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Journals Joint Commission Journal on Qu...

Joint Commission Journal on Quality and Patient Safety

https://read.qxmd.com/read/37989641/achieving-health-care-equity-requires-a-systems-approach
#1
EDITORIAL
David W Baker
No abstract text is available yet for this article.
November 2, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38044219/embedding-equity-into-the-hospital-incident-command-system-a-narrative-review
#2
REVIEW
Rachel Moyal-Smith, Daniel J Barnett, Eric S Toner, Jill A Marsteller, Christina T Yuan
BACKGROUND: Disasters exacerbate health inequities, with historically marginalized populations experiencing unjust differences in health care access and outcomes. Health systems plan and respond to disasters using the Hospital Incident Command System (HICS), an organizational structure that centralizes communication and decision-making. The HICS does not have an equity role or considerations built into its standard structure. The authors conducted a narrative review to identify and summarize approaches to embedding equity into the HICS...
October 28, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37973474/internal-medicine-virtual-specialist-assessment-program-reduces-emergency-department-transfers-from-long-term-care
#3
JOURNAL ARTICLE
Amanda Mac, Nazia Sharfuddin, Shaan Chugh, Alison Freeland, Amir Ginzburg, Tony Campbell
BACKGROUND: Transfers to emergency departments (EDs) from long-term care (LTC) can expose residents to care discontinuities and risks. Virtual platforms can increase the breadth of care available for residents within their facility, thus replacing transfers to EDs when safe and appropriate. The authors aimed to assess whether leveraging a virtual care platform at an LTC facility would reduce the number of transfers to EDs. METHODS: Data on the number of transfers to EDs were collected from January 2019 to October 2021 at an LTC facility...
October 27, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37996308/low-rate-of-completion-of-recommended-tests-and-referrals-in-an-academic-primary-care-practice-with-resident-trainees
#4
JOURNAL ARTICLE
Maelys J Amat, Timothy S Anderson, Umber Shafiq, Scot B Sternberg, Talya Salant, Leonor Fernandez, Gordon D Schiff, Mark D Aronson, James C Benneyan, Sara J Singer, Kelly L Graham, Russell S Phillips
BACKGROUND: A frequent, preventable cause of diagnostic errors involves failure to follow up on diagnostic tests, referrals, and symptoms-termed "failure to close the diagnostic loop." This is particularly challenging in a resident practice where one third of physicians graduate annually, and rates of patient loss due to these transitions may lead to more opportunities for failure to close diagnostic loops. The aim of this study was to determine the prevalence of failure of loop closure in a resident primary care clinic compared to rates in the faculty practice and identify factors contributing to failure...
October 24, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37989640/documentation-of-disability-status-and-accommodation-needs-in-the-electronic-health-record-a-qualitative-study-of-health-care-organizations-current-practices
#5
JOURNAL ARTICLE
Megan A Morris, Cristina Sarmiento, Kori Eberle
BACKGROUND: This qualitative study aimed to understand how early adopting health care organizations (HCOs) implement the documentation of patients' disability status and accommodation needs in the electronic health record (EHR). METHODS: The authors conducted qualitative interviews with HCOs that had active or past initiatives to implement systematic collection of disability status in the EHR. The interviews elicited participants' current experiences, desired features of a standard EHR build, and challenges and successes...
October 21, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37968193/leveraging-health-systems-to-expand-and-enhance-antibiotic-stewardship-in-outpatient-settings
#6
JOURNAL ARTICLE
Raphaelle H Rodzik, Whitney R Buckel, Adam L Hersh, Lauri A Hicks, Melinda M Neuhauser, Edward A Stenehjem, David Y Hyun, Rachel M Zetts
No abstract text is available yet for this article.
October 21, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37863685/sentinel-event-alert-68-updated-surgical-fire-prevention-for-the-21st-century
#7
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
October 18, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37953168/perspectives-on-perioperative-team-based-morbidity-and-mortality-conferences-a-mixed-methods-study
#8
JOURNAL ARTICLE
Aubrey Samost-Williams, Roni Rosen, Emily Cummins, Yves Sonnay, Garett Nash, Alexander Hannenberg, Mary Brindle
BACKGROUND: Morbidity and mortality conferences (MMCs) are quality improvement mechanisms during which adverse events are reviewed, often by physicians within a single discipline. There is a growing desire to include nonphysicians and physicians from other disciplines in team-based morbidity and mortality conferences (TBMMs). This mixed methods study investigates perioperative perspectives on MMCs generally and TBMMs specifically. METHODS: A national survey of perioperative health care professionals, including surgeons, anesthesiologists, and nurses, was used to explore opinions about MMCs and TBMMs...
October 15, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37926671/clinician-review-of-advanced-care-planning-for-older-surgical-patients-requiring-intensive-care
#9
JOURNAL ARTICLE
Joseph A Lin, Alexis Colley, Logan Pierce, Emily Finlayson, Rebecca L Sudore, Elizabeth C WIck
No abstract text is available yet for this article.
October 11, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37923670/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated-integration-and-expansion-of-tools-and-services-in-the-veterans-health-administration
#10
JOURNAL ARTICLE
Justin M List, Lauren E Russell, Leslie R M Hausmann, Kristine Groves, Benjamin Kligler, Jennifer Koget, Ernest Moy, Carolyn Clancy
BACKGROUND: The Joint Commission recently named reduction of health care disparities and improvement of health care equity as quality and safety priorities (Leadership [LD] Standard LD.04.03.08 and National Patient Safety Goal [NPSG] Standard NPSG.16.01.01). As the largest integrated health system, the Veterans Health Administration (VHA) sought to leverage these new accreditation standards to further integrate and expand existing tools and initiatives to reduce health care disparities and address health-related social needs (HRSNs)...
