Journal for Healthcare Quality最新文献_第7页

Urban Rural Differences on Accessing Patient- Centered Medical Home Among Children With Mental/Developmental Health Conditions/Disorders. 有精神/发育健康问题/障碍的儿童在获得 "以患者为中心的医疗之家 "服务方面的城乡差异。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI: 10.1097/JHQ.0000000000000429

Li Huang, Jarron Saint Onge, Sue-Min Lai

{"title":"Urban Rural Differences on Accessing Patient- Centered Medical Home Among Children With Mental/Developmental Health Conditions/Disorders.","authors":"Li Huang, Jarron Saint Onge, Sue-Min Lai","doi":"10.1097/JHQ.0000000000000429","DOIUrl":"10.1097/JHQ.0000000000000429","url":null,"abstract":"Introduction: To address healthcare spending growth and coordinated primary care, most states in the United States have adopted patient-centered medical homes (PCMHs). To evaluate urban rural difference on accessing PCMH among US children, particularly for children with developmental disabilities (DDs) and mental health disorders (MHDs).Methods: This cross-sectional study used the 2016-2018 National Survey for Children's Health (NSCH). Multivariable adjusted logistic regression analyses were used to assess the association between accessing PCMHs and rurality and mental/developmental conditions/disorders.Results: Children with both DDs and MHDs were statistically significantly higher in rural areas (10.9% rural vs. 8.3% urban, p ≤ .001). Children in rural areas reported higher odds of accessing PCMHs (14%) among all U.S. children, but no differences by subgroups for children with MHDs and/or DDs. Compared with children without DDs/MHDs, the reduction in access to PCMHs varies by children's health status (41% reduction for children both DDs and MHDs, 25% reduction for children with MHDs without DDs) effects. Children with MHDs/DDs were less likely to receive family-centered care, care coordination, and referrals.Conclusions: Quality improvements through PCMHs could focus on family-centered care, care coordination, and referrals. Patient-centered medical home performance measurement could be improved to better measure mental health integration and geographical differences.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"e8-e19"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177328","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

The Delivery Model of Perceived Medical Service Quality Based on Donabedian's Framework. 基于 Donabedian 框架的医疗服务质量感知交付模型。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-05-01 Epub Date: 2024-01-12 DOI: 10.1097/JHQ.0000000000000420

Chun-Cheng Chen, Chih-Tung Hsiao, Dong-Shang Chang, Wei-Chen Lai

{"title":"The Delivery Model of Perceived Medical Service Quality Based on Donabedian's Framework.","authors":"Chun-Cheng Chen, Chih-Tung Hsiao, Dong-Shang Chang, Wei-Chen Lai","doi":"10.1097/JHQ.0000000000000420","DOIUrl":"10.1097/JHQ.0000000000000420","url":null,"abstract":"Abstract: The implementation of the National Health Insurance has transformed the medical care landscape in Taiwan, rendering perceived medical service quality (PMSQ) and patient satisfaction significant focal points in medical care management. Past studies mostly focused on the technical aspects of medical care services, while overlooking the patients' perception of services and the delivery process of PMSQ in the medical care experience. This study integrated the theoretical framework of the Donabedian SPO model and the SERVQUAL questionnaire. The survey was conducted among the outpatients of three types of medical institutions in northern Taiwan: academic medical centers, metropolitan hospitals, and local community hospitals. A total of 400 questionnaires were collected, and 315 valid questionnaires remained after eliminating the incomplete ones. This study established a PMSQ delivery model to explore patients' perceptions of medical service quality. It was found that the variable, Assurance, could deliver the PMSQ and enhance the Medical outcome (MO), while improving the variable, Tangible, in medical institutions could not significantly enhance the MO. These findings emphasize the importance of healthcare institutions prioritizing the professional background, demeanor of their healthcare staff, treatment methods, and processes over tangible elements.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"150-159"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying Barriers and Facilitators to Veterans Affairs Whole Health Integration Using the Updated Consolidated Framework for Implementation Research. 利用更新的实施研究综合框架，确定退伍军人事务整体健康整合的障碍和促进因素。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-05-01 Epub Date: 2023-12-14 DOI: 10.1097/JHQ.0000000000000419

