2021
A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting
Goldman MP, Lynders W, Crain M, Kelley M, Solomon DM, Bokhari SAJ, Tiyyagura G, Auerbach MA, Emerson BL. A QI Partnership to Decrease CT Use for Pediatric Appendicitis in the Community Hospital Setting. Pediatric Quality And Safety 2021, 6: e479. PMID: 34589653, PMCID: PMC8476057, DOI: 10.1097/pq9.0000000000000479.Peer-Reviewed Original ResearchCT scan rateQuality improvement initiativesEmergency medical servicesPediatric appendicitisHospital ratesComputerized tomographyUS ratesCommunity hospital settingCT scan useImprovement initiativesMedical servicesState Emergency Medical ServicesPrimary aimQuality improvement teamStandardization of practiceCT useClinical pathwayHospital settingMAIN OUTCOMECase auditPractice trendsUltrasound usePractice changeProcess measuresEmergency department systemsHospital Factors, Performance on Process Measures After Transient Ischemic Attack, and 90-Day Ischemic Stroke Incidence
Levine DA, Perkins AJ, Sico JJ, Myers LJ, Phipps MS, Zhang Y, Bravata DM. Hospital Factors, Performance on Process Measures After Transient Ischemic Attack, and 90-Day Ischemic Stroke Incidence. Stroke 2021, 52: 2371-2378. PMID: 34039034, PMCID: PMC8238890, DOI: 10.1161/strokeaha.120.031721.Peer-Reviewed Original ResearchConceptsIschemic stroke incidenceStroke incidenceHospital factorsPhysician staffingTIA patientsHypertension controlProcess measuresModerate potency statinTransient ischemic attackDays of dischargeEmergency department dischargeVeterans Affairs hospitalEligible patientsIschemic attackStatin useAntithrombotic useEmergency departmentEmergency physiciansInpatient unitDay 2HospitalPatient volumeFiscal year 2015PatientsIncidence
2020
Reporting of substance use treatment quality in United States adult drug courts
Joudrey PJ, Howell BA, Nyhan K, Moravej A, Doernberg M, Ross JS, Wang EA. Reporting of substance use treatment quality in United States adult drug courts. International Journal Of Drug Policy 2020, 90: 103050. PMID: 33310636, PMCID: PMC8046712, DOI: 10.1016/j.drugpo.2020.103050.Peer-Reviewed Original ResearchConceptsService utilizationTreatment qualityTreatment quality measuresProcess evaluationRelated health outcomesSubstance use treatmentGrey literature searchSystematic grey literature searchMeasures of substanceTreatment outcomesHealth outcomesLiterature searchUse treatmentDrug courtsProcess measuresLow uptakePractice informationOutcomesDrug court programProgram graduationAdult drug courts
2019
Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Brethauer SA, Grieco A, Fraker T, Evans-Labok K, Smith A, McEvoy MD, Saber AA, Morton JM, Petrick A. Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Surgery For Obesity And Related Diseases 2019, 15: 1977-1989. PMID: 31640906, DOI: 10.1016/j.soard.2019.08.024.Peer-Reviewed Original ResearchConceptsBariatric Surgery AccreditationLength of stayBariatric surgeryReoperation rateNational quality improvement projectBariatric Surgery projectPrimary bariatric procedureOverall adverse eventsBariatric surgery patientsEnhanced recovery pathwayEnhanced recovery protocolQuality improvement projectQuality Improvement ProgramFinal analytic sampleBariatric proceduresOverall morbidityAdverse eventsReadmission ratesSurgery patientsPrivate practice programsSignificant associationRecovery pathwaysSurgery projectAnalytic sampleProcess measuresQuality of Care Indicators in Patients with Acute Pancreatitis
