1,373 results match your criteria BMJ Qual Saf[Journal]


Validity evidence for Quality Improvement Knowledge Application Tool Revised (QIKAT-R) scores: consequences of rater number and type using neurology cases.

BMJ Qual Saf 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA

Objectives: To develop neurology scenarios for use with the Quality Improvement Knowledge Application Tool Revised (QIKAT-R), gather and evaluate validity evidence, and project the impact of scenario number, rater number and rater type on score reliability.

Methods: Six neurological case scenarios were developed. Residents were randomly assigned three scenarios before and after a quality improvement (QI) course in 2015 and 2016. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008689DOI Listing

More ward nursing staff improves inpatient outcomes, but how much is enough?

BMJ Qual Saf 2019 Apr 17. Epub 2019 Apr 17.

Department of Health, RAND, Santa Monica, California, USA.

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-009266DOI Listing
April 2019
1 Read

Quality measurement and nursing homes: measuring what matters.

BMJ Qual Saf 2019 Apr 17. Epub 2019 Apr 17.

Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, PA, USA.

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2019-0
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http://dx.doi.org/10.1136/bmjqs-2019-009447DOI Listing
April 2019
1 Read

Governing the safety of artificial intelligence in healthcare.

Authors:
Carl Macrae

BMJ Qual Saf 2019 Apr 12. Epub 2019 Apr 12.

Nottingham University Business School, Centre for Health Innovation, Leadership and Learning, University of Nottingham, Nottingham NG7 2RD, UK

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http://dx.doi.org/10.1136/bmjqs-2019-009484DOI Listing

Patient activation intervention to facilitate participation in recovery after total knee replacement (MIME): a cluster randomised cross-over trial.

BMJ Qual Saf 2019 Apr 11. Epub 2019 Apr 11.

Faculty of Health, School of Nursing and Midwifery, Centre for Quality and Safety Research, Epworth Partnership, Deakin University, Geelong, Victoria, Australia.

Background: Patient participation in care is a fundamental element of safe and high-quality healthcare with the potential to enhance health outcomes and improve patient satisfaction.

Objectives: To test the efficacy of a clinician-facilitated, bedside multimedia () intervention designed to support patient participation in their recovery after total knee replacement surgery. The primary outcome was patients' reported worst pain intensity on postoperative day 3. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008975DOI Listing

Improving rates of ferrous sulfate prescription for suspected iron deficiency anaemia in infants.

BMJ Qual Saf 2019 Apr 10. Epub 2019 Apr 10.

Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.

Background: Iron deficiency anaemia (IDA) in infancy is prevalent and associated with impaired neurodevelopment; however, studies suggest that treatment and follow-up rates are poor.

Objectives: To improve the rate of ferrous sulfate prescription for suspected IDA among infants aged 8-13 months to 75% or greater within 24 months.

Methods: We implemented a multidisciplinary process improvement effort aimed at standardising treatment for suspected IDA at two academic paediatric primary care clinics. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009098DOI Listing
April 2019
1 Read

Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study.

BMJ Qual Saf 2019 Apr 7. Epub 2019 Apr 7.

Data Analytics, The Health Foundation, London, UK.

Background: Thirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included regular visits from named general practitioners and additional training for care home staff. We assessed and compared the effect on hospital use for residents in residential and nursing homes, respectively. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009130DOI Listing

Assessing the quality of health care in the management of bronchiolitis in Australian children: a population-based sample survey.

BMJ Qual Saf 2019 Apr 2. Epub 2019 Apr 2.

Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

Background: Bronchiolitis is the most common cause of respiratory hospitalisation in children aged <2 years. Clinical practice guidelines (CPGs) suggest only supportive management of bronchiolitis. However, the availability of CPGs do not guarantee that they are used appropriately and marked variation in the clinical management exists. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009028DOI Listing
April 2019
2 Reads

Emerging principles for health system value improvement programmes.

