The Joint Commission Journal on Quality and Patient Safety

The Joint Commission Journal on Quality and Patient Safety is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care. The Joint Commission Journal on Quality and Patient Safety invites original manuscripts on the development, adaptation, and/or implementation of innovative thinking, strategies, and practices in improving quality and safety in health care. Case studies, program or project reports, reports of new methodologies or new applications of methodologies, research studies on the effectiveness of improvement interventions, and commentaries on issues and practices are all considered.

Starting January 1, 2017 The Joint Commission Journal on Quality and Patient Safety will be published monthly by Elsevier. To start or renew a subscription, please contact Elsevier directly at 1-800-654-2452, email journalscustomerservice-usa@elsevier.com or www.jointcommissionjournal.com

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Product Description

Published monthly, The Joint Commission Journal on Quality and Patient Safety is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care. The Joint Commission Journal on Quality and Patient Safety invites original manuscripts on the development, adaptation, and/or implementation of innovative thinking, strategies, and practices in improving quality and safety in health care. Case studies, program or project reports, reports of new methodologies or new applications of methodologies, research studies on the effectiveness of improvement interventions, and commentaries on issues and practices are all considered.

In addition to feature articles—full-length descriptions of quality and safety programs, methods, or strategies, including the rationale, planning, implementation, evaluation, and lessons learned, the Journal also offers shorter articles in departments such as Interviews, Field Notes, Tool Tutorials, Rapid Response Systems, and Case Studies in Brief.

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About

Editor-in-Chief: David W. Baker, MD, MPH, FACP

Executive Editor: Steve Berman

Statistical Consultant: Stephen Schmaltz, Ph.D.
Executive Director, Publications: Catherine Chopp Hinckley, MA, Ph.D.

Editorial Policy
No statement in The Joint Commission Journal on Quality and Patient Safety should be construed as an official position of The Joint Commission or Joint Commission Resources unless otherwise stated. In particular, there has been no official review with regard to matters of standards compliance.

Subscription Information
Joint Commission Journal on Quality and Patient Safety (ISSN 1553-7250) is published monthly (12 issues per year, 1 volume per year) by Joint Commission Resources, 1515 West 22nd St., Suite 1300W, Oak Brook, IL 60523

Beginning January 1, 2017 Elsevier will be publishing the Joint Commission Journal on Quality and Patient Safety. To renew or start a subscription please contact Elsevier directly at 1-800-654-2452, email journalscustomerservice-usa@elsevier.com or www.jointcommissionjournal.com.

Joint Commission Resources, Inc (JCR), a not-for-profit affiliate of the Joint Commission, has been designated by the Joint Commission to publish publications and multimedia products. JCR reproduces and distributes the materials under license from the Joint Commission.

No part of this publication may be reproduced or transmitted in any form or by any reasons without written permission.

Editorial Advisory Board

2016 Editorial Advisory Board

Gerry Armitage, PhD, RN
University of Bradford
Bradford, United Kingdom

Vineet M. Arora, MD, MAPP
University of Chicago Pritzker School of Medicine
Chicago

Abdullah M. Assiri, MD, FACP
Ministry of Health
Riyadh, Saudi Arabia

Sean M. Berenholtz, MD, MHS, FCCM
Armstrong Institute for Patient Safety and Quality
Johns Hopkins Schools of Medicine and Bloomberg School of Public Health
Baltimore

Karl Bilimoria, MD, MS
Northwestern University
Chicago

Marcy Carty, MD, MPH
Evolent Health
Arlington, Virginia

Michael DeVita MD, FCCM, FACP
Harlem Hospital Center
New York City

Erin DuPree, MD, FACOG
Joint Commission Center for Transforming Healthcare
Oakbrook Terrace, Illinois

Kimberly D. Gregory, MD, MPH
Cedars-Sinai Medical Center
Los Angeles

John B. Hertig, PharmD, MS, CPPS
Purdue University
Indianapolis

Jeanne M. Huddleston, MD, MS
Center for Innovation
Mayo Clinic

Rochester, Minnesota

Rick Iedema, PhD, FASSA
University of Tasmania
Chatswood, Australia

Lianne Jeffs, RN, BSCN, MSC, PhD, FAAN
St. Michael’s Hospital
Toronto

Peter K. Lindenauer, MD, MSc
Baystate Medical Center
Springfield, Massachusetts

Kedar S. Mate, MD
Institute for Healthcare Improvement
Cambridge, Massachusetts

Shivan J. Mehta, MD, MBA, MSHP
Penn Medicine Center for Health Care Innovation
Phildelphia

Lorraine C. Mion, PhD, RN, FAAN
Vanderbilt University School of Nursing
Nashville, Tennessee

Susan D. Moffatt-Bruce, MD, PhD, FACS, FRCS(C)
The Ohio State University Wexner Medical Center
Columbus, Ohio

John Øvretveit, MPhil, PhD, CPsychol, AFBPsS, CSci
Karolinska Institutet Medical Management Centre
Stockholm

Emily S. Patterson, PhD
Ohio State University
Columbus, Ohio

James W. Pichert, PhD
Vanderbilt University
Nashville, Tennessee

Peter Pronovost, MD, PhD
Armstrong Institute for Patient Safety and Quality
Baltimore

Eduardo Salas, PhD
Rice University
Houston

Pedro Ramos, MD, FHM
University of California, San Diego

San Diego

Urmimala Sarkar, MD, MPH
University of California, San Francisco
San Francisco

Ranjit Singh, MA, MBBChir(Cantab), MBA
State University of New York at Buffalo
Buffalo, New York

Olanrewaju A. Soremekun, MD, MBA
Thomas Jefferson University
Philadelphia

Patricia W. Stone, PhD, RN, FAAN
Columbia University Medical Center
New York City

Gautham Suresh, MD, DM, MS, FAAP
Texas Children's Hospital
Houston

Nancy Szaflarski, PhD, RN, FCCM
Stanford Health Care
Stanford, California

Sean R. Townsend, MD
Stutter Health, California Pacific Medical Center
San Francisco

Cordula Wagner, PhD
Institute for Health and Care Research (EMGO+), VU Medical Center
Amsterdam
The Netherlands Institute of Health Services Research (NIVEL)
Utrecht, The Netherlands

Brook Watts, MD, MS
Louis Stokes Cleveland VA Medical Center
Cleveland

Anthony Weiss, MD, MBA
Upstate Medical University
Syracuse, New York