Fay Yee Centre for Healthcare Innovation, University of Manitoba),&nbsp;Christiaan H. Righolt PhD (is Assistant Professor, Department of Surgery, University of Manitoba, and Director of Clinical Research, Orthopaedic Innovation Centre, Winnipeg),&nbsp;Colton Poitras MSc (is Data Analyst, Orthopaedic Innovation Centre),&nbsp;Scott Gregoire MD (is Assistant Professor, Department of Radiology, University of Manitoba, and Diagnostic Radiologist, Selkirk Regional Health Centre, Selkirk, Manitoba),&nbsp;Jarret Woodmass MD (is Associate Professor, Department of Surgery, University of Manitoba, and Surgeon, Pan Am Clinic, Winnipeg. Please address correspondence to Eric Bohm)","doi":"10.1016/j.jcjq.2026.03.003","DOIUrl":"10.1016/j.jcjq.2026.03.003","url":null,"abstract":"","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"52 5","pages":"Pages 235-238"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716598","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}