BMJ Qual Saf 2019 Mar 29. Epub 2019 Mar 29.

Internal Medicine and Medical Education, Dell Medical School at The University of Texas at Austin, Austin, Texas, United States.

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http://dx.doi.org/10.1136/bmjqs-2019-009427DOI Listing

Use of performance reports among trauma medical directors and programme managers in the American College of Surgeons' Trauma Quality Improvement Program: a qualitative analysis.

BMJ Qual Saf 2019 Mar 28. Epub 2019 Mar 28.

Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Background: The American College of Surgeons' Trauma Quality Improvement Program (TQIP) provides trauma centres with performance reports on their processes and outcomes of care relative to their peers. This study explored how performance reports are used by trauma centre leaders to engage in performance improvement and perceived barriers to use.

Study Design: Qualitative focus group study with trauma medical directors (TMDs) and trauma programme managers (TPMs) in US trauma centres. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008797DOI Listing

Hospital nurse staffing and staff-patient interactions: an observational study.

BMJ Qual Saf 2019 Mar 27. Epub 2019 Mar 27.

Primary Care and Population Sciences, University of Southampton, Southampton, UK.

Background: Existing evidence indicates that reducing nurse staffing and/or skill mix adversely affects care quality. Nursing shortages may lead managers to dilute nursing team skill mix, substituting assistant personnel for registered nurses (RNs). However, no previous studies have described the relationship between nurse staffing and staff-patient interactions. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008948DOI Listing

Robot for health data acquisition among older adults: a pilot randomised controlled cross-over trial.

BMJ Qual Saf 2019 Mar 20. Epub 2019 Mar 20.

Department of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.

Background /objectives: Healthcare professionals (HCP) are confronted with an increased demand for assessments of important health status measures, such as patient-reported outcome measurements (PROM), and the time this requires. The aim of this study was to investigate the effectiveness and acceptability of using an HCP robot assistant, and to test the hypothesis that a robot can autonomously acquire PROM data from older adults.

Design: A pilot randomised controlled cross-over study where a social robot and a nurse administered three PROM questionnaires with a total of 52 questions. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008977DOI Listing

Standardising hospitalist practice in sepsis and COPD care.

BMJ Qual Saf 2019 Mar 20. Epub 2019 Mar 20.

QURE Healthcare, San Francisco, California, USA

Background: Hospitalist medicine was predicated on the belief that providers dedicated to inpatient care would deliver higher quality and more cost-effective care to acutely hospitalised patients. The literature shows mixed results and has identified care variation as a culprit for suboptimal quality and cost outcomes. Using a scientifically validated engagement and measurement approach such as Clinical Performance and Value (CPV), simulated patient vignettes may provide the impetus to change provider behaviour, improve system cohesion, and improve quality and cost efficiency for hospitalists. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008829DOI Listing
March 2019
1 Read

Measuring outcomes in quality improvement education: success is in the eye of the beholder.

BMJ Qual Saf 2019 May 18;28(5):345-348. Epub 2019 Mar 18.

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1136/bmjqs-2018-008305DOI Listing

Variation in use and outcomes related to midline catheters: results from a multicentre pilot study.

BMJ Qual Saf 2019 Mar 18. Epub 2019 Mar 18.

The Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Background: While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known.

Methods: Trained abstractors collected data from medical records of hospitalised patients who received midline catheters in 12 hospitals. Device characteristics, patterns of use and outcomes were assessed at device removal or at 30 days. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008554DOI Listing

Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study.

BMJ Qual Saf 2019 May 18;28(5):356-365. Epub 2019 Mar 18.

