Publisher: Sage Publications   (Total: 1090 journals)

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Showing 1 - 200 of 1090 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 24)
Academic Pathology     Open Access   (Followers: 5)
Accounting History     Hybrid Journal   (Followers: 17, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 1, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 2)
Acta Sociologica     Hybrid Journal   (Followers: 39, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 51, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 361, 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: 24, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 8, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 239, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 44)
Advances in Dental Research     Hybrid Journal   (Followers: 9, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 31, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 136, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 11)
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: 10)
Affilia     Hybrid Journal   (Followers: 5, 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: 67)
Allergy & Rhinology     Open Access   (Followers: 4)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 12, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 11, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 24, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 8)
American Educational Research J.     Hybrid Journal   (Followers: 230, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 19, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 8)
American J. of Evaluation     Hybrid Journal   (Followers: 17, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 34, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 43, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 12, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 6, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 12, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 9, 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: 215, 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: 21, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 333, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 2)
Analytical Chemistry Insights     Open Access   (Followers: 26, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 3, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 14, 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: 17, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 54, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 48, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 8, 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   (Followers: 1, 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: 27, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 22, SJR: 0.29, CiteScore: 1)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 43, 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: 11, SJR: 0.558, CiteScore: 1)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 9, 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: 5)
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: 16, SJR: 0.578, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 18, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 29, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 532, 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: 339, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 12)
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: 13)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 20, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 52)
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: 11)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 13)
Biomedical Informatics Insights     Open Access   (Followers: 9)
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: 27, 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: 11, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 8)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 217, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 27, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 33, 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: 18)
BRQ Business Review Quarterly     Open Access   (Followers: 1)
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: 8)
Business & Society     Hybrid Journal   (Followers: 13)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 8, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 17, 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: 32, 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: 142, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 27, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 12, 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: 8, 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: 9, 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: 8, SJR: 1.581, CiteScore: 3)
Cephalalgia Reports     Open Access   (Followers: 3)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 35, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 9, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 5)
Childhood     Hybrid Journal   (Followers: 19, 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)
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: 8, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32, 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: 33, 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: 10)
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: 3)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 31, 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: 12, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 76, 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: 25, 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: 17, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 21, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 9, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 261, 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: 40, 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: 8, 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: 35, SJR: 0.195, CiteScore: 0)
Contemporary Voice of Dalit     Full-text available via subscription   (Followers: 1)
Contexts     Hybrid Journal   (Followers: 6)

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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: 12  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1062-8606 - ISSN (Online) 1555-824X
Published by Sage Publications Homepage  [1090 journals]
  • Q-Tip: Using a Structured Quality Improvement Process to Generate
           High-Quality Family Satisfaction Data
    • Authors: Kevin Hummel, Morgan Millar, Lenora Olson
      Pages: 282 - 282
      Abstract: American Journal of Medical Quality, Volume 35, Issue 3, Page 282-282, May/June 2020.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-08T04:54:40Z
      DOI: 10.1177/1062860620912926
      Issue No: Vol. 35, No. 3 (2020)
       
  • ACMQ President’s Message: Update on ACMQ’s Annual Meeting
           Medical Quality 2020
    • Authors: Donald Casey
      Pages: 286 - 288
      Abstract: American Journal of Medical Quality, Volume 35, Issue 3, Page 286-288, May/June 2020.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-08T04:55:53Z
      DOI: 10.1177/1062860620926270
      Issue No: Vol. 35, No. 3 (2020)
       
  • The Proceedings of Medical Quality 2019: Focusing on Quality and Safety
           Disparities in Value-Based Health Care
    • Pages: 5S - 56S
      Abstract: American Journal of Medical Quality, Volume 35, Issue 2_suppl, Page 5S-56S, May/June 2020.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-08T04:54:38Z
      DOI: 10.1177/1062860620923349
      Issue No: Vol. 35, No. 2_suppl (2020)
       
  • An Electronic Questionnaire to Survey Colorectal Cancer Screening Status
           and Identify High-Risk Cohorts in Large Health Care Organizations
    • Authors: Christopher T. Soriano, Thomas J. McGarrity, Junjia Zhu, Justin Loloi, Laurie P. Peiffer, Jennifer Cooper
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Though improved screening practices have reduced the incidence and mortality of colorectal cancer (CRC), screening rates continue to be suboptimal. This is especially true of high-risk individuals, who are difficult for clinicians to identify during a typical health care encounter. The authors developed an electronic patient questionnaire that determined an individual’s CRC screening status and identified high-risk individuals. The questionnaire was administered to employees through the Department of Human Resources. The response rate was 44.7%; 81.2% of respondents aged ≥50 years were up-to-date on CRC screening; 878 high-risk individuals were identified, 77.7% of whom were up-to-date on CRC screening. However, among high-risk individuals aged 40 to 49 years, only 45.8% reported up-to-date CRC screening. The questionnaire was effective in measuring CRC screening rates and identifying high-risk individuals. Dissemination by the Department of Human Resources was novel, effective, and was not dependent on a health care encounter to assess screening or high-risk status.
      Citation: American Journal of Medical Quality
      PubDate: 2020-07-01T08:58:35Z
      DOI: 10.1177/1062860620937236
       
