Publications by authors named "Katherine O DeBartolo"

Article Synopsis
  • The study evaluated a patient-friendly Workbook designed to help seriously ill patients and their caregivers engage in important conversations about their care.
  • Twenty-nine participants provided feedback through surveys and in-depth interviews, highlighting the Workbook's safety, acceptability, and ease of use, with ratings indicating generally positive responses.
  • The findings suggest that the Workbook is most effective when introduced by a trusted individual, emphasizing the importance of context and rapport in discussions about serious illness.
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Background: Quality improvement (QI) campaigns appear to increase use of evidence-based practices, but their effect on health outcomes is less well studied.

Objective: To assess the effect of a multistate QI campaign (Project JOINTS, Joining Organizations IN Tackling SSIs) that used the Institute for Healthcare Improvement's Rapid Spread Network to promote adoption of evidence-based surgical site infection (SSI) prevention practices.

Methods: We analysed rates of SSI among Medicare beneficiaries undergoing hip and knee arthroplasty during preintervention (May 2010 to April 2011) and postintervention (November 2011 to September 2013) periods in five states included in a multistate trial of the Project JOINTS campaign and five matched comparison states.

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Background: Diffusion and adoption of effective evidence-based clinical practices can be slow, especially if complex changes are required to implement new practices.

Objective: To examine how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery (hip and knee arthroplasty).

Methods: We conducted telephone interviews with hospital QI leaders from 73 of the 109 hospitals (67% response rate) in five states that participated in Project JOINTS (Joining Organizations IN Tackling SSIs), a QI campaign run by Institute for Healthcare Improvement (IHI).

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