Christine C Kimpel, Elizabeth Allen Myer, Anagha Cupples, Joanne Roman Jones, Katie J Seidler, Chelsea K Rick, Rebecca Brown, Caitlin Rawlins, Rachel Hadler, Emily Tsivitse, Mary Ann C Lawlor, Amy Ratcliff, Natalie R Holt, Carol Callaway-Lane, Kyler Godwin, Anthony H Ecker

{"title":"Identifying Barriers and Facilitators to Veterans Affairs Whole Health Integration Using the Updated Consolidated Framework for Implementation Research.","authors":"Christine C Kimpel, Elizabeth Allen Myer, Anagha Cupples, Joanne Roman Jones, Katie J Seidler, Chelsea K Rick, Rebecca Brown, Caitlin Rawlins, Rachel Hadler, Emily Tsivitse, Mary Ann C Lawlor, Amy Ratcliff, Natalie R Holt, Carol Callaway-Lane, Kyler Godwin, Anthony H Ecker","doi":"10.1097/JHQ.0000000000000419","DOIUrl":"10.1097/JHQ.0000000000000419","url":null,"abstract":"Background: Veterans Affairs (VA) implemented the Veteran-centered Whole Health System initiative across VA sites with approaches to implementation varying by site.Purpose: Using the Consolidated Framework for Implementation Research (CFIR), we aimed to synthesize systemic barriers and facilitators to Veteran use with the initiative. Relevance to healthcare quality, systematic comparison of implementation procedures across a national healthcare system provides a comprehensive portrait of strengths and opportunities for improvement.Methods: Advanced fellows from 11 VA Quality Scholars sites performed the initial data collection, and the final report includes CFIR-organized results from six sites.Results: Key innovation findings included cost, complexity, offerings, and accessibility. Inner setting barriers and facilitators included relational connections and communication, compatibility, structure and resources, learning centeredness, and information and knowledge access. Finally, results regarding individuals included innovation deliverers, implementation leaders and team, and individual capability, opportunity, and motivation to implement and deliver whole health care.Discussion and implications: Examination of barriers and facilitators suggest that Whole Health coaches are key components of implementation and help to facilitate communication, relationship building, and knowledge access for Veterans and VA employees. Continuous evaluation and improvement of implementation procedures at each site is also recommended.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"137-149"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Redesigning the First Prenatal Visit: A Quality Improvement Initiative. 重新设计第一次产前检查：质量改进计划。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-03-01 Epub Date: 2023-12-06 DOI: 10.1097/JHQ.0000000000000418

Diane Christopher, Joellen Fresia, Jennifer Alexander, Kristin Krenz, Heather Aldrich, Karen Hampanda

{"title":"Redesigning the First Prenatal Visit: A Quality Improvement Initiative.","authors":"Diane Christopher, Joellen Fresia, Jennifer Alexander, Kristin Krenz, Heather Aldrich, Karen Hampanda","doi":"10.1097/JHQ.0000000000000418","DOIUrl":"10.1097/JHQ.0000000000000418","url":null,"abstract":"Background/purpose: In an era of rising maternal mortality, a thorough first prenatal visit is essential; however, in our clinic we confirmed that many important topics were not being addressed. To rectify this problem, we redesigned the first prenatal visit to improve the coverage of topics, collect social determinants of health, increase patient access, and maintain patient satisfaction.Methods: We designed a quality improvement project to improve the first prenatal visit in a faculty obstetrics and gynecology clinic. To assess effectiveness, data before and after the implementation were compared. The intervention divided the first prenatal visit into two patient encounters: a nurse-led telemedicine visit and an in-person visit with an obstetric clinician.Results: The median percentage of topics covered in the first prenatal visit increased from 70.0% to 95.6%, and improvements were observed for all key themes ( p < .001). Social determinants of health was routinely collected postintervention (98.8%). A reduction in no-shows (9.9%-4.2%) improved patient access for all patients. Patient satisfaction for the first prenatal visit remained unchanged ( p = .370).Conclusions: Significant improvements in addressing important topics at the first prenatal visit are achievable by separating one prenatal visit into two visits while increasing patient access and maintaining high patient satisfaction.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"119-129"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040767","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

