GESTIÓN EN SALUD PÚBLICA

viernes, 17 de mayo de 2024

Leading quality and safety on the frontline - a case study of department leaders in nursing homes. May 15, 2024

https://psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes Leading quality and safety on the frontline - a case study of department leaders in nursing homes. Magerøy M, Braut GS, Macrae C, et al. J Healthc Leadersh. 2024;16:193-208. Nursing homes face serious, ongoing patient safety challenges. This qualitative data analysis identified challenges and facilitators that are experienced by nursing home leaders in Norway as they manage the dual responsibilities of Health, Safety and Environment (HSE) and Quality and Patient Safety (QPS). The analysis identified four themes – temporal capacity, relational capacity, professional competence, and organizational structure – highlighting the importance of adequate resources, teamwork, and strong organizational safety culture.

The safety of outpatient health care: review of electronic health records. May 15, 2024

https://psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records The safety of outpatient health care: review of electronic health records. Levine DM, Syrowatka A, Salmasian H, et al. Ann Intern Med. 2024;Epub May 7. Although most care occurs in outpatient settings, research into adverse events (AE) in this setting remains sparse in comparison to acute care. In this study, the medical records of patients who received outpatient care (e.g., primary, radiology, emergency, ambulatory surgery) in Massachusetts in 2018, were reviewed for any occurrence of adverse events. Seven percent had at least one AE, most commonly adverse drug events, and 23% were potentially preventable. Most AE originated from care in the physician's office.

https://jamanetwork.com/journals/jama/fullarticle/2818992?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_Qt_PJQtXHHkLFTR5BB-y9X9v6vDDF26l5V3NmYu1FXGKvD_j-BOA5bdAGm_a17Wu2xfmC-G7jIVhNtkNSoHedN5bw6w&_hsmi=307455970&utm_content=307455970&utm_source=hs_email More than 15% of women in the U.S. suffer from chronic kidney disease, compared to 12% of men. Yet new research published in JAMA found that women received worse kidney care than men: They were less likely to receive lab testing, be prescribed treatment, or have controlled blood pressure. Women were also less likely to be seen by a nephrologist. Many of the differences identified were relatively small, yet significant enough to deserve further investigation, write the authors, especially as they are consistent with international studies that have found similar inequities in CKD monitoring, prescriptions, and specialist referrals.

How power shapes behavior: Evidence from physicians

https://www.science.org/doi/10.1126/science.adl3835?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8vlEeO417-hCG-lxiXl7JObJWtS_aKlii4EwFwEI4jLwTX7EyXPo-vCS7vsNJvLdGrgZ4KrrMSbbIV1OSVwza-nPDtQg&_hsmi=307455970&utm_content=307455970&utm_source=hs_email Having a high-ranking position in the military also means receiving better health care, according to an analysis of 1.5 million military emergency room visits published Thursday in the journal Science. But race matters, too: The study found that higher ranking Black officers and lower ranking white ones received similar levels of care from white physicians within the Military Health System. High-ranking white officials received the highest level of care, writes my colleague Usha Lee McFarling. Previous studies have shown that racial disparities in care are less marked within the military than they are in the general population, so these discrepancies may be even worse in the civil world, experts said. “Simply being Black significantly reduces the effort provided by white physicians,” wrote the study authors. In military medicine, study shows rank and race affect care Usha Lee McFarling By Usha Lee McFarling May 16, 2024 https://www.statnews.com/2024/05/16/military-medicine-rank-race-healthcare-disparities/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_-buIjPkMOcjuWtAs1jOnajoUXysaSJN9r5u4bsCjWIPxzOWnKLUr80bXXDT_l4k81GUG7F76VBkMK9UM8Hy7H6YOESg&_hsmi=307455970&utm_content=307455970&utm_source=hs_email