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Publisher: Sage Publications   (Total: 1084 journals)

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Showing 1 - 200 of 1084 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 21)
Academic Pathology     Open Access   (Followers: 5)
Accounting History     Hybrid Journal   (Followers: 17, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 2, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 3)
Acta Sociologica     Hybrid Journal   (Followers: 37, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 49, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 345, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 9, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 14, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 23, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 7, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 214, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 41)
Advances in Dental Research     Hybrid Journal   (Followers: 7, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 30, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 134, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 10)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 45, SJR: 0.599, CiteScore: 1)
Advances in Tumor Virology     Open Access   (Followers: 3, SJR: 0.108, CiteScore: 0)
AERA Open     Open Access   (Followers: 10)
Affilia     Hybrid Journal   (Followers: 4, SJR: 0.496, CiteScore: 1)
Agrarian South : J. of Political Economy     Hybrid Journal   (Followers: 2)
Air, Soil & Water Research     Open Access   (Followers: 13, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 64)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 13, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 10, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 22, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 7)
American Educational Research J.     Hybrid Journal   (Followers: 205, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 18, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 6)
American J. of Evaluation     Hybrid Journal   (Followers: 16, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 32, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 41, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 11, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 5, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 11, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 8, SJR: 0.595, CiteScore: 2)
American J. of Rhinology and Allergy     Hybrid Journal   (Followers: 9, SJR: 0.972, CiteScore: 2)
American J. of Sports Medicine     Hybrid Journal   (Followers: 193, SJR: 3.949, CiteScore: 6)
American Politics Research     Hybrid Journal   (Followers: 33, SJR: 1.313, CiteScore: 1)
American Review of Public Administration     Hybrid Journal   (Followers: 19, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 306, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 2)
Analytical Chemistry Insights     Open Access   (Followers: 25, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 3, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 13, SJR: 0.197, CiteScore: 0)
Annals of Clinical Biochemistry     Hybrid Journal   (Followers: 10, SJR: 0.634, CiteScore: 1)
Annals of Otology, Rhinology & Laryngology     Hybrid Journal   (Followers: 15, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 52, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 46, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 9, SJR: 3.341, CiteScore: 7)
Anthropological Theory     Hybrid Journal   (Followers: 42, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Hybrid Journal   (Followers: 11)
Antiviral Chemistry and Chemotherapy     Open Access   (Followers: 2, SJR: 0.635, CiteScore: 2)
Antyajaa : Indian J. of Women and Social Change     Hybrid Journal  
Applied Biosafety     Hybrid Journal   (SJR: 0.131, CiteScore: 0)
Applied Psychological Measurement     Hybrid Journal   (Followers: 23, SJR: 1.17, CiteScore: 1)
Applied Spectroscopy     Full-text available via subscription   (Followers: 26, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 19, SJR: 0.29, CiteScore: 1)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 42, SJR: 0.305, CiteScore: 1)
Asia Pacific Media Educator     Hybrid Journal   (Followers: 1, SJR: 0.23, CiteScore: 0)
Asia-Pacific J. of Management Research and Innovation     Full-text available via subscription   (Followers: 3)
Asia-Pacific J. of Public Health     Hybrid Journal   (Followers: 9, SJR: 0.558, CiteScore: 1)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 104, SJR: 0.324, CiteScore: 1)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2, SJR: 0.305, CiteScore: 0)
Asian J. of Comparative Politics     Hybrid Journal   (Followers: 4)
Asian J. of Legal Education     Full-text available via subscription   (Followers: 4)
Asian J. of Management Cases     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
ASN Neuro     Open Access   (Followers: 2, SJR: 1.534, CiteScore: 3)
Assessment     Hybrid Journal   (Followers: 17, SJR: 1.519, CiteScore: 3)
Assessment for Effective Intervention     Hybrid Journal   (Followers: 15, SJR: 0.578, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 9, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 20, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 523, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 4)
Australian J. of Education     Hybrid Journal   (Followers: 42, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 13, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 324, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 11)
Behavior Modification     Hybrid Journal   (Followers: 12, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 26)
Bible Translator     Hybrid Journal   (Followers: 12)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 18, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 48)
Biochemistry Insights     Open Access   (Followers: 7)
Bioinformatics and Biology Insights     Open Access   (Followers: 12, SJR: 1.141, CiteScore: 2)
Biological Research for Nursing     Hybrid Journal   (Followers: 7, SJR: 0.685, CiteScore: 2)
Biomarker Insights     Open Access   (Followers: 1, SJR: 0.81, CiteScore: 2)
Biomarkers in Cancer     Open Access   (Followers: 10)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 12)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Bioscope: South Asian Screen Studies     Hybrid Journal   (Followers: 3, SJR: 0.235, CiteScore: 0)
BMS: Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique     Hybrid Journal   (Followers: 4, SJR: 0.226, CiteScore: 0)
Body & Society     Hybrid Journal   (Followers: 25, SJR: 1.531, CiteScore: 3)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Brain and Neuroscience Advances     Open Access  
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 9, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 8)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 195, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 25, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 32, SJR: 0.91, CiteScore: 2)
British J. of Visual Impairment     Hybrid Journal   (Followers: 13, SJR: 0.337, CiteScore: 1)
British J.ism Review     Hybrid Journal   (Followers: 17)
Building Acoustics     Hybrid Journal   (Followers: 4, SJR: 0.215, CiteScore: 1)
Building Services Engineering Research & Technology     Hybrid Journal   (Followers: 3, SJR: 0.583, CiteScore: 1)
Bulletin of Science, Technology & Society     Hybrid Journal   (Followers: 7)
Business & Society     Hybrid Journal   (Followers: 12)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 8, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 16, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 3)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Full-text available via subscription   (Followers: 1)
California Management Review     Hybrid Journal   (Followers: 30, SJR: 2.209, CiteScore: 4)
Canadian J. of Kidney Health and Disease     Open Access   (Followers: 6, SJR: 1.007, CiteScore: 2)
Canadian J. of Nursing Research (CJNR)     Hybrid Journal   (Followers: 13)
Canadian J. of Occupational Therapy     Hybrid Journal   (Followers: 134, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 28, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 11, SJR: 0.266, CiteScore: 1)
Canadian Pharmacists J. / Revue des Pharmaciens du Canada     Hybrid Journal   (Followers: 3, SJR: 0.536, CiteScore: 1)
Cancer Control     Open Access   (Followers: 1)
Cancer Growth and Metastasis     Open Access   (Followers: 1)
Cancer Informatics     Open Access   (Followers: 4, SJR: 0.64, CiteScore: 1)
Capital and Class     Hybrid Journal   (Followers: 7, SJR: 0.282, CiteScore: 1)
Cardiac Cath Lab Director     Full-text available via subscription  
Cardiovascular and Thoracic Open     Open Access  
Career Development and Transition for Exceptional Individuals     Hybrid Journal   (Followers: 8, SJR: 0.44, CiteScore: 1)
Cartilage     Hybrid Journal   (Followers: 5, SJR: 0.889, CiteScore: 3)
Cell and Tissue Transplantation and Therapy     Open Access   (Followers: 2)
Cell Transplantation     Open Access   (Followers: 4, SJR: 1.023, CiteScore: 3)
Cephalalgia     Hybrid Journal   (Followers: 7, SJR: 1.581, CiteScore: 3)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 31, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 9, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 6)
Childhood     Hybrid Journal   (Followers: 18, SJR: 0.894, CiteScore: 2)
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
China Information     Hybrid Journal   (Followers: 7, SJR: 0.767, CiteScore: 2)
China Report     Hybrid Journal   (Followers: 10, SJR: 0.221, CiteScore: 0)
Chinese J. of Sociology     Full-text available via subscription   (Followers: 4)
Christianity & Literature     Full-text available via subscription   (Followers: 7)
Chronic Illness     Hybrid Journal   (Followers: 6, SJR: 0.672, CiteScore: 2)
Chronic Respiratory Disease     Hybrid Journal   (Followers: 9, SJR: 0.808, CiteScore: 2)
Chronic Stress     Open Access  
Citizenship, Social and Economics Education     Full-text available via subscription   (Followers: 6, SJR: 0.145, CiteScore: 0)
Cleft Palate-Craniofacial J.     Hybrid Journal   (Followers: 7, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 16, SJR: 0.49, CiteScore: 1)
Clinical and Translational Neuroscience     Open Access  
Clinical Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 45, SJR: 0.73, CiteScore: 2)
Clinical EEG and Neuroscience     Hybrid Journal   (Followers: 6, SJR: 0.552, CiteScore: 2)
Clinical Ethics     Hybrid Journal   (Followers: 10, SJR: 0.296, CiteScore: 1)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3, SJR: 0.537, CiteScore: 2)
Clinical Medicine Insights : Blood Disorders     Open Access   (SJR: 0.314, CiteScore: 2)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 6, SJR: 0.686, CiteScore: 2)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1, SJR: 0.283, CiteScore: 1)
Clinical Medicine Insights : Circulatory, Respiratory and Pulmonary Medicine     Open Access   (Followers: 3, SJR: 0.425, CiteScore: 2)
Clinical Medicine Insights : Ear, Nose and Throat     Open Access   (Followers: 1)
Clinical Medicine Insights : Endocrinology and Diabetes     Open Access   (Followers: 32, SJR: 0.63, CiteScore: 2)
Clinical Medicine Insights : Oncology     Open Access   (Followers: 3, SJR: 1.129, CiteScore: 3)
Clinical Medicine Insights : Pediatrics     Open Access   (Followers: 3)
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2, SJR: 0.776, CiteScore: 0)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1, SJR: 0.172, CiteScore: 0)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 29, SJR: 0.471, CiteScore: 1)
Clinical Pathology     Open Access   (Followers: 3)
Clinical Pediatrics     Hybrid Journal   (Followers: 22, SJR: 0.487, CiteScore: 1)
Clinical Psychological Science     Hybrid Journal   (Followers: 11, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 70, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 22, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 24, SJR: 0.36, CiteScore: 1)
Common Law World Review     Full-text available via subscription   (Followers: 18)
Communication & Sport     Hybrid Journal   (Followers: 8, SJR: 0.385, CiteScore: 1)
Communication and the Public     Hybrid Journal   (Followers: 1)
Communication Disorders Quarterly     Hybrid Journal   (Followers: 15, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 20, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 9, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 226, SJR: 3.772, CiteScore: 3)
Compensation & Benefits Review     Hybrid Journal   (Followers: 8)
Competition & Change     Hybrid Journal   (Followers: 11, SJR: 0.843, CiteScore: 2)
Competition and Regulation in Network Industries     Full-text available via subscription   (Followers: 8, SJR: 0.143, CiteScore: 0)
Concurrent Engineering     Hybrid Journal   (Followers: 3, SJR: 0.642, CiteScore: 2)
Conflict Management and Peace Science     Hybrid Journal   (Followers: 35, SJR: 2.441, CiteScore: 1)
Contemporary Drug Problems     Full-text available via subscription   (Followers: 3, SJR: 0.609, CiteScore: 2)
Contemporary Education Dialogue     Hybrid Journal   (Followers: 5, SJR: 0.102, CiteScore: 0)
Contemporary Issues in Early Childhood     Full-text available via subscription   (Followers: 6, SJR: 0.766, CiteScore: 1)
Contemporary Review of the Middle East     Full-text available via subscription   (Followers: 12)
Contemporary Sociology : A J. of Reviews     Full-text available via subscription   (Followers: 34, SJR: 0.195, CiteScore: 0)
Contemporary Voice of Dalit     Full-text available via subscription   (Followers: 1)
Contexts     Hybrid Journal   (Followers: 6)
Contributions to Indian Sociology     Hybrid Journal   (Followers: 4, SJR: 0.376, CiteScore: 0)
Convergence The Intl. J. of Research into New Media Technologies     Hybrid Journal   (Followers: 50, SJR: 0.521, CiteScore: 1)

