AJMQ Newsletter: New Chapters for the College
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Lyles, M. A., Huang, D., Kohli, S., Ramsey, S. Tags: AJMQ Newsletter Source Type: research

A Computerized Provider Order Entry-Based Alerting System Advising Appropriate Drug Dosage for Patients With Renal Insufficiency
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Wu, T. W., Wu, A. J., Peng, T. R. Tags: Letter to the Editor Source Type: research

Can Webinar-Based Education Improve Geriatrics Training in Internal Medicine Residency Programs?
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Sedhom, R., Barile, D. Tags: Letter to the Editor Source Type: research

Impact of an Enhanced Transition Process on Patient Readiness for Discharge
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Namavar, A. A., Huey, L., Busuttil, A., Afsar-Manesh, N., Dowling, E. P. Tags: Letter to the Editor Source Type: research

Time Delay to Rheumatology Consultation: Rheumatoid Arthritis Diagnostic Concordance Between Primary Care Physician and Rheumatologist
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Vega-Morales, D., Covarrubias-Castaneda, Y., Arana-Guajardo, A. C., Esquivel-Valerio, J. A. Tags: Letter to the Editor Source Type: research

Book Review: The Longest Mile: A Doctor, a Food Fight, and the Footrace That Rallied a Community Against Cancer
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Etherington, N. B. Tags: Book Review Source Type: research

Student Perceptions of Clinical Quality and Safety
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Swamy, L., Badke, C., Suguness, A., McKeegan, J., Kirkham, K., Borges, N. J. Tags: Q-Tip Source Type: research

Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Watts, B. V., Paull, D. E., Williams, L. C., Neily, J., Hemphill, R. R., Brannen, J. L. Tags: Commentary Source Type: research

Changing Physician Behavior by Integrating a Risk-Adjusted Database Into a Quality Improvement Program
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Stanford, J. R., Wilkins, D. S. Tags: Commentary Source Type: research

Identifying Deteriorating Patients Through Multidisciplinary Team Training
Multidisciplinary training has improved maternity outcomes when the training has been well attended, regular, in house, used high-fidelity simulators, and integrated teamwork training. If these principles were used in other settings, better clinical care may result. This before-after study sought to establish whether a short multidisciplinary training intervention can improve recognition of the deteriorating patient using an aggregated physiological parameter scoring system (Early Warning Score [EWS]). Nursing, medical, and allied nursing staff participated in an hour-long training session, using real-life scenarios with s...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Merriel, A., van der Nelson, H., Merriel, S., Bennett, J., Donald, F., Draycott, T., Siassakos, D. Tags: Articles Source Type: research

Operating Room Inefficiencies Attributable to Errors in Surgical Case Scheduling and Surgeon Procedure Heterogeneity
This study examined effects of scheduling errors on operating room efficiency and surgeon procedure heterogeneity on the rate of incorrectly scheduled cases. Operative cases in an academic center over 11 months were categorized as correctly or incorrectly scheduled. Surgeon heterogeneity was the number of unique procedures performed. Delays were greater for misbooked first cases (median 9 minutes late (interquartile range [IQR] 2-24) vs 4 (IQR 0-13), P < .01). For subsequent cases, turnover time was longer if misbooked (47 minutes (IQR 33-69) vs 39 (IQR 28-55), P < .01). Overall, the difference between actual and sch...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Pariser, J. J., Diamond, A. J., Christianson, L. W., Mitchell, B. A., Langerman, A. Tags: Articles Source Type: research

Achieving Hand Hygiene Success With a Partnership Between Graduate Medical Education, Hospital Leadership, and Physicians
Engaging physicians in hand hygiene programs is a challenge faced by many academic medical centers. Partnerships between education and academic leaders present opportunities for effective collaboration and improvement. The authors developed a robust hand hygiene quality improvement program, with attention to rapid-cycle improvements, including all levels of staff and health care providers. The program included a defined governance structure, clear data collection process, educational interventions, rapid-cycle improvements, and financial incentive for staff and physicians (including residents and fellows). Outcomes were me...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Rosenbluth, G., Garritson, S., Green, A. L., Milev, D., Vidyarthi, A. R., Auerbach, A. D., Baron, R. B. Tags: Articles Source Type: research

A Missed Opportunity to Improve Patient Satisfaction? Patient Perceptions of Inpatient Communication With Their Primary Care Physician
Improving patient satisfaction is a major focus of hospitals. Patient satisfaction could be driven by patient perception of hospital team communication with their primary care physician (PCP). A retrospective mixed methods approach was used to characterize the relationship between patient satisfaction and patient perception of hospital team–PCP communication. Data were obtained through general medicine inpatient and postdischarge interviews, oversampling "vulnerable elders," and a faxed PCP survey. Among 1044 patients and their PCPs, 22.3% of PCPs were not aware of their patient’s hospitalization. Among PCPs wh...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Adams, D. R., Flores, A., Coltri, A., Meltzer, D. O., Arora, V. M. Tags: Articles Source Type: research

One Size Does Not Fit All: Pediatric Patient Satisfaction Within an Integrated Health Network
The objective of the study was to assess relative impacts of factors across 4 health service areas. In this retrospective study of 27 028 responses from patient satisfaction surveys, the multiple-group structural equation modeling was used to assess factor effects. "Physician care" has the largest impact on overall pediatric patient satisfaction in outpatient specialty care with a 1.4-fold, 1.7-fold, and 3-fold reduction in effect in primary care, emergency department, and inpatient care, respectively. "Nursing care" has the largest impact in inpatient care with a 3-fold effect reduction in emergency care. "Personal concer...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Ye, G., Rosen, P., Collins, B., Lawless, S. Tags: Articles Source Type: research

Quality Improvement Process in a Large Intensive Care Unit: Structure and Outcomes
Quality improvement in the health care setting is a complex process, and even more so in the critical care environment. The development of intensive care unit process measures and quality improvement strategies are associated with improved outcomes, but should be individualized to each medical center as structure and culture can differ from institution to institution. The purpose of this report is to describe the structure of quality improvement processes within a large medical intensive care unit while using examples of the study institution’s successes and challenges in the areas of stat antibiotic administration, ...
Source: American Journal of Medical Quality - November 1, 2016 Category: Health Management Authors: Reddy, A. J., Guzman, J. A. Tags: Articles Source Type: research