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American Journal of Medical Quality最新文献

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DEAFMed: Deaf Education and Awareness for Medical Students. 聋人医学:医学生的聋人教育与认知。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-07-01 DOI: 10.1097/JMQ.0000000000000105
Natalie M Perlov, Zachary D Urdang, Arielle Spellun, Irina Middleton, Julia Croce
{"title":"DEAFMed: Deaf Education and Awareness for Medical Students.","authors":"Natalie M Perlov, Zachary D Urdang, Arielle Spellun, Irina Middleton, Julia Croce","doi":"10.1097/JMQ.0000000000000105","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000105","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 4","pages":"209-210"},"PeriodicalIF":1.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020383","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
Stronger: The 2022 Vizient Connections Summit Report. 更强大：2022 年 Vizient 连接峰会报告》。
IF 1 4区 医学
American Journal of Medical Quality Pub Date : 2023-07-01 Epub Date: 2023-06-29 DOI: 10.1097/JMQ.0000000000000124
{"title":"Stronger: The 2022 Vizient Connections Summit Report.","authors":"","doi":"10.1097/JMQ.0000000000000124","DOIUrl":"10.1097/JMQ.0000000000000124","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 4S","pages":"S1-S129"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/a1/jmq-38-s01.PMC10476586.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157564","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
Medication Discrepancies in Residents at Skilled Nursing Facilities. 在熟练护理机构的居民用药差异。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-07-01 DOI: 10.1097/JMQ.0000000000000107
Hamid Mohtashami, Elizabeth Chapman
{"title":"Medication Discrepancies in Residents at Skilled Nursing Facilities.","authors":"Hamid Mohtashami, Elizabeth Chapman","doi":"10.1097/JMQ.0000000000000107","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000107","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 4","pages":"211"},"PeriodicalIF":1.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117015","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
Reevaluating the Significance of Infection Preventionists and Infection Prevention and Control Departments in the Post-COVID-19 Era. 后新冠肺炎时代感染预防学家和感染防控部门的意义再评价
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-07-01 DOI: 10.1097/JMQ.0000000000000132
Adaeze Q Amaefule, Alexander Litvintchouk, Pamela de Cordova, Vittorio Maio, Monika Pogorzelska-Maziarz
{"title":"Reevaluating the Significance of Infection Preventionists and Infection Prevention and Control Departments in the Post-COVID-19 Era.","authors":"Adaeze Q Amaefule,&nbsp;Alexander Litvintchouk,&nbsp;Pamela de Cordova,&nbsp;Vittorio Maio,&nbsp;Monika Pogorzelska-Maziarz","doi":"10.1097/JMQ.0000000000000132","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000132","url":null,"abstract":"<p><p>Infection preventionists are specialized health care professionals tasked with developing and implementing infection control policies, educating staff and patients on prevention practices, and investigating outbreaks. Infection preventionists role in developing effective measures for infection prevention and control and ensuring public health and safety became even more vital given the emergence of the COVID-19 pandemic. It is important for health care systems and institutions to incorporate lessons learned, enhance infection prevention and control resources, and grow the infection preventionists workforce to prepare for future pandemic events.</p>","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 4","pages":"206-208"},"PeriodicalIF":1.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020380","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
Procedure-Based Telehealth Utilization in General Surgery. 基于程序的远程医疗在普外科中的应用。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000122
Brittany E Levy, Wesley S Wilt, Jenifer Johnson, Heather Wallace, Erik Ballert, Melissa Newcomb, William Cavatassi, Andrew Harris
{"title":"Procedure-Based Telehealth Utilization in General Surgery.","authors":"Brittany E Levy,&nbsp;Wesley S Wilt,&nbsp;Jenifer Johnson,&nbsp;Heather Wallace,&nbsp;Erik Ballert,&nbsp;Melissa Newcomb,&nbsp;William Cavatassi,&nbsp;Andrew Harris","doi":"10.1097/JMQ.0000000000000122","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000122","url":null,"abstract":"<p><p>The authors hypothesize that standardized telehealth (TH) scheduling processes will improve TH utilization without increasing adverse events. Fifty visits preimplementation and 67 visits postimplementation were audited from June 2021 to January 2022. Both leadership and frontline stakeholders were engaged to identify current workflows and potential interventions targeting outpatient elective procedures. Process mapping outlined current TH scheduling workflows. Outcomes related to TH completion, cost, and TH scheduling were collected after implementation. Preimplementation TH scheduling rate was 32%. The intervention required TH postoperative appointments to be scheduled in clinic at the time of surgery scheduling with TH being the default postsurgical appointment for a standardized list of eligible procedures. Following implementation, 95% of patients undergoing eligible procedures had TH follow-up. This provided improved access to surgical follow-up care, by reducing travel needs to the Veterans Affairs facility. Secondarily, this intervention increased clinic appointment availability and resulted in possible increased revenue for billable visits. Standardizing TH scheduling based on the procedure improves the utilization of TH resulting in improved clinic efficiency and increased revenue, without increasing adverse events.</p>","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"154-159"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521282","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
