Academic quality improvement: new medicine in old bottles.

Abstract:

:Academic medical centers and clinicians have been slow to embrace continuous quality improvement. The Mount Sinai Medical Center in New York has created a new Department of Health Policy that combines an academic research mission with an administrative mission to demonstrate improving quality of care. This article discusses the conceptual framework that undergirds this new effort, its organizational structure and initial agenda of activities, and why we believe it will succeed in engaging academic physicians in quality improvement.

journal_name

Qual Manag Health Care

authors

Chassin MR,Siu AL

doi

10.1097/00019514-199604040-00006

keywords:

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

40-6

issue

4

eissn

1063-8628

issn

1550-5154

journal_volume

4

pub_type

杂志文章
  • Health Care Professionals' Usage and Documentation of a Swedish Quality Registry Regarding Preventive Nutritional Care.

    abstract:OBJECTIVES:To describe health care staff members' usage and documentation in a Swedish quality registry focusing on a preventive care process regarding the risk area of malnutrition among persons with dementia. The preventive care process includes risk assessment, analysis of underlying causes, planning and performing ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000116

    authors: Johansson L,Wijk H,Christensson L

    更新日期:2017-01-01 00:00:00

  • Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatment: A Failure Mode and Effects Analysis in Patients and Health Care Professionals.

    abstract:OBJECTIVES:To identify risks associated with delivery of treatment with oral antineoplastic agents in an outpatient setting and to evaluate additional value and feasibility of engaging patients in a proactive risk analysis. METHODS:We conducted 2 separate but parallel failure mode and effects analyses (FMEAs) among pa...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000199

    authors: Mattsson TO,Lipczak H,Pottegård A

    更新日期:2019-01-01 00:00:00

  • Managers' views and experiences of a large-scale county council improvement program: limitations and opportunities.

    abstract::The aim of this study was to explore and evaluate managers' views of a large-scale improvement program, including their experiences and opinions about improvement initiatives and drivers for change. The study is based on a survey used in 2 nationwide mappings of improvement initiatives and developmental trends in Swed...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0b013e31828bc276

    authors: Andersson AC

    更新日期:2013-04-01 00:00:00

  • Optimizing the patient transport function at Mayo Clinic.

    abstract::In this article, we report on the implementation of a computerized scheduling tool to optimize staffing for patient transport at the Mayo Clinic. The tool was developed and implemented in Microsoft Excel and Visual Basic for Applications and includes an easy-to-use interface. The tool allows transport management to co...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0b013e318231a84f

    authors: Kuchera D,Rohleder TR

    更新日期:2011-10-01 00:00:00

  • Process improvement in hospitals: a case study in a radiology department.

    abstract::To improve processes in hospitals, a case study was conducted at a German university hospital, which consists of more than 30 clinics and institutes on a large campus. The case study focused on the analysis of the patient flow and of machine utilization in the radiology department. Radiological devices are spread over...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0b013e3181bee127

    authors: Nickel S,Schmidt UA

    更新日期:2009-10-01 00:00:00

  • Medical error reporting in America: a changing landscape.

    abstract::Should the United States require mandatory reporting of medical errors within the health care system? Many barriers to medical error reporting currently exist and have made it difficult to establish a nationwide reporting system. As such, individual states have begun to address this issue one state at a time. This art...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/01.QMH.0000344594.48510.82

    authors: Karlsen KA,Hendrix TJ,O'Malley M

    更新日期:2009-01-01 00:00:00

  • Tutorial: planning for data collection. Part I: Asking the right question.

    abstract::While data collection is fundamental to any scientifically based effort, health care improvement teams often report that it is one of the most frustrating aspects of their work. Groups that do succeed in gathering some data can also sometimes find that the data they have worked so hard to obtain does not really help t...

    journal_title:Quality management in health care

    pub_type: 杂志文章,评审

    doi:

    authors: Plsek PE

    更新日期:1994-01-01 00:00:00

  • Using control charts to analyze serial patient-related data.

    abstract::The authors collected data from the record of a patient who had recently undergone coronary bypass surgery and used these data to construct control charts. The control charts helped them to interpret the variation in several clinical parameters and to evaluate the clinical responses to this variation. ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:

    authors: Laffel G,Luttman R,Zimmerman S

    更新日期:1994-10-01 00:00:00

  • Patient safety and the integration of graduate nurses into effective organizational clinical risk management systems and processes: an Australian study.

    abstract:OBJECTIVES:This article explores and describes key processes facilitating the integration of neophyte graduate nurses into safe and effective organizational systems and processes as part of a hospital's overall local clinical governance and clinical risk management (CRM) program. METHODS:This study was undertaken usin...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/01.QMH.0000316994.02039.80

    authors: Johnstone MJ,Kanitsaki O

    更新日期:2008-04-01 00:00:00

  • Quality improvement process in the adherence to gastric decontamination guidelines for poison exposures as recommended by a poison control center.

