Article
Nursing
Scott Lamont, Andrew Murray, Emine Tetik, Jiaming Yeo, Bianca Blair
Summary: This study aimed to explore the rigor of nurse-led quality improvement projects involving education, training, or continuing professional development and examine the evaluation frameworks used. The findings revealed that most projects did not meet the internationally recognized standards for quality improvement reporting, highlighting the need to follow the SQUIRE international consensus guidelines in designing and reporting such projects.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Yinan Zhao, Lulu Liao, Hui Feng, Huijing Chen, Hongting Ning
Summary: This qualitative study explored the perspectives of key stakeholders on necessary factors to implement care quality improvement program. The participants' views were characterized by enablers and barriers, with various subthemes such as organizational support and resistance to change. These findings highlight factors at the organizational, staff, and societal levels that are essential for effective mentoring implementation.
Article
Clinical Neurology
Nitin Agarwal, Brett Youngerman, Wayel Kaakaji, Greg Smith, John M. McGregor, Ciaran J. Powers, Bharat Guthikonda, Richard Menger, Clemens M. Schirmer, Joshua M. Rosenow, Jeffrey Cozzens, Kristopher T. Kimmell
Summary: This review discusses the importance of clinical practice guidelines and quality improvement initiatives in enhancing healthcare quality and optimizing patient outcomes.
WORLD NEUROSURGERY
(2021)
Article
Surgery
Rohan Shah, Adrian Diaz, Laura Phieffer, Carmen Quatman, Andrew Glassman, J. Madison Hyer, Diamantis Tsilimigras, Timothy M. Pawlik
Summary: Study found that within Medicare's Bundled Payment for Care Improvement initiative, robotic total knee arthroplasty had lower costs and better outcomes compared to traditional methods. Patients undergoing robotic total knee arthroplasty had shorter hospital stays and lower rates of complications. Cost savings associated with robotic total knee arthroplasty were only realized when its utilization exceeded 50% of all total knee arthroplasty cases.
Article
Obstetrics & Gynecology
Scarlett D. Karakash, Elliott K. Main, Shen Chih Chang, Gary M. Shaw, David K. Stevenson, Jeffrey B. Gould
Summary: This study uses single year birth certificate data to identify regional and hospital variation in rates of short interpregnancy interval (IPI < 6 months). The results confirm the association between short IPI rates and preterm birth. Variations in short IPI rates are observed among different races and Hispanic nativity.
AMERICAN JOURNAL OF PERINATOLOGY
(2023)
Article
Health Care Sciences & Services
Jori F. Bogetz, Emily Johnston, Prasanna Ananth, Arika Patneaude, Rachel Thienprayoon, Abby R. Rosenberg
Summary: In pediatric palliative care, more than half of the participants reported involvement in quality improvement activities despite limitations in staffing, training, and standardized measures, presenting challenges to this work.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Multidisciplinary Sciences
Massaine Bandeira e Sousa, Luciano Rogerio Braatz de Andrade, Everton Hilo de Souza, Alfredo Augusto Cunha Alves, Eder Jorge de Oliveira
Summary: The study on cassava breeding analyzed various factors affecting flower abortion and proposed strategies to overcome them, providing new insights and methods for efficient breeding. Through experiments and analysis, reproductive barriers and pollen-pistil interactions were studied, leading to the identification of population structure of elite parental clones. Significant parental effects were identified, indicating the existence of reproductive barriers among certain cassava clones, and non-additive genetic effects played a role in trait inheritance. Pollen viability and pollen-stigma interactions were found to be significant for successful fertilization, with variations in pollen viability and stigma receptivity depending on clone and flowering stage.
Article
Medicine, General & Internal
Karen E. Joynt Maddox, E. John Orav, Jie Zheng, Arnold M. Epstein
Summary: The Bundled Payments for Care Improvement-Advanced program led to small reductions in Medicare payments among participating hospitals compared to control hospitals in its first year. There were no significant differences in other outcomes such as readmission, mortality, volume, or case mix.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Review
Health Care Sciences & Services
Devon K. Check, Leah L. Zullig, Melinda M. Davis, Louise Davies, David Chambers, Linda Fleisher, Samantha J. Kaplan, Enola Proctor, Shoba Ramanadhan, Florian R. Schroeck, Angela M. Stover, Bogda Koczwara
Summary: Efforts to improve cancer care come from improvement science and implementation science, which although developed independently, share similarities in purpose, scope, and methods. Studies show potential for synergy between the two fields, suggesting alignment can enhance care significantly through harmonizing language and methods.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Karleen F. Giannitrapani, Aanchal Satija, Archana Ganesh, Raziel Gamboa, Soraya Fereydooni, Taylor Hennings, Shivani Chandrashekaran, Jake Mickelsen, Michelle DeNatale, Odette Spruijt, Sushma Bhatnagar, Karl A. Lorenz
Summary: This study evaluated the implementation experiences of locally initiated palliative care improvement projects at seven diverse sites in India, highlighting factors like leveraging clinic level data, QI methods training, and provider buy-in as important for the success of quality improvement initiatives. However, barriers to using QI methods included lack of designated staff, high patient volume, among others.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Surgery
Hassan Aziz, Ruth L. Ackah, Amy Whitson, Bridget Oppong, Samilia Obeng-Gyasi, Carrie Sims, Timothy M. Pawlik
Summary: Cancer is a leading cause of death among incarcerated individuals, with limited access to high-quality oncological services. Efforts are needed to ensure better healthcare outcomes for incarcerated patients with cancer, given the growing trend in cancer incidence within this population.
Article
Obstetrics & Gynecology
Alyce N. Wilson, Pele Melepia, Rose Suruka, Priscah Hezeri, Dukduk Kabiu, Delly Babona, Pinip Wapi, Naomi Spotswood, Meghan A. Bohren, Joshua P. Vogel, Angela Kelly-Hanku, Alison Morgan, James G. Beeson, Christopher Morgan, Lisa M. Vallely, Edward J. Waramin, Michelle J. L. Scoullar, Caroline S. E. Homer
Summary: This study assessed early newborn care practices and identified barriers to improving the quality of care in East New Britain, Papua New Guinea. The findings highlight the need for effective interventions to improve newborn outcomes and emphasize the importance of increased investment in the health workforce, education and training, and availability of essential equipment, medicines, and supplies.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Oncology
Felice Simnacher, Anna Gotz, Sabine Kling, Jan Ben Schulze, Roland von Kanel, Sebastian Euler, Moritz Philipp Gunther
Summary: International guidelines recommend screening for cancer patients’ distress, but rates are insufficient. This study developed a survey to assess systemic barriers to distress screening. Through a three-step approach, an initial survey with 53 questions was reduced to a final set of 14 validated questions using qualitative content analysis and factor analysis. Major barriers identified include timing of screening, lack of capacity, patient and staff overload, and refusal of patients to be referred to support services. The validated questions enable quick identification and improvement of screening programs.
Article
Emergency Medicine
Utsha G. Khatri, Elizabeth A. Samuels, Ruiying Xiong, Brandon D. L. Marshall, Jeanmarie Perrone, M. Kit Delgado
Summary: This study analyzed national characteristics of ED visits related to opioid use disorder (OUD) and identified hospitals with high rates of OUD visits. By targeting high OUD visit rate EDs, initial efforts of OUD care programs could potentially improve care for a large portion of OUD patients utilizing emergency care.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Health Care Sciences & Services
Keri Durocher, Navi Boparai, Damian Jankowicz, Gillian Strudwick
Summary: The study aims to identify initiatives within the technology industry addressing digital health equity and assess their effectiveness.