Quality Management in Health Care最新文献

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Examining Soft and Hard Attributes of Health Care Service Quality and Their Impacts on Patient Satisfaction and Loyalty. 研究医疗服务质量的软硬属性及其对患者满意度和忠诚度的影响。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-07-01 Epub Date: 2024-06-26 DOI: 10.1097/QMH.0000000000000420
Li-Hsin Chen, Chun-Hung Chen, Jennifer Pasion Loverio, Mei-Jung Sebrina Wang, Ling-Hui Lee, Ya-Pin Hou
{"title":"Examining Soft and Hard Attributes of Health Care Service Quality and Their Impacts on Patient Satisfaction and Loyalty.","authors":"Li-Hsin Chen, Chun-Hung Chen, Jennifer Pasion Loverio, Mei-Jung Sebrina Wang, Ling-Hui Lee, Ya-Pin Hou","doi":"10.1097/QMH.0000000000000420","DOIUrl":"10.1097/QMH.0000000000000420","url":null,"abstract":"<p><strong>Background and objectives: </strong>Many studies have confirmed the influences of various service quality dimensions on patient satisfaction and loyalty, but no existing theoretical model accounts for variation in how different types of patients evaluate service quality's soft and hard attributes. This research gap may cause problems for administrators needing to decide how to distribute resources appropriately across multiple departments. Therefore, this study establishes a theoretical model of the differences between inpatients' and outpatients' evaluations of hard and soft qualities and compares such evaluations' influences on patient satisfaction and loyalty. Also, to supplement statistical analysis and respond to scholars' calls for more mixed-methods studies of health care quality, this research incorporates analysis of online reviews to provide a holistic, close to real-time picture of patients' service experience perceptions.</p><p><strong>Methods: </strong>This study's survey sample comprised 292 inpatients and 137 outpatients from a Taiwanese hospital. We used partial least squares structural equation modeling to test the hypothetical model and importance-performance map analysis to identify factors that were significant to the service process but performed poorly. Finally, we used a text-mining technique to scrape 536 reviews posted on Google Maps, and Leximancer Portal to perform automated content and sentiment analyses on those data, as a means of mapping the critical concepts and themes that influenced patient experiences.</p><p><strong>Results: </strong>This study's analyses support the ideas that both hard and soft qualities are critical dimensions of service quality, and that each has different influences on inpatients' and outpatients' satisfaction and loyalty. Specifically, the sampled inpatients strongly valued the hard qualities of the hospital but were not satisfied with it. On the other hand, soft qualities attracted outpatients' attention and influenced their satisfaction and loyalty. In addition, content analysis revealed that soft qualities were the main reason patients left comments, whether positive or negative. Waiting time emerged as another critical element in triggering patients' unfavorable reviews.</p><p><strong>Conclusions: </strong>Patient population type, whether inpatient or outpatient, has been found to impact perceptions of service quality within health care institutions. As such, health care administrators should be cognizant of this phenomenon and make informed and tailored decisions when addressing quality within their respective services. Emphasis on the development of both interpersonal and professional skills among health care personnel may prove beneficial in enhancing the patient experience and ultimately fostering positive online reviews.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"176-191"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital Unit Type and Professional Roles as a Predictor of Relational Coordination in an Army Medical Center. 医院单位类型和专业角色是陆军医疗中心关系协调的预测因素。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-24 DOI: 10.1097/QMH.0000000000000444
Sherita House, Hebatallah A. Naim Ali, Christopher Stucky
{"title":"Hospital Unit Type and Professional Roles as a Predictor of Relational Coordination in an Army Medical Center.","authors":"Sherita House, Hebatallah A. Naim Ali, Christopher Stucky","doi":"10.1097/QMH.0000000000000444","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000444","url":null,"abstract":"BACKGROUND AND OBJECTIVES\u0000High-quality communication and relationships are associated with quality of care. Workflow differences across hospital units can impede communication and relationships among health care professionals. Relational coordination (RC) is a process of communication supported by shared goals, shared knowledge, and mutual respect and is associated with quality of care and better performance outcomes in civilian hospitals. However, RC has not been explored in military hospitals. The objective of our study was to determine whether RC differs between hospital units and professional roles. Specifically, we examined RC differences by unit type for nurses, resident physicians, and physicians working in an Army Medical Center.