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Readiness and Implementation of Quality Improvement Strategies Among Small- and Medium-Sized Primary Care Practices: an Observational Study
ConclusionQI strategy implementation varies by practice ownership. Independent practices focus on patient care –related activities. FQHCs may need additional time to adopt and implement QI activities. Practice readiness may require more structural and organizational changes before starting a QI effort.
Source: Journal of General Internal Medicine - August 9, 2020 Category: Internal Medicine Source Type: research

Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices
CONCLUSION: Improvements in clinic-level performance on BP control may be attributed to implementation of 7 evidence-based strategies to build quality improvement capacity. These strategies were feasible to implement in small practices over 15 months.PMID:34750124 | DOI:10.1370/afm.2733
Source: Annals of Family Medicine - November 9, 2021 Category: Primary Care Authors: Katie F Coleman Chloe Krakauer Melissa Anderson LeAnn Michaels David A Dorr Lyle J Fagnan Clarissa Hsu Michael L Parchman Source Type: research

Non-ST elevation myocardial infarction in pregnancy-a critical review of current evidence and guidelines
We present a case of a 37-year-old female with a background of hypertension and hyperlipidemia who presented with Non-ST segment elevation myocardial infarction (NSTEMI). The urine pregnancy test that was performed turned positive with an estimated gestational age of four weeks. After counselling on the potential risks and benefits, a diagnostic angiogram was performed which revealed triple vessel disease with critical stenosis in all three vessels. Percutaneous coronary intervention (PCI) was performed successfully with precautions taken to minimize radiation exposure to the fetus. In such cases, there is a fundamental tr...
Source: Reviews in Cardiovascular Medicine - December 27, 2021 Category: Cardiology Authors: Ke Xuan Jessica Ng Ki Fung Cliff Li Chong Keat Tan Paul Jl Ong Source Type: research