Publications

  • 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 Hosp medicine

    Early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) studyOpens in a new window

    May 21, 2023
    Diagnostic errors (DE) are a critical but understudied cause of preventable patient harm. While much work has focused on examining the incidence and factors contributing to DEs in ambulatory and emergency room settings, fewer studies have examined the incidence of DEs in hospitals or how they contribute to adverse events during the hospital encounter. IHQSE Faculty, Dr. Katie Raffel, along with other experts on diagnostic error, led an AHRQ-funded study at 31 US hospitals aimed at defining the prevalence and underlying causes of DEs in patients who die in the hospital or are transferred to the ICU after the first 48 hours.
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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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  • journal of clinical microbiology

    IHQSE Alum Publishes Study to Address Antimicrobial Over-Prescribing for Mechanically Ventilated PatientsOpens in a new window

    Oct 11, 2022
    Andrea Prinzi, Ph.D., MPH, a member of the 2020 cohort of the IHQSE Certificate Training Program published their work in the Journal of Clinical Microbiology, showing that endotracheal aspirate cultures commonly overreport lower respiratory tract infections due to contamination, often resulting in excess antimicrobial therapy.
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  • Applied Clinical Informatics

    IHQSE Faculty Member Employs QI Methodology to Address Add-on Test Failures Across Health SystemOpens in a new window

    Aug 13, 2022
    Venipunctures are clinically necessary for hospitalized patients, but failed add-on lab tests can lead to excess venipunctures and patient harm. In a recent publication in Applied Clinical Informatics, IHQSE faculty member, Tyler Anstett, DO and team used QI methodology to identify a root cause of add-on failures and then implemented a simple and effective solution.
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  • The Laryngoscope

    Tonsillectomy Patients: Should they Stay or Should they Go?Opens in a new window

    Aug 1, 2022
    IHQSE Certificate Training Program Graduates Dr. Norman Friedman, Renee Crowder and Sarah Derieg developed a set of screening criteria to predict children who would need overnight monitoring after surgery for sleep-disordered breathing. They report that 75% of patients did not have a prolonged oxygen requirement making them candidates for same day surgery. The probability of a prolonged oxygen requirement was only 18% if patients did not have a diagnosis of asthma or a resting pulse oxygen measurement of < 96%. They conclude that all patients who are off oxygen within 3 hours of surgery and pass a sleep room air challenge are safe for discharge to home.
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  • Showing 11 - 20 of 59 results

Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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