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Publisher: Sage Publications   (Total: 1079 journals)

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Showing 1 - 200 of 1079 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 5)
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: 48, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 332, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 10, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 14, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 22, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 7, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 200, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 39)
Advances in Dental Research     Hybrid Journal   (Followers: 7, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 29, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 131, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 9)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 46, SJR: 0.599, CiteScore: 1)
Advances in Tumor Virology     Open Access   (Followers: 3, SJR: 0.108, CiteScore: 0)
AERA Open     Open Access   (Followers: 9)
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: 14, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 63)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 11, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 9, 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: 5)
American Educational Research J.     Hybrid Journal   (Followers: 196, 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: 31, 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: 10, 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: 184, 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: 18, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 294, 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: 9, 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: 51, 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: 41, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Full-text available via subscription   (Followers: 10)
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: 16, SJR: 0.29, CiteScore: 1)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 39, 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: 97, 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: 16, 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: 18, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 518, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 4)
Australian J. of Education     Hybrid Journal   (Followers: 41, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 12, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 304, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 10)
Behavior Modification     Hybrid Journal   (Followers: 11, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 25)
Bible Translator     Hybrid Journal   (Followers: 12)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 18, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 47)
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: 9)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 13)
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)
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 8, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 8)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 173, 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: 31, 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: 7, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 15, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 2)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Full-text available via subscription  
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: 123, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 26, 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 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: 6, 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 Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 44, 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: 69, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 21, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 23, SJR: 0.36, CiteScore: 1)
Common Law World Review     Full-text available via subscription   (Followers: 18)
Communication & Sport     Hybrid Journal   (Followers: 7, 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: 19, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 8, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 216, 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: 2, 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  
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)
Cooperation and Conflict     Hybrid Journal   (Followers: 21, SJR: 0.945, CiteScore: 2)
Cornell Hospitality Quarterly     Hybrid Journal   (Followers: 8, SJR: 1.198, CiteScore: 2)
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12, SJR: 0.279, 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: 10  
 
Hybrid Journal Hybrid journal   * Containing 2 Open Access Open Access article(s) in this issue *
ISSN (Print) 1062-8606 - ISSN (Online) 1555-824X
Published by Sage Publications Homepage  [1079 journals]
  • Prevention of Nosocomial Catheter-Associated Urinary Tract Infections
           
    • Authors: Jeffrey Topal, Sandra Conklin, Karen Camp, Victor Morris, Thomas Balcezak, Peter Herbert
      Pages: 430 - 435
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 430-435, September/October 2019.
      Catheter-associated urinary tract infections (CAUTIs) represent the most common nosocomial infection. The authors’ baseline rate of CAUTI for general medical service was elevated at 36 per 1000 catheter-days. The medical literature has consistently linked inappropriate catheter use with the development of CAUTI. The baseline data also revealed a high rate of inappropriate use of indwelling urinary catheters. Using the dual modalities of technology through prompts in the computerized order/entry system and handheld bladder scanners, as well as in combination with staff education and nurse empowerment, the authors were successful in reducing the use and duration of urinary catheters as well as the incidence of CAUTI. In subsequent data collection cycles over the following 2 years, 81% reduction in device use and a 73% reduction in the clinical end point of nosocomial CAUTI (36/1000 catheter-days to 11/1000 catheter-days; P < .001) was demonstrated.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:04Z
      DOI: 10.1177/1062860619873170
       
  • TeamSTEPPS: Assuring Optimal Teamwork in Clinical Settings
    • Authors: Carolyn M. Clancy, David N. Tornberg
      Pages: 436 - 438
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 436-438, September/October 2019.