Ketwaroo G, Sealock R, Freedman S, Hart P, Othman M, Wassef W, Banks P, Vege S, Gardner T, Yadav D, Sheth S, Kanwal F. Quality of Care Indicators in Patients with Acute Pancreatitis. Digestive Diseases And Sciences 2019, 64: 2514-2526. PMID: 31152333, DOI: 10.1007/s10620-019-05674-8.Peer-Reviewed Original ResearchConceptsExplicit quality indicatorsQuality of careCandidate quality indicatorsDetermination of etiologyCare of patientsDetermination of severityFuture quality improvementBackgroundAcute pancreatitisEndoscopic therapyFluid resuscitationSurgical managementRisk stratificationAcute pancreatitisCare indicatorsPatient outcomesQI setPatient carePatientsComprehensive literature reviewLiterature reviewQuality indicatorsExpensive conditionsStandardized techniqueProcess measuresCareEvidence review conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for gynecologic surgery
Grant M, Gibbons M, Ko C, Wick E, Cannesson M, Scott M, Wu C. Evidence review conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for gynecologic surgery. Regional Anesthesia & Pain Medicine 2019, 44: 437-446. PMID: 30737316, DOI: 10.1136/rapm-2018-100071.Peer-Reviewed Original ResearchGynecologic surgerySurgical careJohns Hopkins Medicine Armstrong InstituteEvidence reviewEvidence-based process measuresAvailable evidenceAHRQ Safety ProgramSurgical service linesAnesthesia componentsHospital stayPerioperative carePostoperative phaseAnesthetic componentsArmstrong InstituteHastens recoveryAmerican CollegeSafety programSurgerySuperior outcomesPatient safetyLiterature searchHealthcare ResearchFacilitate recoveryCareProcess measuresThe Impact of Anesthesia-Influenced Process Measure Compliance on Length of Stay
Grant M, Pio Roda C, Canner J, Sommer P, Galante D, Hobson D, Gearhart S, Wu C, Wick E. The Impact of Anesthesia-Influenced Process Measure Compliance on Length of Stay. Anesthesia & Analgesia 2019, 128: 68-74. PMID: 29782405, DOI: 10.1213/ane.0000000000003458.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnesthesiaAnesthesiologistsColonDigestive System Surgical ProceduresFemaleGuideline AdherenceHumansInterdisciplinary CommunicationLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Care TeamPerioperative CarePractice Guidelines as TopicPractice Patterns, Physicians'Program EvaluationQuality ImprovementQuality Indicators, Health CareRecovery of FunctionRectumTime FactorsTreatment OutcomeConceptsProcess measure complianceMeasure complianceProcess measuresAcute pain servicePain medication useLength of staySpecific process measuresImpact of complianceBreakthrough painHospital lengthPain serviceSurgery cohortERAS programSurgical encountersConsecutive patientsMedication usePerioperative careShorter LOSAnesthesia protocolImproved outcomesMultivariable regressionSurgery programEnhanced recoveryPatientsLOS
2018
Choice of Quality Metrics for Assessment of the Spine Patient
Ottesen T, Kebaish K, Grauer J. Choice of Quality Metrics for Assessment of the Spine Patient. 2018, 53-68. DOI: 10.1007/978-3-319-97990-8_4.Peer-Reviewed Original ResearchQuality of careOutcome measuresPatient-reported outcome measuresDifferent surgical indicationsPatient-reported satisfactionHospital Consumer AssessmentSpine patientsSurgical indicationsSurgical outcomesMedical attentionCommon reasonSpine careHealthcare providersRate hospitalsPatientsConsumer AssessmentHospitalOwn unique benefitsProcess measuresCareSpinal issuesHealthcare systemProcess measures facilitate maturation of pediatric enhanced recovery protocols
