Patient-reported outcomes of ayurveda consultation in relation to clinical practice data.

Background: Clinical practice characteristics and patient-reported outcomes for Ayurveda have not been adequately studied.

Methods: From January 2 thru February 28, 2022, all clients first seen during the 9-year period ending December 31, 2021, were solicited to respond to a web-based 34-item questionnaire containing 5 items targeting their general experience, 7 focusing on specific results, and 22 examining the implementation and impact of common Ayurvedic recommendations. These data were combined with practice data to develop linear regression models for the main outcome variables to assess improvement and the drivers of change.

Development of a reliable Dosha self-assessment questionnaire.

Introduction: The Ayurvedic theory of Tri-Dosha offers a unique framework for understanding human differences in health and disease. The Doshas could be readily applied in clinical studies to control for such differences the same way sex, age, height and weight are routinely used except that clinical evaluation is required and methods vary. No open-source questionnaire has been shown to be reliable for self-assessment.

An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals.

In pursuit of high reliability, numerous organizations have promoted Just Culture, but its impact has never been assessed. This report combines data from a longitudinal survey-based study of clinical peer review practices in a cohort of 457 acute care hospitals with 43 measures from the Hospital Compare database and interprets them in relation to the long-term trends of Agency for Healthcare Research and Quality (AHRQ) data on the Hospital Survey of Patient Safety Culture. In all, 211 of 270 respondents (79%) indicated that their hospital has adopted Just Culture.

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals.

Objectives: Gather normative data on the goals of clinical peer review; refine a best-practice model and related self-assessment inventory; identify the interval progress towards best-practice adoption.

Design: Online survey (2015-16) of a cohort of 457 programs first studied by volunteer sampling in either 2007 or 2009 on 40 items assessing the degree of conformance to a validated quality improvement (QI) model and addressing program goals, structure, process, governance, and impact on quality and safety.

Setting: Acute care hospitals of all sizes in the USA.

An Organizational Learning Framework for Patient Safety.

Despite concerted effort to improve quality and safety, high reliability remains a distant goal. Although this likely reflects the challenge of organizational change, persistent controversy over basic issues suggests that weaknesses in conceptual models may contribute. The essence of operational improvement is organizational learning.

A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals.

Clinical peer review is the dominant method of event analysis in U.S. hospitals.

Minimizing bias in clinical peer review.

The chief sources of bias in peer review include the clinical outcome and the reviewer. But there are ways to mitigate any bias.

The objective impact of clinical peer review on hospital quality and safety.

Despite its importance, the objective impact of clinical peer review on the quality and safety of care has not been studied. Data from 296 acute care hospitals show that peer review program and related organizational factors can explain up to 18% of the variation in standardized measures of quality and patient safety. The majority of programs rely on an outmoded and dysfunctional process model.

Clinical peer review program self-evaluation for US hospitals.

Prior research has shown wide variation in clinical peer review program structure, process, governance, and perceived effectiveness. This study sought to validate the utility of a Peer Review Program Self-Evaluation Tool as a potential guide to physician and hospital leaders seeking greater program value. Data from 330 hospitals show that the total score from the self-evaluation tool is strongly associated with perceived quality impact.