  • Key Features Underlying Low-Value Care Recommendations
    • Authors: Leah M. Marcotte, Jennifer M. Zech, Joshua M. Liao
      Abstract: American Journal of Medical Quality, Ahead of Print.
      One potential reason that low-value care remains persistent is variation in recommendations created to deter it. A better understanding of key features, and how they differ across a range of recommendations, can offer insight about improvement opportunities. To address this knowledge gap, the authors described 3 features using a broad set of consensus Choosing Wisely recommendations: underlying rationales (ie, avoidance of waste and/or harm), types of services targeted, and types of supportive evidence used. The minority of recommendations were accompanied by rationales invoking waste (36%), harm (17%), and both (40%); 7% of recommendations were accompanied by no rationales. The most commonly targeted service type was diagnostic imaging (31%), while the least commonly targeted service type was clinical referrals/consults (1%). Most recommendations (50%) utilized guidelines as sources. These findings highlight several opportunities to modify low-value care recommendations in order to ultimately strengthen efforts to reduce low-value care.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-30T10:33:24Z
      DOI: 10.1177/1062860620930329
       
  • Perceptions of Administrators on the Impact of Accreditation on Patient
           Safety in Gulf Cooperation Council Hospitals
    • Authors: Asaad Abdulrahman Abduljawad, Waleed Kattan
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-24T10:28:51Z
      DOI: 10.1177/1062860620935519
       
  • What a Difference a Disaster Makes: The Telehealth Revolution in the Age
           of COVID-19 Pandemic
    • Authors: John R. Maese, Donna Seminara, Zeel Shah, Anita Szerszen
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Despite the existence of telemedicine since the late 1950s and early 1960s, it took a pandemic to bring this technology mainstream. The critical urgency of the pandemic drove an auspicious alignment of policy, economics, and technology to facilitate the widespread implementation of telehealth. It is imperative that this synchronicity be maintained in the post-COVID era in order to optimize our health care system to be ready for the next threat to the health of the United States.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-11T01:45:39Z
      DOI: 10.1177/1062860620933587
       
  • Holistic Interprofessional Program: A Collaboration Between Medical and
           Dental Clinics
    • Authors: Niki T. Winters, Jiwon Lim
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-10T05:49:31Z
      DOI: 10.1177/1062860620932867
       
  • Why Many Quality Improvement Initiatives Die a Quick Death
    • Authors: Dinesh K. Arya
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Short-term projects and improvement initiatives to parts of the organizational system are exciting in the shorter term; however, these are difficult to sustain unless these are part of an organization-wide framework to improve quality and therefore result in a change in the behavior of “the system.” An improvement plan should never be focused on just having easy wins and grabbing the low hanging fruits. It must conceptualize how the system as a whole should behave in the future. Unless this is done, improvements are difficult to sustain in the longer term.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-10T05:48:11Z
      DOI: 10.1177/1062860620932653
       
  • Influenza Vaccination Rate and Factors Associated With Compliance Among
           Health Care Employees in Large and Medium Acute Care Hospitals
    • Authors: Michal Gafner, Hila Korlander, Reuven Zimlichman, Tomer Ziv-Baran, Eyal Zimlichman
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Annual influenza epidemics are associated with high morbidity and mortality worldwide, with vaccinations being the main preventive intervention; however, the compliance rate of health care employees remains low. Study aims were to examine vaccination rates among physicians and nurses in surgical and medicine wards, compare between medium and large tertiary hospitals, and identify factors associated with increased vaccination rates. Structured questionnaires were distributed. A total of 238/339 (70.2%) were vaccinated. In multivariate analysis, respiratory illness during precedent winter (odds ratio [OR] 3.146, P = .007), working in a medium hospital (OR 2.4, P = .003), and an attending resident with an infectious diseases subspecialty (OR 20.473, P = .007) were associated with a higher vaccination rate. Institutional email or portal messages were associated with decreased vaccination rates (OR = 0.259, P = .007). The leading reason for vaccination was “to stay healthy” (73.5%). Recruiting experts in the field, providing up-to-date information, and increasing management’s involvement could encourage vaccination among health care employees.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-03T06:36:39Z
      DOI: 10.1177/1062860620929423
       