\u0000\u0000\u0000METHODS\u0000We conducted an exploratory analysis of a secondary question from a cross-sectional study using a convenience sample of active-duty and civilian licensed practical nurses (LPNs), registered nurses (RNs), physician residents, and physicians (n = 289). We received institutional review board approval from the study site. Data were collected from January 2020 to March 2020, and participants completed a 47-item survey regarding their experiences of RC in various hospital units. We used t tests and one-way analyses of variance to explore bivariate relationships between RC and other study variables, as well as multiple regression to explore whether RC varied by unit type. We controlled for education and experience by including them in the model because these variables may influence perceptions of nurse-physician RC and their interactions with each other.\u0000\u0000\u0000RESULTS\u0000Seventy percent of participants were civilian (n = 203), 75% RNs (n = 217), and 78% female (n = 216). The mean age of respondents was 40 years (SD = 11.7), and the mean experience level was 11.9 years (SD = 9.5). RC was not associated with unit type. Total RC and between-role RC were associated with professional role. Physicians reported higher RC (β = .45, P = .01), and LPNs reported lower RC (β = -.06, P = .01). Education and experience were associated with RC. Participants with less experience reported higher RC (β = -.01, P = .00), and participants with graduate degrees reported lower RC (β = -.62, P = .00).\u0000\u0000\u0000CONCLUSIONS\u0000We recommend hospital leaders consider interventions to build interprofessional relationships, including interdisciplinary meetings, huddles, and structured communication tools. Improving RC among health care professionals is a cost-effective and unique way to enhance communication and collaboration among health care professionals across hospital units.","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":"39 24","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140661371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations Between Lean IT Management and Financial Performance in US Hospitals. 美国医院精益IT管理与财务绩效的关系。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-10-11 DOI: 10.1097/QMH.0000000000000440
Justin Lee, Dorothy Y Hung, Elina Reponen, Thomas G Rundall, Aaron A Tierney, Pierre-Luc Fournier, Stephen M Shortell
{"title":"Associations Between Lean IT Management and Financial Performance in US Hospitals.","authors":"Justin Lee, Dorothy Y Hung, Elina Reponen, Thomas G Rundall, Aaron A Tierney, Pierre-Luc Fournier, Stephen M Shortell","doi":"10.1097/QMH.0000000000000440","DOIUrl":"10.1097/QMH.0000000000000440","url":null,"abstract":"<p><strong>Background and objectives: </strong>To understand the relationship between Lean implementation in information technology (IT) departments and hospital performance, particularly with respect to operational and financial outcomes.</p><p><strong>Methods: </strong>Primary data were sourced from 1222 hospitals that responded to the National Survey of Lean (NSL)/Transformational Performance Improvement, which was fielded to 4500 general medical-surgical hospitals across the United States. Secondary sources included hospital performance data from the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS). We performed 2 sets of multivariable regressions using data gathered from US hospitals, linked to AHRQ and CMS performance outcomes. We examined 10 different outcomes measuring financial performance, quality of care, and patient experience, and their associations with Lean adoption within hospital IT departments. We then focused only on those hospitals that adopted Lean in IT to identify specific practices associated with performance.</p><p><strong>Results: </strong>Controlling for other factors, adoption of Lean IT management was associated with lower length of stay ( b = -0.098, P = .018) and inpatient expense per discharge ( b = -0.112, P = .090). Specifically, use of visual management tools (eg, A3 storyboards, status sheets) was associated with lower adjusted inpatient expense per discharge ( b = -0.176, P = .034) and higher earnings before interest, taxes, depreciation, and amortization margin ( b = 0.124, P = .042). Such tools were also associated with hospital participation in bundled payment programs (odds ratio = 2.326; P = .046; 95% confidence interval, 0.979-5.527) and percentage of net revenue paid on a shared risk basis ( b = 0.188, P = .031).</p><p><strong>Conclusions: </strong>Lean IT management was associated with positive financial performance, particularly with hospital participation in value-based payment. More detailed study is needed to understand other influential factors and types of work processes, activities, or mechanisms by which high-functioning IT can contribute to financial outcomes.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"67-76"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating a Framework for Physician & APP Leader Development and Peer Collaboration. 为医生和 APP 领导者的发展和同行合作创建一个框架。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2024-03-28 DOI: 10.1097/QMH.0000000000000461
