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BMJ Open Quality最新文献

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Navigating the transition to digital transfusion safety in a resource-limited setting: a prospective implementation study and operational workflow analysis. 在资源有限的环境中引导向数字输血安全的过渡：一项前瞻性实施研究和操作工作流分析。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-16 DOI: 10.1136/bmjoq-2026-004241
Ninnate Junta, Ronnarit Boonyarat, Chalawan Butryojantho, Chintana Puapairoj, Kriangsak Jenwitheesuk, Nattawut Taebunpakul, Chutarat Chueyjundee
{"title":"Navigating the transition to digital transfusion safety in a resource-limited setting: a prospective implementation study and operational workflow analysis.","authors":"Ninnate Junta, Ronnarit Boonyarat, Chalawan Butryojantho, Chintana Puapairoj, Kriangsak Jenwitheesuk, Nattawut Taebunpakul, Chutarat Chueyjundee","doi":"10.1136/bmjoq-2026-004241","DOIUrl":"https://doi.org/10.1136/bmjoq-2026-004241","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149206612","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
Failed quality improvement project to improve adherence to CAM-ICU and RASS documentation in a tertiary intensive care unit: a cautionary tale. 失败的质量改进项目，以提高对CAM-ICU和RASS文件的依从性在三级重症监护室：一个警示故事。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-15 DOI: 10.1136/bmjoq-2025-003818
Yu Shen Chong, Anna Batho, Annalisa Miller, Veronica Marsh
{"title":"Failed quality improvement project to improve adherence to CAM-ICU and RASS documentation in a tertiary intensive care unit: a cautionary tale.","authors":"Yu Shen Chong, Anna Batho, Annalisa Miller, Veronica Marsh","doi":"10.1136/bmjoq-2025-003818","DOIUrl":"https://doi.org/10.1136/bmjoq-2025-003818","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191172","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
Evaluating the quality and safety of a nurse practitioner-led virtual clinic for secondary prevention in stable coronary artery disease: a pilot feasibility study. 评估由执业护士主导的虚拟诊所用于稳定型冠状动脉疾病二级预防的质量和安全性：一项试点可行性研究
IF 2.1
BMJ Open Quality Pub Date : 2026-10-15 DOI: 10.1136/bmjoq-2026-004408
Anwar Abdi, Holly Rector, Vivian Hung, Shadi Akhtari
{"title":"Evaluating the quality and safety of a nurse practitioner-led virtual clinic for secondary prevention in stable coronary artery disease: a pilot feasibility study.","authors":"Anwar Abdi, Holly Rector, Vivian Hung, Shadi Akhtari","doi":"10.1136/bmjoq-2026-004408","DOIUrl":"https://doi.org/10.1136/bmjoq-2026-004408","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191148","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
Improving quality outcomes through a hospitalist driven malignant haematology service. 通过医院医生驱动的恶性血液学服务提高质量结果。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-15 DOI: 10.1136/bmjoq-2026-004179
Neha Verma, Enas Abdallah, Khaled M AlKhawaldeh, Grace K Lee, Steven Benyahia, Syed Misbahuddin, Arjun Tummala, Hardik Thakkar, Andrew H Hines, Richard R Reich, James Lochner, Leidy Isenalumhe, Jeffrey E Lancet, Brahm Segal, Timothy Hembree
{"title":"Improving quality outcomes through a hospitalist driven malignant haematology service.","authors":"Neha Verma, Enas Abdallah, Khaled M AlKhawaldeh, Grace K Lee, Steven Benyahia, Syed Misbahuddin, Arjun Tummala, Hardik Thakkar, Andrew H Hines, Richard R Reich, James Lochner, Leidy Isenalumhe, Jeffrey E Lancet, Brahm Segal, Timothy Hembree","doi":"10.1136/bmjoq-2026-004179","DOIUrl":"https://doi.org/10.1136/bmjoq-2026-004179","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191169","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
Improving patient flow in inpatient mental health wards at Central and North West London NHS Foundation Trust (CNWL). 在伦敦中部和西北部NHS基金会信托（CNWL）改善住院精神卫生病房的病人流量。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-13 DOI: 10.1136/bmjoq-2025-003394
Peter Toohey, Isaac Obeng, Geetika Singh, Alison Butler, Mehtab Rahman, Gareth Jarvis
{"title":"Improving patient flow in inpatient mental health wards at Central and North West London NHS Foundation Trust (CNWL).","authors":"Peter Toohey, Isaac Obeng, Geetika Singh, Alison Butler, Mehtab Rahman, Gareth Jarvis","doi":"10.1136/bmjoq-2025-003394","DOIUrl":"10.1136/bmjoq-2025-003394","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179233","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
Buckinghamshire CAMHS neurodevelopmental assessment pathway transformation: a quality improvement project. 白金汉郡CAMHS神经发育评估途径转化：质量改进项目。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-13 DOI: 10.1136/bmjoq-2025-004133
Simran Bhogal, Catherine Ruth Fava, Solee Jung
{"title":"Buckinghamshire CAMHS neurodevelopmental assessment pathway transformation: a quality improvement project.","authors":"Simran Bhogal, Catherine Ruth Fava, Solee Jung","doi":"10.1136/bmjoq-2025-004133","DOIUrl":"10.1136/bmjoq-2025-004133","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179273","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
Improving surgical antimicrobial prophylaxis in patients with a penicillin allergy label: a quality improvement study. 改善青霉素过敏标签患者的外科抗菌预防：一项质量改进研究。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-12 DOI: 10.1136/bmjoq-2026-004450