  • Interdisciplinary Patient Tracers: Routine, Systematic Safety Surveillance
    • Authors: Merranda Logan, Claire Seguin, Colleen Snydeman, Jana Deen, Xiu Liu, David Shahian, Elizabeth Mort
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Patient tracers and leadership WalkRounds proactively identify quality and safety issues. However, these programs have been inconsistent in application, results, and sustainability. The goal was to identify a more consistent and efficient approach to survey health care facilities. The authors developed a Peer-to-Peer Interdisciplinary Patient Tracer program to assess compliance with National Patient Safety Goals and to proactively identify areas of inpatient, ambulatory, and procedural risk. The program has been operational for more than 5 years, with continued expansion annually. In all, 96% of frontline leadership reported satisfaction; 100% reported that they would recommend the program to others (Kirkpatrick level 1 results). Mean absolute change in performance scores from 2014 to 2018 was 15%. All survey findings triggered the development of an improvement project. This novel integrated program advanced institutional improvement by strengthening internal peer-to-peer surveillance, engaging leadership, and creating an accountability structure for internal improvement efforts.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-02T11:53:18Z
      DOI: 10.1177/1062860620929306
       
  • Is My Quality Improvement Initiative Also Research' A Primer on Making
           This Distinction and the Ethical Considerations for Graduate Trainees
    • Authors: Tyrone G. Harrison, Sadia Ahmed, Sumedh Bele, Nicola Cavanagh, Brenda R. Hemmelgarn, Deirdre McCaughey
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-01T05:38:13Z
      DOI: 10.1177/1062860620929643
       
  • Reducing Blood Wastage in a Large Level I Trauma Center
    • Authors: Amber Whitley, Brittany Stewart, Michael Passwater, Keosha Joyner, Susan Weiss
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-01T05:36:28Z
      DOI: 10.1177/1062860620929642
       
  • A Multimodal Quality Improvement Curriculum for Pediatric GME Program
           Directors
    • Authors: Asha S. Payne, Padma Pavuluri, May-Britt Sten, Christiane Corriveau, Deena A. Berkowitz, Rachel Sarnacki, Lamia Soghier, Mary Patterson, Mary C. Ottolini
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The 2016 Accreditation Council for Graduate Medical Education Clinical Learning Environment Review report identified knowledge gaps for quality in the clinical environment. It suggested quality improvement (QI) training is necessary to develop skills to improve health care quality. However, at the authors’ institution, there is limited department-level QI mentorship and engagement, thus limiting QI experiences for residents and fellows. The authors developed pediatric graduate medical education program director (PD) proficiency in QI through a fellowship-focused QI project. PDs underwent an 18-month QI curriculum consisting of focused online QI education, a half-day workshop, additional QI didactic sessions, project presentations, and individual QI coaching. QI knowledge in 9 domains and participants’ confidence were assessed. Participants’ self-perceived confidence and skills increased by at least 20% in most domains. Overall, PDs felt prepared to help with their fellows’ future QI projects. Fellowship-focused QI projects and individual coaching were key to course engagement.
      Citation: American Journal of Medical Quality
      PubDate: 2020-06-01T05:30:13Z
      DOI: 10.1177/1062860620929419
       
  • Improving Breast Cancer Screening Rates in a Resident Clinic in Eastern
           North Carolina
    • Authors: Jennifer Newcome, Ashley Choe, Lacy Hobgood, Mary Catherine Brake Turner, Ashley Lundberg
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-01T05:26:33Z
      DOI: 10.1177/1062860620928282
       
  • Medical Students Improving Health Care Beyond Clinical Rotations During
           the COVID-19 Outbreak
    • Authors: Don Hayes
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-06-01T05:12:53Z
      DOI: 10.1177/1062860620931934
       
  • Variations in Patient Satisfaction Scores Between HCAHPS and a Novel
           Orthopedic Practice–Specific Survey
    • Authors: Michael Chang, Glenn S. Russo, Jose A. Canseco, Kristen Nicholson, Rishi Sharma, Jacqueline Koomson, Alexander R. Vaccaro
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Performance on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey can affect up to 33% of a physician’s reimbursement from the Centers for Medicare & Medicaid Services. At this pseudo-private orthopedic practice, the authors characterized how physicians often achieve drastically different scores between HCAHPS and an Internal Patient Satisfaction Questionnaire (IPSQ). Eighteen physicians were ranked separately according to percentage of top-box scores on HCAHPS and IPSQ. There was an inverse relationship between physician rank for the 2 surveys according to Spearman correlation coefficient (ρ = −0.36, P = .15). Qualitative subanalysis indicated that although “physician interaction” was the most common reason for negative comments on HCAHPS, “ancillary staff” and “workflow” concerns were common on IPSQ. The outpatient setting remains a critical component in achieving high-quality orthopedic care. Consequently, HCAHPS alone may not be a sufficient indicator of patient satisfaction for orthopedic and other subspecialty practices.
      Citation: American Journal of Medical Quality
      PubDate: 2020-05-26T01:10:01Z
      DOI: 10.1177/1062860620926710
       