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Similar Journals
Journal Cover
American Journal of Medical Quality
Journal Prestige (SJR): 0.777
Citation Impact (citeScore): 1
Number of Followers: 11  
 
Hybrid Journal Hybrid journal   * Containing 1 Open Access Open Access article(s) in this issue *
ISSN (Print) 1062-8606 - ISSN (Online) 1555-824X
Published by Sage Publications Homepage  [1084 journals]
  • ACMQ Update
    • Pages: 627 - 629
      Abstract: American Journal of Medical Quality, Volume 34, Issue 6, Page 627-629, November/December 2019.

      Citation: American Journal of Medical Quality
      PubDate: 2019-11-25T03:56:53Z
      DOI: 10.1177/1062860619888643
       
  • Utilizing Lean Methodology to Optimize Operating Room Efficiency: A
           Multidisciplinary Process Mapping Exercise
    • Authors: Alysha Nensi, Andrea Simpson, Sari Kives, Rebecca Lei, Jacqueline D’Souza, Deborah Robertson
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-12-02T05:14:11Z
      DOI: 10.1177/1062860619889884
       
  • A Strategy for Noise Reduction to Improve Patient Experiences With Sleep
           (SNORES)
    • Authors: Vikas Sunder, Eitan Frankel, Neelam Upadhyaya, Merlin Mathew, Ritu Nahar, Michael Brister, Nicholas Young, Yair Lev
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-11-29T06:11:32Z
      DOI: 10.1177/1062860619890803
       