      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:19Z
      DOI: 10.1177/1062860619873181
       
  • The Quality of Qualitative Research
    • Authors: Dave S. Collingridge, Edwin E. Gantt
      Pages: 439 - 445
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 439-445, September/October 2019.
      In general, an appreciation of the standards of qualitative research and the types of qualitative data analysis available to researchers have not kept pace with the growing presence of qualitative studies in medical science. To help rectify this problem, the authors clarify qualitative research reliability, validity, sampling, and generalizability. They also provide 3 major theoretical frameworks for data collection and analysis that investigators may consider adopting. These 3 approaches are ethnography, existential phenomenology, and grounded theory. For each, the basic steps of data collection and analysis involved are presented, along with real-life examples of how they can contribute to improving medical care.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:03Z
      DOI: 10.1177/1062860619873187
       
  • Systematic Review of Handoff Mnemonics Literature
    • Authors: Lee Ann Riesenberg, Jessica Leitzsch, Brian W. Little
      Pages: 446 - 454
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 446-454, September/October 2019.
      A systematic review of published English-language articles on handoffs is conducted (1987 to June 4, 2008). Forty-six articles describing 24 handoff mnemonics are identified by trained reviewers. The majority (82.6%) have been published in the last 3 years (2006-2008), and SBAR (Situation, Background, Assessment, Recommendation) is the most frequently cited mnemonic (69.6%). Of 7 handoff research articles, only 4 study mnemonics. All 4 of these studies have relatively small sample sizes (10-100) and lack validated instruments. Only 1 study has obtained IRB approval. Scientifically rigorous research studies are needed to assess the effectiveness of handoff mnemonics. These should be published in the peer-reviewed literature using the Standards for QUality Improvement Reporting Excellence (SQUIRE) guidelines.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:00:58Z
      DOI: 10.1177/1062860619873200
       
  • Approaching the Evidence Basis for Aviation-Derived Teamwork Training in
           Medicine
    • Authors: Marina V. Zeltser, David B. Nash
      Pages: 455 - 464
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 455-464, September/October 2019.
      The Institute of Medicine has suggested that training in team behavior, leadership, communication, and other human factors could reduce medical errors and improve patient safety. Training on such topics has been adapted from teamwork training programs used in military and commercial aviation, called crew resource management (CRM). The principles behind CRM programs have been deployed in a number of clinical settings over the past 2 decades, and there are now several CRM vendors. Little is known about this nascent industry, and the emerging research supporting CRM programs lacks standardization and conclusive evidence. The objectives of this study were to report on the body of empirical data about CRM training in clinical settings and to provide a conceptual framework for evaluating its effectiveness in medicine. Using the proposed conceptual framework, the authors further examine currently published methods of measuring effectiveness and identify future directions for the use of teamwork training in medicine.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:09Z
      DOI: 10.1177/1062860619873215
       
  • Physician Assistant and Nurse Practitioner Utilization in Academic Medical
           Centers
    • Authors: Marc Moote, Cathleen Krsek, Ruth Kleinpell, Barbara Todd
      Pages: 465 - 472
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 465-472, September/October 2019.
      The purpose of this study was to collect information on the utilization of physician assistants (PAs) and nurse practitioners (NPs) in academic health centers. Data were gathered from a national sample of University HealthSystem Consortium member academic medical centers (AMCs). PAs and NPs have been integrated into most services of respondent AMCs, where they are positively rated for the value they bring to these organizations. The primary reason cited by most AMCs for employing PAs and NPs was Accreditation Council for Graduate Medical Education resident duty hour restrictions (26.9%). Secondary reasons for employing PAs and NPs include increasing patient throughput (88%), increasing patient access (77%), improving patient safety/quality (77%), reducing length of stay (73%), and improving continuity of care (73%). However, 69% of AMCs report they have not successfully documented the financial impact of PA/NP practice or outcomes associated with individual PA or NP care.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:10Z
      DOI: 10.1177/1062860619873216
       
  • United States Registered Nurse Workforce Report Card and Shortage Forecast
    • Authors: Stephen P. Juraschek, Xiaoming Zhang, Vinoth Ranganathan, Vernon W. Lin
      Pages: 473 - 481
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 473-481, September/October 2019.
      Registered nurses (RNs) play a critical role in health care delivery. With an aging US population, health care demand is growing at an unprecedented pace. Using projected changes in population size and age, the authors developed demand and supply models to forecast the RN job shortage in each of the 50 states. Letter grades were assigned based on projected RN job shortage ratios. The number of states receiving a grade of “D” or “F” for their RN shortage ratio will increase from 5 in 2009 to 30 by 2030, for a total national deficit of 918 232 (725 619 - 1 112 112) RN jobs. There will be significant RN workforce shortages throughout the country in 2030; the western region will have the largest shortage ratio of 389 RN jobs per 100 000. Increased efforts to understand shortage dynamics are warranted.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:10Z
      DOI: 10.1177/1062860619873217
       