  • Implementation of a Text-Based, HIPAA-Compliant Event Reporting Process to
           Increase Event Reporting by Resident Physicians
    • Authors: Robert Benson Jones, Courtney L. Devin, Divya Chalikonda, Rebecca Jaffe
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-26T01:07:20Z
      DOI: 10.1177/1062860620928002
       
  • Bilirubin Turnaround Time in an Outpatient Pediatric Clinic: Improving
           Efficiency of Time-Sensitive Lab Results
    • Authors: Samantha Forlenza Curtis, Dmitry Tumin, Fraley Greene, Donna Spain, Amanda Higginson
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-26T01:06:51Z
      DOI: 10.1177/1062860620928281
       
  • Time-Out Protocol to Ensure Understanding and Implementation of the Storm
           of Instructions and Protocols During the COVID-19 Pandemic
    • Authors: Ayala Kobo-Greenhut, Jakob Arad, Bar Osher Revital Levi-Hevroni, Izhar Ben Shlomo
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-22T10:30:36Z
      DOI: 10.1177/1062860620925538
       
  • Adherence to Lead Screening Guidelines in an Inner-City Pediatric
           Population
    • Authors: Angelica C. Gangemi, Kristin G. Wong, Steven E. Keller
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-20T12:37:53Z
      DOI: 10.1177/1062860620925536
       
  • Improving Patients’ Experience Undergoing Spinal Anesthesia for Cesarean
           Delivery: A Quality Improvement Initiative
    • Authors: Fatemah Qasem, Sudhu Indu Singh, Aya Alsaharty, Ilana Sebbag, Mouveen Sharma, Ekta Khemani
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-20T12:37:14Z
      DOI: 10.1177/1062860620925537
       
  • Improving Pneumococcal Vaccination Rates in Patients With Diabetes
    • Authors: Margaret F. Zupa, Heena Sheth, Rohit Aggarwal, Jason M. Ng
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-20T12:35:39Z
      DOI: 10.1177/1062860620925545
       
  • Improving Transfer Medication Reconciliation in an Emirati Tertiary
           Hospital Utilizing the Irish Health Service Executive Model
    • Authors: Huda El Dannan, Samer Ellahham
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Transfer is a vulnerable setting that increases the risk of medication errors. Medication reconciliation (MedRec) ensures accurate medication transfer at interfaces of care. It is addressed as a key performance indicator (KPI) in a tertiary hospital. The issue was failure to meet the KPI of more than 75%; the objective was to improve compliance with transfer MedRec. A quality improvement project was conducted utilizing physician active education, leadership support, and the Irish Health Service Executive (HSE) change model. Compliance with the KPI did not improve with monthly monitoring and physician education. Following leadership support, compliance increased from 56% to 72% but was not sustained. Adoption of the change model yielded a sustainable improvement from 65% to 81% within 1 year of the intervention and a reduction in medication errors. Improvement in the MedRec process requires a culture of accountability to change. HSE expedited stakeholders’ engagement and implementation of the planned interventions.
      Citation: American Journal of Medical Quality
      PubDate: 2020-05-16T11:09:24Z
      DOI: 10.1177/1062860620920712
       
  • Holistic Process Improvement: Combined Use of HFMEA, 5-Whys, and Take-Do
           Box to Improve Teamwork for Emergency Cesarean Section
    • Authors: Ayala Kobo-Greenhut, Keren Holzman, Izhar Ben Shlomo
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-11T10:06:52Z
      DOI: 10.1177/1062860620920352
       
  • Hospitalist Perceptions of Fall Prevention: A Comparison of Two Health
           Care Systems
    • Authors: Katherine M. Runkel, Rebecca E. Rdesinski, Lisa N. Miura
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Inpatient falls are common, but little is known about hospitalist perceptions regarding their exact role in fall prevention. The authors conducted a cross-sectional analysis of hospitalists’ attitudes and perceived barriers to fall prevention practices in 2 different hospital systems in Portland, Oregon. A total of 42 responses were collected. Although hospitalists in both groups agreed that all patients admitted should undergo fall risk assessments (FRAs), both groups disagreed that hospitalists should be responsible for performing them. Neither group felt that they had the time to complete FRAs and were either neutral or felt the lack of expertise to conduct them. These findings suggest that the hospitalist role in inpatient fall prevention multidisciplinary teams may be unclear to physician providers and that health care systems may benefit from examining this further.
      Citation: American Journal of Medical Quality
      PubDate: 2020-05-08T02:53:11Z
      DOI: 10.1177/1062860620917206
       
