Linking Joint Commission Inpatient Core Measures and National Patient Safety Goals with Evidence

Masica, Andrew L.; Richter, Kathleen; Convery, Paul; Haydar, Ziad

doi:10.1080/08998280.2009.11928486

Cited by 16 publications

(6 citation statements)

References 97 publications

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“…Eight core measures, a composite measure score reflecting the weighted value of each core measure, and five monitoring measures regarding CAP were examined. An evidence link between hospital-based core measures and safety goals related to patient outcomes was found to exist 25 . Oxygenation assessment should be performed with pulse oximetry or arterial blood gas because 10% of hypoxemic patients are asymptomatic 26 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

Hong

Kang

2018

Tuberc Respir Dis

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Pneumonia is an important cause of morbidity and mortality. Since 2014, the Health Insurance Review and Assessment Service (HIRA) has assessed the overall quality of care among hospitalized adult patients with community-acquired pneumonia (CAP) provided by all medical institutions in Korea. A committee of the Korea Academy of Tuberculosis and Respiratory Diseases developed the hospital inpatient quality measures set for CAP consisting of eight core measures and five monitoring measures. The composite measure score was calculated. The medical records of hospitalized adult patients ages 18 years or more with CAP from October to December 2014 were evaluated. The data of 523 hospitals (42 tertiary hospitals [8.0%], 256 general hospitals [49%], and 225 hospitals [43.0%]) and 15,432 cases (tertiary hospitals, 1,673 cases [10.8%]; general hospitals, 8,803 cases [57.1%]; hospitals, 4,956 cases [32.1%]) were analyzed. We found large variations among institutions in terms of performance of care measures for CAP. For the composite measure score, the mean value was 66.7 (tertiary hospitals, 98.5; general hospitals, 79.2; hospitals, 43.8). Despite significant differences in measure scores between tertiary, general hospitals and hospitals, no significant differences were found in mortality between hospitals. Further studies are needed to determine the care measures appropriate for CAP.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

Hong

Kang

2018

Tuberc Respir Dis

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“…A sentinel event, as defined by the Joint Commission, is a patient safety event that reaches a patient and results in death, disability or severe temporary harm and signals the need for an immediate investigation and response (https://www.jointcommission.org/en/resources/patient-safety-topics/sentinelevent/sentinel-event-policy-and-procedures/, accessed March 3, 2020). Industry leaders such as the Joint Commission and the Institute for Healthcare Improvement have established strategies that promote a proactive approach to risk reduction as well as established tools to investigate sentinel events (Masica, 2009). What is lacking in healthcare is an integrated industry-wide assessment of system vulnerabilities, how and why events occur and a mechanism to share lessons learned.…”

Section: Standard Metrics and Process Improvement Summits Advanced Systems Thinkingmentioning

confidence: 99%

The United States Army Medical Command, becoming a learning organization

Hartstein¹,

Yackel²

2021

TLO

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Purpose This study aims to describe how the Army and the Army Medical Department matured as a learning organizations (LOS) during the period after the 2014 Military Health System Review through the incorporation of changes aimed at improving patient safety, data transparency and becoming a high reliability organization. This study explores the relationship between HRO and LO concepts by adding to the body of knowledge in both disciplines. Design/methodology/approach Four large scale system changes are presented and evaluated against the principles of the LO. Metric data were collected longitudinally and presented as submitted to several nationally recognized organizations in health-care quality and safety. Post initiative observations are paired with a corresponding LO principle to assess MEDCOM’s maturation as a LO. System changes/improvements and the advancement of LO principles are discussed. Findings System improvements, analyzed critically alongside paired LO principles, show strong correlation between high reliability and LO principles. Despite inherent institutional barriers, this study demonstrates that when leveraged effectively, the leadership hierarchy and command culture can accelerate transformation into an LO. Originality/value This study explores changes implemented in the U.S. Army Medical Command (MEDCOM), as it evolved as a stronger LO. It demonstrates how health-care organizations and other high-risk industries that embrace high reliability concepts will become better LO, and expands current knowledge on how LO concepts in health care can affect better system accountability and improved patient safety. Organizations can learn from MEDCOM’s journey changes that can hasten progress toward adoption of LO principles, especially in hierarchical organizations.

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“…(109) Future studies reporting which processes of care for the prevention and management of AMI contribute to the increased risk of AMI and death after AMI among HIV+ people would likely be useful. (110–112)…”

Section: Environmental Mechanisms Of Cvd In Hivmentioning

confidence: 99%

Cardiovascular disease risk in an aging HIV population

So‐Armah

Freiberg

2014

Current Opinion in HIV and AIDS

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Purpose of review The objective of this review is to 1) appraise recently published literature that describes the relationship between HIV, biologic and environmental risk factors, and CVD risk with particular emphasis on the aging HIV population and 2) to demonstrate that these biologic and environmental factors may interact to increase the risk of CVD in the HIV population. Recent findings The mechanisms linking HIV and CVD are multi-factorial and encompass biological and “environmental” modalities including multi-morbid conditions that co-occur with HIV, immunologic alterations associated with HIV, polypharmacy (which affects adherence and increases likelihood of adverse drug-drug interactions) and healthcare disparities in CVD risk reduction by HIV status. Summary Data regarding optimal treatment strategies that balance immunological restoration and CVD risk reduction are needed.

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Linking Joint Commission Inpatient Core Measures and National Patient Safety Goals with Evidence

Cited by 16 publications

References 97 publications

Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

Evaluation of the Quality of Care among Hospitalized Adult Patients with Community-Acquired Pneumonia in Korea

The United States Army Medical Command, becoming a learning organization

Cardiovascular disease risk in an aging HIV population

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