Leeds IL, Ladd MR, Sundel MH, Fannon ML, George JA, Boss EF, Jelin EB. Process measures facilitate maturation of pediatric enhanced recovery protocols. Journal Of Pediatric Surgery 2018, 53: 2266-2272. PMID: 29801659, PMCID: PMC8710141, DOI: 10.1016/j.jpedsurg.2018.04.037.Peer-Reviewed Original ResearchConceptsProcess measuresProcess measure adherenceRecovery protocolEnhanced recovery protocolQuality improvement databaseImplementation groupPediatric colorectal surgeryRegional anesthesia techniquesPediatric ColorectalPostoperative complicationsPreoperative medicationsColorectal surgeryPathway patientsSurgical patientsSurgery pathwayPreoperative educationAnesthesia techniquesPatient outcomesOutcome measuresMeasure adherencePatientsLevel IIITreatment studiesComplicationsAdherenceDevelopment of the American College of Rheumatology Electronic Clinical Quality Measures for Gout
FitzGerald JD, Mikuls TR, Neogi T, Singh JA, Robbins M, Khanna PP, Turner AS, Myslinski R, Suter LG. Development of the American College of Rheumatology Electronic Clinical Quality Measures for Gout. Arthritis Care & Research 2018, 70: 659-671. PMID: 29649348, DOI: 10.1002/acr.23500.Peer-Reviewed Original ResearchConceptsRheumatology Informatics SystemElectronic clinical quality measuresClinical quality measuresElectronic health recordsAmerican CollegeProportion of patientsManagement of goutQuality of careTreatment of goutNational Quality ForumQuality Reporting ProgramGout guidelinesGout careHealth care stakeholdersHealth registriesEffectiveness (RISE) registrySerum urateClinical sitesQuality ForumNational endorsementCare stakeholdersGoutHealth recordsProcess measuresCareParent management training for conduct problems in children: Enhancing treatment to improve therapeutic change
Kazdin AE, Glick A, Pope J, Kaptchuk TJ, Lecza B, Carrubba E, McWhinney E, Hamilton N. Parent management training for conduct problems in children: Enhancing treatment to improve therapeutic change. International Journal Of Clinical And Health Psychology 2018, 18: 91-101. PMID: 30487914, PMCID: PMC6225044, DOI: 10.1016/j.ijchp.2017.12.002.Peer-Reviewed Original ResearchParent management trainingTreatment outcome measuresTherapeutic changeManagement trainingProsocial behaviorConduct problemsAntisocial behaviorPlacebo factorsNormative rangeParentsChildrenOutcome measuresTreatment conditionsProcess measuresCourse of treatmentTrainingTreatment outcomesMeasuresTherapistsPosttreatmentBehaviorExpectancyInterventionOutcomesFamily
2017
Racial and Socioeconomic Differences Manifest in Process Measure Adherence for Enhanced Recovery After Surgery Pathway
Leeds IL, Alimi Y, Hobson DR, Efron JE, Wick EC, Haut ER, Johnston FM. Racial and Socioeconomic Differences Manifest in Process Measure Adherence for Enhanced Recovery After Surgery Pathway. Diseases Of The Colon & Rectum 2017, 60: 1092-1101. PMID: 28891854, PMCID: PMC5647878, DOI: 10.1097/dcr.0000000000000879.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCohort StudiesColectomyColonic DiseasesColorectal SurgeryElective Surgical ProceduresFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient CompliancePostoperative ComplicationsQuality ImprovementRacial GroupsSocioeconomic FactorsUnited StatesConceptsSurgery pathwayPathway implementationSocioeconomic statusWhite patientsPopulation subgroupsOverall adherenceShort-term surgical outcomesTertiary academic medical centerProcess measure adherenceThirty-day outcomesEnhanced recovery pathwayProcess measuresAcademic medical centerHigher socioeconomic statusElective colonPreoperative characteristicsQuality improvement purposesCohort studyComplication rateNonwhite patientsRectal resectionPain therapyMedian lengthSurgical outcomesMedical CenterOptimizing an Enhanced Recovery Pathway Program: Development of a Postimplementation Audit Strategy
