22nd Annual IHI Scientific Symposium on Improving the Quality and Value of Health Care
Background
Hosted by the Institute for Healthcare Improvement (IHI), the 22nd Annual Scientific Symposium on Improving the Quality and Value of Health Care takes place on Monday, December 5, 2016, in Orlando, Florida, USA. The Scientific Symposium aimed to attract high quality, scientific work, focused on the improvement of health and health care. The Symposium also aimed to foster dialog and share learning among participants. The day features keynote speakers, methods sessions, poster presentations and oral presentations. The 32 oral presentations were selected from 154 abstract submissions, through a process peer review ...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Parry, G. Tags: Abstracts Source Type: research
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process
Since the publication of Standards for QUality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semistructured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasises the reporting of three key components of systematic...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., Stevens, D. Tags: Open access Research and reporting methodology Source Type: research
Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering
Conclusions
Displaying radiation exposure and cost information at order entry may improve clinician awareness about diagnostic imaging safety risks and costs. More clinicians reported the radiation information influenced their clinical practice. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Kruger, J. F., Chen, A. H., Rybkin, A., Leeds, K., Guzman, D., Vittinghoff, E., Goldman, L. E. Tags: Original research Source Type: research
A 'paperless wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement
Conclusions
Improvements in team engagement and compliance with administering checklist items followed introduction of migrated leadership of checklist administration and a wall-mounted checklist. This paradigm change was relatively simple and inexpensive. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Ong, A. P. C., Devcich, D. A., Hannam, J., Lee, T., Merry, A. F., Mitchell, S. J. Tags: Original research Source Type: research
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care
Conclusions
The 2011 ACGME duty hour reform was not associated with improvements in process-of-care and patient experience measures. These data should be considered when considering reform of resident duty hour policies. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Rajaram, R., Saadat, L., Chung, J., Dahlke, A., Yang, A. D., Odell, D. D., Bilimoria, K. Y. Tags: Original research Source Type: research
Comparing NICU teamwork and safety climate across two commonly used survey instruments
Conclusions
Large variation and opportunities for improvement in patient safety culture exist across NICUs. Important systematic differences exist between SAQ and HSOPSC such that these instruments should not be used interchangeably. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Profit, J., Lee, H. C., Sharek, P. J., Kan, P., Nisbet, C. C., Thomas, E. J., Etchegaray, J. M., Sexton, B. Tags: Open access Original research Source Type: research
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study
Conclusions and relevance
Our data indicate that remote video auditing with feedback improves surgical safety checklist compliance for all cases, and turnover time for scheduled cases, but not for unscheduled cases. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Overdyk, F. J., Dowling, O., Newman, S., Glatt, D., Chester, M., Armellino, D., Cole, B., Landis, G. S., Schoenfeld, D., DiCapua, J. F. Tags: Open access, Editor's choice, BMJQS Noteworthy articles Original research Source Type: research
The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning
Conclusions
HCAT is not only the first reliable tool for coding complaints, it is the first tool to measure the severity of complaints. It facilitates service monitoring and organisational learning and it enables future research examining whether healthcare complaints are a leading indicator of poor service outcomes. HCAT is freely available to download and use. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Gillespie, A., Reader, T. W. Tags: Open access Original research Source Type: research
Lost information during the handover of critically injured trauma patients: a mixed-methods study
Conclusion
Trauma patient information was lost during handover from the ED to the ICU for multiple reasons. An interprofessional approach was proposed to improve handover through cross-unit familiarisation and use of communication tools is proposed. Going beyond traditional geographical and temporal boundaries was deemed important for improving patient safety during the ED to ICU handover. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Zakrison, T. L., Rosenbloom, B., McFarlan, A., Jovicic, A., Soklaridis, S., Allen, C., Schulman, C., Namias, N., Rizoli, S. Tags: Original research Source Type: research
Effect of patient-centred bedside rounds on hospitalised patients decision control, activation and satisfaction with care
Conclusions
PCBR had no impact on patients’ perceptions of shared decision-making, activation or satisfaction with care. Additional research is needed to identify optimal approaches that can be reliably implemented in hospital settings to improve patient-centred care. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: OLeary, K. J., Killarney, A., Hansen, L. O., Jones, S., Malladi, M., Marks, K., M Shah, H. Tags: BMJQS Noteworthy articles Original research Source Type: research
Fake and expired medications in simulation-based education: an underappreciated risk to patient safety
Introduction In January 2015, the US Food and Drug Administration (FDA) reported that at least 40 patients had received non-sterile intravenous fluids, resulting in associated adverse events and one death. The offending products were produced for educational purposes by a company supplying the growing healthcare simulation market, and were not intended for patients. The plastic bags, labelled to mimic sterile 0.9% saline solution, contaminated the medication supply chain in 22 locations.1 Although the sequence of events is not yet clear, the supply shortage of 0.9% saline in the USA2 may have been a contributory factor. Th...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Torrie, J., Cumin, D., Sheridan, J., Merry, A. F. Tags: Viewpoints Source Type: research
Does it matter how much physician trainees work anymore?
The restriction of working hours for physicians in training was one of the earliest and most far-reaching interventions of the patient safety movement. The US Accreditation Council for Graduate Medical Education (ACGME) implemented rules in 2003 restricting residents to 80 h of work per week and no more than 30 h of continuous duty. Subsequent regulations implemented in 20111 limited the maximum shift length for first-year trainees to 16 h and reduced continuous duty for all residents to 28 h. Other countries have implemented significantly stricter rules—the European Working Time Directive2 has li...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Fletcher, K. E., Ranji, S. R. Tags: Editorials Source Type: research
Video transparency: a powerful tool for patient safety and quality improvement
Transparency can be a powerful driver of better healthcare quality.1 In 2013, it was proposed that recording video data in healthcare begin with the several medical procedures that are already video based (cardiac stent placement, arthroscopic surgery, colonoscopy, etc).1 Different from the past era when recording required new hardware, most of the procedures performed in medicine today are now mediated by video, enabling a new opportunity for learning health systems.2 3 Some hospitals, like Johns Hopkins, have even built operating rooms (ORs) equipped with cameras—some of these are used to monitor room turnover time...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Joo, S., Xu, T., Makary, M. A. Tags: Editorials Source Type: research
Patient-centred care: confessions of a pragmatist
The essential importance of patient-centredness is no longer in dispute. More than 15 years ago, the Institute of Medicine incorporated patient-centred care as elemental to the definition of quality care.1 In his 2009 ‘Confessions of an Extremist’ essay, Sir Donald Berwick goes further, arguing that patient-centredness is ‘not a route to the point; it is the point’.2 At the same time, we all recognise that our current systems do not optimise patient centredness. At our institution, we have begun tracking episodes of ‘disrespect’ with the same systems we use to track patient safety e...
Source: BMJ Quality and Safety - November 17, 2016 Category: Journals (General) Authors: Sands, K. E. Tags: Editorials Source Type: research
Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care
Background In the USA, healthcare costs are far greater than those in any other industrialised country.1 Currently, they comprise almost 18% of the gross domestic product and 30% of government expenditures.2 US healthcare costs encroach on all other areas of spending public and private. Cost drivers are multifactorial but up to 30% of Medicare spending is potentially avoidable without worsening health outcomes3 4 with overuse and misuse of tests and treatments accounting for approximately 10%. Physicians have a responsibility to ensure that the diagnostic tests and treatments they order are safe, effective and provide valu...
Source: BMJ Quality and Safety - October 18, 2016 Category: Journals (General) Authors: Stinnett-Donnelly, J. M., Stevens, P. G., Hood, V. L. Tags: Quality improvement reports Source Type: research