NIHR CLAHRC NWL, Chelsea and Westminster Hosptial, Imperial College London, London, United Kingdom

Background: Although widely recommended as an effective approach to quality improvement (QI), the Plan-Do-Study-Act (PDSA) cycle method can be challenging to use, and low fidelity of published accounts of the method has been reported. There is little evidence on the fidelity of PDSA cycles used by front-line teams, nor how to support and improve the method's use. Data collected from 39 front-line improvement teams provided an opportunity to retrospectively investigate PDSA cycle use and how strategies were modified to help improve this over time. Read More

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http://dx.doi.org/10.1136/bmjqs-2017-007605DOI Listing
May 2019
3.988 Impact Factor

Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre.

BMJ Qual Saf 2019 Mar 15. Epub 2019 Mar 15.

Division of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU School of Medicine, New York, NY, USA

Background: Reducing costs while increasing or maintaining quality is crucial to delivering high value care.

Objective: To assess the impact of a hospital value-based management programme on cost and quality.

Design: Time series analysis of non-psychiatric, non-rehabilitation, non-newborn patients discharged between 1 September 2011 and 31 December 2017 from a US urban, academic medical centre. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009068DOI Listing

Electronic health record-based clinical decision support alert for severe sepsis: a randomised evaluation.

BMJ Qual Saf 2019 Mar 14. Epub 2019 Mar 14.

Medicine, Stanford School of Medicine, Stanford, California, USA.

Background: Sepsis remains the top cause of morbidity and mortality of hospitalised patients despite concerted efforts. Clinical decision support for sepsis has shown mixed results reflecting heterogeneous populations, methodologies and interventions.

Objectives: To determine whether the addition of a real-time electronic health record (EHR)-based clinical decision support alert improves adherence to treatment guidelines and clinical outcomes in hospitalised patients with suspected severe sepsis. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008765DOI Listing
March 2019
1 Read

Relationship between nursing home quality indicators and potentially preventable hospitalisation.

BMJ Qual Saf 2019 Mar 13. Epub 2019 Mar 13.

School of Nursing, Purdue University, West Lafayette, Indiana, USA.

Background: Hospitalisations are very common among nursing home residents and many of these are deemed inappropriate or preventable. Little is known about whether clinical care quality is related to hospitalisation, especially potentially preventable hospitalisations (PPHs). Among the few studies that have been conducted, the findings have been inconsistent. Read More

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008924DOI Listing
March 2019
4 Reads

Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback.

BMJ Qual Saf 2019 May 9;28(5):416-423. Epub 2019 Mar 9.

Center for Innovations in Quality Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, United States.

Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the observed effects. While we have some understanding of factors that enhance the effects of A&F, further research needs to explore when A&F is most likely to be effective and how to optimise it. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008355DOI Listing

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

BMJ Qual Saf 2019 Mar 7. Epub 2019 Mar 7.

Research Department of Practice and Policy, UCL School of Pharmacy, London, UK.

Background: Medicines optimisation is a key role for hospital pharmacists, but with ever-increasing demands on services, there is a need to increase efficiency while maintaining patient safety.

Objective: To develop a prediction tool, the Medicines Optimisation Assessment Tool (MOAT), to target patients most in need of pharmacists' input in hospital.

Methods: Patients from adult medical wards at two UK hospitals were prospectively included into this cohort study. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008335DOI Listing
March 2019
1 Read
3.988 Impact Factor

Are increases in emergency use and hospitalisation always a bad thing? Reflections on unintended consequences and apparent backfires.

Authors:
Kaveh G Shojania

BMJ Qual Saf 2019 Mar 7. Epub 2019 Mar 7.

Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A1, Canada

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http://dx.doi.org/10.1136/bmjqs-2019-009406DOI Listing

Quality & safety in the literature: May 2019.

BMJ Qual Saf 2019 May 6;28(5):424-428. Epub 2019 Mar 6.

Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

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http://dx.doi.org/10.1136/bmjqs-2019-009401DOI Listing
May 2019
1 Read

Motivating and engaging frontline providers in measuring and improving team clinical performance.

BMJ Qual Saf 2019 May 1;28(5):405-411. Epub 2019 Mar 1.

Baylor College of Medicine, Houston, Texas, USA.

