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    Health Care Quality

    Explore the latest in health care quality, including evaluations of quality measures and incentives, value-based purchasing, and more.

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    • Estimated Risk of Adverse Surgical Outcomes Among Patients With Recent COVID-19 Infection Using Target Trial Emulation Methods
      JAMA Network Open
      Research
      March 28, 2023

      This cohort study emulates a trial within a large national veteran population to assess the risk of adverse postoperative outcomes among patients with recent COVID-19 infection.

      Surgery Coronavirus (COVID-19)
      Full Text | pdf link PDF open access
    • Association of Preoperative Medical Consultation With Reduction in Adverse Postoperative Outcomes and Use of Processes of Care Among Residents of Ontario, Canada
      JAMA Internal Medicine
      Research
      March 27, 2023

      This population-based cohort study uses data from an independent research institute housing routinely collected health data for Ontario’s 14 million residents to examine the association of preoperative medical consultation with adverse postoperative outcomes and use of care processes among adults aged 40 years or older.

      Less is More Health Care Safety Surgery Perioperative Care and Consultation
      Full Text | pdf link PDF
    • Changes in Hydroxyurea Use Among Youths Enrolled in Medicaid With Sickle Cell Anemia After 2014 Revision of Clinical Guidelines
      JAMA Network Open
      Research
      March 24, 2023

      This cross-sectional study investigates changes in the use of hydroxyurea among youths insured by Medicaid with sickle cell anemia after the 2014 revision of clinical guidelines.

      Hematology Sickle Cell Disease Health Policy Pediatrics Adolescent Medicine
      Full Text | pdf link PDF open access
    • Medical School Rankings—Bad for the Health of the Profession and the Public
      JAMA
      Opinion
      March 23, 2023

      This Viewpoint discusses the limitations of medical school ranking in attracting a diverse student population and urges administrators to holistically communicate their mission, goals, and learning environment as an alternative strategy.

      Medical Education and Training Public Health Equity, Diversity, and Inclusion Academic Medicine
      Full Text | pdf link PDF free
    • Analysis of Resident and Attending Physician End-of-Rotation Changeover Days and Association With Patient Length of Stay
      JAMA Network Open
      Research
      March 23, 2023

      This cohort study examines whether patients exposed to end-of-rotation resident changeover have longer hospital stays and whether this association is mitigated by separating resident and attending changeover days.

      Medical Education Medical Education and Training Health Policy Academic Medicine
      Full Text | pdf link PDF open access
    • Complexity of Team Dynamics in the Academic Environment—A Need for Intentionality
      JAMA Surgery
      Opinion
      March 22, 2023
      Orthopedics Implementation Science Trauma and Injury Medical Education and Training Anesthesiology
      Full Text | pdf link PDF
    • Assessment of Team Dynamics and Operative Efficiency in Hip and Knee Arthroplasty
      JAMA Surgery
      Research
      March 22, 2023

      This quality improvement study assesses team turnover, composition, and interpersonal preferences in terms of operative efficiency in total hip and knee arthroplasty

      Anesthesiology Medical Education and Training Orthopedics Implementation Science Academic Medicine
      Full Text | pdf link PDF has multimedia
    • Bridging the Know-Do Gap in Hospital Care Transitions
      JAMA Internal Medicine
      Opinion
      March 20, 2023
      Implementation Science
      Full Text | pdf link PDF
    • Assessment of Patient Education Delivered at Time of Hospital Discharge
      JAMA Internal Medicine
      Research
      March 20, 2023

      This quality improvement study describes whether key communication domains were addressed at the bedside on the day of hospital discharge, by whom, and for how long.

      Nursing Academic Medicine
      Full Text | pdf link PDF
    • Inferior Vena Cava Filter Retrieval Rates Associated With Passive and Active Surveillance Strategies Adopted by Implanting Physicians
      JAMA Network Open
      Research
      March 16, 2023

      This cohort study assesses whether active surveillance follow-up by physicians who implant retrievable inferior vena cava filters is associated with increased rates of device retrieval.

      Health Policy Surgery Vascular Surgery Venous Thromboembolism Radiology
      Full Text | pdf link PDF open access has multimedia
    • Readmission Rates and Episode Costs for Alzheimer Disease and Related Dementias Across Hospitals in a Statewide Collaborative
      JAMA Network Open
      Research
      March 16, 2023

      This cohort study compares 30-day readmission rates, 30-day readmission costs, and total episode costs among patients with vs without Alzheimer disease and related dementias.

      Geriatrics Neurology Health Care Economics, Insurance, Payment Health Policy Dementia and Cognitive Impairment
      Full Text | pdf link PDF open access
    • Why Are Some Value-Based Programs Successful?
      JAMA Network Open
      Opinion
      March 13, 2023
      Health Policy Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • Specialty Consultation Use by Pediatric Hospitalists—A New Type of Health Care Variation
      JAMA Network Open
      Opinion
      March 13, 2023
      Pediatrics
      Full Text | pdf link PDF open access
    • Association of Participation in a Value-Based Insurance Design Program With Health Care Spending and Utilization
      JAMA Network Open
      Research
      March 13, 2023

      This cohort study evaluates the association of participation in a value-based insurance design program in California with health care spending and utilization.

      Health Policy Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • Factors Associated With Inpatient Subspecialty Consultation Patterns Among Pediatric Hospitalists
      JAMA Network Open
      Research
      March 13, 2023

      This cohort study identifies patient, physician, admission, and systems characteristics that are independently associated with subspecialty consultation among pediatric hospitalists.

      Pediatrics
      Full Text | pdf link PDF open access
    • Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions
      JAMA Health Forum
      Research
      March 10, 2023

      This cohort study shows a structured, transparent approach to decision-making about adjustment for social risk factors for a measure of clinician quality that assesses acute admissions for patients with multiple chronic conditions.

      Health Policy Geriatrics
      Full Text | pdf link PDF open access has multimedia
    • Association of Primary Care Visit Length With Potentially Inappropriate Prescribing
      JAMA Health Forum
      Research
      March 10, 2023

      This cross-sectional study of a multistate sample of electronic health record data examines the association between primary care visit length and potentially inappropriate prescribing.

      Health Policy Health Disparities Health Inequities Antibiotic Use, Overuse, Resistance, Stewardship Geriatrics
      Full Text | pdf link PDF open access
    • Care Experiences and Visit Use of Physician and Nonphysician Medicare Patients
      JAMA Health Forum
      Research
      March 10, 2023

      This cross-sectional study compares care experiences and outpatient visit use between physician-patients and nonphysician-patients.

      Health Policy Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • Accounting for Person- vs Neighborhood-Level Social Risk in Quality Measurement
      JAMA Health Forum
      Opinion
      March 10, 2023
      Health Policy Health Care Reform Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • Comparison of Health Care Worker Satisfaction Before vs After Implementation of a Communication and Optimal Resolution Program in Acute Care Hospitals
      JAMA Network Open
      Research
      March 9, 2023

      This case-control study investigates the association between a communication and optimal resolution program to address unexpected adverse patient outcomes and measures of health care worker satisfaction.

      Health Policy Health Care Safety
      Full Text | pdf link PDF open access
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