Joint Commission journal on quality and patient safety / Joint Commission Resources
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Jt Comm J Qual Patient Saf · Jan 2009
Implementing a patient safety and quality program across two merged pediatric institutions.
Academic centers are among the health care organizations that have used consolidation as a strategy to improve efficiency and reduce costs. In 1997, the New York Hospital and The Presbyterian Hospital underwent a full-asset merger to become New York City's largest medical center, known as the New York-Presbyterian Hospital (NYPH). In 2006, recognition of the challenges of the Children's Service Line at NYPH led to the formation of a Patient Safety and Quality Program to deliver consistently safe and effective health care. ⋯ Developing a pediatric safety and quality program across two campuses has been challenging but has led to important improvements at both organizations.
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Jt Comm J Qual Patient Saf · Dec 2008
Using an advanced practice nursing model for a rapid response team.
Outcomes, including reductions in codes per 1,000 discharges, failure-to-rescue rates, and medical-surgical mortalities and improvement in staff satisfaction, were all indicative of the efficacy of the APN-model RRT. Future studies might compare these outcomes with those of other team models.
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Jt Comm J Qual Patient Saf · Nov 2008
Positive predictive value of ICD-9-CM codes to detect acute exacerbation of COPD in the emergency department.
Accurate identification of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) visits by International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes will help organizations monitor quality of care for this common condition. A study was undertaken to validate ICD-9-CM coding for accurate identification of AECOPD visits. ⋯ In the first known chart validation of ICD-9-CM codes for identification of AECOPD visits, the proposed ICD-9-CM codes accurately identified cases of AECOPD in the ED. The study contributed to the use of these codes in the National Committee for Quality Assurance's new quality indicator for management of AECOPD.