American Journal of Medical Quality This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Collaborative Practice Improvement for Childhood Obesity in Rural Clinics: The Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP)
This study assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. A total of 7 primary care clinics in rural California included in the Healthy Eating Active Living TeleHealth Community of Practice and 288 children seen in these clinics for well-child care participated in this prospective observational pre-post study. Clinics participated in a virtual QI learning network over 9 months to implement best practices and to exchange strategies for improvement. Following the intervention, documentation of w...
Source: American Journal of Medical Quality - October 22, 2014 Category: Health Management Authors: Shaikh, U., Nettiksimmons, J., Joseph, J. G., Tancredi, D., Romano, P. S. Tags: Articles Source Type: research

Keep the White Coat
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - October 22, 2014 Category: Health Management Authors: Nash, D. B. Tags: Articles Source Type: research

AJMQ Newsletter
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Casey, D. E. Tags: Articles Source Type: research

Inpatient Glycemic Control in the Chinese Population: Preliminary Data From an Academic Teaching Hospital
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Lin, S.-D., Soon, M.-S., Tu, S.-T., Hsiao, H.-F., Chen, J.-M., Lin, K.-H., Lin, M.-J., Kuo, J.-F., Jhang, Y.-L., Hsieh, M.-C. Tags: Articles Source Type: research

The Multiple Benefits of Inserting Interdisciplinary Quality Improvement Teams Led by Medical Students Into a Faculty Practice Primary Care Clinic
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Slack, A. D., Dingwall, M. A., Stone, J. C., Gaines, M., Badgett, R. G. Tags: Articles Source Type: research

Much Work Still to Be Done to Prevent Central Line-Associated Bloodstream Infections
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Kavanagh, K. T., Calderon, L. E., Saman, D. M. Tags: Articles Source Type: research

Motivating Physicians to Improve Quality: Light the Intrinsic Fire
(Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Herzer, K. R., Pronovost, P. J. Tags: Articles Source Type: research

The Development of a Validated Checklist for Femoral Venous Catheterization: Preliminary Results
Femoral venous catheterization is a common, invasive procedure, which may lead to serious complications. Validated checklists are central to teaching and assessing procedural skills and may result in improved health care quality. The results of the first step of the validation of a femoral venous catheterization checklist are described. A comprehensive literature review of articles published on femoral venous catheterization did not yield a checklist validated by the Delphi method. A modified Delphi technique, involving a panel of 8 interdisciplinary, interinstitutional experts, was used to develop a femoral venous cathete...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Riesenberg, L. A., Berg, K., Berg, D., Davis, J., Schaeffer, A., Justice, E. M., Tinkoff, G. Tags: Articles Source Type: research

Use of Data Envelopment Analysis to Quantify Opportunities for Antibacterial Targets for Reduction of Health Care-Associated Clostridium difficile Infection
This study suggests that there are areas of improvement in high-risk antibacterial use that could lead to decreased CDIs. (Source: American Journal of Medical Quality)
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Pakyz, A. L., Ozcan, Y. A. Tags: Articles Source Type: research

Primary Care Units in Emilia-Romagna, Italy: An Assessment of Organizational Culture
This study investigates the organizational culture and associated characteristics of the newly established primary care units (PCUs)—collaborative teams of general practitioners (GPs) who provide patients with integrated health care services—in the Emilia-Romagna Region (RER), Italy. A survey instrument covering 6 cultural dimensions was administered to all 301 GPs in 21 PCUs in the Local Health Authority (LHA) of Parma, RER; the response rate was 79.1%. Management style, organizational trust, and collegiality proved to be more important aspects of PCU organizational culture than information sharing, quality, a...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Pracilio, V. P., Keith, S. W., McAna, J., Rossi, G., Brianti, E., Fabi, M., Maio, V. Tags: Articles Source Type: research

