Tag: quality improvement

1. No association was found between hospitals with a physician employment model and improvements in patient care.   2. Large, teaching hospitals were more likely to switch to a physician employment model, compared to smaller, for-profit institutions. Evidence Rating Level: 2 (Good) Study Rundown: U.S. hospitals were traditionally viewed as “workshops” for physicians,...
1. From 2012 to 2014, for infants with Neonatal Abstinence Syndrome (NAS), the length of pharmacological treatment (LOT) decreased from 16 days to 15 days and length of stay (LOS) decreased from 21 days to 19 days. 2. Patients with NAS on a standardized protocol were less likely to be...
1. Implementation of quality improvement (QI) interventions consisting of daily checklists, goal setting, and clinician prompting in Brazilian ICUs did not result in reduced in-hospital mortality. 2. Four care processes with poor baseline characteristics were modestly improved through the use of these QI interventions (use of low tidal volume, light...
1. This randomized controlled study used a simulated training experience in the neonatal intensive care unit (NICU) to demonstrate the impact that rudeness can have on the diagnostic and procedural performance of the team. Teams exposed to rudeness had lower diagnostic and procedural performances scores than those not exposed...
1. From November 2009 to August 2012, 32 institutions participated in a multicenter collaborative utilizing a standardized central line (CL) maintenance care bundle for pediatric hematology/oncology patients. Compliance rates reached 79% by the end of the first year and ranged from 81-86% for the remainder of the study. 2. CL-associated...
1. Implementation of an evidence-based, standardized intervention for transfer of patient care (patient handoffs) reduced handoff errors by 69% over the year-long study period. 2. Clinician satisfaction with the transfer of care process increased significantly from 55% to 70%.  Evidence Rating Level: 2 (Good)     Study Rundown: Patient handoffs occur during...
1. Quality improvement (QI) initiatives targeting Children’s Asthma Care (CAC) measures reduced hospital readmission rates for asthma by 71% at 91 to 180 days post-discharge. 2. Post-discharge follow-up at a patient-centered medical home also increased significantly, from 69% to 90% attendance, following implementation of QI initiatives. Evidence Rating Level: 2 (Good) Study...
Image: PD 1. Quality improvement (QI) methodology improved adherence to national pediatric sepsis guidelines and was sustained during the study period. 2. After the QI intervention was implemented, there was an increase in cases of pediatric severe sepsis or septic shock between patient deaths from sepsis. Evidence Rating Level: 1 (Excellent) Study Rundown:...
Image: PD  1. There was significant variation in perioperative care for tonsillectomies among pediatric hospitals, as measured by rates of dexamethasone and antibiotic use.  2. Across US children’s hospitals, re-admission rates for bleeding, vomiting and dehydration after tonsillectomy varied significantly.  Evidence Rating Level: 2 (Good)  Study Rundown: This trial evaluated the perioperative care...
Image: PD  1. Surgical ward round quality was highly variable, ranging from 9% to 91% of sources of clinical information assessed.  2. Patients assessed with low-quality surgical ward rounds had higher incidence of preventable complications or complications due to suboptimal care.  Evidence Rating Level: 2 (Good)        Study Rundown: Surgical techniques...