  • Perceptions of the WHO Surgical Safety Checklist When Implemented by the
           Multidisciplinary OR Team
    • Authors: Benjamin A. Eslahpazir, Bin Zhu, Huan Gao, Xiangyong Zhou, Yu Liu, Gary Huang, Jeffrey J. Huang
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-08T02:51:50Z
      DOI: 10.1177/1062860620918292
       
  • Application of Information Technology–Based End-to-End Process
           Management in the Diagnosis and Treatment of Patients With Tuberculosis
    • Authors: Zhen Wan, Xiaolong Liu, Yi Xie, Junping Wu
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-08T02:51:11Z
      DOI: 10.1177/1062860620920364
       
  • Aligning Graduate Medical Education Improvement Projects With Merit
           Incentive-Based Payment System Requirements via Functional Outcome
           Measures
    • Authors: Marc Gruner, John T. Mansfield, Nolan Gall, Bryan Murtaugh, Matthew Maxwell
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The Merit-based Incentive Payment System (MIPS) is a requirement for all physicians for value-based reporting. Medicare has approved registries as a mechanism for MIPS reporting. Concurrently, residencies continue to abide by the Accreditation Council for Graduate Medical Education’s (ACGME’s) curriculum requirement of utilizing/practicing quality improvement (QI).The objectives of this study were as follows: (1) incorporate a meaningful functional outcome measure into an electronic health record (EHR) to track spine functional outcomes; (2) generate a report containing covariables extracted from the EHR system to provide trackable data for current and future resident QI projects/investigations; and (3) establish an infrastructure to align ACGME QI initiatives with the MIPS requirements. This pilot study and retrospective analysis successfully demonstrates how a meaningful functional outcome measure can be incorporated into the EHR system for QI. Moreover, it demonstrates successful establishment of infrastructure for alignment of QI projects for ACGME residency requirements with MIPS requirements.
      Citation: American Journal of Medical Quality
      PubDate: 2020-05-06T04:23:54Z
      DOI: 10.1177/1062860620918295
       
  • Quality in the Context of Value: Reliability of Quality Metrics in an
           Academic Health System Shifting Toward Value-Based Payments
    • Authors: Linnaea Schuttner, Ashok Reddy, Andrew A. White, Edwin S. Wong, Joshua M. Liao
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Quality metrics are fundamental to value-based payment reforms. Because metrics are key components used to drive performance, health care organizations participating in payment reforms should consider metric reliability—a measure of true performance versus statistical “noise.” This cross-sectional study examined reliability, variation from patient and clinician characteristics, and volume thresholds for 9 ambulatory quality metrics in a health system engaged in value-based payment reforms. Hierarchical mixed models were used to analyze data from 276 316 patients attributed to 4373 clinicians in 31 primary care clinics from 2015 to 2017. Reliability was lower for all metrics at the clinician level (range 6%-64%) than at the clinic level (84%-99%), with little variation related to patient or clinician characteristics. Few clinicians, but the majority of clinics, contributed sufficient volumes of patient encounters to meet a 70% reliability threshold. These findings suggest that clinic-level performance measurement may be more appropriate than individual clinician-level measurement, particularly in low-volume contexts.
      Citation: American Journal of Medical Quality
      PubDate: 2020-05-05T11:59:01Z
      DOI: 10.1177/1062860620917205
       
  • Application of Forcing Functions to Electronic Health Records Is
           Associated With Improved Pain Control for Patients Undergoing Radiation
           Therapy for Bone Metastases
    • Authors: Denis Huang, Inna Chervoneva, Lilya Babinsky, Mark D. Hurwitz
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Pain is a common problem for patients undergoing radiation therapy, exacerbated by inconsistent pain documentation. Free-form templates, pain score prompts, and forcing functions are a hierarchy of constraint systems that can be applied to data entry. This study assessed the impact of incorporating these models into electronic health records on pain documentation rates during 450 on-treatment visits and pain severity of 258 patients with bone metastases and breast and thoracic cancer during radiation therapy. Pain documentation is associated with more robust constraint systems: free form (0.11, 95% CI [0.07, 0.18]), pain score prompts (0.87, 95% CI [0.81, 0.92]), and forcing functions (0.97, 95% CI [0.93, 0.99]). Forcing functions also were associated with improved pain control over the course of radiation treatment for bone metastases compared with pain score prompts (P = .026, nonparametric Kruskal-Wallis). Use of forcing functions correlates with increased pain documentation rates, which contributes to improved pain management.
      Citation: American Journal of Medical Quality
      PubDate: 2020-04-24T07:05:30Z
      DOI: 10.1177/1062860619900791
       