Mary Claire C Jenkins, Samuel C Thomas, Emily Stirling, Timothy Fowles, Rajendu Srivastava, Anne Pendo
{"title":"Creating a Framework for Physician & APP Leader Development and Peer Collaboration.","authors":"Mary Claire C Jenkins, Samuel C Thomas, Emily Stirling, Timothy Fowles, Rajendu Srivastava, Anne Pendo","doi":"10.1097/QMH.0000000000000461","DOIUrl":"10.1097/QMH.0000000000000461","url":null,"abstract":"","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":"33 2","pages":"123-126"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parents' Experiences of Therapeutic Hypothermia for Neonates With Hypoxic-Ischemic Encephalopathy (HIE): A Single-Center Cross-Sectional Study. 缺氧缺血性脑病(HIE)新生儿治疗性低温疗法的家长体验:单中心横断面研究。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-07-24 DOI: 10.1097/QMH.0000000000000414
Beate Grass, Melanie Erlach, Verena Rathke, Giuditta Cippa, Cornelia Hagmann, Barbara Brotschi
{"title":"Parents' Experiences of Therapeutic Hypothermia for Neonates With Hypoxic-Ischemic Encephalopathy (HIE): A Single-Center Cross-Sectional Study.","authors":"Beate Grass, Melanie Erlach, Verena Rathke, Giuditta Cippa, Cornelia Hagmann, Barbara Brotschi","doi":"10.1097/QMH.0000000000000414","DOIUrl":"10.1097/QMH.0000000000000414","url":null,"abstract":"<p><strong>Background and objectives: </strong>The purpose of the study is to assess parental experiences of therapeutic hypothermia for moderate to severe hypoxic-ischemic encephalopathy with the goal of improving local clinical practice guidelines and fostering family-integrated care in neonates with hypoxic-ischemic encephalopathy.</p><p><strong>Methods: </strong>This single-center retrospective cross-sectional study included neonates and their parents registered in the Swiss National Asphyxia and Cooling Register between 2011 and 2021. Based on a literature review, an anonymous survey of parents of neonates with hypoxic-ischemic encephalopathy was developed and conducted using an online survey tool. Descriptive statistics were used to analyze the survey results.</p><p><strong>Results: </strong>The overall response rate to this survey was 64% (46/72). Sufficient information about hypoxic-ischemic encephalopathy was reported by 78% (36/46) of parents and sufficient information about the process of therapeutic hypothermia by 87% (40/46) of parents. The majority of parents indicated the need for, and at least a satisfactory perception of, professional (91%; 42/46) and emotional (87%; 40/46) support. Parents identified fostering family involvement and regular family communication that focuses on family integrated care as areas for improvement.</p><p><strong>Conclusions: </strong>There is still an unmet need for multidisciplinary teams to provide professional, empathetic, high quality, and family-integrated care to families with a neonate receiving therapeutic hypothermia for moderate or severe hypoxic-ischemic encephalopathy.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"94-100"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Stepped-Wedge Cluster-Randomized Controlled Trial of a Multi-interventional Approach for Fall Prevention. 预防跌倒的多介入方法的楔步群随机对照试验。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-11-30 DOI: 10.1097/QMH.0000000000000435
Zhila Najafpour, Mohammad Arab, Arash Rashidian, Kamran Shayanfard, Mehdi Yaseri, Somayeh Biparva-Haghighi
{"title":"A Stepped-Wedge Cluster-Randomized Controlled Trial of a Multi-interventional Approach for Fall Prevention.","authors":"Zhila Najafpour, Mohammad Arab, Arash Rashidian, Kamran Shayanfard, Mehdi Yaseri, Somayeh Biparva-Haghighi","doi":"10.1097/QMH.0000000000000435","DOIUrl":"10.1097/QMH.0000000000000435","url":null,"abstract":"<p><strong>Background and objectives: </strong>Falls are one of the most common adverse events at hospitals that may result in injury and even death. They are also associated with raised length of stay (LOS) and hospitalization costs. This experiment aimed to examine the effectiveness of multiple interventions in reducing inpatient fall rates and the consequent injuries.