scholarly journals Applying the Diabetes Quality Improvement Project Indicators in the Indian Health Service Primary Care Setting

Diabetes Care ◽  
2001 ◽  
Vol 24 (1) ◽  
pp. 22-26 ◽  
Author(s):  
K. J. Acton ◽  
R. Shields ◽  
S. Rith-Najarian ◽  
B. Tolbert ◽  
J. Kelly ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Health Service ◽  
Care Setting ◽  
Primary Care Setting ◽  
Quality Improvement Project ◽  
Indian Health Service ◽  
Improvement Project ◽  
Indian Health

Medicines reconciliation of biologics on a primary care clinical system

2021 ◽  
Vol 3 (7) ◽  
pp. 274-280
Author(s):  
Sam Appiah-Anane
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Secondary Care ◽  
Care Setting ◽  
Quality Improvement Project ◽  
Care Providers ◽  
Snomed Ct ◽  
Improvement Project ◽  
Medicines Reconciliation ◽  
Clinical Systems

With increasing number of biologics gaining approval from the National Institute for Health and Care Excellence for a wide variety of both cancer and non-cancer clinical indications in secondary care, the need for accurate medicines reconciliation in primary care also increases. The risk of patient harm from incomplete medicines reconciliation is a consideration, particularly when patient data is transferred from a secondary care setting to a primary care setting. As part of a prescribing quality improvement project, a list of biologics prescribed by secondary care providers were reconciled on to patients' primary care clinical systems (EMIS) by clinical pharmacists and pharmacy technicians at a Clinical Commissioning Groups. Patients were identified by cross-referencing high cost drug reports with clinical diagnostic codes (a mixture of READ codes and SNOMED-CT terms) on primary care clinical systems. In total, 192 medicines were reconciled safely on the relevant patients' notes across 16 different GP practices A further 81 medicines had already been reconciled at the start of the quality improvement project. The purpose of this article is three-fold; to expand the awareness of biologics in the context of medicines optimisation in the primary care arena, to discuss medicines reconciliations of biologics in primary care, including the role(s) of pharmacy professionals, and to discuss the wider implications of prescribing biologics in the light of ethical considerations such as veganism.

scholarly journals Practice-Based Learning and Systems-Based Practice: Detection and Treatment Monitoring of Generalized Anxiety and Depression in Primary Care

2010 ◽  
Vol 2 (3) ◽  
pp. 474-477 ◽  
Author(s):  
Melanie Zupancic ◽  
Siegfried Yu ◽  
Rajeev Kandukuri ◽  
Shilpa Singh ◽  
Anna Tumyan
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Care Setting ◽  
Primary Care Setting ◽  
Routine Screening ◽  
Anxiety And Depression ◽  
Generalized Anxiety ◽  
Intervention Period ◽  
Improvement Project ◽  
Treatment Changes

Abstract Objectives Quality assurance/quality improvement projects are an important part of professional development in graduate medical education. The purpose of our quality improvement study was to evaluate whether (1) the Generalized Anxiety Disorder (GAD-7) scale questionnaire increases detection of anxiety and (2) the Quick Inventory for Depressive Symptomatology Self Report (QIDS-SR) increases detection of depression in a primary care setting. We also aimed to determine whether monitoring patients with depression or generalized anxiety using the QIDS-SR and GAD-7 scales influences treatment changes in the primary care setting. Methods Patients seen in a general internal medicine clinic between August 2008 and March 2009 were asked to fill out the QID-SR questionnaire and GAD-7 as part of a resident quality improvement project. We measured the prevalence of anxiety and depression during 6 months prior to the use of the GAD-7 and QIDS-SR instruments during the intervention period. We also compared the frequency of treatment changes initiated both 12 months prior to and during the intervention period. The aforementioned measures were performed with use of a retrospective chart review. Results The prevalence of anxiety was 15.2% in the pre-intervention period and 33.3% in the intervention period, and the prevalence of depression was 38.9% in the prescreening period and 54.8% during the screening period (P value for both was <0.001). The change in anxiety therapy was 21.6% in the prescreening period and 62.2% in the screening period (P  =  .028). The change in depression therapy was 23.2% in the pre-intervention period and 52.1% in the intervention period (P  =  .025). Conclusion Routine screening for depression and anxiety may help clinicians detect previously undiagnosed anxiety and depression and also may facilitate identification of needed treatment changes. Further work is needed to determine whether routine screening improves patient outcomes.

Child Abuse and Neglect Risk Assessment: Quality Improvement in a Primary Care Setting

2019 ◽  
Vol 19 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Esther K. Chung ◽  
Ruth S. Gubernick ◽  
Marianna LaNoue ◽  
Diane J. Abatemarco
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Child Abuse ◽  
Quality Improvement ◽  
Care Setting ◽  
Primary Care Setting ◽  
Child Abuse And Neglect ◽  
Abuse And Neglect

A Resident-driven Quality Improvement Project to Increase Primary Care Follow-up after Congestive Heart Failure Exacerbation

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lea M. Monday ◽  
Joseph Sebastian ◽  
Paul Nguyen ◽  
Omid Yazdanpanah ◽  
Caleb Solokowski ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Congestive Heart Failure ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Heart Failure Exacerbation
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