  • Writing Group Increases Quality Improvement Writing Competency
    • Authors: Julie Balch Samora, Sandra P. Spencer, Jahnavi Valleru, Thomas Bartman, Richard J. Brilli, Melody Davis, J. Terrance Davis, Richard McClead, Wallace Crandall
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Quality improvement (QI) is critically important in current medical practice. Although many QI courses teach improvement science and methods, formal education in writing QI manuscripts for academic journal publication is lacking. The authors developed a QI Writing program, consisting of educational sessions with both coach and peer mentors, to improve comfort and productivity in preparing QI manuscripts for publication. Program participants conducted pre- and post-course QI writing skills self-evaluations in 4 competency domains: SQUIRE guidelines, writing for peer-reviewed journals, QI publication submission steps, and critically examining QI results. Course success was measured by the number of manuscripts submitted for publication. QI writing competencies doubled in 3 of 4 domains and increased 70% in the fourth. Fifteen of 17 (88%) course participants submitted manuscripts to a peer-reviewed journal, and 12 have been accepted to date. A formal writing group with didactic content and committed mentors increases QI writing competencies and manuscript submissions to peer-reviewed journals.
      Citation: American Journal of Medical Quality
      PubDate: 2019-11-13T06:16:38Z
      DOI: 10.1177/1062860619886910
       
  • Improving Depression Screening in Underserved Populations in a Large Urban
           Academic Primary Care Center: A Provider-Centered Analysis and Approach
    • Authors: Tracey L. Henry, Stacie Schmidt, Maha B. Lund, Tamara Haynes, Darby Ford, Heartley Egwuogu, Stephanie Schmitz, Brian McGregor, Linda Toomer, Jada Bussey-Jones
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Screening for depression is paramount to identify patients with depression and link them to care, yet only 29% of patients in the primary care center (PCC) were screened for depression in 2016. A baseline survey identified provider barriers to depression screening, including lack of time, support staff, and referral resources. The purpose of this project was to increase depression screening in the PCC using the Patient Health Questionnaire (PHQ-2/9). The authors created an educational program for staff and providers that included referral resources, treatment guidelines, and a decision-support tool in the electronic medical record. A retrospective chart review was performed, from January 2016 to June 2017, to determine the percentage of patients who received annual depression screening. During the program, the PCC saw an increase in depression screening rates. Thus, it is possible to overcome barriers to depression screening in a primary care setting by providing resources and education to clinicians.
      Citation: American Journal of Medical Quality
      PubDate: 2019-11-08T12:57:47Z
      DOI: 10.1177/1062860619884639
       
  • A Quality Improvement Initiative for Pediatric Resident Education in
           Venous Thromboembolism Risk Assessment in Pediatric Patients
    • Authors: Melissa Azul, Lewis Hsu, Andrew Krepel, Jocelyn M. Sales, Isabel Porto, Muhannad Hammamieh
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-10-04T08:55:27Z
      DOI: 10.1177/1062860619879981
       
  • Goal-Directed Achievement Through Geographic Location (GAGL) Reduces
           Patient Length of Stay and Adverse Events
    • Authors: Michael J. Maniaci, Nancy L. Dawson, Jennifer B. Cowart, Eugene M. Richie, Anil G. Suryaprasad, David O. Hodge, Nicole E. Joyce, Carol A. Kernan, Laurie A. Stone, M. Caroline Burton
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P = .0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P = .038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.
      Citation: American Journal of Medical Quality
      PubDate: 2019-10-04T08:54:20Z
      DOI: 10.1177/1062860619879977
       
  • Integrating Lean Thinking and Implementation Science Determinants
           Checklists for Quality Improvement: A Scoping Review
    • Authors: Taylor Standiford, Marisa L. Conte, John E. Billi, Anne Sales, Geoffrey D. Barnes
      Abstract: American Journal of Medical Quality, Ahead of Print.
      It is not known how often lean tools and implementation determinants frameworks or checklists are used concurrently in health care quality improvement activities. The authors systematically reviewed the literature for studies that used a lean tool along with an implementation science determinants framework (January 1999 through August 2018). Seven studies (8 publications) were identified, inclusive of 2 protocols and 6 research articles across multiple continents. All included studies used the consolidated framework for implementation research as their implementation science determinants framework. Lean tools included in more than 1 publication were process mapping (4 publications), process redesign (3 publications), and 5S standardization (2 publications). Only 1 study proposed using a lean tool concurrently with an implementation science determinants framework in the design and execution of the QI project. Few published studies utilize both an implementation science determinants framework or checklist and 1 or more lean tool in their study design.
      Citation: American Journal of Medical Quality
      PubDate: 2019-10-04T08:52:34Z
      DOI: 10.1177/1062860619879746
       
  • Application of Artificial Intelligence in the Health Care Safety Context:
           Opportunities and Challenges
    • Authors: Samer Ellahham, Nour Ellahham, Mecit Can Emre Simsekler
      Abstract: American Journal of Medical Quality, Ahead of Print.
      There is a growing awareness that artificial intelligence (AI) has been used in the analysis of complicated and big data to provide outputs without human input in various health care contexts, such as bioinformatics, genomics, and image analysis. Although this technology can provide opportunities in diagnosis and treatment processes, there still may be challenges and pitfalls related to various safety concerns. To shed light on such opportunities and challenges, this article reviews AI in health care along with its implication for safety. To provide safer technology through AI, this study shows that safe design, safety reserves, safe fail, and procedural safeguards are key strategies, whereas cost, risk, and uncertainty should be identified for all potential technical systems. It is also suggested that clear guidance and protocols should be identified and shared with all stakeholders to develop and adopt safer AI applications in the health care context.
      Citation: American Journal of Medical Quality
      PubDate: 2019-10-04T08:48:47Z
      DOI: 10.1177/1062860619878515
       
  • Learning Collaboratives in Medical Education: Exploring the Impact of
           Collaboratives’ Structure and Resources and Teams’ Experience
    • Authors: Robert Dressler, Hania Janek, Lauren Sager, David S. Kountz, Judi Gravdal
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The Alliance of Independent Academic Medical Centers (AIAMC) organized and coordinated a multicenter learning collaborative, National Initiative V (NI V), focused on community health and health inequity. A pre–post descriptive study was designed to examine the outcomes of the AIAMC NI V. Data were collected from pre- and post-assessment surveys as well as a project milestone self-assessment survey. Twenty-nine institutions participated. By the conclusion of the NI, the majority of institutions had completed at least 1 of the milestones in each of the pre-work/background (65.52%), measurement (62.07%), methods (62.07%), and implement/sustain (20.69%) domains. Institutions reported a significant association between their readiness assessments prior to the start of the NI compared with their status of activities on completion. Milestone achievement is significantly associated with 3 of the assessment items. Learning collaboratives with thoughtfully integrated structure and support can be impactful on topic readiness for the participating organizations.
      Citation: American Journal of Medical Quality
      PubDate: 2019-10-04T08:46:02Z
      DOI: 10.1177/1062860619877941
       
  • Characteristics of Academic Physicians Associated With Patient
           Satisfaction
    • Authors: Paul Heidenreich, Lisa Shieh, Magali Fassiotto, James Kahn, Ann Weinacker, Randall Smith, Mickey Todd Trockel, Tait Shanafelt, Latha Palaniappan
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-09-18T05:30:43Z
      DOI: 10.1177/1062860619876344
       