Byron M Rudman, Olga Horn, Olivia Lamont, Niall Conlon, Salma Alamin, Jonathan McGrath, Sadhbh O'Rourke, Maebh Kelleher, Niall Fanning, Aine Cafferkey, Rory Naughton, Sean Keane
{"title":"Improving surgical antimicrobial prophylaxis in patients with a penicillin allergy label: a quality improvement study.","authors":"Byron M Rudman, Olga Horn, Olivia Lamont, Niall Conlon, Salma Alamin, Jonathan McGrath, Sadhbh O'Rourke, Maebh Kelleher, Niall Fanning, Aine Cafferkey, Rory Naughton, Sean Keane","doi":"10.1136/bmjoq-2026-004450","DOIUrl":"10.1136/bmjoq-2026-004450","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164235","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
Addressing administrative burden in family medicine: a local quality improvement initiative. 解决家庭医学的行政负担：地方质量改进倡议。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-12 DOI: 10.1136/bmjoq-2025-004072
Madura Sundareswaran, Max Moloney
{"title":"Addressing administrative burden in family medicine: a local quality improvement initiative.","authors":"Madura Sundareswaran, Max Moloney","doi":"10.1136/bmjoq-2025-004072","DOIUrl":"10.1136/bmjoq-2025-004072","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163534","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
Sustaining accurate penicillin allergy labels through electronic health record interoperability: a cross-sectional observational follow-up study 3 years after initial penicillin allergy evaluation. 通过电子健康记录互操作性维持准确的青霉素过敏标签：一项在初始青霉素过敏评估后3年的横断面观察性随访研究。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-12 DOI: 10.1136/bmjoq-2026-004293
Marie Bjørbak Alnæs, Ann Kristine Hammerstad, Benedicte Garfors, Oddvar Oppegaard, Bård Reiakvam Kittang, Torgeir Storaas
{"title":"Sustaining accurate penicillin allergy labels through electronic health record interoperability: a cross-sectional observational follow-up study 3 years after initial penicillin allergy evaluation.","authors":"Marie Bjørbak Alnæs, Ann Kristine Hammerstad, Benedicte Garfors, Oddvar Oppegaard, Bård Reiakvam Kittang, Torgeir Storaas","doi":"10.1136/bmjoq-2026-004293","DOIUrl":"10.1136/bmjoq-2026-004293","url":null,"abstract":"","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164017","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
Antibiotic prescribing that aligns with a host-protein test at US acute care settings is associated with fewer subsequent hospitalisations. 在美国急性护理机构中，与宿主蛋白测试相一致的抗生素处方与随后的住院次数减少有关。
IF 2.1
BMJ Open Quality Pub Date : 2026-10-06 DOI: 10.1136/bmjoq-2026-004217
Peter S Antkowiak, W Frank Peacock, Adam J Singer, Richard E Rothman, Gabriel A Bien-Willner
{"title":"Antibiotic prescribing that aligns with a host-protein test at US acute care settings is associated with fewer subsequent hospitalisations.","authors":"Peter S Antkowiak, W Frank Peacock, Adam J Singer, Richard E Rothman, Gabriel A Bien-Willner","doi":"10.1136/bmjoq-2026-004217","DOIUrl":"10.1136/bmjoq-2026-004217","url":null,"abstract":"<p><strong>Background: </strong>Differentiating bacterial from viral infections in acute care is challenging, often leading to inappropriate antibiotic use. MeMed BV (MMBV) is a host-protein test integrating TNF-related apoptosis-inducing ligand, induced protein-10 and C-reactive protein to distinguish infection aetiology. We evaluated whether alignment between MMBV results and antibiotic prescribing is associated with downstream clinical outcomes and costs.</p><p><strong>Methods: </strong>Data were pooled from two prospective US studies (APOLLO and JUNO). Alignment was defined as: antibiotics prescribed for bacterial MMBV results or no antibiotics for viral results. The primary outcome was unplanned revisits and hospitalisations within 28 days. Exploratory analysis estimated healthcare costs using 2024 Healthcare Cost and Utilisation Project data.</p><p><strong>Results: </strong>The cohort included 297 adults (median age 36.4 years). 20.5% had bacterial, 68.0% viral and 11.4% equivocal MMBV results. In patients with bacterial MMBV results, antibiotic prescription (alignment) was significantly associated with fewer revisits (5.0% vs 33.3%; p=0.003) and hospitalisations (2.5% vs 19.0%; p=0.026). For patients with viral results, outcomes were comparable regardless of antibiotic use. In the exploratory analysis, alignment with MMBV was associated with lower estimated costs (£101 vs £1175/patient; difference £1074), driven mainly by fewer hospital days in the aligned group.</p><p><strong>Conclusion: </strong>Misalignment between MMBV bacterial results and antibiotic prescribing in acute care settings was associated with higher revisit and hospitalisation rates. These findings identify a quality gap under diagnostic uncertainty and support a methodology which includes assessment of test versus clinical outcome alignment when evaluating new diagnostic tests.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103876","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
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