Quality Improvement

Publication Title: 
JMIR medical informatics

BACKGROUND: Although health information exchanges (HIE) have existed since their introduction by President Bush in his 2004 State of the Union Address, and despite monetary incentives earmarked in 2009 by the health information technology for economic and clinical health (HITECH) Act, adoption of HIE has been sparse in the United States. Research has been conducted to explore the concept of HIE and its benefit to patients, but viable business plans for their existence are rare, and so far, no research has been conducted on the dynamic nature of barriers over time.

Author(s): 
Kruse, Clemens Scott
Regier, Verna
Rheinboldt, Kurt T.
Publication Title: 
Trials

The aim of this study was to assess the endorsement of reporting guidelines in Korean traditional medicine (TM) journals by reviewing their instructions to authors. We examined the instructions to authors in all of the TM journals published in Korea to assess the appropriate use of reporting guidelines for research studies. The randomized controlled trials (RCTs) published after 2010 in journals that endorsed reporting guidelines were obtained.

Author(s): 
Choi, Jiae
Jun, Ji Hee
Kang, Byoung Kab
Kim, Kun Hyung
Lee, Myeong Soo
Publication Title: 
PloS One

BACKGROUND: We investigated whether there had been an improvement in the quality of reporting for randomised controlled trials of acupuncture and moxibustion published in Chinese journals. We compared the compliance rate for the quality of reporting following the publication of both the STRICTA and CONSORT recommendations in China. METHODS: Four Chinese databases were searched for RCTs of acupuncture from January 1978 through to December 2012. The CONSORT and STRICTA checklists were used to assess the quality of reporting. Data were collected using a standardised form.

Author(s): 
Ma, Bin
Chen, Zhi-min
Xu, Jia-ke
Wang, Ya-Nan
Chen, Kuang-yang
Ke, Fa-yong
Niu, Jun-qiang
Li, Li
Huang, Cheng-ben
Zheng, Jian-xun
Yang, Jia-Hui
Zhu, Qian-ge
Wang, Ya-ping
Publication Title: 
Acute Medicine

The purpose of clinical training is to develop doctors capable of delivering professional, personal, effective, high quality, safe clinical care with Intelligent Kindness. The processes supporting training must promote development towards excellence. In 2004 a formative assessment process for use on medical post take ward rounds was introduced based on a model of a Driving Instructor and Learner Driver. This process has been evaluated in comparison with the Case based Discussion (CbD) and mini-Cex by 140 of 369 trainees, using online surveys. Ten trainees were interviewed in depth.

Author(s): 
Caldwell, G.
Publication Title: 
BMC health services research

BACKGROUND: To describe the maternity care experiences of Aboriginal and/or Torres Strait Islander women in Queensland, Australia and to identify areas for policy and practice improvements. METHODS: A culturally-tailored survey requesting both quantitative and qualitative information was completed by respondents either independently (online or in hard copy) or with the assistance of a trained peer-interviewer.

Author(s): 
Parker, Susan
McKinnon, Loretta
Kruske, Sue
Publication Title: 
BMJ open

OBJECTIVES: (1) To ascertain from patients what really matters to them on a personal level of such high importance that it should 'always happen' when they interact with healthcare professionals and staff groups. (2) To critically review existing criteria for selecting 'always events' (AEs) and generate a candidate list of AE examples based on the patient feedback data. DESIGN: Mixed methods study informed by participatory design principles. SUBJECTS AND SETTING: Convenience samples of patients with a long-term clinical condition in Scottish general practices.

Author(s): 
Bowie, Paul
McNab, Duncan
Ferguson, Julie
de Wet, Carl
Smith, Gregor
MacLeod, Marion
McKay, John
White, Craig
Publication Title: 
Trials

BACKGROUND: People aged 75†years and over account for 1 in 4 of all hospital admissions. There has been increasing recognition of problems in the care of older people, particularly in hospitals. Evidence suggests that older people judge the care they receive in terms of kindness, empathy, compassion, respectful communication and being seen as a person not just a patient. These are aspects of care to which we refer when we use the term 'relational care'.

Author(s): 
Arthur, Antony
Maben, Jill
Wharrad, Heather
Aldus, Clare
Sarre, Sophie
Schneider, Justine
Nicholson, Caroline
Barton, Garry
Cox, Karen
Clark, Allan
Publication Title: 
JONA'S healthcare law, ethics and regulation

OBJECTIVE: : In 2007, the Centers for Medicare & Medicaid Services mandated that kidney transplant programs establish a living donor advocate program to ensure safe care and support for living organ donors. This quality improvement project assessed the impact of establishing a living donor advocate program and identified the ethical commitments and threats living kidney donors perceive throughout the donation process. METHOD: : This quality improvement project reflects a mixed-methods methodology.

Author(s): 
Bosek, Marcia Sue Dewolf
Sargeant, Isabelle L.
Publication Title: 
International Journal of Health Services: Planning, Administration, Evaluation

Pay-for-performance programs aim to upgrade health care quality by tailoring financial incentives for desirable behaviors. While Medicare and many private insurers are charging ahead with pay-for-performance, researchers have been unable to show that it benefits patients. Findings from the new field of behavioral economics challenge the traditional economic view that monetary reward either is the only motivator or is simply additive to intrinsic motivators such as purpose or altruism.

Author(s): 
Himmelstein, David U.
Ariely, Dan
Woolhandler, Steffie
Publication Title: 
Journal of Pediatric Nursing

A safety event response team at Cincinnati Children's Hospital Medical Center developed and tested improvement strategies to reduce peripheral intravenous (PIV) infiltration and extravasation injuries. Improvement activities included development of the touch-look-compare method for hourly PIV site assessment, staff education and mandatory demonstration of PIV site assessment, and performance monitoring and sharing of compliance results.

Author(s): 
Tofani, Barbara F.
Rineair, Sylvia A.
Gosdin, Craig H.
Pilcher, Patricia M.
McGee, Susan
Varadarajan, Kartik R.
Schoettker, Pamela J.
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