  • Ongoing and Focused Provider Performance Evaluations in Emergency
           Medicine: Current Practices and Modified Delphi to Guide Future Practice
    • Authors: Laura E. Walker, Michael P. Phelan, Matthew Bitner, Eric Legome, Christian A. Tomaszewski, Robert W. Strauss, David M. Nestler
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The Joint Commission requires ongoing and focused provider performance evaluations (OPPEs/FPPEs). The authors aim to describe current approaches in emergency medicine (EM) and identify consensus-based best practice recommendations. An online survey was distributed to leaders in EM to gain insight into current practices. A modified Delphi approach was then used to develop consensus to recommend best practice. A variety of strategies are currently in use for OPPE/FPPE. “Peer reviewed cases with opportunity for improvement” was identified as a preferred metric for OPPE. Although the preference was for use of peer review in OPPE, a consistent and standard adoption of robust internal care review processes is needed to establish expected norms. National benchmarking is not available currently. This was a limited survey of self-identified leaders, and there is an opportunity for additional engagement of leaders in EM to identify a unified approach that appropriately relates to patient outcomes.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-13T12:04:58Z
      DOI: 10.1177/1062860619874113
       
  • Publication Bias Among Conference Abstracts Reporting on Pediatric Quality
           Improvement Projects
    • Authors: Dmitry Tumin, Uduak S. Akpan, John A. Kohler, Joshua C. Uffman
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This study evaluated progress to publication of pediatric quality improvement (QI) projects initially presented as national conference abstracts, according to project findings and other characteristics. QI abstracts were identified among presentations at the 2010-2015 American Academy of Pediatrics National Conference & Exhibition, and publications were tracked through June 2018. Positive findings (improvement on at least 1 quantitative project outcome), interventions, and analyses were correlated with journal publication. Of 142 abstracts, 128 (90%) reported positive findings. Forty-nine positive abstracts and 3 abstracts reporting negative results resulted in publication (38% vs 21%, respectively; P = .256). Median time to publication was 1.2 years for projects with positive findings, compared to>3 years for abstracts with negative findings (P = .029). Ninety percent of abstracts reported positive findings, and these abstracts progressed to publication more quickly. Overcoming publication bias for pediatric QI projects may enhance selection of promising interventions as new projects are designed.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-13T12:04:18Z
      DOI: 10.1177/1062860619873716
       
  • Clinical Transformation in Care for Patients With Sickle Cell Disease at
           an Urban Academic Medical Center
    • Authors: Sanaa Rizk, David Axelrod, Gaye Riddick-Burden, Elisabeth Congdon-Martin, Steven McKenzie, Carol Haines, Lawrence Ward, John McAna, Albert G. Crawford
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This article demonstrates effects on utilization of a clinical transformation: changing locus of care from a dedicated sickle cell day unit to an approach that “fast-tracks” patients through the emergency department (ED) into an observation unit with 24/7 access. Retrospective quantitative analyses of claims and Epic electronic medical record data for patients with sickle cell disease treated at Thomas Jefferson University (inpatient and ED) assessed effects of the clinical transformation. Additionally, case studies were conducted to confirm and deepen the quantitative analyses. This study was approved by the Thomas Jefferson University Institutional Review Board. The quantitative analyses show significant decreases in ED and inpatient utilization following the transformation. These effects likely were facilitated by increased observation stays. This study demonstrated the impact on utilization of transformation in care (from dedicated day unit to an approach that fast-tracks patients into an observation unit). Additional case studies support the quantitative findings.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-09T11:15:32Z
      DOI: 10.1177/1062860619873402
       
  • The Use of Online Physician Training Can Improve Patient Experience and
           Physician Burnout
    • Authors: Susan Congiusta, Eric M. Ascher, Seungjun Ahn, Ira S. Nash
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines were randomized to intervention (n = 30) and control (n = 33) groups. Patient experience, physician burnout, and satisfaction data were assessed using patient and provider surveys. Comparisons were made pre and post intervention, and between the groups. Intervention group mean scores increased (+1.40 points) while control group scores dropped (−0.11 points; P = .039). Scores on physician burnout surveys for the intervention group improved in all areas and changes in 2 domains were statistically significant. In all, 73.5% of physicians felt the program was effective. This integrated intervention enhanced patient experience scores and positively affected physicians’ level of burnout, and physicians believed this exercise was useful.
      Citation: American Journal of Medical Quality
      PubDate: 2019-08-31T06:13:42Z
      DOI: 10.1177/1062860619869833
       
  • Seeing a Difference: Assessment of a Visual Aid Tool for Topical
           Medication Selection
    • Authors: David Oberlin, Jesse Veenstra, Allison Zarbo, Holly Kerr
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-08-29T06:12:05Z
      DOI: 10.1177/1062860619870601
       
  • Prioritizing Health Care Solutions for Pressure Ulcers Using the Quality
           Function Deployment Process
    • Authors: Simon C. Mathews, Robert A. Stoll, Wayne I. Sternberger, Patrick W. Cox, Tammy L. Tober, Jennifer Di Mattina, Cindy Dwyer, Noah Barasch, Howard Carolan, Mark Romig, Peter J. Pronovost, John F. Barnes, Alan D. Ravitz, Adam Sapirstein
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Reducing the incidence and morbidity of pressure ulcers remains a leading national priority in patient safety. However, the optimal strategy for a hospital or health system to address this safety goal is not straightforward given the number and complexity of available solutions. Leveraging techniques from systems engineering, such as the quality function deployment process, may provide a transparent and objective way to address this challenge. A detailed and practical application of quality function deployment is presented that demonstrates the value of applying engineering practices for prioritizing solutions for pressures ulcers specifically and can easily be adapted to other conditions.
      Citation: American Journal of Medical Quality
      PubDate: 2019-08-24T08:41:32Z
      DOI: 10.1177/1062860619869990
       
  • High Rate of Incomplete Consent for Colonoscopy: Identifying an Area for
           Improvement in Gastrointestinal Endoscopy
    • Authors: David I. Fudman, Lilach Roemi, Daniel A. Leffler, Joseph D. Feuerstein
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-08-19T06:48:10Z
      DOI: 10.1177/1062860619868296
       
  • A Multidisciplinary Intervention to Improve Care for High-Risk COPD
           Patients
    • Authors: Elizabeth Gay, Sonali Desai, Debra McNeil
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Chronic obstructive pulmonary disease (COPD) exacerbations contribute to both costs and patient morbidity. The authors designed a quality project to improve care for high-risk COPD patients admitted with an exacerbation. An electronic medical record report was used to target admitted high-risk COPD patients for an intervention that included pulmonary and respiratory therapy consults, post-discharge phone calls from a patient navigator, referrals to palliative services when appropriate, and bedside delivery of medications. The control population was a similar group of patients at a community partner hospital who received usual care. In all, 157 unique patients were enrolled over 16 months; referrals to palliative care services increased and rates of outpatient follow-up improved. There was no difference in readmissions or emergency department visits between the 2 groups. Better coordination of outpatient care and attention to psychosocial burdens were identified as possible targets for future interventions.
      Citation: American Journal of Medical Quality
      PubDate: 2019-07-24T09:05:57Z
      DOI: 10.1177/1062860619865329
       