Grant M, Galante D, Hobson D, Lavezza A, Friedman M, Wu C, Wick E. Optimizing an Enhanced Recovery Pathway Program: Development of a Postimplementation Audit Strategy. The Joint Commission Journal On Quality And Patient Safety 2017, 43: 524-533. PMID: 28942777, DOI: 10.1016/j.jcjq.2017.02.011.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersClinical ProtocolsDigestive System Surgical ProceduresElectronic Health RecordsFemaleGroup ProcessesHumansLength of StayMaleMiddle AgedOrganizational CulturePatient Care BundlesPatient Care TeamPerioperative CarePostoperative ComplicationsQuality Indicators, Health CareRetrospective StudiesSafety ManagementConceptsLength of stayOverall LOSAverage LOSProcess measuresThree-month followProcess measure complianceAcademic medical centerSystem-level interventionsSignificant reductionElectronic health recordsColorectal surgeryConsecutive patientsPathway implementationEarly mobilityMeasure complianceMedical CenterPreventable harmOne-year periodPatientsRecovery pathwaysHealth recordsSystem-level changesSurgeryComplianceSame procedureHospital Performance on Percutaneous Coronary Intervention Process and Outcomes Measures
Chui PW, Parzynski CS, Nallamothu BK, Masoudi FA, Krumholz HM, Curtis JP. Hospital Performance on Percutaneous Coronary Intervention Process and Outcomes Measures. Journal Of The American Heart Association 2017, 6: e004276. PMID: 28446493, PMCID: PMC5524055, DOI: 10.1161/jaha.116.004276.Peer-Reviewed Original ResearchMeSH KeywordsCardiac RehabilitationCoronary DiseaseCross-Sectional StudiesHealthcare DisparitiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMedicarePatient DischargePatient ReadmissionPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsProcess Assessment, Health CareQuality ImprovementQuality Indicators, Health CareReferral and ConsultationRegistriesRisk FactorsTime FactorsTime-to-TreatmentTreatment OutcomeUnited StatesConceptsProcess measuresReadmission ratesOutcome measuresNational Cardiovascular Data Registry CathPCI RegistryHospital performancePercutaneous coronary interventionSpecific process measuresRisk-Standardized MortalityPCI patientsCathPCI RegistryCoronary interventionHospital variationOutcome ratesHospital qualityPhysician ConsortiumMortalitySmall percentageWeak correlationAssociationIntervention processPatients
2016
Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures
Lashoher A, Schneider EB, Juillard C, Stevens K, Colantuoni E, Berry WR, Bloem C, Chadbunchachai W, Dharap S, Dy SM, Dziekan G, Gruen RL, Henry JA, Huwer C, Joshipura M, Kelley E, Krug E, Kumar V, Kyamanywa P, Mefire AC, Musafir M, Nathens AB, Ngendahayo E, Nguyen TS, Roy N, Pronovost PJ, Khan IQ, Razzak JA, Rubiano AM, Turner JA, Varghese M, Zakirova R, Mock C. Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process Measures. World Journal Of Surgery 2016, 41: 954-962. PMID: 27800590, DOI: 10.1007/s00268-016-3759-8.Peer-Reviewed Original ResearchConceptsTrauma Care ChecklistInjury Severity ScoreCare process measuresPatient ageCare ChecklistProcess measuresPrimary end pointProportion of patientsCohort of patientsChecklist programMultilevel logistic regression modelsLogistic regression modelsPost-intervention comparisonTrauma patientsAbdominal examinationSeverity scoreCare measuresChest auscultationChecklist implementationHigh-income countriesGlobal burdenGreater oddsInjury severityPatientsEnd pointScreening residents for infant lumbar puncture readiness with just-in-time simulation-based assessments
Kessler DO, Chang TP, Auerbach M, Fein DM, Lavoie ME, Trainor J, Lee MO, Gerard JM, Grossman D, Whitfill T, Pusic M. Screening residents for infant lumbar puncture readiness with just-in-time simulation-based assessments. BMJ Simulation & Technology Enhanced Learning 2016, 3: 17. PMID: 35515095, PMCID: PMC8990194, DOI: 10.1136/bmjstel-2016-000130.Peer-Reviewed Original ResearchFirst-year residentsYear residentsOverall procedural successProspective cohort studyNumber of attemptsGreat clinical successAnalgesia usageCohort studyProcedural successTopical analgesiaAcademic hospitalClinical successCare fashionPatient safetyReadiness assessmentProcess measuresGreater useResidentsAssessmentAnalgesiaHospitalInfantsPunctureSimulation-based assessment
