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Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献

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President's Message 总统的消息
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-06-16 DOI: 10.1002/jhrm.21552
Rebecca Cady Esq., BSN, CPHRM, DFASHRM, FACHE
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引用次数: 0
Case law update 判例法更新
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-31 DOI: 10.1002/jhrm.21541
Christopher J. Allman JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.21541","DOIUrl":"10.1002/jhrm.21541","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9851251","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
Performance improvement, telemedicine, patient engagement, and comparative no-show rates 绩效改进、远程医疗、患者参与和相对缺勤率
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-25 DOI: 10.1002/jhrm.21543
Rawan Narwal-Kasmani MD, FACP, Tamara J. Vaughan  , Charla A. Ulrich DNP, MOD, CPHQ, CPPS, CIC, Julie M. Stausmire MSN, APRN, CNS-BC
{"title":"Performance improvement, telemedicine, patient engagement, and comparative no-show rates","authors":"Rawan Narwal-Kasmani MD, FACP,&nbsp;Tamara J. Vaughan  ,&nbsp;Charla A. Ulrich DNP, MOD, CPHQ, CPPS, CIC,&nbsp;Julie M. Stausmire MSN, APRN, CNS-BC","doi":"10.1002/jhrm.21543","DOIUrl":"10.1002/jhrm.21543","url":null,"abstract":"<p>No-show patient visits should be considered risk events. No-shows impact the quality and continuity of patient care. Missed visits increase health care risks by deferred or missed diagnosis and treatment, and increases costs of care. This performance improvement project proactively implemented a telemedicine system of care during a public health emergency (PHE). The goal was to improve health care access and decrease health care disparities despite emergency management changes in organizational staffing and federal stay-at-home orders. Telemedicine visits also addressed known causes of historically high in-person no-show office rates—lack of transportation, childcare issues, mobility issues, and adverse weather conditions. Despite location in a Hospital Census Tract where 50% of our population is below the Federal Poverty Level, with less access to technology, telemedicine proved to be successful. The Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) guidelines were the planning framework. The Model for Healthcare Improvement including Part 1 (AIM) and Part 2 (Plan-Do-Study-Act) was used to develop interventions, outcomes, and rationale for use. Data was collected from January 2020 thru March 2022, with 22,831 total scheduled visits (15,837 in-person, 6994 telemedicine). The average monthly no-show rate for in-person visits was 35% compared to 9% for telemedicine visits.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9797287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The power of writing 写作的力量
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-19 DOI: 10.1002/jhrm.21540
Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA
{"title":"The power of writing","authors":"Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA","doi":"10.1002/jhrm.21540","DOIUrl":"10.1002/jhrm.21540","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850124","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
Feeling safe versus being safe: Perceptions of safety versus actual disease exposure across the entire health care team 感觉安全与安全：整个医疗团队对安全的感知与实际疾病暴露。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-19 DOI: 10.1002/jhrm.21542
Laurence M. Boitet PhD, Katherine A. Meese PhD, Alejandra Colón-López PhD, Katherine L. Sweeney MA, David A. Rogers MD
{"title":"Feeling safe versus being safe: Perceptions of safety versus actual disease exposure across the entire health care team","authors":"Laurence M. Boitet PhD,&nbsp;Katherine A. Meese PhD,&nbsp;Alejandra Colón-López PhD,&nbsp;Katherine L. Sweeney MA,&nbsp;David A. Rogers MD","doi":"10.1002/jhrm.21542","DOIUrl":"10.1002/jhrm.21542","url":null,"abstract":"<p>As supply chains experienced disruptions early in the COVID-19 pandemic, personal protective equipment (PPE) quickly became scarce. The purpose of this study was to examine the impact of perceptions of inadequate PPE, fear of COVID-19 infection, and self-reported direct COVID-19 exposure on health care workers. Data to assess distress, resilience, social-ecological factors, and work and nonwork-related stressors were collected from June to July 2020 at a large medical center. Stressors were analyzed by role using descriptive statistics and multivariate regression analysis. Our data indicate that job role influenced fear of infection and perceptions of inadequate PPE in the early phase of the COVID-19 pandemic. Perceived organizational support was also related to perceptions of inadequate PPE supply. Interestingly, work location, rather than job role, was predictive of direct COVID-19 exposure. Our data highlight a disconnect between the perception of safety in the health care setting with real risk of exposure to infectious disease. This study suggests that leaders in health care should focus on cultivating supportive organizational cultures, assessing both perceived and actual safety, and provide adequate training in safety practices may improve preparedness and organizational trust during times of both certainty and crisis particularly for clinical workers with less education and training.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 2","pages":"10-18"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9953471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A call for safety: Anticipating and mitigating risk across an obstetrics and gynecology service line 呼吁安全:预测和减轻整个妇产科服务线的风险