  • Understanding the Perspective of Hispanic Patients Readmitted to a Large
           Academic Health System
    • Authors: Aram A. Namavar, Alexander D. Yuen, Nathaniel Dillard, Sitaram Vangala, Erin P. Dowling
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-17T07:22:49Z
      DOI: 10.1177/1062860619863484
       
  • Improved Assessment and Documentation of Vital Signs in the Emergency
           Department
    • Authors: Katie Deitrick, Joshua Davis
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-13T10:00:56Z
      DOI: 10.1177/1062860619863477
       
  • Hospital-Acquired Infections and Readmissions: Let’s Refocus on the
           Person
    • Authors: Adam Corson, Ira Byock, Christopher R. Dale
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-13T09:57:55Z
      DOI: 10.1177/1062860619863105
       
  • A Longitudinal Ambulatory Quality Improvement Curriculum That Aligns
           Resident Education With Patient Outcomes: A 3-Year Experience
    • Authors: Natasha Parekh, Elena Lebduska, Erika Hoffman, Amar Kohli, David Demoise, Kwonho Jeong, Scott Rothenberger, Gary S. Fischer, Carla Spagnoletti, Jaishree Hariharan
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Quality improvement (QI) plays a vital role in practice management, patient care, and reimbursement. The authors implemented a 3-year longitudinal curriculum that combined QI didactics, intervention development, and implementation at university-based, community-based, and Veterans Administration–based practices. Highlights included Plan-Do-Study-Act cycle format, team-based collaboration to brainstorm interventions, interdisciplinary QI council to select and plan interventions, system-wide intervention implementation across entire clinic populations with outcome monitoring, and intervention modifications based on challenges. A pre–post survey assessed residents’ confidence in QI skills and interdisciplinary team participation, while quarterly quality data assessed patient outcomes. All 150 internal medicine residents participated. Confidence in QI and interdisciplinary team participation improved significantly (P < .001). Patient outcomes improved for 6 of 9 targeted projects and were sustained at 1 year. This curriculum is a systems-based innovation designed to improve patient care and encourage interdisciplinary teamwork and can be adopted by residencies seeking to improve engagement in QI.
      Citation: American Journal of Medical Quality
      PubDate: 2019-07-12T05:06:17Z
      DOI: 10.1177/1062860619861949
       
  • Electronic Health Record–Assisted Reflex Urine Culture Testing Improves
           Emergency Department Diagnostic Efficiency
    • Authors: Ryan F. Coughlin, David Peaper, Craig Rothenberg, Marjorie Golden, Marie-Louise Landry, Jeffrey Cotton, Vivek Parwani, Marc Shapiro, Andrew Ulrich, Arjun K. Venkatesh
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The authors evaluated the effectiveness of an electronic health record (EHR)-based reflex urine culture testing algorithm on urine test utilization and diagnostic yield in the emergency department (ED). The study implemented a reflex urine culture order with EHR decision support. The primary outcome was the number of urine culture orders per 100 ED visits. The secondary outcome was the diagnostic yield of urine cultures. After the intervention, the mean number of urine cultures ordered was 5.95 fewer per 100 ED visits (9.3 vs 15.2), and there was a decrease in normal, or negative, cultures by 2.42 per 100 ED visits. There also was a statistically significant decrease in urine culture utilization and an increase in the positive proportion of cultures. Simple EHR clinical decision-support tools along with reflex urine culture testing can significantly reduce the number of urine cultures performed while improving diagnostic yield in the ED.
      Citation: American Journal of Medical Quality
      PubDate: 2019-07-12T05:05:37Z
      DOI: 10.1177/1062860619861947
       
  • A Quality Strategy to Advance the Triple Aim in California’s
           Medicaid Program
    • Authors: Desiree R. Backman, Neal D. Kohatsu, Orion T. Stewart, Rachel L. Barrington, Kenneth W. Kizer
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The California Department of Health Care Services (DHCS) administers the nation’s largest Medicaid program. In 2012, DHCS developed a Quality Strategy modeled after the National Quality Strategy to guide the Department’s activities aimed at advancing the Triple Aim. The Triple Aim seeks to improve the patient experience of care and the health of populations as well as reduce the per capita cost of health care. An academic team was contracted to assist DHCS in developing the strategy, which also was informed by extensive stakeholder input, an advisory committee, and a comprehensive inventory of DHCS quality improvement (QI) activities. From 2012 to 2018, the strategy included 129 unique QI activities. Most activities were intended to deliver more effective, efficient, affordable care or to advance disease prevention. This qualitative assessment of the DHCS Quality Strategy provides insights that may inform other Medicaid programs or large health systems as they develop quality strategies.
      Citation: American Journal of Medical Quality
      PubDate: 2019-07-05T06:26:37Z
      DOI: 10.1177/1062860619860251
       
  • Evaluation of Care Processes and Health Care Utilization in Newly
           Implemented Medical Homes in Italy: A Population-Based Cross-sectional
           Study
    • Authors: Matthew Alcusky, David Singer, Scott W. Keith, Sarah E. Hegarty, Marco Lombardi, Elena Saccenti, Vittorio Maio
      Abstract: American Journal of Medical Quality, Ahead of Print.
      In the Local Health Authority (LHA) of Parma, Emilia Romagna, Italy, 16 medical homes were established between 2011 and 2014. The authors implemented a 1-year (January 1, 2015, to December 31, 2015) cross-sectional population-based design to compare utilization and processes of care between medical homes and comparison practices using the Parma LHA administrative health care database. Residents (n = 372 396) attributed to a primary care physician practicing in a medical home as of January 1, 2015, were considered exposed to medical homes. Adjusted rates of emergency department (ED) use (incidence rate ratio [IRR] = 0.86; 95% CI = 0.82-0.90), potentially avoidable ED use (IRR = 0.78; 95% CI = 0.72-0.84), and hospitalization for chronic ambulatory care sensitive conditions (ACSCs; IRR = 0.87, 95% CI = 0.78-0.97) were lower among patients in medical homes. Performance on process of care measures favored the medical home group; however, associations were generally weak. Receipt of care in medical homes in Parma LHA was associated with lower rates of avoidable ED visits and hospitalizations for chronic ACSCs.
      Citation: American Journal of Medical Quality
      PubDate: 2019-07-04T12:05:17Z
      DOI: 10.1177/1062860619860590
       
