Implementing a Day-Surgery Clinical Pathway for CT-Guided Lung Biopsy: A Propensity-Matched Analysis of Safety, Efficacy, and Resource Efficiency [0.03%]
一种针对CT引导下经皮肺活检的日间手术临床路径的实施：一项倾向匹配的安全性、有效性和资源效率分析
Dongmei Peng,Li Hou,Yuanyuan Gao et al.
Dongmei Peng et al.
Computed tomography-guided percutaneous lung biopsy (CT-PLB) is a cornerstone diagnostic procedure for pulmonary lesions. While traditionally managed via inpatient admission, this model imposes considerable clinical and operational burdens....
Identifying Discharge Delays: A Multidisciplinary Quality Improvement Initiative [0.03%]
改善医疗质量的多学科合作减少出院延迟项目
Kavya Bana,Kristin Myers,Katherine Woo et al.
Kavya Bana et al.
In July 2021, our institution launched a program to begin documenting the medically ready for discharge date (MRDD) and the discharge delays (DDs) in the electronic medical record (EMR) to better allocate resources to streamline patient flo...
Integrating Health System Sciences Into a Medical School Curriculum: Challenges and Opportunities [0.03%]
医学课程中融入医疗体系科学的挑战与机遇
Chikeluba V Okafor,Jenna Garris,Dmitry Tumin et al.
Chikeluba V Okafor et al.
A Quality Improvement Initiative: Reducing Unnecessary Phlebotomy, Enhancing Patient Experience, and Minimizing Environmental Impact in the Inpatient Setting [0.03%]
一项品质改进倡议：减少不必要的抽血、改善患者体验并降低住院环境影响
Ashwin Varkey,Simran Parmar,Nai Chen Yeat et al.
Ashwin Varkey et al.
Background: The steady increase in laboratory testing volume burdens the health care system with substantial costs, contributes to patient dissatisfaction, and generates adverse environmental effects. Beyond financial exp...
Physician Perceptions and Clinical Outcomes of a Novel Standardized Outside Hospital Admission Process [0.03%]
医师对新型标准化院外住院流程的感知及临床结局
Kennedy E Gallagher,Jeffrey M Riggio,Alan A Kubey
Kennedy E Gallagher
Transfers are high-risk events, and outside hospital admissions lack standardized processes to ensure timely delivery of essential clinical information. We piloted a novel, standardized process for outside admissions to a single academic me...
Electronic Health Record-Based Best Practice Advisory Improves Guideline-Directed Medical Therapy in Heart Failure With Reduced Ejection Fraction: A Quality Improvement Study [0.03%]
基于电子健康记录的最佳实践咨询可改善射血分数降低的心力衰竭患者的指南指导医学治疗：一项质量改进研究
Gabriel Velez Oquendo,Abdullah Asreb,Mahmoud Ballout et al.
Gabriel Velez Oquendo et al.
In this pre-post Define, Measure, Analyze, Improve, Control quality improvement study, an Epic electronic health record best practice advisory was implemented to prompt guideline-directed medical therapy (GDMT) for heart failure with reduce...
Improving Hepatitis A Vaccination Rates in Cirrhotic and HIV+ Patients: A Quality Improvement Initiative at an Academic Center [0.03%]
学术中心改善肝硬化和HIV患者甲型肝炎疫苗接种率的质量改进倡议
Michael Bebawy,Rohan Karkra,Kirsys Guerrero et al.
Michael Bebawy et al.
Background: Hepatitis A virus (HAV) infection remains a preventable cause of acute viral hepatitis with disproportionate morbidity among adults with chronic liver disease and people living with HIV. Despite longstanding A...
Achieving SEP-1 Compliance: Common Pitfalls and Pearls from the Emergency Department [0.03%]
SEP-1达标之路：急诊科的常见陷阱与收获
Leon Z Jia,Eric C Hyder,Michael N Cocchi et al.
Leon Z Jia et al.
The Centers for Medicare & Medicaid Services has recently tied the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) compliance to financial incentives, increasing pressure on hospital performance. We aim to review the mechanic...
Access to Care and Patient Safety Measures: Placement in Healthcare Quality Frameworks, Degree to Which They Meet Criteria Used to Select and/or Prioritize Quality Measures, and Mapping to the National Quality Strategy levers [0.03%]
就诊机会及患者安全措施：在医疗质量框架中的位置，衡量标准程度，用于选择和/或优先考虑质量措施以及与国家质量战略杠杆的映射关系
Diana Zhang,Todd Schneberk,Lisa Rubenstein et al.
Diana Zhang et al.
Background: Access to care and patient safety are central components of healthcare quality, yet lack clear conceptual and operational integration within measurement systems. This study examined how access and patient safe...
Imaging Actionable Incidental Findings: Communication and Follow Up to Eliminate Preventable Harm [0.03%]
影像报告中可操作的意外发现：沟通和随访以消除可预防的危害
Mallory A Koshiol,Richard Dery,Lori Reiland et al.
Mallory A Koshiol et al.
In this retrospective study of 1217 incidental imaging findings within a large integrated health system, 97% were classified as actionable and required follow-up, and an electronic medical record-based communication workflow contributed to ...