  • Big Things Come in Bundled Packages: Implications of Bundled Payment
           Systems in Health Care Reimbursement Reform
    • Authors: Dennis R. Delisle
      Pages: 482 - 487
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 482-487, September/October 2019.
      With passage of the Affordable Care Act, the ever-evolving landscape of health care braces for another shift in the reimbursement paradigm. As health care costs continue to rise, providers are pressed to deliver efficient, high-quality care at flat to minimally increasing rates. Inherent systemwide inefficiencies between payers and providers at various clinical settings pose a daunting task for enhancing collaboration and care coordination. A change from Medicare’s fee-for-service reimbursement model to bundled payments offers one avenue for resolution. Pilots using such payment models have realized varying degrees of success, leading to the development and upcoming implementation of a bundled payment initiative led by the Center for Medicare and Medicaid Innovation. Delivery integration is critical to ensure high-quality care at affordable costs across the system. Providers and payers able to adapt to the newly proposed models of payment will benefit from achieving cost reductions and improved patient outcomes and realize a competitive advantage.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:03Z
      DOI: 10.1177/1062860619873220
       
  • Reduction in Central Line–Associated Bloodstream Infection Rates After
           Implementations of Infection Control Measures at a Level 3 Neonatal
           Intensive Care Unit
    • Authors: Vikramaditya Dumpa, Bonny Adler, Delena Allen, Deborah Bowman, Amy Gram, Pat Ford, Sulaiman Sannoh
      Pages: 488 - 493
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 488-493, September/October 2019.
      Advances in neonatology led to survival of micro-preemies, who need central lines. Central line–associated bloodstream infection (CLABSI) causes prolonged hospitalization, morbidities, and mortality. Health care team education decreases CLABSIs. The objective was to decrease CLABSIs using evidence-based measures. The retrospective review compared CLABSI incidence during and after changes in catheter care. In April 2011, intravenous (IV) tubing changed from Interlink to Clearlink; IV tubing changing interval increased from 24 to 72 hours. CLABSIs increased. The following measures were implemented: July 2011, reeducation of neonatal intensive care staff on Clearlink; August 2011, IV tubing changing interval returned to 24 hours; September 2011, changed from Clearlink back to Interlink; November 2011, review of entire IV process and in-service on hand hygiene; December 2011, competencies on IV access for all nurses. CLABSIs were compared during and after interventions. Means were compared using the t test and ratios using the χ2 test; P
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:10Z
      DOI: 10.1177/1062860619873777
       
  • Clinical Decision Support for Early Recognition of Sepsis
         This is an Open Access Article Open Access Article

    • Authors: Robert C. Amland, Kristin E. Hahn-Cover
      Pages: 494 - 501
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 494-501, September/October 2019.
      Sepsis is an inflammatory response triggered by infection, with a high in-hospital mortality rate. Early recognition and treatment can reverse the inflammatory response, with evidence of improved patient outcomes. One challenge clinicians face is identifying the inflammatory syndrome against the background of the patient’s infectious illness and comorbidities. An approach to this problem is implementation of computerized early warning tools for sepsis. This multicenter retrospective study sought to determine clinimetric performance of a cloud-based computerized sepsis clinical decision support system (CDS), understand the epidemiology of sepsis, and identify opportunities for quality improvement. Data encompassed 6200 adult hospitalizations from 2012 through 2013. Of 13% patients screened-in, 51% were already suspected to have an infection when the system activated. This study focused on a patient cohort screened-in before infection was suspected; median time from arrival to CDS activation was 3.5 hours, and system activation to diagnostic collect was another 8.6 hours.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:00:58Z
      DOI: 10.1177/1062860619873225
       