  • Improving Ambulatory Health Care Proxy Completion Rates: Implementing an
           Interdisciplinary Clinic-Based Process
    • Authors: Lauge Sokol-Hessner, Griffen Allen, Jennifer Cluett
      Abstract: American Journal of Medical Quality, Ahead of Print.
      All adults should complete a health care proxy (HCP), especially those who are seriously ill or otherwise at increased risk of losing capacity. This study describes the implementation of an interdisciplinary process for helping patients complete HCPs during nonurgent visits at a large urban academic primary care practice between July 2014 and May 2017. The process was mapped using direct observations. Pre- and post-implementation measurement of the percent of patients who completed HCPs during their visit revealed significant improvement (1.4% vs 26.1% in the North Suite, special cause variation). Over the study period, the percentage of patients with HCP information rose significantly across the entire clinic (eg, 37% to 80% in the North Suite, Fisher exact test P < .0001; similar findings in other suites). Key facilitators and barriers to implementation were identified by physician leaders. An interdisciplinary process can sustainably improve the percentage of primary care patients with a completed HCP.
      Citation: American Journal of Medical Quality
      PubDate: 2020-04-20T07:37:00Z
      DOI: 10.1177/1062860620915280
       
  • Determining Bottlenecks in Length of Stay for Intestinal Obstruction
           Patients in Surgery Using Lean and Six Sigma
    • Authors: Gaurav Suman, Deo Raj Prajapati, Rajesh Kumar Bansiwal
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-04-20T07:34:48Z
      DOI: 10.1177/1062860620915274
       
  • The NQF Scientific Methods Panel: Enhancing the Review and Endorsement
           Process for Performance Measures
    • Authors: David R. Nerenz, David Cella, Lacy Fabian, Eugene Nuccio, John Bott, J. Matt Austin, Sam Simon, Jack Needleman, Karen Johnson
      Abstract: American Journal of Medical Quality, Ahead of Print.
      In the summer of 2017, the National Quality Forum (NQF) announced the formation of a Scientific Methods Panel (hereafter referred to as “the Panel”) as part of a redesign of its endorsement process. NQF created the Panel in response to stakeholder request during a Kaizen improvement event held in May 2017. Given the Panel’s role in the endorsement of performance measures used in national payment programs, the objective of this article is to describe the work of the Panel, and to describe its function in the larger context of the NQF measure endorsement process and in the measurement enterprise writ large. This article also serves as an introduction to a series of planned white papers being authored by the panel on specific technical issues in the area of health care performance measurement.
      Citation: American Journal of Medical Quality
      PubDate: 2020-03-30T06:55:17Z
      DOI: 10.1177/1062860620914026
       
  • Impact of Simulation-Based Closed-Loop Communication Training on Medical
           Errors in a Pediatric Emergency Department
    • Authors: Maria Carmen G. Diaz, Kimberly Dawson
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Closed-loop communication (CLC) promotes a shared understanding of information. The authors hypothesized that simulation-based CLC training would improve staff perceptions of CLC ability and decrease medical errors. Participants experienced 2 hands-on CLC simulations one month apart. A retrospective chart review of Emergency Severity Index (ESI) 1 patients was conducted 4 months pre and post CLC simulation-based training. Seventy simulations were held over 13 weeks. Staff perceptions of CLC ability improved and were sustained after one month. Nine ESI 1 patients were seen pre CLC, and 9 post; 8/9 pre-CLC ESI 1 patients had medical errors, with 19 total errors noted; 5/9 post-CLC ESI 1 patients had medical errors, with 5 total errors noted (rate ratio [99% CI] = 3.8 [1.4, 10.2]; P = .008). This simulation-based CLC training curriculum improved staff perceptions of their CLC ability and was associated with a significant decrease in the number of medical errors in ESI 1 patients.
      Citation: American Journal of Medical Quality
      PubDate: 2020-03-24T05:02:26Z
      DOI: 10.1177/1062860620912480
       
  • Hypertension and Diabetes Quality Improvement in a Practice Transformation
           Network
    • Authors: Niharika Khanna, Elena Klyushnenkova, Russ Montgomery
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The Garden Practice Transformation Network in Maryland brought together primary and specialty practices working toward value-based models and efficient care delivery. Practices were provided with coaching and live and multimedia education regarding practice transformation and quality improvement. Coaches supported practices in multipronged approaches to quality improvement. Practice champions and clinical staff were trained on appropriate documentation of blood pressure (BP) and diabetes measures, and new workflows to optimize care delivery. Quality improvement staff were trained in extracting data from electronic health records, providing feedback to practice clinicians, and reporting to Practice Transformation Network staff. Final measurement of BP control was 66%, and final measurement of blood glucose control was 28%. Quality improvement activities in a practice transformation network led to the delivery of high-quality care and quality improvement.
      Citation: American Journal of Medical Quality
      PubDate: 2020-03-06T10:04:52Z
      DOI: 10.1177/1062860620910200
       
