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Quality Management in Health Care

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https://read.qxmd.com/read/30801417/a-mixed-method-study-of-practitioners-perspectives-on-issues-related-to-ehr-medication-reconciliation-at-a-health-system
#1
Pavani Rangachari, Kevin C Dellsperger, David Fallaw, Ian Davis, Michael Sumner, Walter Ray, Shashana Fiedler, Tran Nguyen, R Karl Rethemeyer
BACKGROUND: In an effort to reduce medication discrepancies during transitions of care and improve accuracy of the patient's medication list, AU Health conducted a study to identify a comprehensive set of issues related to electronic health record (EHR) medication reconciliation (MedRec) from the perspective of practitioners directly involved in the EHR MedRec process. METHODS: An exploratory mixed-method design was used. The 2-round study included 15 individual interviews, followed by a survey of 200 practitioners (ie, physicians, nurses, and pharmacists) based in the outpatient and inpatient medicine service at AU Health...
February 15, 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586128/call-for-papers
#2
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586127/information-for-authors
#3
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586126/increasing-adherence-to-evidence-based-clinical-practice
#4
Andrew J Knighton, Mariah McLaughlin, Robert Blackburn, Doug Wolfe, Seth Andrews, James L Hellewell, Rusty Moore, David P Edwards, Todd L Allen, Rajendu Srivastava
No abstract text is available yet for this article.
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586125/leveraging-health-information-technology-in-the-quest-to-improve-health-care-value
#5
Marquita C Genies, Eric A Biondi, Sean M Berenholtz
No abstract text is available yet for this article.
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586124/a-multidisciplinary-handoff-process-to-standardize-the-transfer-of-care-between-the-intensive-care-unit-and-the-operating-room-erratum
#6
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586123/can-nurse-based-management-screening-ensure-adequate-outcomes-in-patients-with-gestational-diabetes-a-comparison-of-2-organizational-models
#7
Laura Nollino, Maria Lisa Marcon, Edward Kiwanuka, Michela Merlotto-Cazziola, Maria Sambataro, Luisa Sambado, Enrica Trevisiol, Antonella Scantamburlo, Alessandra Mauri, Enrico Busato, Roberta Pirolo, Massimo Boaretto, Licia Turolla, Pietro Paolo Faronato, Marco Cadamuro-Morgante, Roberta Migot, Agostino Paccagnella
BACKGROUND: Gestational diabetes mellitus (GDM) is an impaired glucose tolerance with onset or first recognition during pregnancy. The purpose of this study is to evaluate the clinical outcomes of a blood glucose monitoring protocol implemented by nurses and dietitians in a diabetes team to the previously established protocol of direct monitoring of GDM patients by a diabetologist. METHODS: Two groups of patients were formed: The first group was based on a traditional protocol (P1: 230 patients) with patients' blood glucose constantly checked by a diabetologist...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586122/a-rapid-cycle-improvement-approach-to-increase-patient-readiness-at-their-scheduled-appointment-time
#8
Jed Colt Cowdell, Teresa B Smoot, Loren P Murray, Fernando F Stancampiano, Mary S Hedges
BACKGROUND: Patient unpunctuality negatively affects quality care. We found that 39% of patients at an academic primary care center were not ready to be evaluated at their scheduled appointment time. Our aim was to reduce this to 20% in 3 months' time. INTERVENTION: A multidisciplinary quality improvement team utilized quality improvement tools and methodology to determine that patient punctuality was a major modifiable factor contributing to the care gap. Reforming the scheduling process to include a built in 15-minute early arrival was implemented for acute visits for a 2-week trial period...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586121/statistical-process-control-charts-for-monitoring-staphylococcus-aureus-bloodstream-infections-in-australian-health-care-facilities
#9
Nabeel Imam, Tim Spelman, Sandra A Johnson, Leon J Worth
BACKGROUND: Staphylococcus aureus bloodstream infection (SAB) in health care settings contributes significantly to mortality, and improved processes are associated with reduced burden of infection. In Australia, health care-associated SAB (HA-SAB) rates are reported as a health care performance indicator, but standardized methods for analyzing longitudinal data are not applied. Our objective was to evaluate the utility of statistical process control chart methodology for reporting HA-SAB and flagging higher than expected rates...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586120/patient-involvement-in-evaluation-of-safety-in-oral-antineoplastic-treatment-a-failure-mode-and-effects-analysis-in-patients-and-health-care-professionals
#10
Thea Otto Mattsson, Henriette Lipczak, Anton PottegÄrd
OBJECTIVES: To identify risks associated with delivery of treatment with oral antineoplastic agents in an outpatient setting and to evaluate additional value and feasibility of engaging patients in a proactive risk analysis. METHODS: We conducted 2 separate but parallel failure mode and effects analyses (FMEAs) among patients and health care professionals (HCPs) at a clinical oncology department in Denmark. Comparative analyses were performed using the FMEA process maps and risk priority numbers (RPNs) as main outcome measures...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586119/lean-oriented-layout-design-of-a-health-care-facility
#11
Flavio S Fogliatto, Guilherme L Tortorella, Michel J Anzanello, Leandro M Tonetto
BACKGROUND: In this article, we propose a method that integrates systematic layout planning techniques to lean health care practices aided by multicriteria decision analysis that could be applied to reformulate the layout of health care facilities. METHODS: We analyze a high-variety sterilization unit of a large public hospital located in Brazil. The unit is currently implementing lean practices, and layout changes are required to provide more efficient materials and information flows...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586118/sustainment-of-lean-redesigns-for-primary-care-teams
