Articles Tagged With:
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Does Prescription of Contraception During the Postpartum Hospitalization Affect Postpartum Visit Adherence?
In this retrospective cohort study of 1,015 women at one institution, there was no association between type of contraceptive prescribed immediately postpartum and attendance at the postpartum visit.
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Is it Safe to Discharge Patients Without an Opioid Prescription After Gynecologic Surgery?
In this quality improvement initiative study, patients undergoing scheduled gynecologic abdominal surgery via both minimally invasive and open routes were able to be discharged safely without a prescription of opioids without significant increases in postoperative calls about pain or the need for filling opioid prescriptions after discharge.
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Loop Electrosurgical Excision Procedure of the Cervix: Which Is the Best Method of Anesthesia?
In this randomized controlled trial comparing local anesthesia and general anesthesia for loop electrosurgical excision procedure of the cervix, there was no difference in patient satisfaction. However, women in the local anesthesia group had significantly smaller cone volumes and less blood loss than those in the general anesthesia group.
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Hospital at Home Model Benefits from Traditional QI Approach
The Hospital at Home care model is gaining favor with hospitals and health systems as a way to provide hospital-level care in a patient’s home while lowering costs by almost one-third and reducing complications. The approach is receiving more attention now as a way to avoid asking patients to come to the hospital during the COVID-19 pandemic.
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Hospital Reduces HAPI Rate by Half with Huddles, Rounds
Northwestern Medicine Lake Forest Hospital in Illinois had attempted to reduce hospital-acquired pressure injuries for years, with some success, but hospital leaders remained unhappy with the rate of pressure ulcers. Making changes stick required a change in culture.
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A Prospective Look at the Course of Untreated ADHD in Pregnancy Gains Attention
Twenty-five women with perinatal attention-deficit hyperactivity disorder were followed prospectively during pregnancy for changes in anxiety, depression, perceived stress, and functional impairment. Statistically significant differences in mood and functional impairment in the family domain were found in those who discontinued their psychostimulant.
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TJC: Quality Improvement Should Include Data Analysis on Equitable Care
The COVID-19 pandemic has put a spotlight on the substantial disparities in healthcare that have existed in the United States for many years. The Joint Commission recently issued tips for identifying healthcare disparities and addressing them.
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TJC Offers Guidance on Accreditation and Effects from COVID-19
COVID-19 has affected hospitals and health systems in many ways, extending to the accreditation requirements and processes of The Joint Commission (TJC). Responding to many questions and concerns from accredited facilities, TJC recently offered answers in a webinar. The topics were wide-ranging, from the waiver of certain requirements to telehealth and documentation.
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Watch for Quality Improvement Opportunities in Your Own Department
An important way to make sure one is operating at peak performance is to see that each project is as efficient as possible. Clinician buy-in often is key to success. Make sure everyone involved with quality improvement, including other departments, knows about the goals.
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Data Are the Key to Avoiding Claims Denials
Claims denials have increased by 11% nationally since the onset of the COVID-19 pandemic, according to an analysis. Almost half of claims denials are caused by front-end revenue cycle issues, including registration/eligibility, authorization, or service not covered. Implementing a process to check eligibility at multiple points throughout the revenue cycle will go a long way in preventing this common denial from occurring.