Self-Measured Blood Pressure Monitoring During the COVID-19 Pandemic: Perspectives From Community Health Center Clinicians. COVID-19 大流行期间的自测血压监测：社区卫生中心临床医生的观点。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-03-01 Epub Date: 2023-12-27 DOI: 10.1097/JHQ.0000000000000417

Margaret Meador, Neha Sachdev, Eboni Anderson, Debosree Roy, R Curtis Bay, Lauren H Becker, Joy H Lewis

{"title":"Self-Measured Blood Pressure Monitoring During the COVID-19 Pandemic: Perspectives From Community Health Center Clinicians.","authors":"Margaret Meador, Neha Sachdev, Eboni Anderson, Debosree Roy, R Curtis Bay, Lauren H Becker, Joy H Lewis","doi":"10.1097/JHQ.0000000000000417","DOIUrl":"10.1097/JHQ.0000000000000417","url":null,"abstract":"Abstract: The early period of the COVID-19 pandemic necessitated a rapid increase in out-of-office care. To capture the impact from COVID-19 on care for patients with hypertension, a questionnaire was disseminated to community health center clinicians. The extent, types, and causes of care delays and disruptions were assessed along with adaptations and innovations used to address them. Clinician attitudinal changes and perspectives on future hypertension care were also assessed. Of the 65 respondents, most (90.8%) reported their patients with hypertension experienced care delays or disruptions, including lack of follow-up, lack of blood pressure assessment, and missed medication refills or orders. To address care delays and disruptions for patients with hypertension, respondents indicated that their health center increased the use of telehealth or other technology, made home blood pressure devices available to patients, expanded outreach and care coordination, provided medication refills for longer periods of time, and used new care delivery options. The use of self-measured blood pressure monitoring (58.5%) and telehealth (43.1%) was identified as the top adaptations that should be sustained to increase access to and patient engagement with hypertension care; however, barriers to both remain. Policy and system level changes are needed to support value-based care models that include self-measured blood pressure and telehealth.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"109-118"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality Improvement Interventions to Enhance Vaccine Uptake in Cancer Patients: A Systematic Review. 提高癌症患者疫苗接种率的质量改进干预措施：系统回顾。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-03-01 DOI: 10.1097/JHQ.0000000000000422

Basil Kazi, Zain Talukdar, Jan Schriefer

{"title":"Quality Improvement Interventions to Enhance Vaccine Uptake in Cancer Patients: A Systematic Review.","authors":"Basil Kazi, Zain Talukdar, Jan Schriefer","doi":"10.1097/JHQ.0000000000000422","DOIUrl":"10.1097/JHQ.0000000000000422","url":null,"abstract":"Introduction: Cancer patients, because of their compromised immune responses, face a higher risk of preventable infections, leading to increased morbidity and mortality. Despite this, vaccination rates among these patients are suboptimal, and research on effective interventions to improve vaccination rates is limited.Methods: We conducted a comprehensive search in PubMed and Cochrane Library for studies investigating quality improvement (QI) interventions targeting vaccine uptake in cancer patients. Two authors independently screened, extracted data, and analyzed studies, resolving any discrepancies through consensus.Results: Thirteen studies met the inclusion criteria, published between 2014 and 2022. Seven studies focused on the influenza vaccine, five on the pneumococcal vaccine, and one on both. Twelve studies used multiple interventions, whereas one used a single intervention. Most interventions aimed to enhance patient and family knowledge and identify eligible patients before their appointments. All studies demonstrated improved vaccine uptake after implementing the interventions.Conclusions: A variety of QI interventions have effectively increased pneumococcal and influenza vaccine uptake among cancer patients. Future research should address roadblocks to implementation and explore the effect of these interventions on other vaccines.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":"46 2","pages":"81-94"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997992","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 Interdisciplinary Communication on an Academic Hospitalist Service: A Quality Improvement Project. 改善学术住院服务的跨学科交流：一个质量改进项目。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-03-01 Epub Date: 2023-10-10 DOI: 10.1097/JHQ.0000000000000411

