Sylvia J. Hysong
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View article: Recruiting Busy Clinicians through Asynchronous Online Focus Groups: Recruitment Evidence from Two Projects
Recruiting Busy Clinicians through Asynchronous Online Focus Groups: Recruitment Evidence from Two Projects Open
Objective Due to an increase in healthcare quality research and QI projects, there is a high demand for clinicians’ time to serve as research participants. Traditional focus group methods are time demanding, posing a barrier to collect dat…
View article: Moral injury and mental health in healthcare workers are linked to organizational culture and modifiable workplace conditions: Results of a national, mixed-methods study conducted at Veterans Affairs (VA) medical centers during the COVID-19 pandemic
Moral injury and mental health in healthcare workers are linked to organizational culture and modifiable workplace conditions: Results of a national, mixed-methods study conducted at Veterans Affairs (VA) medical centers during the COVID-19 pandemic Open
Using mixed methods, we examined drivers of risk for moral injury, mental health symptoms, and burnout among frontline healthcare workers in high-risk Veterans Affairs (VA) clinical settings during the COVID-19 pandemic. Across 21 VA medic…
View article: A use case of ChatGPT: summary of an expert panel discussion on electronic health records and implementation science
A use case of ChatGPT: summary of an expert panel discussion on electronic health records and implementation science Open
Objective Artificial intelligence (AI) is revolutionizing healthcare, but less is known about how it may facilitate methodological innovations in research settings. In this manuscript, we describe a novel use of AI in summarizing and repor…
View article: Churning the tides of care: when nurse turnover makes waves in patient access to primary care
Churning the tides of care: when nurse turnover makes waves in patient access to primary care Open
Background Team-based primary care (PC) enhances the quality of and access to health care. The Veterans Health Administration (VHA) implements team-based care through Patient Aligned Care Teams (PACTs), consisting of four core members: a p…
View article: Study protocol: maintaining preventive care during public health emergencies through effective coordination
Study protocol: maintaining preventive care during public health emergencies through effective coordination Open
Background Screening lies at the heart of preventive care. However, COVID-19 dramatically disrupted routine screening efforts, resulting in excess mortality not directly attributable to COVID-19. Screening rates during COVID varied markedl…
View article: What can we learn from COVID-19?: examining the resilience of primary care teams
What can we learn from COVID-19?: examining the resilience of primary care teams Open
Introduction The COVID-19 pandemic continues to place an unprecedented strain on the US healthcare system, and primary care is no exception. Primary care services have shifted toward a team-based approach for delivering care in the last de…
View article: Strategies to enhance remote monitoring adherence among patients with cardiovascular implantable electronic devices
Strategies to enhance remote monitoring adherence among patients with cardiovascular implantable electronic devices Open
View article: Impact of the COVID-19 Pandemic on Medical Education during Inpatient Internal Medicine Rounds
Impact of the COVID-19 Pandemic on Medical Education during Inpatient Internal Medicine Rounds Open
This study evaluated Internal Medicine team member focus groups to describe how the COVID-19 pandemic affected medical education during rounds. Academic teaching programs can adapt the findings from this study to address and prevent pandem…
View article: Impact of Primary Care Team Configuration on Access and Quality of Care
Impact of Primary Care Team Configuration on Access and Quality of Care Open
Importance The Joint Principles of the Patient Centered Medical Home (PCMH) call for a team-based approach to delivering primary care – however, they provide little guidance on what should be the optimal staffing configuration to best achi…
View article: Beyond Information Design: Designing Health Care Dashboards for Evidence-Driven Decision-Making
Beyond Information Design: Designing Health Care Dashboards for Evidence-Driven Decision-Making Open
With health care systems experiencing a deluge of exponentially expanding performance measures,[1] [2] dashboards (a graphical report of essential data relevant to a particular objective or process, such as the World Health Organization's …
View article: Nurse Leader Perceptions of Data in the Veterans Health Administration
Nurse Leader Perceptions of Data in the Veterans Health Administration Open
Healthcare systems and nursing leaders aim to make evidence-based nurse staffing decisions. Understanding how nurses use and perceive available data to support safe staffing can strengthen learning healthcare systems and support evidence-b…
View article: Quantifying the Implementation and Cost of a Multisite Antibiotic Stewardship Intervention for Asymptomatic Bacteriuria
Quantifying the Implementation and Cost of a Multisite Antibiotic Stewardship Intervention for Asymptomatic Bacteriuria Open
Objective: The intensity of an antibiotic stewardship intervention to achieve clinical impact is not known. We conducted a multisite dissemination project of an intervention to reduce treatment of asymptomatic bacteriuria (ASB) and studied…
View article: Developing and validating a comprehensive measure of coordination in patient aligned care teams
Developing and validating a comprehensive measure of coordination in patient aligned care teams Open
View article: Increasing physician participation as subjects in scientific and quality improvement research
Increasing physician participation as subjects in scientific and quality improvement research Open
Background The twenty-first century has witnessed an exponential increase in healthcare quality research. As such activities become more prevalent, physicians are increasingly needed to participate as subjects in research and quality impro…
View article: Analysis of an Antibiotic Stewardship Program for Asymptomatic Bacteriuria in the Veterans Affairs Health Care System
Analysis of an Antibiotic Stewardship Program for Asymptomatic Bacteriuria in the Veterans Affairs Health Care System Open
