@article{12227,
  keywords = {physician engagement, process improvement, quality, safety},
  author = {Marcia F. Nelson and Charles S. Merriman and Peter T. Magnusson and Kristapor Thomassian V and Alivia Strawn and Julie Martin},
  title = {Creating a physician-led quality imperative.},
  abstract = {<p>To emerge from a significant quality crisis, hospital administration recognized the need for physician leadership to drive improvements. A framework is presented for a physician-led Quality Summit to select best practice initiatives for implementation over 1 year. Results demonstrated statistically significant reductions in ventilator-associated pneumonia, decreasing from the first quarter 2009 baseline of 8.34 per 1000 ventilator days to 3.32 per 1000 ventilator days in second quarter 2010 (P = .0055). During the same time frame, catheter-associated urinary tract infections decreased from 4.35 per 1000 catheter days to 0.98 per 1000 catheter days (P = .0438), and severe sepsis/septic shock mortality declined from 33% to 13% (P = .0084). The customized World Health Organization Surgical Safety Checklist was used in 93% of surgeries within 1 month of adoption. Venous thromboembolism screening for adults became routine. The annual Quality Summit cycle engages physicians to introduce and spread quality improvement. </p>},
  year = {2014},
  journal = {Am J Med Qual},
  volume = {29},
  pages = {508-16},
  month = {12/2014},
  issn = {1555-824X},
  doi = {10.1177/1062860613509683},
  language = {eng},
}