#12
Dorothy Y Hung, Caroline P Gray, Quan A Truong, Michael I Harrison
BACKGROUND: Quality improvements are notoriously followed by "backsliding" or relapse to the status quo. This mixed-methods study examined the sustainment of Lean workflow redesigns for primary care teams several years after being implemented in a large, ambulatory care delivery system. METHODS: We conducted qualitative interviews of 57 leaders and frontline providers, and fielded post-Lean implementation surveys to 1164 physicians and staff in 17 primary care clinics across the system...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586117/process-mining-for-quality-improvement-propositions-for-practice-and-research
#13
Sara Dahlin, Henrik Eriksson, Hendry Raharjo
OBJECTIVE: Process mining offers ways to discover patient flow, check how actual processes conform to a standard, and use data to enhance or improve processes. Process mining has been used in health care for about a decade, however, with limited focus on quality improvement. Hence, the aim of the article is to present how process mining can be used to support quality improvement, thereby bridging the gap between process mining and quality improvement. METHOD: We have analyzed current literature to perform a comparison between process mining and process mapping...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30586116/tutorial-on-data-balancing-application-to-benchmarking-clinicians
#14
Roshan Alemi, Amr Elrafey, Duncan Neuhauser, Farrokh Alemi
In this tutorial, we show how data balancing, in general, and stratified covariate balancing, in particular, can be used to benchmark clinicians. This tutorial aims to explain the concepts behind data balancing to readers who do not have a strong statistical background. Data balancing enables the analyst to compare the performance of clinicians with their peer groups on the same set of patients. The comparison is done in 3 steps. First, the patients are described in terms of their conditions/comorbidities. Each combination of comorbidities is treated as a separate type of patient...
January 2019: Quality Management in Health Care
https://read.qxmd.com/read/30260933/using-a-collective-impact-approach-to-prevent-prescription-opioid-misuse-addiction-and-overdose-deaths
#15
Andrew J Knighton, Kimberly D Brunisholz, Kristen Reisig, Lisa Nichols
No abstract text is available yet for this article.
October 2018: Quality Management in Health Care
https://read.qxmd.com/read/30260932/where-is-the-low-hanging-fruit-in-diagnostic-quality-and-safety
#16
David E Newman-Toker
No abstract text is available yet for this article.
October 2018: Quality Management in Health Care
https://read.qxmd.com/read/30260931/improving-communication-between-nurses-and-resident-physicians-a-3-year-quality-improvement-project
#17
Heather Smith, Joshua Greenberg, Shang-Yee Yeh, Lara Williams, Husein Moloo
Breakdown in communication is a predictor of both nursing and surgical errors. In a 2013 survey at our institution, staff on the general surgery unit identified nurse-resident communication as the most important issue related to patient safety. The general surgery Comprehensive Unit-based Safety Program sought to improve nurse-resident communication through a 3-year quality improvement initiative. A multidisciplinary working group conducted a root-cause analysis and developed initiatives addressing priority issues in nurse-resident communication...
October 2018: Quality Management in Health Care
https://read.qxmd.com/read/30260930/safe-passage-improving-the-transition-of-care-between-triage-and-labor-and-delivery
#18
Daniel D Lee, Alyssa C Colwill, Joseph Teel, Sindhu K Srinivas
OBJECTIVE: The multifaceted nature of the transition of care from the triage unit to labor and delivery has historically led to confusion, delays, and errors in care. This study evaluated the effect of standardization of roles and communication on improving this transition. METHODS: A multidisciplinary team was assembled to define and standardize roles of team members. A huddle safety board was created as a visual aid to promote closed-loop communication during an admission bedside huddle...
October 2018: Quality Management in Health Care
https://read.qxmd.com/read/30260929/a-multidisciplinary-handoff-process-to-standardize-the-transfer-of-care-between-the-intensive-care-unit-and-the-operating-room
#19
Kunal Karamchandani, Karima Fitzgerald, David Carroll, Mary E Trauger, Lisa A Ciccocioppo, Wendell Hess, Jansie Prozesky, Scott B Armen
OBJECTIVE: Critically ill patients are at high risk for adverse events on transfer between intensive care unit and operating room. Patient safety concerns were raised within our institution during such transfers, and absence of a standardized patient handoff process was identified as an area of concern. METHODS: The current state of the patient transfer processes between the intensive care units (ICUs) and the operating rooms (ORs) was mapped and failure modes were identified...
October 2018: Quality Management in Health Care
https://read.qxmd.com/read/30260928/developing-a-rural-community-based-registry-for-cardiovascular-quality-improvement
#20
James R Langabeer, Tiffany Champagne-Langabeer, Derek Smith
BACKGROUND: Cardiovascular disease is one of the leading causes of death, yet most evidence is collected from small clinical trials or individual hospital providers. Achieving scalable data to enable quality improvements (QIs) remains a challenge. We investigate whether a registry that is shared by multiple providers and integrates data longitudinally could help drive QIs across a large rural geographic region. METHODS: We describe a case study involving the development of an informatics infrastructure across the entire state of Wyoming...
October 2018: Quality Management in Health Care
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