October 10, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37865614/no-more-useless-band-aids-that-fail-to-solve-america-s-emergency-department-boarding-crisis
#11
EDITORIAL
Richelle J Cooper, David L Schriger
No abstract text is available yet for this article.
October 7, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37852851/a-quality-improvement-initiative-to-increase-documentation-of-preferences-for-life-sustaining-treatment-in-hospitalized-adults
#12
JOURNAL ARTICLE
David Harmon, Bryanna De Lima, Kellie Littlefield, Mary Brooks, Kathleen Drago
BACKGROUND: Portable Orders for Life-Sustaining Treatment (POLST) forms allow patients to codify their preferences for life-sustaining treatments across inpatient and outpatient settings. In 2019 only 29.5% of our hospitalized internal medicine patients with an inpatient do-not-resuscitate (DNR) order and no DNR POLST at admission discharged with a DNR POLST. This presented an opportunity to improve POLST completion and avoid undesired or inappropriate care after discharge. METHODS: Using electronic health record (EHR) data, the authors identified hospitalized adults (age ≥ 50 years) admitted to an internal medicine service with a DNR order and discharged alive...
September 28, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37852852/screening-for-suicide-risk-is-predicting-the-future-not-diagnosing-the-present
#13
EDITORIAL
Rebecca C Rossom, Gregory E Simon
No abstract text is available yet for this article.
September 20, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37845151/implementing-and-evaluating-a-discharge-before-noon-initiative-in-a-large-tertiary-care-urban-hospital
#14
JOURNAL ARTICLE
Khadeja Kausar, Edward Coffield, Regina Tarkovsky, M Alexander Alvarez, Katherine A Hochman, Robert A Press
BACKGROUND: Discharging clinically ready patients before noon on their discharge day may influence overall discharge process quality, emergency department (ED) boarding times, and length of stay (LOS). This study evaluated the effectiveness of a discharge before noon (DBN) initiative. METHODS: Many DBN components were refined or added during a pilot, including incorporating the DBN process into daily rounds, an electronic tracking system, and other elements for possible DBN patients such as a car service when appropriate and expedited lab results and physical therapy consults...
September 13, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37748940/the-joint-commission-journal-on-quality-and-patient-safety-adds-new-editors-to-team
#15
EDITORIAL
Dojna Shearer, David W Baker
No abstract text is available yet for this article.
September 13, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37821324/bringing-the-equity-lens-to-patient-safety-event-reporting
#16
JOURNAL ARTICLE
Tejal K Gandhi, Lucy B Schulson, Angela D Thomas
No abstract text is available yet for this article.
September 12, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37838603/contextual-factors-influencing-the-implementation-of-a-multifaceted-intervention-to-improve-teamwork-and-quality-for-hospitalized-patients-a-multisite-qualitative-comparative-case-study
#17
JOURNAL ARTICLE
Iva A Terwilliger, Julie K Johnson, Milisa Manojlovich, Gopi J Astik, Jane S Kim, Mark V Williams, Kevin J O'Leary
BACKGROUND: Many hospitals have begun to implement models that combine interventions to redesign care for medical patients. These models include localization of physicians to specific units, nurse-physician co-leadership, and interprofessional rounds. Understanding contextual factors, the circumstances surrounding an implementation effort that influence its success, is essential to provide guidance to leaders implementing similar models of care. METHODS: A multisite qualitative comparative case study was conducted with four hospitals in the REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) study...
September 9, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37821325/hospital-testing-of-the-effectiveness-of-co-designed-educational-materials-to-improve-patient-and-visitor-knowledge-and-confidence-in-reporting-patient-deterioration
#18
JOURNAL ARTICLE
Lindy King, Ingrid Belan, Robyn A Clark, Tom Young, Hugh Grantham, Karleen Thornton, Michael R Kidd
BACKGROUND: Co-designed educational materials could significantly improve the likelihood of patients and visitors (consumers) escalating care through hospital systems. The objective was to investigate patients' and visitors' knowledge and confidence in recognizing and reporting patient deterioration in hospitals before and after exposure to educational materials. METHODS: A multimethod design involved a convenience sample of patients and visitors at a South Australian hospital...
September 9, 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37198060/use-of-technology-to-improve-the-adherence-to-surgical-safety-checklists-in-the-operating-room
#19
JOURNAL ARTICLE
Akash Bihari Pati, Tushar S Mishra, Preetam Chappity, Mahalingam Venkateshan, Jawahar S K Pillai
BACKGROUND: Although checklists can improve safety in the operating room (OR), compliance with their use is variable. Use of a forcing function, a principle of human factors engineering, has not been reported earlier as a method of increasing checklist use. The authors conducted this study to determine the feasibility and effects of introducing a forcing function on OR surgical safety checklist implementation and adherence. METHODS: The authors developed and introduced the use of an electronic version of the surgical safety checklist on an Android application, provided on a personal device available in the OR...
October 2023: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/37806797/a-multifaceted-intervention-to-improve-teamwork-on-an-inpatient-pediatric-neurosurgery-service
#20
JOURNAL ARTICLE
Emily Levoy, Amelia Sperber, Diana Poon, May Casazza, Jennifer Vargas, Sandra Yang, Gerald Grant, Sara Singer, Nivedita Srinivas
BACKGROUND: Increased safety reports related to interprofessional teamwork on an acute care unit at a quaternary children's hospital prompted a teamwork-focused improvement effort on the pediatric neurosurgery service. METHODS: An interprofessional workgroup was formed and met twice monthly throughout the project. A survey using modified validated items was disseminated to pediatric neurosurgery nurses, advanced practice providers (APPs), and physicians in March 2021 to identify opportunities for improvement...
September 2, 2023: Joint Commission Journal on Quality and Patient Safety
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