Chatterjee, Paula Qi, Mingyu Werner, Rachel
Published in
BMJ quality & safety
Hospitals and health systems worldwide have adopted value-based payment to improve quality and reduce costs. In the USA, skilled nursing facilities (SNFs) are now financially penalised for higher-than-expected readmission rates. However, the extent to which SNFs contribute to, and should thus be held accountable for, readmission rates is unknown. T...
Montejo, Marta Paniagua, Natalia Saiz-Hernando, Carlos Martinez-Indart, Lorea Mintegi, Santiago Benito, Javier
Published in
Archives of disease in childhood
We performed a quality improvement initiative to reduce unnecessary treatments for acute bronchiolitis (AB) in primary care (PC) and the referral paediatric emergency department (ED). The quality improvement initiative involved two seasons: 2016-2017 (preintervention) and 2017-2018 (postintervention). We distributed an evidence-based protocol, info...
Saboth MD, Prasant Kumar Sarin PhD, Enisha Alwadhi MD, Varun Jaiswal MPH, Avinash Mohanty MD, Jaya Swarup Choudhary DCH, Nidhi Bisht MBBS, Nitin Gupta MBBS, Anil Kumar BSc, Arvind Gupta MD, Sachin
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Published in
Journal of Tropical Pediatrics
Lack of quality care is associated with newborn mortality and stillbirth. India launched the Special newborn care unit (SNCU) Quality of Care Index (SQCI) for measuring quality indicators in SNCU. The USAID Vriddhi project provided support to the use of SQCI in 19 SNCU across aspirational districts of Jharkhand, Uttarakhand, Himachal Pradesh, Punja...
Youssef, Fady A Patel, Monique Park, Hyunsoon Patel, Jay V Leo, James Tanios, Maged A
Published in
BMJ Open Quality
The surge in clinical demand, shortage in personal protective equipment and high-exposure risk for healthcare workers during the COVID-19 pandemic has challenged hospital common practices and forced a reassessment of care delivery models. Code blue teams are highly specialised units that partake in life-saving situations that can jeopardise the saf...
Ward, Michael J. Vogus, Timothy J. Munoz, Daniel Collins, Sean P. Moser, Kelly Jenkins, Cathy A. Liu, Dandan Kripalani, Sunil
Introduction: Despite large-scale quality improvement initiatives, substantial proportions of patients with ST-elevation myocardial infarction (STEMI) transferred to percutaneous coronary intervention centers do not receive percutaneous coronary intervention within the recommended 120 minutes. We sought to examine the contributory role of emergency...
Garduño-López, Ana Lilia Acosta Nava, Victor Manuel Castro Garcés, Lisette Rascón-Martínez, Dulce María Cuellar-Guzmán, Luis Felipe Flores-Villanueva, Maria Esther Villegas-Sotelo, Elizabeth Carrillo-Torres, Orlando Vilchis-Sámano, Hugo Calderón-Vidal, Mariana
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Published in
Journal of Pain Research
Objective This was a pre–post study in a network of hospitals in Mexico-City, Mexico. Participants developed and implemented Quality Improvement (QI) interventions addressing perioperative pain management. Methods PAIN OUT, an international QI and research network, provided tools for web-based auditing and feedback of pain management and patient-re...
Lee, Bryanna Mafi, John Patel, Maitraya K Sorensen, Andrea Vangala, Sitaram Wei, Eric Sarkisian, Catherine
Published in
BMJ Open Quality
Importance Electronic health record (EHR) clinical decision support (CDS) tools can provide evidence-based feedback at the point of care to reduce low-value imaging. Success of these tools has been limited partly due to lack of engagement by busy clinicians. Objective Measure the impact of a time-saving quality improvement intervention to increase ...
Testrow, Sean McGovern, Ryan Tully, Vicki
Published in
BMJ Open Quality
Effective communication between members of the multidisciplinary team is imperative for patient safety. Within the Medicine for the Elderly wards at Royal Victoria Hospital (RVH) in Dundee, we identified an inefficient process of information-sharing between the orthopaedics outpatient department (OPD) at the main teaching hospital and our hospital’...
Robert, Glenn Williams, Oli Lindenfalk, Bertil Mendel, Peter Davis, Lois M. Turner, Susan Farmer, Cedric Branch, Cheryl
Published in
International Journal of Integrated Care
Introduction: Increased interest in collaborative and inclusive approaches to healthcare improvement makes revisiting Elinor Ostrom’s ‘design principles’ for enabling collective management of common pool resources (CPR) in polycentric systems a timely endeavour. Theory and method: Ostrom proposed a generalisable set of eight core design principles ...
Ahmed, Kanwal Hashim, Salma Khankhara, Mariyam Said, Ilhan Shandakumar, Amrita Tara Zaman, Sadia Veiga, Andre
Published in
BMJ open quality
In the UK, the National Health Service has various incentivisation schemes in place to improve the provision of high-quality care. The Quality Outcomes Framework (QOF) and other Pay for Performance (P4P) schemes are incentive frameworks that focus on meeting predetermined clinical outcomes. However, the ability of these schemes to meet their aims i...