Stephen Biederman, Nargiza Sadr, Rehan Qayyum

{"title":"Improving Interdisciplinary Communication on an Academic Hospitalist Service: A Quality Improvement Project.","authors":"Stephen Biederman, Nargiza Sadr, Rehan Qayyum","doi":"10.1097/JHQ.0000000000000411","DOIUrl":"10.1097/JHQ.0000000000000411","url":null,"abstract":"Abstract: Effective communication is essential for quality patient care, and paging remains among the most common forms of communication despite the introduction of secure texting platforms. The goal of this project was to use quantitative and qualitative analyses of paging to guide improvements in paging best practices. A retrospective analysis of pages sent over a 7-day period was completed, characterizing the volume, content, and effectiveness of pages both preintervention and 3-month postintervention. The content of each page was categorized into laboratories, medications, vital signs, diet, patient assessment/clinical change, pain, or miscellaneous/other. Effectiveness was based on the following five critical elements: (1) two patient identifiers, (2) the sender's name, (3) the sender's callback number, (4) priority or acuity of the page, and (5) patient-care concern. Pages were considered successful if they contained all the five essential elements. The preintervention results guided interventions. Of 3,483 included pages, 1,806 and 1,677 were sent during the preintervention and postintervention periods, respectively. Adherence to all essential paging elements increased from 15.2% to 40% ( p < .001). The largest deficiency was labeling the urgency of a page, which increased from 31.6% to 51.9% ( p < .001). Quantitative and qualitative analyses of pages effectively guided this project to increase the standardization of paging.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"65-71"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216856","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

Surgical Site Infection Prevention Using "Strike Teams": The Experience of an Academic Colorectal Surgical Department. 利用 "突击队 "预防手术部位感染：学术结直肠外科部门的经验。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-01-01 DOI: 10.1097/JHQ.0000000000000412

Buddhi Hatharaliyadda, Michelle Schmitz, Anne Mork, Fauzia Osman, Charles Heise, Nasia Safdar, Aurora Pop-Vicas

{"title":"Surgical Site Infection Prevention Using \"Strike Teams\": The Experience of an Academic Colorectal Surgical Department.","authors":"Buddhi Hatharaliyadda, Michelle Schmitz, Anne Mork, Fauzia Osman, Charles Heise, Nasia Safdar, Aurora Pop-Vicas","doi":"10.1097/JHQ.0000000000000412","DOIUrl":"10.1097/JHQ.0000000000000412","url":null,"abstract":"Abstract: Surgical site infections (SSIs) are healthcare-acquired infections with substantial morbidity. Surgical site infection persist because of low adherence to prevention bundles comprising multiple infection control elements. We propose the \"Strike Team\" as an implementation strategy to improve adherence and reduce SSI in colorectal surgery. At an academic medical center, a multidisciplinary Strike Team met monthly to review colorectal SSI cases, audit and discuss barriers to adherence to SSI prevention bundle, and propose actionable feedback. The latter was shared with frontline clinicians by the Strike Team's surgical leaders in everyday practice. Colorectal SSI rates and bundle adherence data were disseminated quarterly via the hospital intranet and reviewed with surgeons at departmental meetings. Trends in adherence and SSI rates were analyzed by regression analysis using a time series model. While the Strike Team was active, adherence to antibiotic prophylaxis, maintenance of normoglycemia, and standardized intraoperative skin preparation significantly increased (p < .05). There was a trend toward statistically significant reduction in SSI (p = .07), although it was not maintained once the Strike Team activity was disrupted by the COVID-19 pandemic. Colorectal SSI prevention requires a resource-intensive, multidisciplinary approach with numerous strategies to improve adherence to infection control bundles, as illustrated by our SSI Strike Team experience.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":"46 1","pages":"22-30"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081017","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