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http://dx.doi.org/10.1136/bmjqs-2018-008856DOI Listing

Ambulatory care-sensitive conditions: their potential uses and limitations.

BMJ Qual Saf 2019 Feb 28. Epub 2019 Feb 28.

Data Analytics, The Health Foundation, London, UK

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http://dx.doi.org/10.1136/bmjqs-2018-008820DOI Listing
February 2019

Quality & safety in the literature: March 2019.

BMJ Qual Saf 2019 Mar;28(3):249-252

Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

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http://dx.doi.org/10.1136/bmjqs-2018-009271DOI Listing

Use of a maternal newborn audit and feedback system in Ontario: a collective case study.

BMJ Qual Saf 2019 Feb 16. Epub 2019 Feb 16.

Better Outcomes Registry & Network (BORN), Children's Hospital of Eastern Ontario - Ottawa Children's Treatment Centre (CHEO-OCTC), Ottawa, Ontario, Canada.

Background: As part of a larger study examining the effectiveness of the Maternal Newborn Dashboard, an electronic audit and feedback system to improve maternal-newborn care practices and outcomes, the purpose of this study was to increase our understanding of factors explaining variability in performance after implementation of the Dashboard in Ontario, Canada.

Methods: A collective case study. A maximum variation sampling approach was used to invite hospitals reflecting different criteria to participate in a 1-day to 2-day site visit by the research team. Read More

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008354DOI Listing
February 2019
12 Reads

A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people.

BMJ Qual Saf 2019 Feb 13. Epub 2019 Feb 13.

Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK.

Background: The positive deviance approach seeks to identify and learn from those who demonstrate exceptional performance. This study sought to explore how multidisciplinary teams deliver exceptionally safe care on medical wards for older people.

Methods: A qualitative positive deviance study was conducted on four positively deviant and four slightly-above-average matched comparator wards, which had been identified using routinely collected NHS Safety Thermometer data. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008023DOI Listing
February 2019
1 Read

MRI for patients with cardiac implantable electronic devices: simplifying complexity with a 'one-stop' service model.

BMJ Qual Saf 2019 Feb 13. Epub 2019 Feb 13.

Department of Cardiac Imaging, Barts Heart Centre, Barts Health NHS Trust, London, UK.

Background: Patients with cardiac pacemakers and defibrillators are disadvantaged because of poor access to MRI scans, leading to late and misdiagnosis particularly for cancer and neurological disease. New technology allied to tested protocols now allows safe MRI scanning of such patients; however, logistical barriers persist.

Aim: To deliver a streamlined sustainable service that provides timely MRI scans to patients with cardiac implantable electronic devices (CIEDs). Read More

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http://dx.doi.org/10.1136/bmjqs-2018-009079DOI Listing
February 2019
3 Reads

Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.

BMJ Qual Saf 2019 May 6;28(5):382-388. Epub 2019 Feb 6.

Accident and Emergency, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.

Background: Risk aversion among junior doctors that manifests as greater intervention (ordering of tests, diagnostic procedures and so on) has been proposed as one of the possible causes for increased pressure in emergency departments (EDs). Here we tested the prediction that doctors with more experience would be more tolerant of uncertainty and therefore less risk-averse in decision making.

Methods: In this cross-sectional, vignette-based study, doctors working in three EDs were asked to complete a questionnaire measuring experience (length of service in EDs), reactions to uncertainty (Gerrity , 1995) and risk aversion (responses about the appropriateness of patient management decisions). Read More

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008390DOI Listing
May 2019
3 Reads

Bridging the gap between uncertainty, confidence and diagnostic accuracy: calibration is key.

BMJ Qual Saf 2019 May 6;28(5):352-355. Epub 2019 Feb 6.

Department of Emergency Medicine, Inselspital University Hospital Bern, University of Bern, Bern, Switzerland.

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-009078DOI Listing
May 2019
7 Reads

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).