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-04 DOI: 10.1002/jhrm.21538
Adriann Combs DNP, NNP-BC, Victor R. Klein MD, MBA, CPHRM
{"title":"A call for safety: Anticipating and mitigating risk across an obstetrics and gynecology service line","authors":"Adriann Combs DNP, NNP-BC,&nbsp;Victor R. Klein MD, MBA, CPHRM","doi":"10.1002/jhrm.21538","DOIUrl":"10.1002/jhrm.21538","url":null,"abstract":"<p>Delivery of healthcare is a complex interaction of patients, healthcare providers, nurses, ambulatory practices, and hospitals. As the model of health care transitioned, free standing physician practices and hospitals have coalesced to form networks of ambulatory practices and hospitals. This change in the model of healthcare delivery presented challenges to provide safe, quality, cost-effective care for patients, with potentially increased risk to an organization. The development and imbedding of comprehensive safety strategies are imperative to the foundation of this model.</p><p>Northwell Health, a large health system in the northeastern United States developed a strategy for their Obstetrics and Gynecology Service Line which includes weekly interaction by departmental leadership from each hospital to discuss operations, share concerns and identify potential opportunities to prevent recurrent suboptimal outcomes and improve patient safety. The weekly Safety Call, described in this article is a component of the safety and quality program that has contributed to a 19% decrease in the Weighted Adverse Outcomes Index for the 10 maternity hospitals delivering over 30,000 babies annually within the system since inception. There was also a significant reduction in insurance premiums based on actuarial projections of risk reduction because of the implementation of an Obstetrical Safety Program.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9791599","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
Administrators’ preparedness to address physician burnout before and during COVID-19 管理人员在COVID-19之前和期间应对医生职业倦怠的准备情况
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-02 DOI: 10.1002/jhrm.21536
Payton L. Schoolcraft BS, Stephen L. Brown MS, PhD, Yue Xie MHA, PhD
{"title":"Administrators’ preparedness to address physician burnout before and during COVID-19","authors":"Payton L. Schoolcraft BS,&nbsp;Stephen L. Brown MS, PhD,&nbsp;Yue Xie MHA, PhD","doi":"10.1002/jhrm.21536","DOIUrl":"10.1002/jhrm.21536","url":null,"abstract":"<p>Occupational burnout has become widespread. The syndrome can be especially harmful in health care settings, affecting clinicians, organizational effectiveness, and patient safety. Certain approaches have proven helpful in some cases in combatting the syndrome. The coronavirus pandemic presented physicians with unique challenges, which appeared to have magnified work stress This national survey specifically explored interventions used by health care leaders to reduce burnout and whether these interventions proved effective during a pandemic. We also discuss effective and appropriate organizational measures to reduce physician burnout and its associated risks during crises.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792398","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
Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments 通过前瞻性风险评估评估医院并购对安全文化的影响
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-05-02 DOI: 10.1002/jhrm.21537
Patricia Folcarelli PhD, MA, RN, Jock Hoffman BS, Margaret Janes JD, RN, Jennifer Clair MacCready DNP, RN, AHCNS, Annette Roberts MSN, RN, Jason Boulanger MFA, CPPS, Melissa DeMayo MSN, RN, LNC, Jennifer Vuu Sanchez MA, BSN, RN, Bessie Manley Szum RN, MPA/HA
{"title":"Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments","authors":"Patricia Folcarelli PhD, MA, RN,&nbsp;Jock Hoffman BS,&nbsp;Margaret Janes JD, RN,&nbsp;Jennifer Clair MacCready DNP, RN, AHCNS,&nbsp;Annette Roberts MSN, RN,&nbsp;Jason Boulanger MFA, CPPS,&nbsp;Melissa DeMayo MSN, RN, LNC,&nbsp;Jennifer Vuu Sanchez MA, BSN, RN,&nbsp;Bessie Manley Szum RN, MPA/HA","doi":"10.1002/jhrm.21537","DOIUrl":"10.1002/jhrm.21537","url":null,"abstract":"<p>Hospitals seeking to understand patient safety strengths and vulnerabilities in the context of mergers/acquisitions benefit more from a third-party perspective than from a limited internal process. A well-structured and highly-inclusive risk assessment—involving a broad cross-section of interviews—can be key to a successful transition of optimal health care safety during organizational changes.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 1","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792397","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
President's Message 总统的消息
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-04-07 DOI: 10.1002/jhrm.21539
Rebecca F. Cady ESQ, BSN, CPHRM
{"title":"President's Message","authors":"Rebecca F. Cady ESQ, BSN, CPHRM","doi":"10.1002/jhrm.21539","DOIUrl":"10.1002/jhrm.21539","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827549","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
Case law update 判例法更新
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-03-22 DOI: 10.1002/jhrm.21532
Christopher J. Allman JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.21532","DOIUrl":"10.1002/jhrm.21532","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"52-61"},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9473299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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