Using indicators to structure quality improvement initiatives in long-term care.

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

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

更新日期：2004-04-01 00:00:00

abstract：:The physician-patient relationship is an essential part of end-of-life planning, including discussions of advance directives (AD). Physicians likely to encounter AD issues with their patients were identified and queried as to their knowledge, opinion, and experience with ADs. Though most physicians felt ADs were helpf...

journal_title：Quality management in health care

authors： Langerman A,Angelos P,Johnston C

更新日期：2000-04-01 00:00:00

abstract：:The patient-centered medical home model of primary care requires increased collaboration in care delivery. Recent studies suggest that such a collaborative model of care is aided by physician leaders who practice an inclusive approach to leadership; however, they do not empirically demonstrate what such strategies loo...

journal_title：Quality management in health care

authors： Howard J,Shaw EK,Felsen CB,Crabtree BF

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Multistakeholder alliances-groups of payers, purchasers, providers, and consumers that voluntarily work together to address local health goals-have increasingly been used to improve health care quality within their communities. Under the Robert Wood Johnson Foundation's Aligning Forces for Quality (AF4Q) ini...

journal_title：Quality management in health care

authors： McHugh M,Shaw B,Wolf L,Bleser W,Duckett P

更新日期：2016-04-01 00:00:00

abstract：:Patients' perceptions provide valuable insight into areas for improvement and opportunities for strategic planning. Using both quantitative and qualitative research methods, the topics of what drives patient satisfaction, what delights patients, and what disappoints patients were examined. A case study approach was us...

journal_title：Quality management in health care

authors： Levine AS,Plume SK,Nelson EC

更新日期：1997-04-01 00:00:00

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

authors： Johansson L,Wijk H,Christensson L

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVE:The multifaceted nature of the transition of care from the triage unit to labor and delivery has historically led to confusion, delays, and errors in care. This study evaluated the effect of standardization of roles and communication on improving this transition. METHODS:A multidisciplinary team was assemble...

journal_title：Quality management in health care

authors： Lee DD,Colwill AC,Teel J,Srinivas SK

更新日期：2018-10-01 00:00:00

abstract：:The American patient and consumer groups are increasing pressure on physicians and health care organizations to improve and document the quality of care that they deliver. A leading cause of inadequate care is the significant variations in medical practice that cannot be explained by patient differences, which persist...

journal_title：Quality management in health care

authors： Carnett WG

更新日期：1999-10-01 00:00:00

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

authors： Baghi H

更新日期：2008-10-01 00:00:00

abstract：:Improving health care quality is increasingly recognized as a national priority in the United States. As a result, more and more health care organizations can be expected to undertake quality improvement (QI) initiatives. A question being raised with increasing frequency is: "Which QI activities need review by an inst...

journal_title：Quality management in health care

authors： Nerenz DR,Stoltz PK,Jordan J

更新日期：2003-07-01 00:00:00

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

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

更新日期：2007-01-01 00:00:00

abstract：:The p chart is widely used in health care and other service organizations as well as in manufacturing to monitor the proportion of observations with some particular characteristic for comparing several sources of data or for tracking a single source of data over time. The conventional approach is to use 3sigma limits ...

journal_title：Quality management in health care

authors： Hart MK,Hart RF,Schmaltz S

更新日期：2007-04-01 00:00:00

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

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

更新日期：2009-01-01 00:00:00

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

authors： Rowell PA

更新日期：2004-07-01 00:00:00

abstract：:For the implementation of the proposed European standardized vaccination, total quality management (TQM) and reengineering could be powerful tools with a potentially synergistic effect. In the case examined, nonexplicit TQM prepared the organization in several ways for reengineering: providing the human capital, makin...

journal_title：Quality management in health care

authors： Dubois HF

更新日期：2002-01-01 00:00:00

abstract：OBJECTIVES:Although 65% of the hospitals in Taiwan claim to be applying the clinical pathway concept, most hospitals do not implement this concept effectively. The purpose of this study was to determine the reasons for the improper or inappropriate application of the clinical pathway design in hospitals. METHODS:This ...

journal_title：Quality management in health care

authors： Chang CL,Cheng BW,Luo CM

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Metformin is recommended as initial therapy for most patients with type 2 diabetes mellitus. Its most serious adverse effect, lactic acidosis, is a rare entity with a high mortality rate. Despite well-publicized contraindications, metformin is inappropriately prescribed to many hospitalized patients. OBJECT...

