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- W2913662213 abstract "Objective Hematopoietic cell transplant metrics are often focused on survival at day 100 and 1-year and transplant-related morbidity and mortality due to infection, graft-versus-host disease, and disease relapse. Our objectives were to design and test a metric that reflected overall quality and safety performance of a blood and marrow transplant program and use the metric to drive improvement of the quality of care provided to patients. Method The Blood and Marrow Transplant Index (BMTI) aggregates safety events and missed opportunities for best practices into a composite score that reflects overall clinical performance of the BMT program irrespective of type of transplant or patient outcome. Thirteen domains (Table 1) were selected to include (1) treatment-related quality and safety, (2) provision of harm-free environment, and (3) psychosocial support. The BMTI is an aggregate number of adverse events or missed opportunities to provide quality care in a given period within these domains. In this regard, lower aggregate BMTI scores reflect better care and improved overall systems performance. Results The BMTI was easy to calculate and well accepted across the team. The annual BMTI aggregate score progressively decreased from 133 in 2014 to 35 in 2016 (73% reduction) (Figure 1), leading to the development of a second version of the BMTI in 2017 that addressed some new domain measures. Improvements were noted in all domains. Conclusion The BMTI is a valuable metric to monitor overall clinical efficiency and effectiveness of the BMT service. Specifically, the index documented both the ability to avoid preventable harm and to provide consistent, evidence-based care and psychosocial support. It also improved staff awareness for some overlooked domains of care." @default.
- W2913662213 created "2019-02-21" @default.
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- W2913662213 date "2019-03-01" @default.
- W2913662213 modified "2023-09-23" @default.
- W2913662213 title "The Nationwide Children's Hospital BMT Index (BMTI): A Novel Quality Improvement Metric to Assess the Overall Performance of a Pediatric Blood and Marrow Transplant Program" @default.
- W2913662213 doi "https://doi.org/10.1016/j.bbmt.2018.12.664" @default.
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