Evidence map›Paper›PMID 28334581›Full record

ArticleJoint Commission journal on quality and patient safety2017

A Gap Analysis Needs Assessment Tool to Drive a Care Delivery and Research Agenda for Integration of Care and Sharing of Best Practices Across a Health System.

Sherita Hill Golden, Daniel Hager, Lois J Gould, Nestoras Mathioudakis, Peter J Pronovost

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Joint Commission journal on quality and patient safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02847390 (Implementation and Evaluation of an Inpatient Diabetes Superuser Education Program), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02847390 completednot on this map

Implementation and Evaluation of an Inpatient Diabetes Superuser Education Program

TypeobservationalSponsorJohns Hopkins UniversityRan2015 to 2019Enrolled3,259ConditionsDiabetes MellitusArmsEducation intervention
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Sherita Hill Golden
Daniel Hager
Lois J Gould
Nestoras Mathioudakis
Peter J Pronovost
Johns Hopkins Medicine · USJohns Hopkins University · USNational Patient Safety Foundation · US

Funding

Implementation and Evaluation of an Inpatient Diabetes Superuser Education ProgramR34DK105460 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2015 to 2016
$486k
NIDDK NIH HHS R34 DK105460
6 · The paper itself

Abstract

backgroundIn a complex health system, it is important to establish a systematic and data-driven approach to identifying needs. The Diabetes Clinical Community (DCC) of Johns Hopkins Medicine's Armstrong Institute for Patient Safety and Quality developed a gap analysis tool and process to establish the system's current state of inpatient diabetes care.

methodsThe collectively developed tool assessed the following areas: program infrastructure; protocols, policies, and order sets; patient and health care professional education; and automated data access. For the purposes of this analysis, gaps were defined as those instances in which local resources, infrastructure, or processes demonstrated a variance against the current national evidence base or institutionally defined best practices.

resultsFollowing the gap analysis, members of the DCC, in collaboration with health system leadership, met to identify priority areas in order to integrate and synergize diabetes care resources and efforts to enhance quality and reduce disparities in care across the system. Key gaps in care identified included lack of standardized glucose management policies, lack of standardized training of health care professionals in inpatient diabetes management, and lack of access to automated data collection and analysis. These results were used to gain resources to support collaborative diabetes health system initiatives and to successfully obtain federal research funding to develop and pilot a pragmatic diabetes educational intervention.

conclusionAt a health system level, the summary format of this gap analysis tool is an effective method to clearly identify disparities in care to focus efforts and resources to improve care delivery.

Indexed as

Delivery of Health CareNeeds AssessmentAdultDiabetes MellitusHealth PersonnelHumansPatient SafetyPractice Guidelines as TopicQuality of Health Care

Identifiers

PMID28334581
PMCPMC6214354
OpenAlexW2552313597

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.