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Interprofessional Collaboration and Patient/Family Engagement on Rounds in a Comprehensive Stroke Center: A Mixed-Methods Study.
Qual Manag Health Care
December 2024
Author Affiliations: Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Xie); Departments of Anesthesiology and Critical Care Medicine (Dr Xie) and Neurology (Drs Bahouth, Salas, and Zink), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Nursing, The Johns Hopkins Hospital, Baltimore, Maryland (Drs Barany, Watson, Zink, and Hairston and Ms Shakes); Johns Hopkins University School of Nursing (Drs Tanner, Hanson, Hansen, McDonald, and Hairston), Baltimore, Maryland; and Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington (Dr Abu-Rish Blakeney).
Background And Objectives: Daily rounds provide an opportunity for interprofessional collaboration and patient/family engagement, which are critical to stroke care. As part of a quality improvement program, we conducted a baseline assessment to examine interprofessional collaboration and patient/family engagement during the current rounding process in a 12-bed comprehensive stroke center. Findings from the baseline assessment will be used to inform the development, implementation, and evaluation of a new rounding model.
View Article and Find Full Text PDF"Nothing Is More Powerful than Words:" How Patient Experience Narratives Enable Improvement.
Qual Manag Health Care
June 2024
Author Affiliations: Qualitative and Health Experiences Research Lab, Department of Family Medicine and Community Health , Center for Patient Partnerships, University of Wisconsin, Madison, Wisconsin; (Dr Grob and Ms Warne) Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York (Dr Lee); Shaller Consulting Group, Stillwater, Minnesota (Mr Shaller); Health Care Management Department, The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania (Ms Matta and Dr Nembhard); and Department of Health Policy and Management, School of Public Health, Yale University, New Haven Connecticut (Dr Schlesinger).
Background And Objectives: Patient experience narratives (narratives) are an increasingly important element of both measurement approaches and improvement efforts in healthcare. Prior studies show that narratives are considered by both clinicians and staff to be an appealing, meaningful, and credible form of evidence on performance. They also suggest that making concrete use of narratives within organizational settings to improve care can be complex and challenging.
View Article and Find Full Text PDFExpert-Identified Practices for Achieving Measurable Performance Improvements With Lean Implementation.
Qual Manag Health Care
December 2022
Center for Lean Engagement and Research in Healthcare, School of Public Health, University of California, Berkeley (Drs Reponen, Rundall, and Shortell and Ms Blodgett); HUS Helsinki University Hospital, Helsinki, Finland (Drs Reponen, Jokela, and Mäkijärvi); and Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland (Dr Torkki).
Background And Objectives: Despite the rapid spread of Lean management in health care, few organizations have achieved measurable overall performance improvements with Lean. What differentiates these organizations from those that struggle with realizing the potential benefits of Lean management is unclear. In this qualitative study we explore measuring the impact of Lean and the recommended practices for achieving measurable performance improvements with Lean in health care organizations.
View Article and Find Full Text PDFPerceived Roles of Bhutanese Health Care Professionals in Improving Patient Safety: A Qualitative Exploratory Descriptive Study.
Qual Manag Health Care
August 2021
Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia (Drs Pelzang and Hutchinson); Southern Cross Care, Taroom, Queensland, Australia (Dr Pelzang); and Deakin Centre for Quality and Patient Safety Research, Monash Health, Melbourne, Australia (Dr Hutchinson).
Background And Objectives: Patient safety is a vital component of high quality health care and all health care professionals have a responsibility for ensuring the delivery of safe care to patients. However, little is known about how Bhutanese health care professionals perceive their roles in improving patient safety. This study aimed to explore how Bhutanese health care professionals, educators, managers, and policy makers perceived their roles in improving patient safety.
View Article and Find Full Text PDFAntibiotic Prescribing in Urgent Care: Implementing Evidence-Based Medicine in a Rapidly Emerging Health Care Delivery Setting.
Qual Manag Health Care
March 2021
Healthcare Delivery Institute (Drs Brunisholz, Carmichael, Allen, Knighton, and Srivastava and Messrs Wolfe and Belnap), Office of Patient Experience (Dr Stenehjem), and Urgent Care (Dr Wallin), Intermountain Healthcare, Murray, Utah; and Division of Pediatric Infectious Diseases, (Dr. Hersh), and Pediatric Inpatient Medicine (Dr. Srivastava), Department of Pediatrics, University of Utah (Dr Hersh).
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