journal_title：Quality management in health care

authors： Rossi AP,Wellins CA,Savic M,Devlin JT

更新日期：2012-10-01 00:00:00

abstract：:Given the revolutionary changes occurring in the health care industry, there is increasing agreement that academicians and practitioners must collaborate to identify and prioritize major educational outcomes for health care management. Several competency initiatives have been undertaken or completed in health care and...

journal_title：Quality management in health care

authors： Calhoun JG,Davidson PL,Sinioris ME,Vincent ET,Griffith JR

更新日期：2002-10-01 00:00:00

abstract：:Most health care organizations are using critical pathways in an attempt to reduce the variation in patient care, improve quality, enhance communication, and reduce costs. Virtually all of the critical path efforts to date have developed tables of treatments, medications, and so forth by day and have displayed them in...

journal_title：Quality management in health care

authors： Coffey RJ,Othman JE,Walters JI

更新日期：1995-01-01 00:00:00

abstract：OBJECTIVES:To determine whether employees working for a transformational leader perceive their leader as more effective than do those working for a transactional leader. To assess whether employees in private hospitals are more likely to perceive their leaders as transformational than are employees in public hospitals....

journal_title：Quality management in health care

authors： Al-Mailam FF

更新日期：2004-10-01 00:00:00

abstract：:As a group, physicians strive for quality but often resist quality measurement. Cost, inconvenience, lack of time, mistrust of quality measures, and a fear of what assessment may find are all factors contributing to this resistance. However, quality, in both rich and poor counties, continues to be poor at worse and va...

journal_title：Quality management in health care

authors： Peabody J

更新日期：2006-04-01 00:00:00

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

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

更新日期：2018-07-01 00:00:00

abstract：:We present an approach to assessing the impact of surveillance for surgical site infections and providing feedback to surgeons on their progress, as part of continuous quality improvement. Adjusting for patient risk factors using the Standardized Mortality Ratio, there was a marked decrease over time in both SMR (1.3 ...

journal_title：Quality management in health care

authors： McCall JL,Macchiaroli S,Brown RB,Schulte MJ,Calderone S,Selbovitz LG,Corl AM,Reed WP,Friedmann P

更新日期：1998-04-01 00:00:00

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

authors： Johnstone MJ,Kanitsaki O

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND:The aim of this umbrella review was to summarize the research evidence on programs to improve the transition between ambulatory and hospital care. METHODS:The MEDLINE database and the Cochrane library were searched. Systematic reviews of randomized controlled trials published between January 2000 and Septem...

journal_title：Quality management in health care

authors： Straßner C,Hoffmann M,Forstner J,Roth C,Szecsenyi J,Wensing M

更新日期：2020-04-01 00:00:00

abstract：:Recently in this journal, F. Alemi (Qual Manage Health Care. 2004;13(4):216-221) proposed the use of Tukey's Control Chart because of the unique benefits associated with nonparametric inferential statistics including robust performance with (1) low N sizes, (2) nonnormal data, and (3) the presence of outliers, However...

journal_title：Quality management in health care

authors： Borckardt JJ,Nash MR,Hardesty S,Herbert J,Cooney H,Pelic C

更新日期：2005-04-01 00:00:00

abstract：:The aim of this study is to empirically identify and present different kinds of practice-based improvement ideas developed in health care services. The focus is on individual placement needs, problems/issues, and the ability to organize work on the development, implementation, and institutionalization of ideas for the...

journal_title：Quality management in health care

authors： Andersson AC,Elg M,Idvall E,Perseius KI

更新日期：2011-04-01 00:00:00

abstract：:In an environment where there is increased demand for hospital beds, it is important that inpatient flow from admission to treatment to discharge is optimized. Among the many drivers that impact efficient patient throughput is an effective and timely discharge process. Early morning discharge helps align inpatient cap...

journal_title：Quality management in health care

authors： Durvasula R,Kayihan A,Del Bene S,Granich M,Parker G,Anawalt BD,Staiger T

更新日期：2015-01-01 00:00:00

abstract：:With costs and competitive pressures increasing, pharmaceutical sponsors and contract research organizations are examining the drug development process. Investigators who conduct clinical studies significantly impact research quality and, thereby, costs. This article reviews current investigator selection methods and ...

journal_title：Quality management in health care

authors： Lightfoot GD,Sanford SM,Shefrin A

更新日期：1999-04-01 00:00:00

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

authors： Wackerbarth S,McGladrey M,Fanucchi L

更新日期：2015-07-01 00:00:00