2015
Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture
Kessler D, Pusic M, Chang TP, Fein DM, Grossman D, Mehta R, White M, Jang J, Whitfill T, Auerbach M. Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture. 2015, 135: e1237-e1246. PMID: 25869377, DOI: 10.1542/peds.2014-1911.Peer-Reviewed Original ResearchConceptsInfant LPCohort BSuccess rateStylet removalFirst needle insertionUse of analgesiaProcess measuresLP success rateHigh-power fieldInfant lumbar punctureCohort A.LP successAnalgesia useRed blood cellsCohort AProspective studyLumbar punctureLower mean numberMAIN OUTCOMEPuncture successBlood cellsCoached practiceEmergency medicineMean numberTraining bundlesConcurrent Alcohol and Tobacco Treatment: Effect on Daily Process Measures of Alcohol Relapse Risk
Cooney NL, Litt MD, Sevarino KA, Levy L, Kranitz LS, Sackler H, Cooney JL. Concurrent Alcohol and Tobacco Treatment: Effect on Daily Process Measures of Alcohol Relapse Risk. Journal Of Consulting And Clinical Psychology 2015, 83: 346-358. PMID: 25622198, PMCID: PMC4380705, DOI: 10.1037/a0038633.Peer-Reviewed Original ResearchConceptsSmoking cessation interventionSmoking treatmentCessation interventionsSmoking abstinenceProcess measuresAlcohol treatmentOutpatient alcohol treatment programAlcohol-dependent smokersDaily smoking abstinenceAlcohol relapse riskOutpatient alcohol treatmentLow alcohol consumptionAlcohol treatment programsDependent smokersRelapse riskAlcohol abstinenceWaiting listInteractive voice response systemSmoking outcomesAlcohol consumptionCSC participantsVoice response systemIVR assessmentsTreatment programDaily assessment
2013
HIV Testing and Sexual Risk Reduction Counseling in Office-Based Buprenorphine/Naloxone Treatment
Edelman EJ, Moore BA, Caffrey S, Sikkema KJ, Jones ES, Schottenfeld RS, Fiellin DA, Fiellin LE. HIV Testing and Sexual Risk Reduction Counseling in Office-Based Buprenorphine/Naloxone Treatment. Journal Of Addiction Medicine 2013, 7: 410-416. PMID: 24189173, DOI: 10.1097/adm.0b013e3182a3b603.Peer-Reviewed Original ResearchConceptsSexual risk reduction counselingRisk reduction counselingBuprenorphine/naloxone treatmentOpioid-dependent patientsReduction counselingSexual risk behaviorsHIV testingNaloxone treatmentHuman immunodeficiency virus (HIV) testingRisk behaviorsPreliminary efficacyVirus testingPatientsManual adherenceTreatment practicesProcess measuresCounseling sessionsSimilar proportionsHIVCounselingOutcomesTreatmentSessionsRandomizedTesting
2012
Effect of clinical decision-support systems: a systematic review.
Bright TJ, Wong A, Dhurjati R, Bristow E, Bastian L, Coeytaux RR, Samsa G, Hasselblad V, Williams JW, Musty MD, Wing L, Kendrick AS, Sanders GD, Lobach D. Effect of clinical decision-support systems: a systematic review. Annals Of Internal Medicine 2012, 157: 29-43. PMID: 22751758, DOI: 10.7326/0003-4819-157-1-201207030-00450.Peer-Reviewed Original ResearchConceptsCare process measuresHealth care process measuresClinical decision support systemClinical outcomesHealth care processesProcess measuresDeveloped clinical decision support systemElectronic clinical decision support systemCare processesExperienced academic centersEffects of CDSSWeb of ScienceRandomized trialsPoint of carePatient satisfactionPreventive servicesClinical studiesAcademic centersSystematic reviewProvider usePublication biasClinical settingParticipant characteristicsStudy designHealthcare Research
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