Mission
The Patient Safety & Quality Academic Collaborative is a university-based, center-like, multidisciplinary program aimed at improving clinical practice (quality, safety, value) and health policy within the Military Health System (MHS). We fulfill our mission through alignment of our research, education, and service focus with MHS priorities. We advise critical MHS programs including the DoD Patient Safety Program, Quality Management, Perinatal Care, and the Patient-Centered Medical Home.
Research Core Values
We embrace a set of five core values that guide our research mission and shape our approach to supporting the MHS. Specifically, we pursue:
- Novel original research;
- Research that proactively enhances the quality and safety of care delivered to MHS beneficiaries;
- A “bottom-up” approach to research by designing useful tools and interventions aligned with clinical workflow and opportunity;
- Research that will ultimately have a direct positive impact on clinical practice and may advise policy; and
- Research that can be sustained through re-designed systems and technology such as the electronic health record.
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.
Background: There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing and assessing quality of clinical documentation is a necessary improvement in an increasingly team-based healthcare delivery system. In this paper we describe the quality of outpatient clinical notes from the perspective of multiple stakeholders.
Visit the US National Library of Medicine National Institutes of Health website to access the full text of this article
QNOTE: an instrument for measuring the quality of EHR clinical notes.
Background:The outpatient clinical note documents the clinician's information collection, problem assessment, and patient management, yet there is currently no validated instrument to measure the quality of the electronic clinical note. This study evaluated the validity of the QNOTE instrument, which assesses 12 elements in the clinical note, for measuring the quality of clinical notes. It also compared its performance with a global instrument that assesses the clinical note as a whole.
Visit the Journal of American Medical Informatics Association (JAMIA) website to access the full text of this article.
The military health system's personal health record pilot with Microsoft HealthVault and Google Health.
Objective:To design, build, implement, and evaluate a personal health record (PHR), tethered to the Military Health System, that leverages Microsoft® HealthVault and Google® Health infrastructure based on user preference.
Visit the US National Library of Medicine National Institutes of Health website to access the full text of this article
Radiation exposure and cost influence physician medical image decision making: a randomized controlled trial.
Background: It is estimated that 20%-40% of advanced medical imaging in the United States is unnecessary, resulting in patient overexposure to radiation and increasing the cost of care. Previous imaging utilization studies have focused on clinical appropriateness. An important contributor to excessive use of advanced imaging may be a physician "knowledge gap" regarding the safety and cost of the tests.
Visit the US National Library of Medicine National Institutes of Health website to access the abstract of this article
Access to the full text of this article not available without subscription.
Family nurse practitioner student perception of journal abstract usefulness in clinical decision making: a randomized controlled trial.
Purpose:To assess family nurse practitioner (FNP) student perception of research abstract usefulness in clinical decision making.
Visit the US National Library of Medicine National Institutes of Health website to access the abstract of this article
Access to the full text of this article not available without subscription.
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Article
8/1/2016
Welcome to the August edition of the DoD PSP Treasure Chest! Each and every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed with you, our committed MHS patient safety champions, in mind! This month we highlight the following resources: Patient Activation Resource Guide, Ask Me 3® Brochure, On-Demand e-Learning Courses, and Facebook Page.
Recommended Content:
Patient Safety, eBulletin, Products & Services, Patient Safety Event Reporting, Patient Safety & Quality Academic Collaborative, Advancement toward High Reliability in Healthcare Awards Program
Article
7/1/2016
The 10th Annual National TeamSTEPPS Conference – an event designed to highlight strategies and techniques to effectively implement and sustain TeamSTEPPS in today’s ever-evolving health care environment – was held 7-10 June, 2016 in Washington, D.C. Welcoming over 700 health care industry professionals and experts, the National TeamSTEPPS conference spotlighted the value of TeamSTEPPS across clinical and non-clinical settings both in the civilian and military space. Addressing a wide range of topics – with over 30 presentations and workshops on subjects ranging from “TeamSTEPPS 101” to “TeamSTEPPS: The Vehicle to Drive your Metrics in the Right Direction,” “The Answer is in the Room: Using TeamSTEPPS to Problem Solve and Reinvigorate Struggling Teams” and “TeamSTEPPS in Times of Transformational Change” – the 2016 TeamSTEPPS National Conference provided attendees the ability to delve into the TeamSTEPPS framework and its application into all aspects of health care and patient safety.
Recommended Content:
Patient Safety, eBulletin, Products & Services, Patient Safety Event Reporting, Patient Safety & Quality Academic Collaborative, Advancement toward High Reliability in Healthcare Awards Program
Article
7/1/2016
Welcome to the July edition of the DoD PSP Treasure Chest! This month, we highlight the SBAR toolkit, the Medical Team Performance Assessment (MTPAT) tool, the Patient Safety Learning Center (PSLC) and the Patient Safety Reporting (PSR) eLearning course. Each and every month, we will be sharing resources to help you execute your day-to-day patient safety activities easily and effectively. Please visit us often and get access to tools and information developed with you, our committed MHS patient safety champions, in mind!
Recommended Content:
Patient Safety, eBulletin, Products & Services, Patient Safety Event Reporting, Patient Safety & Quality Academic Collaborative, Advancement toward High Reliability in Healthcare Awards Program
Article
7/1/2016
Offering various ready-to-use tools, materials and resources, TeamSTEPPS can be tailored to address the specific needs of an organization to seamlessly incorporate its principles into all areas of a health care system. In fact, it is only by fully integrating the tools that TeamSTEPPS offers into our day-to-day activities that Military Health System (MHS) leadership, frontline staff and patient safety professionals will truly benefit from leveraging this methodology. A great example of this is the work and research that the U.S Army Medical Command (MEDCOM) conducted regarding the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ). Highlights of this work were presented at the 2016 National TeamSTEPPS conference this past June.
Recommended Content:
Patient Safety, eBulletin, Products & Services, Patient Safety Event Reporting, Patient Safety & Quality Academic Collaborative, Advancement toward High Reliability in Healthcare Awards Program
Showing results 1 - 15
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