</p><p><strong>Methods: </strong>The present study was a stepped-wedge cluster-randomized controlled trial. It was done in 18 units in a public university hospital over 36 weeks. Patients included in this research were at risk of falls. Overall, 33 856 patients were admitted, of whom 4766 were considered high-risk patients. During the intervention phases, a series of preventive and control measures were considered, namely staff training; patient education; placement of nursing call bells; adequate lighting; supervision of high-risk patients during transmission and handovers; mobility device allocation; placement of call bell and safe guard in bathrooms; placing \"fall alert\" signs above patients' beds; nurses informing physicians timely about complications such as delirium and hypoxia; encouraging appropriate use of eyeglasses, hearing aids and footwear; keeping side rails up; and reassessing patients after each fall. The primary outcome was participant falls per 1000 patient-days. Secondary outcomes were fall-related injuries and LOS.</p><p><strong>Results: </strong>The results revealed a decrease in fall rate (n = 4 per 1000 patient-days vs 1.34 per 1000 patient-days, incidence rate ratio (IRR) = 0.19 [95% confidence interval (CI), 0.14-0.26]; P = .001) and injuries (n = 2.4 per 1000 patient-days vs 0.79 per 1000 patient-days, IRR = 0.22 [95% CI, 0.15-0.32]; P = .001) in exposed compared with unexposed phases. There was not a significant difference in LOS (exposed mean 10.63 days [95% CI, 10.26-10.97], unexposed mean 10.84 days [95% CI, 10.59-11.09], mean difference = -0.13 [95% CI, -0.53 to 0.27], P = .52).</p><p><strong>Conclusions: </strong>This multi-interventional trial showed a reduction in falls and fall rates with injury but without an overall effect on LOS. Further research is needed to understand the sustainability of multiple fall prevention strategies in hospitals and their long-term impacts.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"77-85"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138462339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Resident Hospital Discharge Communication by Changing Electronic Health Record Templates to Enhance Primary Care Provider Satisfaction. 通过更改电子健康记录模板改善住院病人出院沟通,提高初级保健提供者的满意度。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-07-24 DOI: 10.1097/QMH.0000000000000417
Kimberly A Lynch, Sarah W Baron, Sharon Rikin, Julie Kanevsky, Carol B Kelly, Gianni Carrozzi, Ginger Wey, Karen Yang
{"title":"Improving Resident Hospital Discharge Communication by Changing Electronic Health Record Templates to Enhance Primary Care Provider Satisfaction.","authors":"Kimberly A Lynch, Sarah W Baron, Sharon Rikin, Julie Kanevsky, Carol B Kelly, Gianni Carrozzi, Ginger Wey, Karen Yang","doi":"10.1097/QMH.0000000000000417","DOIUrl":"10.1097/QMH.0000000000000417","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite use of standardized electronic health record templates, the structure of discharge summaries may hinder communication from inpatient settings to primary care providers (PCPs). We developed an enhanced electronic discharge summary template to improve PCP satisfaction with written discharge summaries targeting diagnoses, medication reconciliation, laboratory test results, specialist follow-up, and recommendations.</p><p><strong>Methods: </strong>Resident template usage was measured using statistical process control charts. PCP reviewers' discharge summary satisfaction was surveyed using 5-point Likert scales analyzed using the Mann-Whitney U test. Residents were surveyed for satisfaction.</p><p><strong>Results: </strong>Resident template usage increased from 61% initially to 72% of discharge summaries at 6 months. The PCP reviewers reported increased satisfaction for summaries using the template compared with those without (4.3 vs 3.9, P = .003). Surveyed residents desired template inclusion in the default electronic discharge summary (93%).</p><p><strong>Conclusions: </strong>This system-level resident-initiated quality improvement initiative created a novel discharge summary template that achieved widespread usage among residents and significantly increased outpatient PCP satisfaction.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"112-120"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to Engage With Patients Who Have Been Harmed and Move Toward Reconciliation. 如何与受到伤害的患者接触并达成和解。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2024-03-28 DOI: 10.1097/QMH.0000000000000456
Eric Davis, Melinda VanNiel, Bryan Konisiewicz, Stacy Shilling, Angela Green
{"title":"How to Engage With Patients Who Have Been Harmed and Move Toward Reconciliation.","authors":"Eric Davis, Melinda VanNiel, Bryan Konisiewicz, Stacy Shilling, Angela Green","doi":"10.1097/QMH.0000000000000456","DOIUrl":"10.1097/QMH.0000000000000456","url":null,"abstract":"","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":"33 2","pages":"121-122"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Reporting Culture Through Daily Safety Huddles. 通过每日安全会议改进报告文化。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-06-26 DOI: 10.1097/QMH.0000000000000411
