Publications

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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.

Aug 1, 2022

IHQSE Faculty member, Dr. Sarah Tevis, and team surveyed patients with stage 0-IV breast cancer about the information they received about potential sexual side effects of their treatment. The survey revealed that patients—most of whom receive little to no information—desire personalized education early and often to better navigate these effects during treatment.

Jul 25, 2022

Diagnostic errors are common and important causes of preventable morbidity and mortality in a variety of medical settings. Diagnostic errors leading to harm are most likely to involve diagnoses of cancer, vascular events, or infection. IHQSE Faculty, Dr. Katie Raffel, along with Sumant Ranji, MD, takes a look at approaches to measurement, etiologies, and interventions to decrease diagnostic error.

Jun 6, 2022

IHQSE faculty members, Drs. Emily Gottenborg, Jeff Glasheen, and Tyler Anstett, along with IHQSE alumna Dr. Julia Limes, published the first program evaluation of a residency training program focused on Hospital Medicine. The paper describes the University of Colorado’s experience of training over a hundred hospitalist residents over 15 years. Notably, the program found that graduates were highly likely to choose careers in hospital medicine with over 80% holding quality, safety and operational leadership roles.

Jun 2, 2022

Dr. Moksha Patel, IHQSE Lead Physician Informaticist, authored a perspective piece, looking at ways to reimagine the way we measure hospital-provider productivity. This paper focuses on the limitations of traditional measures of hospital-provider value, such as clinical productivity and emphasizes the patient, employee, and institutional outcomes such as quality, safety and experience.

Mar 7, 2022

Despite decades of effort to drive quality improvement, many health care organizations still struggle to optimize their performance on quality metrics. The advent of publicly reported quality rankings and ratings allows for greater visibility of overall organizational performance but has not provided a roadmap for sustained improvement in these assessments. In 2012, the Institute for Health care Quality, Safety, and Efficiency was launched, which is an integrated set of quality and safety training programs, with a focus on leadership development and support of performance improvement through data analytics and intensive coaching. After 10 years, the IHQSE has trained nearly 2000 individuals and has been associated with significant improvement in organization-level quality rankings and ratings, offering a framework for organizations seeking systematic, long-term improvement.

Feb 1, 2022

Standardizing the transfer criteria and implementation of a transfer-readiness assessment reduced the time-to-transfer decision out of the PICU from 14.4 hours to 7.8 hours and increased the proportion of patients transferred on >/6Lpm of HHF oxygen in children with viral bronchiolitis. No increase in PICU readmissions or use of rapid response team was found.

Dec 21, 2021

IHQSE leader Dr. Tyler Anstett and colleagues report on how a systems-based M&M conference with key stakeholders present resulted in significant improvements in completion time of ‘routine’ (18-minute reduction) and ‘now’ (8-minute reduction) ordered inpatient electrocardiograms. This is the first study to show a positive impact on a process following a systems-based case review conference.

Dec 1, 2021

Alumni of IHQSE’s Certificate Training Program publish outcomes resulting from a series of interventions aimed at improving adherence with recommended well-child checks and continuity of care with the same provider in the first year of a child’s life. Using the medical home concept as a guide, this team’s program showed increased adherence with first five visits in the first year of life from 25% to 78% with sustained improvement in subsequent years.

Oct 1, 2021

IHQSE Faculty, Dr. Sarah Tevis and team, published findings of a study which assessed opioid prescribing preferences for acute postoperative pain. Surgical residents reported that faculty preferences for opioid prescribing are a significant driver in their prescribing practices, inadvertently resulting in variability from established prescribing guidelines. Surgeons were surveyed about their preferences for prescribing opioids; those responses were then compared with actual prescribing practices and prescribing guidelines determined by the Opioid Prescribing Engagement Network. Results of the survey suggest that there is a disconnect in communication between residents and faculty as well as opportunity for enhanced education on prescribing guidelines.