The findings of this quality improvement study suggest that an individualized intervention for antibiotic stewardship for ASB was associated with a decrease in urine cultures and antibiotic use when implemented at multiple sites via extern…
View article: Purpose, Subject, and Consumer Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study"
Purpose, Subject, and Consumer Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study" Open
Zegers and colleagues’ study codifies the perceived burden of quality monitoring and improvement stemming from the work by clinicians of registering (documenting) quality information in the medical record. We agree with Zegers and colleagu…
View article: Acceptability and feasibility of video-based coaching to enhance clinicians’ communication skills with patients
Acceptability and feasibility of video-based coaching to enhance clinicians’ communication skills with patients Open
View article: An evidence-based, structured, expert approach to selecting essential indicators of primary care quality
An evidence-based, structured, expert approach to selecting essential indicators of primary care quality Open
Background The purpose of this article is to illustrate the application of an evidence-based, structured performance measurement methodology to identify, prioritize, and (when appropriate) generate new measures of health care quality, usin…
View article: 964. Impact of the COVID-19 Pandemic on Bedside Medical Education: A Mixed-Methods Study
964. Impact of the COVID-19 Pandemic on Bedside Medical Education: A Mixed-Methods Study Open
Background The COVID-19 pandemic obligated academic medical programs to substantially alter the traditional Internal Medicine (IM) rounding model to decrease risk of inpatient nosocomial viral transmission. Our study aimed to describe how …
View article: Essential Indicators of Quality in Primary Care Settings: An Evidence-Based, Structured, Expert Approach
Essential Indicators of Quality in Primary Care Settings: An Evidence-Based, Structured, Expert Approach Open
Executive Summary Introduction Primary health care has a central role in the workings of the health care system and health of the American public. Thus, a high-performing, high-quality primary care system is essential. As a result, measure…
View article: Beyond Low-Hanging Fruit: A Systematic Approach to Assessing Quality Improvement Needs in Healthcare Practices
Beyond Low-Hanging Fruit: A Systematic Approach to Assessing Quality Improvement Needs in Healthcare Practices Open
Quality Improvement (QI) tools abound to help clinicians improve the quality of their care. Such tools, however, assume one knows the process that needs attention. A systematic approach is thus needed for selecting the QI activities that h…
View article: Examining resource availability and usefulness in a National Health Service Research Interprofessional Postdoctoral Fellowship Program
Examining resource availability and usefulness in a National Health Service Research Interprofessional Postdoctoral Fellowship Program Open
Postdoctoral fellowships are costly: institutions incur substantial monetary costs, and fellows suffer the opportunity cost of delaying entry into their professional careers. Nevertheless, fellowship training is a beneficial academic inves…
View article: Prevalence of Effective Audit-and-Feedback Practices in Primary Care Settings: A Qualitative Examination Within Veterans Health Administration
Prevalence of Effective Audit-and-Feedback Practices in Primary Care Settings: A Qualitative Examination Within Veterans Health Administration Open
Objective The purpose of this study is to uncover and catalog the various practices for delivering and disseminating clinical performance in various Veterans Affairs (VA) locations and to evaluate their quality against evidence-based model…
View article: Acceptability and Feasibility of Delivering Real-time Video-based Coaching to Enhance Provider Communication Skills  
Acceptability and Feasibility of Delivering Real-time Video-based Coaching to Enhance Provider Communication Skills Open
BackgroundDespite a growing call to train providers in interpersonal communication skills, communication training is either not offered or is minimally effective, if at all. A critical need exists to develop new ways of teaching communicat…
View article: Improving team coordination in primary-care settings via multifaceted team-based feedback: a non-randomised controlled trial study
Improving team coordination in primary-care settings via multifaceted team-based feedback: a non-randomised controlled trial study Open
Background Coordination is critical to successful team-based health care. Most clinicians, however, are not trained in effective coordination or teamwork. Audit and feedback (A&F) could improve team coordination, if designed with teams in …
View article: Development of a Hybrid, Interprofessional, Interactive Quality Improvement Curriculum as a Model for Continuing Professional Development
Development of a Hybrid, Interprofessional, Interactive Quality Improvement Curriculum as a Model for Continuing Professional Development Open
Over the past 20 years, there has been an increased focus on quality improvement (QI) in health care, which is critical in achieving care that is patient-centered, safer, timelier, and more effective, efficient, and equitable. At the cente…
View article: ICE volume 40 issue 9 Cover and Front matter
ICE volume 40 issue 9 Cover and Front matter Open
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
View article: Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria
Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria Open
Objective: In preparation for a multisite antibiotic stewardship intervention, we assessed knowledge and attitudes toward management of asymptomatic bacteriuria (ASB) plus teamwork and safety climate among providers, nurses, and clinical n…
View article: Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback
Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback Open
Audit and feedback (A&F) is a commonly used quality improvement (QI) approach. A Cochrane review indicates that A&F is generally effective and leads to modest improvements in professional practice but with considerable variation in the obs…
View article: Impact of team configuration and team stability on primary care quality
Impact of team configuration and team stability on primary care quality Open