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Lung Transplant Index: A Quality Improvement Initiative
Limited long-term survival is a recognized problem in adolescent/young adult lung transplant recipients. A quality improvement (QI) initiative included the development of a Lung Transplant Index (LTI) composed of key elements that we used as a comprehensive approach to screen and identify potential...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831041/ https://www.ncbi.nlm.nih.gov/pubmed/31745512 http://dx.doi.org/10.1097/pq9.0000000000000209 |
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author | Hayes, Don Feeney, Bob O’Connor, Donna J. Nicholson, Kerri L. Nance, Ashley E. Sakellaris, Kelly K. Dempster, Nicole R. Groh, Jaclyn D. Kirkby, Stephen E. |
author_facet | Hayes, Don Feeney, Bob O’Connor, Donna J. Nicholson, Kerri L. Nance, Ashley E. Sakellaris, Kelly K. Dempster, Nicole R. Groh, Jaclyn D. Kirkby, Stephen E. |
author_sort | Hayes, Don |
collection | PubMed |
description | Limited long-term survival is a recognized problem in adolescent/young adult lung transplant recipients. A quality improvement (QI) initiative included the development of a Lung Transplant Index (LTI) composed of key elements that we used as a comprehensive approach to screen and identify potential harms in this at-risk patient population. METHODS: A single-center, uncontrolled QI study was completed from January 2014 to February 2019. The elements of the LTI are events that should have occurred within the most recent 12 months. If an element did not occur, it was counted as a missed element of preventing harm and summated later serving as the LTI score. Implementation of the LTI occurred on January 1, 2015, with a retrospective chart review of patients seen in clinic the prior year serving as baseline measures for comparison. RESULTS: The year before implementing the LTI, numerous opportunities failed to identify preventable harm in our adolescent/young adult lung transplant population. The LTI resulted in a sustained reduction of these missed opportunities without negatively influencing patient/family satisfaction with lengthening of the clinic visit. CONCLUSIONS: A single-center QI initiative identified preventable harms in an adolescent/young adult lung transplant population and reduced the number of preventable harm elements not performed. Future work is needed to determine if this type of QI initiative is associated with less healthcare utilization. |
format | Online Article Text |
id | pubmed-6831041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-68310412019-11-19 Lung Transplant Index: A Quality Improvement Initiative Hayes, Don Feeney, Bob O’Connor, Donna J. Nicholson, Kerri L. Nance, Ashley E. Sakellaris, Kelly K. Dempster, Nicole R. Groh, Jaclyn D. Kirkby, Stephen E. Pediatr Qual Saf Individual QI projects from single institutions Limited long-term survival is a recognized problem in adolescent/young adult lung transplant recipients. A quality improvement (QI) initiative included the development of a Lung Transplant Index (LTI) composed of key elements that we used as a comprehensive approach to screen and identify potential harms in this at-risk patient population. METHODS: A single-center, uncontrolled QI study was completed from January 2014 to February 2019. The elements of the LTI are events that should have occurred within the most recent 12 months. If an element did not occur, it was counted as a missed element of preventing harm and summated later serving as the LTI score. Implementation of the LTI occurred on January 1, 2015, with a retrospective chart review of patients seen in clinic the prior year serving as baseline measures for comparison. RESULTS: The year before implementing the LTI, numerous opportunities failed to identify preventable harm in our adolescent/young adult lung transplant population. The LTI resulted in a sustained reduction of these missed opportunities without negatively influencing patient/family satisfaction with lengthening of the clinic visit. CONCLUSIONS: A single-center QI initiative identified preventable harms in an adolescent/young adult lung transplant population and reduced the number of preventable harm elements not performed. Future work is needed to determine if this type of QI initiative is associated with less healthcare utilization. Wolters Kluwer Health 2019-09-19 /pmc/articles/PMC6831041/ /pubmed/31745512 http://dx.doi.org/10.1097/pq9.0000000000000209 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Individual QI projects from single institutions Hayes, Don Feeney, Bob O’Connor, Donna J. Nicholson, Kerri L. Nance, Ashley E. Sakellaris, Kelly K. Dempster, Nicole R. Groh, Jaclyn D. Kirkby, Stephen E. Lung Transplant Index: A Quality Improvement Initiative |
title | Lung Transplant Index: A Quality Improvement Initiative |
title_full | Lung Transplant Index: A Quality Improvement Initiative |
title_fullStr | Lung Transplant Index: A Quality Improvement Initiative |
title_full_unstemmed | Lung Transplant Index: A Quality Improvement Initiative |
title_short | Lung Transplant Index: A Quality Improvement Initiative |
title_sort | lung transplant index: a quality improvement initiative |
topic | Individual QI projects from single institutions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831041/ https://www.ncbi.nlm.nih.gov/pubmed/31745512 http://dx.doi.org/10.1097/pq9.0000000000000209 |
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