  • Improving Intraoperative Ophthalmic Surgery Communication
    • Authors: Hussain Obanor, Jordan Burgess, Joseph Maxwell Hendrix
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-03-04T07:15:18Z
      DOI: 10.1177/1062860620907685
       
  • Making Room at the Bedside: Improving Communication Alongside Medical
           Education Through Interdisciplinary Rounds
    • Authors: Alexis Wickersham, Jillian Zavodnick, Andrew Thum, Bonnie Robertson, Lily Ackermann
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Interdisciplinary rounding has been shown to improve patient safety and provider engagement. Many models for interdisciplinary rounding have been proposed but few focus on preserving bedside medical education. The authors changed the interdisciplinary bedside rounding model to accommodate more time for medical education. The objective was to assess perceptions of communication, care coordination, and teamwork surrounding this change. Resident and attending physicians and unit-based nursing staff completed an anonymous online survey prior to and following the rounding intervention. Length of stay on medical units also was monitored prior to and following the rounding intervention. Following the intervention, there were perceived improvements in interdisciplinary communication, care coordination, and teamwork, and there were no significant changes in length of stay.
      Citation: American Journal of Medical Quality
      PubDate: 2020-03-04T07:03:47Z
      DOI: 10.1177/1062860620908058
       
  • Low Yield of Hepatitis B Virus DNA Testing in the Absence of Surface
           Antigen
    • Authors: Krupa Daniel, Elizabeth L. Palavecino, Marina Nunez
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-03-04T06:55:27Z
      DOI: 10.1177/1062860620908059
       
  • Psychometric Evaluation and Validation of an Urdu Version of the Summary
           of Diabetes Self-Care Activities Measure (U-SDSCA)
    • Authors: Rashid M. Ansari, Mark F. Harris, Hassan Hosseinzadeh, Nicholas Zwar
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-03-04T06:41:47Z
      DOI: 10.1177/1062860620908060
       
  • Shedding the Light on the Off-Hours Problem in Radiology
    • Authors: Christopher G. Roth, Gilda Boroumand, Jaydev K. Dave
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Diagnostic error and diagnostic delays in health care are widespread. This article outlines an improvement effort targeting weekday evening inpatient radiology delays through staffing changes replacing trainees with faculty-trainee team coverage, pushing faculty coverage from 4 pm to 8 pm. Order-report turnaround times (TATs), critical findings TATs for pneumothorax and intracranial hemorrhage (ICH), and percentage meeting target were compared pre and post implementation for the 4 to 8 pm time frame using the Mann-Whitney U and χ2 tests, respectively. Stakeholder surveys assessed patient safety, morale, education, and operational efficiency. Median TATs (minutes) improved: X-rays 906 to 112, computed tomography 994 to 84, magnetic resonance imaging 1172 to 233, and ultrasound 88 to 58. Median critical findings TATs (minutes) improved from 853 to 30 and 112 to 22 for pneumothorax and ICH, respectively, and the percentage meeting target improved from 45% to 65%. Survey results reported perceived improvement in patient safety, education, and operational efficiency and no impact on morale.
      Citation: American Journal of Medical Quality
      PubDate: 2020-03-02T06:18:05Z
      DOI: 10.1177/1062860620907154
       
  • Does Care Transition Matter' Exploring the Newly Published HCAHPS
           Measure
    • Authors: Rafael Hod, Oded Maimon, Eyal Zimlichman
      Abstract: American Journal of Medical Quality, Ahead of Print.
      In recent years, health care systems have undergone a consumer revolution—putting patients at the center. The study aim was to explore the association between care transition—the new measure proposed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)—and hospital patients’ overall rating based on their experience, along with hospitals’ internal characteristics and operational attributes. Using HCAHPS and American Hospital Association published databases, the authors examined the association between hospital characteristics and measures of patient experience, focusing on the care transition measure, in 2350 US hospitals. Positive significant association was found between care transition and overall rating (P < .0001). An interaction regression model revealed that each of the following moderators—teaching affiliation, location, and membership in a health system—significantly (all P < .05) strengthens the association between care transition and overall rating in a positive direction. These findings may help improve hospital rating, value-based payments, and patient-centered outcomes.
      Citation: American Journal of Medical Quality
      PubDate: 2020-02-20T09:31:16Z
      DOI: 10.1177/1062860620905310
       
  • EMR-Based Intervention Improves Cervical Cancer Screening Rate in a
           Primary Care Office
    • Authors: Miranda Aragón, Sunny Lai, Jessica Deffler, Anna Woods, Barbara Cymring, Kali Graham, Amy Cunningham, Geoffrey Mills
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-01-24T09:17:21Z
      DOI: 10.1177/1062860619900929
       