Margaret Malague MacKay, Kathleen S Jordan, Kelly Powers, Lindsay Thompson Munn
{"title":"Improving Reporting Culture Through Daily Safety Huddles.","authors":"Margaret Malague MacKay, Kathleen S Jordan, Kelly Powers, Lindsay Thompson Munn","doi":"10.1097/QMH.0000000000000411","DOIUrl":"10.1097/QMH.0000000000000411","url":null,"abstract":"<p><strong>Background and objectives: </strong>A major obstacle to safer care is lack of error reporting, preventing the opportunity to learn from those events. On an acute care unit in a children's hospital in southeastern United States, error reporting and Survey for Patient Safety Culture (SOPS 1.0) scores fell short of agency benchmarks. The purpose of this quality improvement project was to implement a Safety Huddle Intervention to improve error reporting and SOPS 1.0 scores related to reporting.</p><p><strong>Methods: </strong>Marshall Ganz's Change through Public Narrative Framework guided creation of the project's intervention: A story of self, a story of us, a story of now. A scripted Safety Huddle was conducted on the project unit daily for 6 weeks, and nurses on the project unit and a comparison unit completed the SOPS 1.0 before and after the intervention. Monthly error reporting was tracked on those same units.</p><p><strong>Results: </strong>Error reporting by nurses significantly increased during and after the intervention on the project unit ( P = .012) but not on the comparison unit. SOPS 1.0 items purported to measure reporting culture showed no significant differences after the intervention or between project and comparison units. Only 1 composite score increased after the intervention: communication openness improved on the project unit but not on the comparison unit.</p><p><strong>Conclusion: </strong>Using a Safety Huddle Intervention to promote conversation about error events has potential to increase reporting of errors and foster a sense of communication openness. Both achievements have the capacity to improve patient safety.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"105-111"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Choosing Wisely and Promoting High-Value Care and Staff Safety During the COVID-19 Pandemic in a Large Safety Net System. 在新冠肺炎大流行期间,在大型安全网系统中明智选择并促进高价值护理和员工安全。
IF 1.2 4区 医学
Quality Management in Health Care Pub Date : 2024-04-01 Epub Date: 2023-10-11 DOI: 10.1097/QMH.0000000000000431
Mona Krouss, Sigal Israilov, Nessreen Mestari, Joseph Talledo, Daniel Alaiev, Joshua B Moskovitz, Robert T Faillace, Amit Uppal, Ian Fagan, Joan Curcio, Jinel Scott, Michael Bouton, Kenra Ford, Victor Cohen, Eric K Wei, Hyung J Cho
{"title":"Choosing Wisely and Promoting High-Value Care and Staff Safety During the COVID-19 Pandemic in a Large Safety Net System.","authors":"Mona Krouss, Sigal Israilov, Nessreen Mestari, Joseph Talledo, Daniel Alaiev, Joshua B Moskovitz, Robert T Faillace, Amit Uppal, Ian Fagan, Joan Curcio, Jinel Scott, Michael Bouton, Kenra Ford, Victor Cohen, Eric K Wei, Hyung J Cho","doi":"10.1097/QMH.0000000000000431","DOIUrl":"10.1097/QMH.0000000000000431","url":null,"abstract":"<p><strong>Background and objectives: </strong>As the COVID-19 pandemic brought surges of hospitalized patients, it was important to focus on reducing overuse of tests and procedures to not only reduce potential harm to patients but also reduce unnecessary exposure to staff. The objective of this study was to create a Choosing Wisely in COVID-19 list to guide clinicians in practicing high-value care at our health system.</p><p><strong>Methods: </strong>A Choosing Wisely in COVID-19 list was developed in October 2020 by an interdisciplinary High Value Care Council at New York City Health + Hospitals, the largest public health system in the United States. The first phase involved gathering areas of overuse from interdisciplinary staff across the system. The second phase used a modified Delphi scoring process asking participants to rate recommendations on a 5-point Likert scale based on criteria of degree of evidence, potential to prevent patient harm, and potential to prevent staff harm.</p><p><strong>Results: </strong>The top 5 recommendations included avoiding tracheal intubation without trial of noninvasive ventilation (4.4); not placing routine central venous catheters (4.33); avoiding routine daily laboratory tests and batching laboratory draws (4.19); not ordering daily chest radiographs (4.17); and not using bronchodilators in the absence of reactive airway disease (4.13).</p><p><strong>Conclusion: </strong>We successfully developed Choosing Wisely in COVID-19 recommendations that focus on evidence and preventing patient and staff harm in a large safety net system to reduce overuse.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"94-100"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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