Medical ICU Admissions During Weekday Rounds Are Not Associated With Mortality: A Single-Center Analysis
This study investigated whether intensive care unit (ICU) admissions to the research team’s tertiary care academic hospital during morning rounds was associated with increased mortality. Discharge data were analyzed on 1912 patients admitted to the ICUs between July 2007 and June 2011. Measures included discharge disposition, time of admission to the ICU, source of admission, and expected mortality score. Descriptive statistics were generated to examine the proportion of subjects who died based on admission time to the ICU, and Pearson’s 2 test was used to test the null hypothesis that mortality rates for admis...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Latham, H. E., Pinion, A., Chug, L., Rigler, S. K., Brown, A. R., Mahnken, J. D., O'Brien-Ladner, A. Tags: Articles Source Type: research

Patient-Reported Missed Nursing Care Correlated With Adverse Events
The aim of this study was to determine the extent and type of missed nursing care as reported by patients and the association with patient-reported adverse outcomes. A total of 729 inpatients on 20 units in 2 acute care hospitals were surveyed. The MISSCARE Survey–Patient was used to collect patient reports of missed care. Patients reported more missed nursing care in the domain of basic care (2.29 ± 1.06) than in communication (1.69 ± 0.71) and in time to respond (1.52 ± 0.64). The 5 most frequently reported elements of missed nursing care were the following: (a) mouth care (50.3%), (b) ambulati...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Kalisch, B. J., Xie, B., Dabney, B. W. Tags: Articles Source Type: research

A Survey of Handoff Practices in Emergency Medicine
This study aimed to assess practices in emergency department (ED) handoffs as perceived by emergency medicine (EM) residency program directors and other senior-level faculty and to determine if there are deficits in resident handoff training. This cross-sectional survey study was guided by the Kern model for medical curriculum development. A 12-member Council of Emergency Medicine Residency Directors (CORD) Transitions in Care task force of EM physicians performed these steps and constructed a survey. The survey was distributed to the CORD listserv. There were 147 responses to the anonymous survey, which were collected usi...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Kessler, C., Shakeel, F., Hern, H. G., Jones, J. S., Comes, J., Kulstad, C., Gallahue, F. A., Burns, B. D., Knapp, B. J., Gang, M., Davenport, M., Osborne, B., Velez, L. I. Tags: Articles Source Type: research

Health Care Quality Improvement Publication Trends
To analyze the extent of academic interest in quality improvement (QI) initiatives in medical practice, annual publication trends for the most well-known QI methodologies being used in health care settings were analyzed. A total of 10 key medical- and business-oriented library databases were examined: PubMed, Ovid MEDLINE, EMBASE, CINAHL, PsycINFO, ISI Web of Science, Scopus, the Cochrane Central Register of Controlled Trials, ABI/INFORM, and Business Source Complete. A total of 13 057 articles were identified that discuss at least 1 of 10 well-known QI concepts used in health care contexts, 8645 (66.2%) of which were clas...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Sun, G. H., MacEachern, M. P., Perla, R. J., Gaines, J. M., Davis, M. M., Shrank, W. H. Tags: Articles Source Type: research

An Evaluation of Ventilator-Associated Pneumonia Process Measure Sampling Strategies in a Surgical ICU
Ventilator-associated pneumonia (VAP) is common, lethal, and expensive. Little is known about optimal strategies to evaluate process measures for VAP prevention. The authors conducted a prospective study of different sampling strategies for evaluating head of bed (HOB) elevation and oral care. There was no significant difference between morning and evening shift HOB elevation compliance rates (P = .47). If oral care was performed at least once during a 12-hour shift, there was an 87% probability that it also was performed at least twice. If oral care was performed at least twice during a 12-hour shift, then there was a 93%...
Source: American Journal of Medical Quality - August 22, 2014 Category: Health Management Authors: Rawat, N., Yang, T., Speck, K., Helzer, J., Barenski, C., Berenholtz, S. Tags: Articles Source Type: research