Identifying Obstructive Sleep Apnea Risk Using the STOP-BANG Questionnaire in a Cardiology Clinic. 在心脏病学诊所使用STOP-BANG问卷确定阻塞性睡眠呼吸暂停的风险。

IF 1.3 4区医学

Journal for Healthcare Quality Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI: 10.1097/JHQ.0000000000000408

Megan Rogel, Lindsay Iverson, Alex Hall

{"title":"Identifying Obstructive Sleep Apnea Risk Using the STOP-BANG Questionnaire in a Cardiology Clinic.","authors":"Megan Rogel, Lindsay Iverson, Alex Hall","doi":"10.1097/JHQ.0000000000000408","DOIUrl":"10.1097/JHQ.0000000000000408","url":null,"abstract":"Abstract: Untreated obstructive sleep apnea (OSA) is associated with increased cardiovascular morbidity and mortality, warranting enhanced awareness, screening, and action among healthcare providers to optimize patient outcomes. Attempting to address the potential under detection of OSA, this quality improvement project implemented the STOP-Bang Sleep Apnea Questionnaire at a cardiology clinic, with the goals to stratify risk for OSA in 100% of patients and increase provider referral of high risk patients for sleep studies. The setting was an outpatient cardiology clinic in Pensacola, Florida. The sample included new and existing patients 18 years or older who had one or more of the following diagnoses: hypertension, heart failure, coronary artery disease, atrial fibrillation, or arrhythmia. Methods involved collecting and comparing preintervention sleep study referral rate data with 6-week STOP-Bang questionnaire implementation data. Results demonstrated a 65% (279 of 428 patients seen) screening implementation rate and a modest but statistically significant increase in the overall referral rate from 2.6% preintervention to 5.1% postintervention ( p = .040). Overall, standard use of the STOP-Bang questionnaire may enable higher detection and referral of OSA.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":"51-57"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216855","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

Development of Diagnostic Quality Metrics for Prosthetic Joint Infection. 制定假体关节感染的诊断质量标准。

IF 0.9 4区医学

Journal for Healthcare Quality Pub Date : 2024-01-01 Epub Date: 2023-12-06 DOI: 10.1097/JHQ.0000000000000405

Andy O Miller, Alberto V Carli, Amy Chin, Diana Chee, Sam Simon, Catherine H MacLean

{"title":"Development of Diagnostic Quality Metrics for Prosthetic Joint Infection.","authors":"Andy O Miller, Alberto V Carli, Amy Chin, Diana Chee, Sam Simon, Catherine H MacLean","doi":"10.1097/JHQ.0000000000000405","DOIUrl":"10.1097/JHQ.0000000000000405","url":null,"abstract":"Abstract: Although well-accepted clinical practice guidelines exist for the diagnosis of prosthetic joint infection (PJI), little is known about the quality of diagnosis for PJI. The identification of quality gaps in the diagnosis of PJI would facilitate the development of care structures and processes to shorten time to diagnosis and reduce the significant morbidity, mortality, and economic burden associated with this condition. Hence, we sought to develop valid clinical quality measures to improve the timeliness and accuracy of PJI diagnosis. We convened a nine-member multidisciplinary national panel of PJI experts including orthopedic surgeons, infectious disease specialists, an emergency medicine physician, and a patient previously treated for PJI to review, discuss, and rate the validity of proposed measures using a modification of the RAND-UCLA appropriateness method. In total, 57 permutations of six proposed measures were rated. Populations considered to be at high enough risk for PJI that certain care processes should always be performed were identified by the panel. Among the proposed quality measures, the panel rated five as valid. These novel clinical quality measures could provide insight into care gaps in the diagnosis of PJI.","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":"46 1","pages":"31-39"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0