  • Disagreement Between Hospital Rating Systems: Measuring the Correlation of
           Multiple Benchmarks and Developing a Quality Composite Rank
    • Authors: Bala Hota, Thomas Webb, Avanthi Chatrathi, Elizabeth McAninch, Omar Lateef
      Abstract: American Journal of Medical Quality, Ahead of Print.
      In the United States, hospital rating system usefulness is limited by heterogeneity and conflicting results. US News Best Hospitals, Vizient Quality and Accountability Study, Centers for Medicare & Medicaid Services (CMS) Star Rating, Leapfrog Hospital Safety Grade, and the Truven Top 100 Hospitals ratings were compared using Spearman correlations. Rank aggregation was used to combine the scores generating a Quality Composite Rank (QCR). The highest correlation between rating systems was shown between the Leapfrog Safety Grade and the CMS Star Rating. In a proportional odds logistic regression, a greater discordance between the CMS Star Rating, Vizient rank, US News, and Leapfrog was associated with a lower overall rank in the QCR. Lack of transparency and understanding about the differences and similarities for these hospital ranking systems complicates use of the measures. By combining the results of these ranking systems into a composite, the measurement of hospital quality can be simplified.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-29T06:05:59Z
      DOI: 10.1177/1062860619860250
       
  • Experiential Learning Through Local Implementation of a National Chief
           Resident in Quality and Patient Safety Curriculum
    • Authors: Matthew V. Ronan, Aravind Menon, Lakshman Swamy, David Thornton
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The Clinical Learning Environment Review was created to evaluate quality improvement and patient safety (QIPS) beginning in 2013. Little guidance has been offered on implementing QIPS curricula for residency education. The aim was to provide a model QIPS residency curriculum from VA Boston Healthcare System (VABHS), wherein a chief resident in quality and patient safety (CRQS) participates in a national curriculum implementing skills and concepts locally. The CRQS mentors a patient safety resident with faculty oversight. The program involves case investigations, educational conferences, and experiential learning. Participants are residents from Beth Israel Deaconess Medical Center, Boston Medical Center, and Brigham and Women’s Hospital and medical students from Boston University Medical School and Harvard Medical School. Local and national CRQS programs are evaluated. The patient safety rotation is evaluated locally. The local curriculum at VABHS augments the national curriculum and deploys a patient safety education that develops experiential learning skills.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-28T06:22:31Z
      DOI: 10.1177/1062860619859076
       
  • Problematic Risk Adjustment in National Healthcare Safety Network Measures
         This is an Open Access Article Open Access Article

    • Authors: Richard L. Fuller, John S. Hughes, Graham Atkinson, Barbara S. Aubry
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This article reviews the risk-adjustment models underpinning the National Healthcare Safety Network (NHSN) standardized infection ratios. After first describing the models, the authors focus on hospital intensive care unit (ICU) designation as a variable employed across the various risk models. The risk-adjusted frequency with which ICU services are reported in Medicare fee-for-service claims data was compared as a proxy for determining whether reporting of ICU days is similar across hospitals. Extreme variation was found in the reporting of ICU utilization among admissions for congestive heart failure, ranging from 25% in the lowest admission hospital quartile to 95% in the highest. The across-hospital variation in reported ICU utilization was found to be unrelated to patient severity. Given that such extreme variation appears in a designation of ICU versus non-ICU utilization, the NHSN risk-adjustment models’ dependence on nursing unit designation should be a cause for concern.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-28T06:21:11Z
      DOI: 10.1177/1062860619859073
       
  • Using Safety Barrier Analysis to Facilitate Quality Improvement in Health
           Care: Improving Venous Thromboembolism Prophylaxis as a Proof of Concept
    • Authors: Carlton Moore, G. Cameron Coleman, Jamison Chang, Max Nagle, May-Britt Sten
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Effective quality improvement is a key factor in optimizing the care of hospitalized patients. Unfortunately, the US health care system has a poor safety record when compared to other major industries. For example, at 250 000 per year, medical errors are the third leading cause of death in the United States. Safety barrier management, a widely used methodology in high-risk industries such as commercial airline transportation and oil drilling, has not been widely used in traditional quality improvement efforts in health care, which rely more on standard lean Six Sigma quality approaches. The authors describe a quality improvement project that uses safety barrier analysis to help inform solutions to improve venous thromboembolism prophylaxis in hospitalized patients. This study found that safety barrier analysis helped inform solutions to improve venous thromboembolism prophylaxis at the study institution and can be a useful adjunct to standard lean Six Sigma methodologies for quality improvement in health care.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-22T06:09:34Z
      DOI: 10.1177/1062860619856689
       
  • Association of Hospital Characteristics With Early SEP-1 Performance
    • Authors: Jeff Liao, Emily Aaronson, Jungyeon Kim, Xiu Liu, Colleen Snydeman, Ilona Goldfarb, Lauren Black, Michael Filbin, Michael T. Phillips, Elizabeth Mort, Jarone Lee
      Abstract: American Journal of Medical Quality, Ahead of Print.
      A variety of hospital characteristics, including teaching status, ownership, location, and size, have been shown to be associated with quality measure performance. The association of hospital characteristics, including teaching intensity, with performance on the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis measure has not been well studied. Utilizing a statewide, all-payer database and the CMS Hospital Compare database, this study investigated the association of various hospital characteristics with early SEP-1 performance in 48 acute hospitals in Massachusetts. Hospital teaching intensity and Magnet designation did not have a statistically significant association with SEP-1 performance in multivariable linear modeling. However, SEP-1 performance was higher in smaller, for-profit hospitals with higher case mix index. This finding suggests that emergency department activity, hospital ownership, and patient complexity should be studied further across a larger geographic spectrum and longitudinally as hospitals implement efforts to reduce morbidity associated with sepsis.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-22T06:02:54Z
      DOI: 10.1177/1062860619857028
       
  • Primary Care Practice Redesign: Challenges in Improving Behavioral Health
           Care for a Vulnerable Patient Population
    • Authors: Deborah Swavely, David T. O’Gurek, Veronica Whyte, Alexandra Schieber, Daohai Yu, Allen Y. Tien, Susan L. Freeman
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This study examined a program focused on integrating mental health in a family medicine practice in an economically challenged urban setting. The program included using a behavioral health technology platform, a behavioral health collaborative composed of community mental health agencies, and a community health worker (CHW). Of the 202 patients screened, 196 were used for analysis; 56% were positive for anxiety, 38% had scores consistent with moderate to severe depression, and 34% were positive for post-traumatic stress disorder. There was a statistically significant difference in the diagnosis of depression when comparing the screened group to a control group. Only 27% of patients followed through with behavioral health referrals despite navigational assistance provided by a CHW and assured access to care through a community agency engaged with the Behavioral Health Alliance. Further qualitative analysis revealed that there were complex patient factors that affected patient decision making regarding follow-up with behavioral health care.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-22T05:58:14Z
      DOI: 10.1177/1062860619855136
       