    abstract:PURPOSE:Adherence to new guidelines for the use of ipecac syrup, gastric lavage, cathartics, and activated charcoal by a poison control center was studied with a quality improvement framework. METHODS:The rates of gastric decontamination were monitored through an electronic case record system. In February 2002, a revi...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200610000-00008

    authors: Chyka PA,Winbery SL

    更新日期:2006-10-01 00:00:00

  • Computer-based simulation as a teaching tool for residents treating patients with cancer-related pain crises.

    abstract:CONTEXT:Residents often fail to escalate narcotics to ensure pain relief in patients with cancer because of fear of overdose. A computer simulation of patients in pain may provide a way to improve management without fear of harm. We developed a pain care simulation to train residents. STUDY DESIGN/MEASURES: Thirty-one ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/01.QMH.0000326722.70708.0d

    authors: Harting B,Hasler S,Abrams R,Odwazny R,McNutt R

    更新日期:2008-07-01 00:00:00

  • A curriculum for training quality scholars to improve the health and health care of veterans and the community at large.

    abstract::In 1998, the Veterans Health Administration invested in the creation of the Veterans Administration National Quality Scholars Fellowship Program (VAQS) to train physicians in new ways to improve the quality of health care. We describe the curriculum for this program and the lessons learned from our experience to date....

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200210030-00006

    authors: Splaine ME,Aron DC,Dittus RS,Kiefe CI,Landefeld CS,Rosenthal GE,Weeks WB,Batalden PB

    更新日期:2002-04-01 00:00:00

  • Application of variables control charts to risk-adjusted time-ordered healthcare data.

    abstract::In a previous article (M. K. Hart, Qual Manag Health Care. 2003;12(1):5-19), the authors presented risk-adjusted control charts applicable for attributes data. The present article discusses a similar class of control charts applicable for variables data that are often skewed. The key feature of these charts is their a...

    journal_title:Quality management in health care

    pub_type: 评论,杂志文章

    doi:10.1097/00019514-200404000-00003

    authors: Hart MK,Robertson JW,Hart RF,Lee KY

    更新日期:2004-04-01 00:00:00

  • Taking the Pulse of a Target Population: Assessing Change Readiness.

    abstract:OBJECTIVE:Implementing change in a health care organization poses structural and cultural challenges. DESIGN:We developed a survey derived from an existing organizational change model and distributed it to the target population of an impending change initiative. RESULTS:The respondents (59.2% response rate) indicated...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000061

    authors: Wackerbarth S,McGladrey M,Fanucchi L

    更新日期:2015-07-01 00:00:00

  • Analyzing diaries for analytical relapse prevention using natural induction: a method and preliminary results.

    abstract::This article briefly describes natural induction approach to knowledge discovery, and then applies it to the problem of bad habit relapse prevention by analyzing patients' diaries. Natural induction seeks patterns in data that are in forms easy to understand and interpret, because they resemble those in which humans r...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/01.QMH.0000308640.89602.b1

    authors: Wojtusiak J,Michalski RS

    更新日期:2008-01-01 00:00:00

  • Gone but not forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing medical error.

    abstract::A lost surgical specimen prompted an investigation of both the human processes and the systemic factors involved in surgical specimen handling regarding how health care organizations approach medical error prevention and patient safety promotion. Quality improvement techniques and the conceptual error model of James R...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200110010-00006

    authors: Slavin L,Best MA,Aron DC

    更新日期:2001-10-01 00:00:00

  • Contextual Conditions and Performance Improvement in Primary Care.

    abstract:BACKGROUND:Although organizational context can affect the implementation of quality initiatives, we know less about the influence of contextual conditions on quality outcomes. We examined organizational features of primary care clinics that achieved greatest performance improvements after implementing Lean redesigns. ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000198

    authors: Hung DY,Harrison MI,Liang SY,Truong QA

    更新日期:2019-04-01 00:00:00

  • Control charts 101: a guide to health care applications.

    abstract::A control chart can be an effective way to display process data over time. It can differentiate common cause variation from special cause variation through the application of several probability-based interpretation rules. In addition, a control chart can be helpful in evaluating the effectiveness of a change. There a...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200109030-00003

    authors: Amin SG

    更新日期:2001-04-01 00:00:00

  • Surgical Assessment Units: The Key to More Efficient Emergency Surgical Provision and Admissions?

    abstract:BACKGROUND:Hospitals establish surgical assessment units to promote efficiency and improve patient experience. Surgical assessment units are believed to reduce unnecessary admissions. We evaluated a hospital's on-call surgery service without this facility to determine benefits of implementation. METHODS:All emergency ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000236

    authors: Reeds MG,Andreani SM,Rohatgi A,Taylor FGM

    更新日期:2020-01-01 00:00:00

  • Appropriateness of care: the case for changing the focus of "quality" measurement.

    abstract::"Quality" of care has become one of the main foci of the American health care system during the last 20 years. As costs escalated in all areas of health care, the purchasers and consumers of health care have begun to demand accountability for the products they purchase. The initial focus of the system was "quality of ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200407000-00005

    authors: Rowell PA

    更新日期:2004-07-01 00:00:00

  • Assessing the evidence of Six Sigma and Lean in the health care industry.

