Tag: quality improvement

1. There was no association found between positive fluid balance at the time of discharge and readmission at 30 days post-discharge in non-critically ill patients hospitalized for sepsis. Evidence Rating Level: 2 (Good) Study Rundown: Evidence suggests that the administration of intravenous fluids in patients hospitalized for sepsis is associated with...
1. Time-limited trial interventions in patients with poor prognoses decreased length of stay in ICU, reduced minimally beneficial treatments, and increased communication between clinicians and patients/ patients’ families. 2. Time-limited trials did not alter hospital mortality rates of critically ill patients. Evidence Rating Level: 2 (Good) Study Rundown: There is growing evidence...
1. Improved mental health appointment show rates were seen after the launch of an electronic referral system to mental health or social work services and social work follow-up protocol. 2. Rates of scheduling first appointments with mental health services and social work also rose; direct mental health outcomes were not...
1. In this cluster-randomized clinical trial, quality improvement interventions led to slightly greater adherence of evidence-based, performance measures compared to care as usual for acute ischemic stroke management in China. 2. Quality improvement interventions were associated with fewer vascular events and less stroke disability over one year of follow up. Evidence...
1. A standard of practice and educational intervention aimed to reduce intravenous opioids in favor of subcutaneous route resulted in reduced frequency of intravenous opioids. 2. Following the intervention, total opioid use for inpatients was reduced without changes in patient pain scores. Evidence Rating Level: 3 (Average)       Study Rundown: Opioid medications remain...
1. In this cluster randomized crossover trial, implementation of a systematic crosschecking program between two emergency physicians significantly reduced the occurrence of adverse events. 2. The reduction in adverse events was mainly due to a significant decrease in near misses. Evidence Rating Level: 1 (Excellent) Study Rundown: Medical errors and adverse events...
1. Researchers derived a multivariable model, which included clinical and biomarker variables, found to be internally validated in terms of its ability to discriminate between pneumonia vs. no serious bacterial infection (SBI), and SBI vs. no SBI. 2. A diagnostic model for identifying SBIs, previous described by Nijman et...
  1. In this systematic review and meta-analysis, readmissions rates for both general and heart failure populations decreased after implementation of quality improvement projects, which usually included assessing patients’ needs and risks, discussing with patients and caregivers, and connecting patients with their usual providers. 2. Even though readmission rates were significantly...
1. The American Academy of Pediatrics (AAP) encourages pediatric providers to identify areas of improvement, engage the patient population, and utilize established quality measures in an effort to better integrate quality improvement into their practice. 2. The AAP also supports national policy makers in effort to further fund, expand, and...
1. Hospitals and provider organizations are increasingly compared and benchmarked based on short-term outcome measures, such as the risk-adjusted 30-day mortality rate following acute myocardial infarction (AMI). 2. On average, patients treated at high-performing hospitals in terms of 30-day AMI mortality were more likely to have extended life expectancy and...