BMJ Qual Saf 2019 Feb 4. Epub 2019 Feb 4.

Department of Medicine, University of California, San Francisco, San Francisco, California, USA.

Background: The second victim effect is defined as emotional distress experienced by providers involved in mistakes. This study characterises events contributing to the second victim effect among a diverse sample of physician mothers, describes the impact on both provider and patient and seeks to determine the association between experiencing a mistake and burnout.

Methods: In this mixed-methods study, an anonymous, cross-sectional survey was posted to an online network of over 65 000 physician mothers on 17 June 2016. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008372DOI Listing
February 2019
2 Reads

Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study.

BMJ Qual Saf 2019 Jan 25. Epub 2019 Jan 25.

Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

Objective: Peripherally inserted central catheters (PICC) are frequently used to deliver medical therapies, but our knowledge regarding PICC-related complications remains incomplete. The objective of this study was to systematically elicit and characterise PICC-related complications as experienced by patients during and after hospitalisation.

Design: Prospective cohort study. Read More

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008726DOI Listing
January 2019
6 Reads

Workflow disruptions and surgical performance: past, present and future.

BMJ Qual Saf 2019 Apr 25;28(4):260-262. Epub 2019 Jan 25.

Division of Cardiac Surgery, Massachusetts General Hospital, Massachusetts, USA.

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http://dx.doi.org/10.1136/bmjqs-2018-008670DOI Listing
April 2019
7 Reads

Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.

BMJ Qual Saf 2019 Apr 18;28(4):310-316. Epub 2019 Jan 18.

Departments of Surgery and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Background: The reporting of adverse events (AE) remains an important part of quality improvement in thoracic surgery. The best methodology for AE reporting in surgery is unclear. An AE reporting system using an electronic discharge summary with embedded data collection fields, specifying surgical procedure and complications, was developed. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008090DOI Listing
April 2019
2 Reads

Variation in the delivery of telephone advice by emergency medical services: a qualitative study in three services.

BMJ Qual Saf 2019 Jan 12. Epub 2019 Jan 12.

School of Health and Related Research, University of Sheffield, Sheffield, UK.

Background: An emergency ambulance is not always the appropriate response for emergency medical service patients. Telephone advice aims to resolve low acuity calls over the phone, without sending an ambulance. In England, variation in rates of telephone advice and patient recontact between services raises concerns about inequities in care. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008330DOI Listing
January 2019

Characterising ICU-ward handoffs at three academic medical centres: process and perceptions.

BMJ Qual Saf 2019 Jan 12. Epub 2019 Jan 12.

Department of Medicine, University of Chicago, Chicago, Illinois, USA.

Background: There is limited literature about physician handoffs between the intensive care unit (ICU) and the ward, and best practices have not been described. These patients are uniquely vulnerable given their medical complexity, diagnostic uncertainty and reduced monitoring intensity. We aimed to characterise the structure, perceptions and processes of ICU-ward handoffs across three teaching hospitals using multimodal methods: by identifying the handoff components involved in communication failures and describing common processes of patient transfer. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008328DOI Listing
January 2019
5 Reads

Artificial intelligence, bias and clinical safety.

BMJ Qual Saf 2019 Mar 12;28(3):231-237. Epub 2019 Jan 12.

EPSRC Centre for Predictive Modelling in Healthcare, University of Exeter College of Engineering Mathematics and Physical Sciences, Exeter, UK.

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008370DOI Listing
March 2019
16 Reads

Sentinel lymph node biopsy for in situ melanoma is unlikely in Australia.

BMJ Qual Saf 2019 Mar 3;28(3):253-254. Epub 2019 Jan 3.

Melanoma Institute Australia, North Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1136/bmjqs-2018-009138DOI Listing

Frailty and mortality: 'Same-same but Different'.

Authors:
Sei J Lee

BMJ Qual Saf 2019 Apr 3;28(4):263-265. Epub 2019 Jan 3.