    abstract:BACKGROUND:Popular quality improvement tools such as Six Sigma and Lean Systems (SS/L) claim to provide health care managers the opportunity to improve health care quality on the basis of sound methodology and data. However, it is unclear whether these 2 quality improvement tools actually improve health care quality. ...

    journal_title:Quality management in health care

    pub_type: 杂志文章,评审

    doi:10.1097/QMH.0b013e3181eb140e

    authors: DelliFraine JL,Langabeer JR 2nd,Nembhard IM

    更新日期:2010-07-01 00:00:00

  • An exploratory analysis of the correlation of pain scores, patient satisfaction with relief from pain, and a new measure of pain control on the total dose of opioids in pain care.

    abstract:OBJECTIVE:We explored the associations between opioid dose and multiple measures of pain. STUDY DESIGN AND MEASURES:Thirty-two consecutive patients admitted solely for an acute exacerbation of cancer-related pain or for surgery were followed for their entire hospital stay (115 days of pain). For each hospital day, we ...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000009

    authors: Harting B,Johnson T,Abrams R,Odwazny R,Hasler S,McNutt R,Patient Safety Committee at Rush and the UIC Center for Research Translation.

    更新日期:2013-10-01 00:00:00

  • Identification of Children as Relatives With a Systematic Approach; a Prerequisite in Order to Offer Advice and Support.

    abstract::The purpose of this study was to elucidate conditions at all system levels in a specific health care service to develop practices for identification of children as relatives. An interactive research approach with the intention to create mutual learning between practice and research was used. The participating health c...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000181

    authors: Andersson AC,Melke A,Andersson Gäre B,Golsäter M

    更新日期:2018-07-01 00:00:00

  • Strategic planning for hotel operations: The Ritz-Carlton Hotel Company (Part I).

    abstract::The Ritz-Carlton Hotel Company won the Malcolm Baldridge National Quality Award in 1992. One key to its success is its strategic planning process. This two-part article reviews the Ritz-Carlton's approach to strategic planning. In particular, it describes (1) the role of senior leadership in the planning process and (...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:

    authors: Shriver SJ

    更新日期:1993-07-01 00:00:00

  • Improved population-based care: Implementing patient-and demand-directed care for inflammatory bowel disease and evaluating the redesign with a population-based registry.

    abstract::The gastroenterology unit at the Höglands Hospital in Eksjö is responsible for the care of all 466 patients with inflammatory bowel disease (IBD) in a geographic area including approximately 115,000 inhabitants. In 2000, the frustration over an inadequate traditional outpatient clinic inspired us to redesign our outpa...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-200701000-00006

    authors: Rejler M,Spångéus A,Tholstrup J,Andersson-Gäre B

    更新日期:2007-01-01 00:00:00

  • Continuous improvement in health care: transforming the hospital department.

    abstract::Each department in a hospital is given the responsibility of managing its own day-to-day work. For the hospital as a whole to change, the individual departments must undergo a similar change. As each department aligns itself with the purposes of the whole organization, synergy is created and the hospital gradually, in...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:

    authors: Strickland B,Hardison CD

    更新日期:1993-10-01 00:00:00

  • An Assessment of Organizational Health Literacy Practices at an Academic Health Center.

    abstract:BACKGROUND:Organizational health literacy is the degree to which an organization considers and promotes the health literacy of patients. Addressing health literacy at an organizational level has the potential to have a greater impact on more health consumers in a health system than individual-level approaches. OBJECTI...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/QMH.0000000000000162

    authors: Prince LY,Schmidtke C,Beck JK,Hadden KB

    更新日期:2018-04-01 00:00:00

  • Facilitators and barriers to the implementation of patient flow improvement strategies.

    abstract::Patient flow improvement strategies have been effective in reducing emergency department (ED) crowding, but little guidance is available on the implementation process. By using a qualitative research design, our objective was to identify common facilitators and barriers to the implementation of patient flow improvemen...

    journal_title:Quality management in health care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/QMH.0b013e318222a3b0

    authors: Van Dyke KJ,McHugh M,Yonek J,Moss D

    更新日期:2011-07-01 00:00:00

  • Health care research: alternative approaches to study design and data analysis.

    abstract::In determining intervention effects, quality improvement researchers typically use statistical testing--Fisher's "significance testing" and/or Neyman and Pearson's "hypothesis testing." Such tests are employed in an effort to demonstrate whether or not a statistically and practically significant difference exists when...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/01.QMH.0000338551.05512.1b

    authors: Baghi H

    更新日期:2008-10-01 00:00:00

  • A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough Series.

    abstract::The article describes the Breakthrough Series, a collaborative improvement model developed by the Institute for Healthcare Improvement. The model adapts and applies existing knowledge to multiple, similar sites to accomplish common aims. It has been used to address several of the most pressing issues in health care to...

    journal_title:Quality management in health care

    pub_type: 杂志文章

    doi:10.1097/00019514-199806040-00001

    authors: Kilo CM

    更新日期:1998-09-01 00:00:00