• IHQSE Faculty Member Highlights Prevalence of Diagnostic Error in New StudyOpens in a new window

    Jan 8, 2024
    Diagnostic error is common, morbid, and mortal. IHQSE faculty member, Dr. Katie Raffel, along with Dr. Andrew Auerbach and other experts on diagnostic error, recently published findings from a multicenter retrospective cohort study in which 2500 hospitalized adults who experienced ICU escalation or death were evaluated for diagnostic error. This study adds to a body of literature highlighting the importance of diagnostic safety within hospital medicine.
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  • Redesigning the First Prenatal Visit: A Quality Improvement InitiativeOpens in a new window

    Dec 6, 2023
    Faced with rising maternal mortality, the first prenatal visit is essential but, in many cases, important topics are missed. An IHQSE small grant supported the redesign of the first visit, dividing it into a nurse-led telemedicine visit and an in-person visit with an obstetric clinician. Clinic no-shows dropped (9.9%-4.2%), the topics covered in the first prenatal visit increased (70.0%-95.6%), and improvements were observed for all key themes.
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  • IHQSE Team Develops Intervention to Reduce Unnecessary PT ConsultsOpens in a new window

    Dec 1, 2023
    Physical therapy (PT) in inpatient settings is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care and discharge planning. A team of IHQSE alumni, including faculty members, Dr. Emily Gottenborg and Dr. Moksha Patel, dug into the root causes of unnecessary PT consultations and deployed an intervention that reduced the rate of inappropriate PT consults to less than 10%.
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  • Journal of Hosp medicine

    Understanding and Reducing Harm from Diagnostic ErrorsOpens in a new window

    Oct 7, 2023
    Few hospitals have created surveillance programs for diagnostic errors. Fewer have programs to translate those opportunities into improvement efforts to prevent future harm. IHQSE faculty Drs. Katie Raffel and Jeff Glasheen are part of the ADEPT working group funded through an AHRQ grant to build such a program. In this paper the authors share the methodology for building the surveillance program, creating the benchmarking dashboards, understanding the areas of opportunity, and building interventions. The program is live in 16 US hospitals.
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  • Journal Of Developmental & Behavioral Pediatrics

    Addressing Adolescent Suicidality in Pediatric Primary CareOpens in a new window

    Sep 26, 2023
    A recent study by IHQSE alumna Jessica Kenny, PhD found that 7% of adolescents endorsed suicidal ideation (SI) in the most recent two weeks during a primary care visit. Multiple interventions were associated with reductions in SI frequency at a follow-up visit, including PCP referral to integrated behavioral health and family navigators, behavioral health providers conducting a risk assessment, completing a safety plan, involving caregivers, sending the adolescent to the emergency department when indicated, and referring to family navigators. The findings from this study support screening for SI and highlight specific multidisciplinary and family-centered interventions and recommendations to address adolescent endorsement of SI in pediatric primary care settings.
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  • JAMA

    Gestating Healthy Policies for Young ParentsOpens in a new window

    Aug 3, 2023
    Recent IHQSE graduate Shannon Acker, MD, was an author on an article published by JAMA advocating for better support systems for trainees during pregnancy and early parenthood. In addition to new policies from the Accreditation Council for Graduate Medical Education, Dr. Acker and her colleague emphasize the importance of a cultural shift and a comprehensive network of support for your parents.
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  • American Journal of Medical Quality

    Lack of Time and Resources Pose Challenges to QI EffortsOpens in a new window

    Aug 1, 2023
    IHQSE Alumna Diane Christopher, MD, was the lead author on a study investigating the current state of quality and patient safety (QPS) efforts in OB/GYN departments in the U.S. Dr. Christopher and her colleagues found that while departments leaders responded overwhelmingly positively regarding work to improve patient safety, most QPS committee leaders received neither protected time nor financial support, and formal training was required in less that one-third of the departments. The study also found that most departments monitored key performance indicators (KPI) for inpatient outcomes, but only half tracked outpatient KPI. Dr. Christopher and her colleagues concluded that OB/GYN departments should invest more resources in QPS efforts to fully realize the benefits to providers, patients, and hospitals.
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  • JGIM

    Examining Diagnostic Error During COVID-19 PandemicOpens in a new window

    Jun 1, 2023
    The early COVID-19 pandemic created substantial disruption to healthcare delivery, including changes to diagnostic processes. In this 8-center retrospective cohort study of diagnostic error among patients hospitalized with possible COVID-19, IHQSE Faculty Member Dr. Katie Raffel found that 14% of the 257 patients included experienced delayed, missed or wrong diagnosis, 1/3 of which may have led to harm. Unexpectedly, diagnostic process faults related to policies/procedures related to COVID-19 suspicion itself (such as need for isolation or medical distancing) were not independently associated with error. Instead, diagnostic process faults related to clinical assessment and test ordering/interpretation remained most prominent, similar to other studies of the diagnostic process.
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  • Journal of Hospital Medicine

    Take Your PICC: IHQSE Faculty Develops Support Tool to Improve Appropriate Catheter UsageOpens in a new window

    Apr 13, 2023
    Peripherally inserted central catheters (PICCs) provide reliable central vascular access for hospitalized patients, but PICCs are associated with morbid and potentially lethal complications. To curb these outcomes, IHQSE Faculty Dr. Tyler Anstett and team developed a decision support tool in the EHR to help hospital-based providers utilize more appropriate catheter devices for their patients.
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  • Applied Clinical Informatics

    A Nudge in the Right Direction: IHQSE Faculty Member Engages Clinicians to Rethink EHR DesignOpens in a new window

    Jan 14, 2023
    The transfusion of blood is a life-saving measure but is sometimes overused leading to worse outcomes for patients and excess costs for health systems. A team including IHQSE Faculty member Dr. Tyler Anstett engaged clinicians from different specialties to rethink the design of blood transfusion orders in the EHR at University of Colorado Hospital.
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  • Showing 1 - 10 of 52 results

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