  • Quality Improvement Project to Promote Identification and Treatment of
           Children With Obesity Admitted to Hospital
    • Authors: Joseph Myers, Lloyd N. Werk, M. Jobayer Hossain, Stephen Lawless
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Among children hospitalized for acute problems, comorbid obesity is commonly unaddressed. The objective was to improve identification and initial management of obesity among hospitalized children. In collaboration with nurses and dietitians, pediatric hospitalists of 2 children’s hospitals conducted a quality improvement project to improve body mass index (BMI) documentation, obesity diagnosis, diet, and nutrition consultation through clinician education, development of computerized clinical decision-support system tools, and workflow modifications. Participants received monthly performance feedback. Among those with elevated BMI, diagnosis rose to 70.2%; a documented obesity diagnosis was associated with being 35 times more likely (P < .001) to receive at least 1 intervention while hospitalized. Participants reported an increase in skill in (27%), comfort with (27%), and knowledge of (33%) obesity management. Improvement in health care provider recognition and management of obesity in the inpatient setting is achievable. Additional work is needed to identify how best to sustain desired practice patterns.
      Citation: American Journal of Medical Quality
      PubDate: 2020-01-16T05:30:07Z
      DOI: 10.1177/1062860619898534
       
  • Using Evidence to Design Cancer Care Facilities
    • Authors: Leonard L. Berry, Jonathan Crane, Katie A. Deming, Paul Barach
      Abstract: American Journal of Medical Quality, Ahead of Print.
      The nuts and bolts of planning and designing cancer care facilities—the physical space, the social systems, the clinical and nonclinical workflows, and all of the patient-facing services—directly influence the quality of clinical care and the overall patient experience. Cancer facilities should be conceived and constructed on the basis of evidence-based design thinking and implementation, complemented by input from key stakeholders such as patients, families, and clinicians. Specifically, facilities should be designed to improve the patient experience, offer options for urgent care, maximize infection control, support and streamline the work of multidisciplinary teams, integrate research and teaching, incorporate palliative care, and look beyond mere diagnosis and treatment to patient wellness—all tailored to each cancer center’s patient population and logistical and financial constraints. From conception to completion to iterative reevaluation, motivated institutions can learn to make their own facilities reflect the excellence in cancer care that they aim to deliver to patients.
      Citation: American Journal of Medical Quality
      PubDate: 2020-01-16T05:28:27Z
      DOI: 10.1177/1062860619897406
       
  • Adherence to Recommended Post-Splenectomy Immunizations to Reduce the Risk
           of Sepsis: The University of Washington Experience
    • Authors: Nikita Pozdeyev, Arpit Patel, Paul S. Pottinger, Michael Leu, Thomas H. Payne
      Abstract: American Journal of Medical Quality, Ahead of Print.
      Immunizations against Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type b are recommended for patients undergoing splenectomy to decrease the risk of developing overwhelming infections. The authors sought to determine adherence to these recommendations by providers at UW Medicine. Regional immunization records for patients who underwent splenectomy between October 2015 and January 2019 were analyzed to measure compliance with immunization guidelines from the US Centers for Disease Control and Prevention (CDC). Among 253 patients who underwent splenectomy, 38 (15%) received all 7 immunizations against S pneumoniae, N meningitidis, and H influenzae type b recommended by the CDC; 95% of patients received at least 1 pneumococcal vaccine; 26% percent of patients did not receive MenB-4C vaccine. Many patients (3% to 10%) received redundant immunizations not in accordance with CDC recommendations. Development of state and national immunization registries and systems to improve adherence with post-splenectomy immunization guidelines may reduce risk for life-threatening infections.
      Citation: American Journal of Medical Quality
      PubDate: 2020-01-16T05:26:47Z
      DOI: 10.1177/1062860619897289
       
  • Stressed Out: The Challenging Task of Ordering Stress Tests Among
           Non-Cardiologists
    • Authors: Joshua S. Ellis, Grayson C. Eubanks, Amy W. Shaheen
      First page: 281
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-03-30T07:12:14Z
      DOI: 10.1177/1062860620914540
       
  • ACMQ Student, Resident, and Fellow Section (SRF) COVID-19 Resident and
           Fellow Survey
    • Authors: Michael Jin, Christopher Jackson, Assim M AlAbdulKader, Kevin Hummel, Jeffrey Kott, Oliver Nguyen, Sohayla Rostami, Sun Young Kim
      First page: 289
      Abstract: American Journal of Medical Quality, Ahead of Print.

      Citation: American Journal of Medical Quality
      PubDate: 2020-05-16T11:08:24Z
      DOI: 10.1177/1062860620926271
       
 
JournalTOCs
School of Mathematical and Computer Sciences
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