  • Development of a Tool to Assess Trainees’ Ability to Design and Conduct
           Quality Improvement Projects
    • Authors: Erika M. Steele, Rebecca Butcher, Kathleen L. Carluzzo, Bradley V. Watts
      Abstract: American Journal of Medical Quality, Ahead of Print.
      An important competency for residents developing skills in quality improvement (QI) and patient safety (PS) is to independently carry out an improvement project. The authors describe the development and reliability testing of the Quality Improvement Project Evaluation Rubric (QIPER) for use in rating project presentations in the Department of Veterans Affairs Chief Resident in Quality and Safety Program. QIPER contains 19 items across 6 domains to assess competence in designing, implementing, analyzing results of, and reporting on a QI/PS project. Interrater reliability of the instrument was calculated using the intraclass correlation coefficient (ICC). QIPER scores ranged from 28 to 72 out of a possible 76. QIPER demonstrated good reliability overall (ICC = 0.63). Although further testing is warranted, QIPER shows promise as a tool to assess a comprehensive set of skills involved in conducting QI/PS projects and has the sensitivity to detect varied competence and utility for providing learner feedback.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-13T06:08:26Z
      DOI: 10.1177/1062860619853880
       
  • A Qualitative Analysis of Resident Adverse Event Reporting: What’s
           Holding Us Back
    • Authors: John Szymusiak, Thomas J. Walk, Maggie Benson, Megan Hamm, Susan Zickmund, Alda Maria Gonzaga, Gregory M. Bump
      Abstract: American Journal of Medical Quality, Ahead of Print.
      This study utilized focus groups of residents, who report adverse events at differing rates depending on their hospital site, to better understand barriers to residents’ reporting and identify modifiable aspects of an institution’s culture that could encourage resident event reporting. Focus groups included residents who rotated at 3 hospitals and represented 4 training programs. Focus groups were audio recorded and analyzed using qualitative methods. A total of 64 residents participated in 8 focus groups. Reporting behavior varied by hospital culture. Residents worried about damage to their professional relationships and lacked insight into the benefits of multiple reports of the same event or how human factors engineering can prevent errors. Residents did not understand how reporting affects litigation. Residents at other academic institutions likely experience similar barriers. This study illustrates that resident reporting is modifiable by changing hospital culture, but hospitals have only a few opportunities to mishandle reporting before resident reporting attitudes solidify.
      Citation: American Journal of Medical Quality
      PubDate: 2019-06-12T05:45:29Z
      DOI: 10.1177/1062860619853878
       
  • Developing and Validating a Pediatric Potentially Avoidable Transfer
           Quality Metric
    • Authors: Jennifer L. Rosenthal, Oluseun Atolagbe, Michelle Y. Hamline, Su-Ting T. Li, Alexis Toney, Jessica Witkowski, Heather McKnight, Daniel J. Tancredi, Patrick S. Romano
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-06-10T08:49:33Z
      DOI: 10.1177/1062860619854535
       
  • Validity of the Health Systems Science Examination: Relationship Between
           Examinee Performance and Time of Training
    • Authors: Michael Dekhtyar, Linette P. Ross, Jean D’Angelo, Jeanne Guernsey, Karen E. Hauer, Luan Lawson, Martin V. Pusic, Richard E. Hawkins
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-06-10T08:48:53Z
      DOI: 10.1177/1062860619853349
       
  • It’s Complicated: Patient and Informal Caregiver Performance of
           Outpatient Parenteral Antimicrobial Therapy-Related Tasks
    • Authors: Sara C. Keller, Sara E. Cosgrove, Alicia I. Arbaje, Rachel H. Chang, Amanda Krosche, Deborah Williams, Ayse P. Gurses
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-06-04T10:39:58Z
      DOI: 10.1177/1062860619853345
       
  • Addressing the Opioid Crisis One Surgical Patient at a Time: Outcomes of a
           Novel Perioperative Pain Program
    • Authors: Ronen Shechter, Traci J. Speed, Erin Blume, Sarabdeep Singh, Kayode Williams, Colleen G. Koch, Marie N. Hanna
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-25T07:28:25Z
      DOI: 10.1177/1062860619851170
       
  • Use of EHR-Based Pediatric Quality Measures: Views of Health System
           Leaders and Parents
    • Authors: David M. Hartley, Susannah Jonas, Daniel Grossoehme, Amy Kelly, Cassandra Dodds, Shannon M. Alford, Elizabeth Shenkman, Jeff Simmons, L. Charles Bailey, Hanieh Razzaghi, Levon H. Utidjian, Jennifer McCafferty-Fernandez, F. Sessions Cole, Jordan Smallwood, Lloyd N. Werk, Kathleen E. Walsh
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-22T11:33:35Z
      DOI: 10.1177/1062860619850322
       
  • Discordance in Clinical Recommendations Regarding the Use of Imaging
    • Authors: Adam C. Powell, Teresa L. Rogstad, David E. Winchester, Jon D. Shanser, James W. Long, Uday U. Deshmukh, Vijay M. Rao
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-22T05:36:36Z
      DOI: 10.1177/1062860619851561
       
  • Hospitalized After Medical Readiness for Discharge: A Multidisciplinary
           Quality Improvement Initiative to Identify Discharge Barriers in General
           Medicine Patients
    • Authors: Nicholas Meo, Joshua M. Liao, Ashok Reddy
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-06T04:39:29Z
      DOI: 10.1177/1062860619846559
       
  • Students Adding Value: Improving Patient Care Measures While Learning
           Valuable Population Health Skills
    • Authors: Amy W. Shaheen, Kelly Bossenbroek Fedoriw, Susanna Khachaturyan, Beat Steiner, Julie Golding, Julie S. Byerley, Erika S. Helgeson, Gary L. Beck Dallaghan
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-06T04:39:24Z
      DOI: 10.1177/1062860619845482
       
  • Reducing Three Infections Across Cardiac Surgery Programs: A Multisite
           Cross-Unit Collaboration
    • Authors: Bickey H. Chang, Yea-Jen Hsu, Michael A. Rosen, Ayse P. Gurses, Shu Huang, Anping Xie, Kathleen Speck, Jill A. Marsteller, David A. Thompson
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-03T08:08:16Z
      DOI: 10.1177/1062860619845494
       
  • Effects of Practice Turnover on Primary Care Quality Improvement
           Implementation
    • Authors: Andrea N. Baron, Jennifer R. Hemler, Shannon M. Sweeney, Tanisha Tate Woodson, Allison Cuthel, Benjamin F. Crabtree, Deborah J. Cohen
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-04-29T07:04:50Z
      DOI: 10.1177/1062860619844001
       
  • Engaging Patients in Primary Care Quality Improvement Initiatives:
           Facilitators and Barriers
    • Authors: Nancy Pandhi, Nora Jacobson, Madison Crowder, Andrew Quanbeck, Mollie Hass, Sarah Davis
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-04-19T06:17:05Z
      DOI: 10.1177/1062860619842938
       
  • Aggregating Claims Data Across Payers: Approaches, Challenges, and Lessons
           Learned From the Comprehensive Primary Care Initiative
    • Authors: Anne Mutti, Erin Fries Taylor, Deborah Peikes, Janel Jin, Kristie Liao, Ha Tu
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-04-17T06:01:21Z
      DOI: 10.1177/1062860619843350
       