  • What Is the Return on Investment for Implementation of a Crew Resource
           Management Program at an Academic Medical Center'
    • Authors: Susan D. Moffatt-Bruce, Jennifer L. Hefner, Hagop Mekhjian, John S. McAlearney, Tina Latimer; RN, MS, Chris Ellison, Ann Scheck McAlearney
      Pages: 502 - 508
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 502-508, September/October 2019.
      Crew Resource Management (CRM) training has been used successfully within hospital units to improve quality and safety. This article presents a description of a health system-wide implementation of CRM focusing on the return on investment (ROI). The costs included training, programmatic fixed costs, time away from work, and leadership time. Cost savings were calculated based on the reduction in avoidable adverse events and cost estimates from the literature. Between July 2010 and July 2013, roughly 3000 health system employees across 12 areas were trained, costing $3.6 million. The total number of adverse events avoided was 735—a 25.7% reduction in observed relative to expected events. Savings ranged from a conservative estimate of $12.6 million to as much as $28.0 million. Therefore, the overall ROI for CRM training was in the range of $9.1 to $24.4 million. CRM presents a financially viable way to systematically organize for quality improvement.
      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:00:58Z
      DOI: 10.1177/1062860619873226
       
  • “Celebrating the 20th Anniversary of To Err is Human”
    • Authors: Mary Reich Cooper, Aline Holmes, Arlene Seid, Carmen E Gonzalez, Lisa-Qiao MacDonald
      Pages: 519 - 520
      Abstract: American Journal of Medical Quality, Volume 34, Issue 5, Page 519-520, September/October 2019.

      Citation: American Journal of Medical Quality
      PubDate: 2019-09-03T04:01:04Z
      DOI: 10.1177/1062860619870639
       
  • 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
       
  • Reply to “Disagreement Between Hospital Rating Systems”
    • Authors: Shannon Connor Phillips, Elizabeth McKnight
      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
       
  • 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
       
  • Book Review: Meltdown: Why Our Systems Fail and What We Can Do About It
    • Authors: Jessica Davis
      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
       
  • 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
       
  • 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
      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
       
  • 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
       
  • Value-Based Contracting: Challenges and Opportunities
    • Authors: Arianna Kee, Vittorio Maio
      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
       
  • 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
       
  • Improving Post-Intubation Analgesia in the Emergency Department
    • Authors: Kelly Howe, Bryan Imhoff, Sam Wagner
      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
       
  • 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
       
  • Therapeutic Use of Music in Hospitals: A Possible Intervention Model
    • Authors: Alfredo Raglio
      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
       
  • 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
       
  • 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
      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
       
  • 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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • 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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • 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
      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
       
  • The Gift of Fine China: An Appropriate 20th Anniversary Look Back
    • Authors: Erica Li, David Nash
      First page: 425
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-07-24T09:04:57Z
      DOI: 10.1177/1062860619865143
       
  • Unifying the Health Care Ecosystem to Eliminate Preventable Harm
    • Authors: Joe Kiani
      First page: 509
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-02-01T08:45:58Z
      DOI: 10.1177/1062860618821285
       
  • Code-Switching and Handoff Communication Processes
    • Authors: Jessica Wendorf Muhamad, Tyler R. Harrison, Fan Yang, Sean Sawicki
      First page: 511
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-04-03T06:36:38Z
      DOI: 10.1177/1062860619840704
       
  • Addressing Internal Medicine Residents’ Discomfort With Basic
           Dermatology in Persons of Color in the Primary Care Clinic
    • Authors: Shankar N. Mundluru, Nirmala D. Ramalingam, H. Nicole Tran
      First page: 513
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-05-17T06:22:44Z
      DOI: 10.1177/1062860619850130
       
  • Issues of Version Control in EHR-Generated Clinical Summaries for Patients
    • Authors: Erin Sarzynski, Kevin Brooks, Kirsta Bray, Michele C. Fritz, Mathew J. Reeves
      First page: 514
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-02-13T02:19:41Z
      DOI: 10.1177/1062860619830505
       
  • Medical Student Resiliency: An Approach to Improving Quality of Health
           Care
    • Authors: Don Hayes
      First page: 516
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-03-13T05:22:06Z
      DOI: 10.1177/1062860619835316
       
  • One-Year Changes in Intern Physicians’ Quality Improvement and Patient
           Safety Knowledge, Awareness, Engagement, and Interest
    • Authors: Ari B. Filip, Carol R Thrush, Timothy Atkinson, Paula Podrazik, Travis Eastin, Muhammad Jaffar, James A. Clardy
      First page: 517
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2019-02-13T02:21:41Z
      DOI: 10.1177/1062860619830506
       
 
 
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