Aspiration Pneumonia Prevention Protocol at Thomas Jefferson University Hospital: Utilizing a Mandatory Yale Swallow Protocol. 托马斯·杰斐逊大学医院吸入性肺炎预防协议:使用强制性耶鲁吞咽协议。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000104
Ryan Lamm, Kimberly R Bush, Christine Schleider, Kathleen Shindle, Darlene Rosendale, Scott Cowan, John Renzi
{"title":"Aspiration Pneumonia Prevention Protocol at Thomas Jefferson University Hospital: Utilizing a Mandatory Yale Swallow Protocol.","authors":"Ryan Lamm,&nbsp;Kimberly R Bush,&nbsp;Christine Schleider,&nbsp;Kathleen Shindle,&nbsp;Darlene Rosendale,&nbsp;Scott Cowan,&nbsp;John Renzi","doi":"10.1097/JMQ.0000000000000104","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000104","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"162"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521285","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 Barriers to Effective Outpatient Mental Health Referral for Medical Inpatients. 识别障碍有效门诊心理健康转诊的医疗住院患者。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000113
Patrick J Buckley, Meghan E Buckley, Priya Gopalan
{"title":"Identifying Barriers to Effective Outpatient Mental Health Referral for Medical Inpatients.","authors":"Patrick J Buckley,&nbsp;Meghan E Buckley,&nbsp;Priya Gopalan","doi":"10.1097/JMQ.0000000000000113","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000113","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"163"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10659436","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
National Early Warning Score Deployment in a Veterans Affairs Facility: A Quality Improvement Initiative and Analysis. 退伍军人事务设施的国家早期预警评分部署:质量改进倡议和分析。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000123
Mejalli Al-Kofahi, Alexandra Spicer, Richard S Schaefer, Andrea Uhl, Matthew Churpek, Sushant Govindan
{"title":"National Early Warning Score Deployment in a Veterans Affairs Facility: A Quality Improvement Initiative and Analysis.","authors":"Mejalli Al-Kofahi,&nbsp;Alexandra Spicer,&nbsp;Richard S Schaefer,&nbsp;Andrea Uhl,&nbsp;Matthew Churpek,&nbsp;Sushant Govindan","doi":"10.1097/JMQ.0000000000000123","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000123","url":null,"abstract":"<p><p>Early warning scores are algorithms designed to identify clinical deterioration. Current literature is predominantly in non-Veteran populations. Studies in Veterans are lacking. This study was a prospective quality improvement project deploying and assessing the National Early Warning Score (NEWS) at Kansas City VA Medical Center. Performance of NEWS was assessed as follows: discrimination for predicting a composite outcome of intensive care unit transfer or mortality within 24 hours via area under the receiver operating curve. A total of 4781 Veterans with 142 375 NEWS values were included. The NEWS area under the receiver operating curve for the composite outcome was 0.72 (95% CI, 0.71-0.74), indicating acceptable predictive accuracy. A NEWS of ≥7 was more likely associated with the composite outcome versus <7 (13.6% vs 0.8%; P < 0.001). This is one of the first studies to demonstrate successful deployment of NEWS in a Veteran population, with resultant important implications across the Veterans Health Administration.</p>","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"147-153"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521283","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
Cost-Savings of Do Not Resuscitate Orders Among Elderly Patients With Heart Failure in the United States. 在美国老年心力衰竭患者中不复苏命令的成本节约。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000121
Katherine Callahan, Lauren J Van Scoy, Lisa Kitko, Yubraj Acharya, Melissa A Hardy, Christopher S Hollenbeak
{"title":"Cost-Savings of Do Not Resuscitate Orders Among Elderly Patients With Heart Failure in the United States.","authors":"Katherine Callahan,&nbsp;Lauren J Van Scoy,&nbsp;Lisa Kitko,&nbsp;Yubraj Acharya,&nbsp;Melissa A Hardy,&nbsp;Christopher S Hollenbeak","doi":"10.1097/JMQ.0000000000000121","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000121","url":null,"abstract":"<p><p>Do-not-resuscitate (DNR) orders should preclude the use of cardiopulmonary resuscitation and may be associated with patient outcomes for patients hospitalized with heart failure (HF). This study examined the association between DNR and costs, mortality, and length of stay. The study cohort was a national sample of 700 922 hospital admissions of patients aged >65 with a primary diagnosis of HF. Elderly HF patients who died with a DNR had cost-savings of $5640 ( P < 0.001). Patients with a DNR order were 8.9% points more likely to die before discharge than patients without ( P < 0.001), and patients who died with a DNR had a significantly shorter hospital stay by 1.51 days ( P < 0.001). DNR orders among elderly patients with HF are associated with cost-savings, as well as a higher mortality and shorter length of stay. In addition to primary benefits, advance care planning may aid in containing costs of care at end of life for HF.</p>","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"137-146"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9524635","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
Keeping Quality Management in Medicine. 坚持医药质量管理。
IF 1.4 4区 医学
American Journal of Medical Quality Pub Date : 2023-05-01 DOI: 10.1097/JMQ.0000000000000120
Dan M Westphal
{"title":"Keeping Quality Management in Medicine.","authors":"Dan M Westphal","doi":"10.1097/JMQ.0000000000000120","DOIUrl":"https://doi.org/10.1097/JMQ.0000000000000120","url":null,"abstract":"","PeriodicalId":7539,"journal":{"name":"American Journal of Medical Quality","volume":"38 3","pages":"164"},"PeriodicalIF":1.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529717","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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