  • Weighting of Measures in the Safety of Care Group of the Overall Hospital
           Quality Star Rating Program: An Alternative Approach
    • Authors: David R. Nerenz, Jianhui Hu, Brian Waterman, Jack Jordan
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-03-27T07:14:36Z
      DOI: 10.1177/1062860619840725
       
  • Impact of Locally Adopted Simulation-Based Crew Resource Management
           Training on Patient Safety Culture: Comparison Between Operating Room
           Personnel and General Health Care Populations Pre and Post Course
    • Authors: Adeline P. N. Man, Carmen K. M. Lam, Benny C. P. Cheng, Kam-Shing Tang, Pui-Fun Tang
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-29T05:26:19Z
      DOI: 10.1177/1062860618824863
       
  • How Leading Hospitals Operationalize Evidence-Based Readmission Reduction
           Strategies: A Mixed-Methods Comparative Study Using Systematic Review and
           Survey Design
    • Authors: Bita A. Kash, Juha Baek, Ohbet Cheon, Joanna-Grace Mayo Manzano, Stephen L. Jones, Jaya Paranilam, Robert A. Phillips
      First page: 529
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-02-04T12:08:58Z
      DOI: 10.1177/1062860618824410
       
  • Quality Improvement Toolkits: Recommendations for Development
    • Authors: Susanne Hempel, Isomi Miake-Lye, Angela G. Brega, Fred Buckhold, Susan Hassell, Mary Patricia Nowalk, Lisa Rubenstein, Kathryn Schreiber, William D. Spector, Amy M. Kilbourne, David A. Ganz
      First page: 538
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-24T10:29:36Z
      DOI: 10.1177/1062860618822102
       
  • Association Between Board Certification, Maintenance of Certification, and
           Surgical Complications in the United States
    • Authors: Tim Xu, Ambar Mehta, Angela Park, Martin A. Makary, David W. Price
      First page: 545
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-18T06:05:19Z
      DOI: 10.1177/1062860618822752
       
  • Decreasing Room Traffic in Orthopedic Surgery: A Quality Improvement
           Initiative
    • Authors: Alex C. DiBartola, Christine Barron, Scott Smith, Catherine Quatman-Yates, Ajit M. W. Chaudhari, Thomas J. Scharschmidt, Susan D. Moffatt-Bruce, Carmen E. Quatman
      First page: 561
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-18T06:07:20Z
      DOI: 10.1177/1062860618821180
       
  • An IDEA: Safety Training to Improve Critical Thinking by Individuals and
           Teams
    • Authors: Anne Marie Browne, Ellen S. Deutsch, Krystyna Corwin, Daniela H. Davis, Jeanette M. Teets, Michael Apkon
      First page: 569
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-02-09T09:07:57Z
      DOI: 10.1177/1062860618820687
       
  • An Interprofessional Quality Improvement Training Program That Improves
           Educational and Quality Outcomes
    • Authors: Marianne Baernholdt, Moshe Feldman, Mary Lynn Davis-Ajami, L. Dale Harvey, Paul E. Mazmanian, Debbie Mobley, Jenifer K. Murphy, Carolyn Watts, Alan Dow
      First page: 577
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-29T12:07:56Z
      DOI: 10.1177/1062860618825306
       
  • Stroke Center Certification Is Associated With Improved Guideline
           Concordance
    • Authors: Adam S. Jasne, Heidi Sucharew, Kathleen Alwell, Charles J. Moomaw, Matthew L. Flaherty, Opeolu Adeoye, Daniel Woo, Jason Mackey, Simona Ferioli, Sharyl Martini, Felipe de los Rios la Rosa, Brett M. Kissela, Dawn Kleindorfer
      First page: 585
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-03-14T10:23:08Z
      DOI: 10.1177/1062860619835317
       
  • The Swiss Cheese Conference: Integrating and Aligning Quality Improvement
           Education With Hospital Patient Safety Initiatives
    • Authors: Matthew S. Durstenfeld, Scott Statman, Andrew Dikman, Anahita Fallahi, Cindy Fang, Frank M. Volpicelli, Katherine A. Hochman
      First page: 590
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-19T06:33:40Z
      DOI: 10.1177/1062860618817638
       
  • Associations Among Practice Variation, Clinician Characteristics, and Care
           Algorithm Usage: A Multispecialty Vignette Study
    • Authors: David A. Cook, V. Shane Pankratz, Laurie J. Pencille, Denise M. Dupras, Jane A. Linderbaum, John M. Wilkinson
      First page: 596
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-01-30T12:07:16Z
      DOI: 10.1177/1062860618824992
       
  • Geospatial, Clinical, and Social Determinants of Hospital Readmissions
    • Authors: Yun Ye, Micah W. Beachy, Jiangtao Luo, Tammy Winterboer, Brandon S. Fleharty, Charlotte Brewer, Zijian Qin, Zaeema Naveed, Michael A. Ash, Lorena Baccaglini
      First page: 607
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-03-05T11:56:19Z
      DOI: 10.1177/1062860619833306
       
  • Value-Based Contracting: Challenges and Opportunities
    • Authors: Arianna Kee, Vittorio Maio
      First page: 615
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-11T06:26:16Z
      DOI: 10.1177/1062860619862756
       
  • Therapeutic Use of Music in Hospitals: A Possible Intervention Model
    • Authors: Alfredo Raglio
      First page: 618
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-24T06:25:35Z
      DOI: 10.1177/1062860619850318
       
  • Assessing Quality of Diabetes Care and Medical Student Volunteer Knowledge
           of Diabetes Care at the University of Chicago Community Health Clinic
    • Authors: Anastasia Pozdnyakova, Michael Andersen, Sebastian Cruz, Hannah Wilson, Mikhail Pakvasa, Julie Oyler
      First page: 621
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-03T08:09:56Z
      DOI: 10.1177/1062860619845629
       
  • Book Review: Meltdown: Why Our Systems Fail and What We Can Do About It
    • Authors: Jessica Davis
      First page: 622
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-24T09:01:57Z
      DOI: 10.1177/1062860619865024
       
  • Reply to “Disagreement Between Hospital Rating Systems”
    • Authors: Shannon Connor Phillips, Elizabeth McKnight
      First page: 623
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-08-30T08:16:53Z
      DOI: 10.1177/1062860619872806
       
  • Improving Post-Intubation Analgesia in the Emergency Department
    • Authors: Kelly Howe, Bryan Imhoff, Sam Wagner
      First page: 624
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-06-22T06:03:32Z
      DOI: 10.1177/1062860619857813
       
  • Evaluation of Individualized Coaching on Consent Form Compliance in the
           Outpatient Clinics of a Large Academic Dermatology Center
    • Authors: Rebecca L. Yanovsky, Arthur J. Sober, Gideon P. Smith
      First page: 625
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-17T07:21:49Z
      DOI: 10.1177/1062860619863480
       
 
 
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