San Francisco VA Quality Scholars, San Francisco, California, USA

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http://dx.doi.org/10.1136/bmjqs-2018-008821DOI Listing
April 2019
1 Read

Response to: 'Sentinel lymph node biopsy for in situ melanoma is unlikely in Australia' by Morton and Thompson.

BMJ Qual Saf 2019 Mar 3;28(3):255-256. Epub 2019 Jan 3.

Faculty of Medicine and Health, School of Public Health, Menzies Centre for Health Policy, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1136/bmjqs-2018-009213DOI Listing
March 2019
1 Read

Remembering individual perspectives and needs in differentiated HIV care strategies.

BMJ Qual Saf 2019 Apr 27;28(4):257-259. Epub 2018 Dec 27.

Key Populations Program, Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008339DOI Listing
April 2019
11 Reads

Quality & safety in the literature: January 2019.

BMJ Qual Saf 2018 Dec 18. Epub 2018 Dec 18.

Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

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http://dx.doi.org/10.1136/bmjqs-2018-009038DOI Listing
December 2018

Patterns of performance and improvement in US Medicare's Hospital Star Ratings, 2016-2017.

BMJ Qual Saf 2018 Dec 8. Epub 2018 Dec 8.

Department of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.

Background: Publicly reported quality data can help consumers make informed choices about where to seek medical care. The Centers for Medicare and Medicaid Services developed a composite Hospital Compare Overall Star Rating for US acute-care hospitals in 2016. However, patterns of performance and improvement have not been previously described. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008384DOI Listing
December 2018
1 Read

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

BMJ Qual Saf 2018 Dec 4. Epub 2018 Dec 4.

Faculty of Health and Social Sciences, University of Bournemouth, Bournemouth, UK.

Objective: To determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality.

Design: This is a retrospective longitudinal observational study using routinely collected data. We used multilevel/hierarchical mixed-effects regression models to explore the association between patient outcomes and daily variation in RN and nursing assistant staffing, measured as hours per patient per day relative to ward mean. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008043DOI Listing
December 2018
1 Read

Physician characteristics associated with patient experience scores: implications for adjusting public reporting of individual physician scores.

BMJ Qual Saf 2019 May 28;28(5):412-415. Epub 2018 Nov 28.

Surgical Outcomes and Quality Improvement Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

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http://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2018-0
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http://dx.doi.org/10.1136/bmjqs-2018-008346DOI Listing
May 2019
11 Reads

Reducing hospital admissions for adverse drug events through coordinated pharmacist care: learning from Hawai'i without a field trip.

BMJ Qual Saf 2019 Feb 24;28(2):91-93. Epub 2018 Nov 24.

Division of Geriatrics, University of California, San Francisco and the San Francisco VA Medical Center, San Francisco, CA 94121, USA

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http://dx.doi.org/10.1136/bmjqs-2018-008815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339577PMC
February 2019

Every patient should be enabled to stop the line.

BMJ Qual Saf 2019 Mar 22;28(3):172-176. Epub 2018 Nov 22.

Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

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http://dx.doi.org/10.1136/bmjqs-2018-008714DOI Listing

Optimising detection and prevention of prosthetic joint infections.

BMJ Qual Saf 2019 May 22;28(5):349-351. Epub 2018 Nov 22.

Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

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http://dx.doi.org/10.1136/bmjqs-2018-009070DOI Listing

Using a 10-step framework to support the implementation of an evidence-based clinical pathways programme.

BMJ Qual Saf 2018 Nov 21. Epub 2018 Nov 21.

University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.

Background: Integration of evidence into practice is suboptimal. Clinical pathways, defined as multidisciplinary care plans, are a method for translating evidence into local settings and have been shown to improve the value of patient care.

Objective: To describe the development of a clinical pathways programme across a large academic healthcare system. Read More

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http://dx.doi.org/10.1136/bmjqs-2018-008454DOI Listing
November 2018
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