Decade of Patient Experience Improvement at a Tertiary Care Urban Hospital
Background and Objective:
The purpose of this quality management study was to demonstrate how one hospital made a journey from average patient experience to become a regional leader in the experience of patient care for nationally recognized quality and safety metrics.
Methods:
Saint Francis Hospital & Medical Center (SFHMC) located in Hartford, Connecticut, serves a diverse sociodemographic community as part of Trinity Health. “Recommend the Hospital” (RTH) has been the main marker of patient experience at SFHMC and Trinity Health across the United States as part of the Hospital Consumer Assessment of Healt...
Source: Quality Management in Healthcare - March 29, 2022 Category: Health Management Tags: Original Research Source Type: research
Call for Reviewers
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Call for Reviewers Source Type: research
Call for Papers
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Call for Papers Source Type: research
Information for Authors
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Information for Authors Source Type: research
Psychological Well-Being in Adult Patients Suffering From Congenital Heart Disease: A Salutogenic Approach From a Chilean Experience
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Letter to the Editor Source Type: research
Building Technology Solutions in Context
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Intermountain Advances Source Type: research
Changing Policy Landscape: How a Hospital-Based Opioid Treatment Program Adapted Care for Patients With Opioid Use Disorder During the COVID-19 Pandemic
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Insights From the Armstrong Institute Source Type: research
The Cough Cold and Fever Clinic: A Model for the Safe Management of Ambulatory Patients With Suspected COVID-19
Conclusion:
The vast majority of patients, over 90%, seen in CCF were discharged home, with only a small percentage (3%) later requiring admission to a hospital. Of the patients sent directly to the ED from CCF, close to 90% were admitted, verifying the accuracy of our triage. Overall mortality was low (2%), especially when compared with mortality rates in New York City during the pandemic peak. Telemedicine was effective in identifying patients in need of in-person evaluation and in tracking and follow-up. Workflows and protocols were adaptable to reflect rapidly changing resources and clinical guidelines. Frequent co...
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: COVID-19 Applications and Perspectives Source Type: research
Evaluation and Perception of Clinical Pharmacist Participation in a Rapid Response Team During Cardiopulmonary Resuscitation
Conclusion:
Overall, pharmacists demonstrated value as a member of the RRT during cardiopulmonary arrest. The addition of a pharmacist was well received by interprofessional members of the MERIT. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Quality Management Applications Source Type: research
A Systems-Based Morbidity and Mortality Conference Was Associated With a Transient Reduction in ECG Completion Times
Background and Objectives:
During its monthly morbidity and mortality conference (MMC), the University of Colorado Division of Cardiology reviewed a “near-miss” patient safety event involving the delayed completion of a Stat-priority (ie, statim, meaning high priority) electrocardiogram (ECG). Because critical and interprofessional stakeholders participated in the conference, we hypothesized that the MMC would be associated with reduced ECG completion times.
Methods:
Data were collected for in-hospital ECGs performed at the University of Colorado Hospital between January 1, 2017, and June 30, 2018. An interr...
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Quality Management Applications Source Type: research
Using Accountable Care Teams to Improve Timely Discharge: A Pilot Study
This study uses a retrospective, quasi-experimental design to compare the percentage of discharges by 1 pm of hospital units implementing the ACT intervention to those units not implementing the intervention. Median discharge time was compared pre- and post-implementation using the Wilcoxon rank sum test. Difference-in-differences modeling was employed to assess whether changes in the percentage of discharges by 1 pm differed between units implementing the intervention and units not implementing the intervention.
Results:
One month post-implementation, the percentage discharged by 1 pm was statistically significantl...
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Quality Management Applications Source Type: research
Focusing on the Medically Ready for Discharge Patient Using a Reliable Design Strategy: A Quality Improvement Project to Improve Length of Stay on a Medicine Service
Background and Objectives:
Length of stay is a common measure of efficiency of care. We aimed to reduce length of stay on a general medicine service through a structured quality improvement project.
Methods:
A reliable design strategy was implemented in successive stages at a 238-bed academically-affiliated VA hospital. Over a 2-year period, continuous improvement efforts were directed at discrete cohorts of patients deemed medically appropriate for discharge but who remained hospitalized because of discharge barriers. We compared the mean length of stay and medically-ready bed days of care for a hospital in sta...
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Quality Management Applications Source Type: research
The Impact of Hospitalist Switch Day on Length of Stay
Conclusions:
Change in attending switch day from earlier in the week to later in the week is not associated with an increase in LOS. Other factors such as group preference and institutional needs should drive service switch day selection for hospitalist groups. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Original Research Source Type: research
Examining the Relationship Between the Lean Management System and Quality Improvement Care Management Processes
Background and Objectives:
The United States has an underperforming health care system on both cost and quality criteria in comparison with other developed countries. One approach to improving system performance on both cost and quality is to use the Lean Management System based on the Shingo principles originally developed by Toyota in Japan. Our objective was to examine the association between hospital use of the Lean Management System and evidence-based or recommended quality improvement care management processes.
Methods:
A cross-sectional analysis of data from 223 hospitals that responded to both the 2017 N...
Source: Quality Management in Healthcare - January 1, 2022 Category: Health Management Tags: Original Research Source Type: research
Call for Reviewers
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 26, 2021 Category: Health Management Tags: Call for Reviewers Source Type: research
