Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Guidelines For Measuring Vital Signs01:19

Guidelines For Measuring Vital Signs

Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Investigating a Model to Predict Milestones From Entrustable Professional Activity Levels for Medicine-Pediatrics Residents.

Academic pediatrics·2026
Same author

Trends in General Internal Medicine Patient and Care Complexity from 2017 to 2022 Across 21 Hospitals.

Journal of general internal medicine·2026
Same author

A socioecological framework for physician advocacy: motivators, enablers, and barriers.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne·2026
Same author

How to Successfully Run Trainee QI Projects.

Journal of graduate medical education·2026
Same author

Getting Real(ist) With Program Evaluation.

Hospital pediatrics·2026
Same author

Improving Rates of Cardiac Stress Test Completion through Scheduling Interventions.

The Journal of ambulatory care management·2026
Same journal

The Importance of Kidney Health in Spina Bifida-Separating Wheat From Chaff.

JAMA network open·2026
Same journal

Adjuvant Chemotherapy and Survival After Pelvic Exenteration for Gynecologic Cancers in the COREPEX Study.

JAMA network open·2026
Same journal

Home Cervical Cancer Screening Uptake in a Large Community-Based General Screening Population.

JAMA network open·2026
Same journal

Serum CA19.9 for Detecting High-Grade Dysplasia and Invasive Carcinoma in Patients With Intraductal Papillary Mucinous Neoplasm: A Systematic Review and Meta-Analysis.

JAMA network open·2026
Same journal

Kidney Morbidity in Pediatric Patients With Spina Bifida.

JAMA network open·2026
Same journal

Direct Digital Referrals From Prenatal Care and WIC Enrollment Among Pregnant Individuals: A Randomized Clinical Trial.

JAMA network open·2026
See all related articles
  1. Home
  3. Developing Resident-sensitive Quality Measures For Internal Medicine.
  1. Home
  3. Developing Resident-sensitive Quality Measures For Internal Medicine.

Related Experiment Video

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Developing Resident-Sensitive Quality Measures for Internal Medicine.

Brandon Tang1,2,3, Andrew C L Lam4, Matthew Wankiewicz2

  • 1Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

JAMA Network Open
|May 8, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Developing resident-sensitive quality measures (RSQMs) using electronic health records can inform physician training. While showing potential, RSQMs may be better suited for program-level evaluation in internal medicine due to attribution and reliability concerns.

More Related Videos

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Related Experiment Videos

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Medical Education
  • Health Services Research
  • Quality Improvement

Background:

  • Residency education aims to train physicians for high-quality patient care.
  • Residents often lack data-driven feedback due to a scarcity of resident-level quality measures.
  • Electronic health records (EHRs) offer a potential data source for quality assessment.

Purpose of the Study:

  • To develop and evaluate resident-sensitive quality measures (RSQMs) using EHR data.
  • To inform graduate medical education (GME) through objective quality metrics.
  • To assess the feasibility and utility of RSQMs in internal medicine residency.

Main Methods:

  • A cohort study involving senior internal medicine residents and patient admissions across 5 Canadian teaching hospitals (2010-2019).
  • Development of 7 RSQMs based on clinical practice guidelines for pneumonia and general care.
  • Application of a care variation framework (low value, discretionary, evidence-based) to categorize RSQMs.

    • Main Results:

    • The study included 132,291 patient admissions linked to 793 residents.
    • Low-value care measures (e.g., inappropriate red cell transfusions) showed minimal variation.
    • Discretionary measures (e.g., antibiotic use, advanced imaging) exhibited significant resident-level variation.
    • An evidence-based measure for first-line pneumonia antibiotic use demonstrated sensitivity to data extraction time windows.

    Conclusions:

    • An approach for developing and evaluating RSQMs using EHR data was established.
    • RSQMs have potential for evaluating internal medicine residents' quality of care.
    • Program-level application of RSQMs may be more appropriate than individual resident assessment due to attribution and statistical reliability concerns.