Changing physician behavior: the Maine Medical Assessment Foundation.

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：:Several recent reports show that many physicians feel discontented and unhappy with their work situation. This could in part be due to a decline in status, loss of influence on health care organization, reduced wages etc. It is important to find ways to better understand their experiences of working life to get more f...

journal_title：Quality management in health care

authors： Bergin E,Johansson H,Bergin R

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The mission of nonprofit health care clinics is particularly challenging to fulfill given the large number of uninsured and underinsured people they serve. In addition, these clinics feel pressure to provide services in an efficient manner to prevent patient no-shows and encourage the continua...

journal_title：Quality management in health care

authors： Kovach JV,Ingle D

更新日期：2019-07-01 00:00:00

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

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

更新日期：2018-04-01 00:00:00

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

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

更新日期：2008-07-01 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：:Improvement will be constrained by the function-based organizational model found in most health care organizations. Most components of the typical organization are driven by the concept of division of labor. The organization needs to challenge the underlying assumptions and reengineer from top to bottom. Reengineering...

journal_title：Quality management in health care

authors： Coan T

更新日期：1994-04-01 00:00:00

abstract：:This article examines a recently implemented strategy to transfer responsibility for local public health service delivery from a county health department to a hospital-based integrated delivery system. Innovative quality management efforts at both local and state levels offer opportunities for sustained improvement in...

journal_title：Quality management in health care

authors： Keener SR,Baker JW,Mays GP

更新日期：1997-01-01 00:00:00

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

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

abstract：:Pay for performance cannot consist of a one-size-fits-all approach. Variation in quality and cost of care is best measured using a single "value" (quality/cost) score that is decomposed into component cost and quality for every health care encounter type. Economic incentives must be enough to focus the provider's atte...

journal_title：Quality management in health care

authors： Goldfield N,Burford R,Averill R,Boissonnault B,Kelly W,Kravis T,Smithline N

更新日期：2005-01-01 00:00:00

abstract：:The Agency for Health Care Policy and Research pain guidelines and implementation theories were used in this improvement initiative to ensure that evidence-based pain management reached every provider and patient in a large tertiary care hospital. Implementation strategies, products, and outcome measures are described...

journal_title：Quality management in health care

authors： Miller EH,Belgrade MJ,Cook M,Portu JB,Shepherd M,Sierzant T,Sallmen P,Fraki S

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND:Although often used in health care settings as a method for continuous quality improvement, experience with the breakthrough collaborative in nonclinical health care settings is limited. In this article, we report pilot data from a social services collaborative conducted in 2007 to 2009 in Sweden, with speci...

journal_title：Quality management in health care

authors： Lindgren J

更新日期：2009-10-01 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：: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

authors： Plsek PE

更新日期：1994-01-01 00:00:00

abstract：OBJECTIVE:This pilot study describes the development of an instrument to measure nursing quality knowledge, skills, and attitudes for practicing pediatric oncology nurses. Because many nurse leaders of academic centers are responsible for outcomes at both local and global level, ensuring nursing quality is critical, gi...

journal_title：Quality management in health care

authors： Dycus P,McKeon L

更新日期：2009-07-01 00:00:00

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

authors： Shriver SJ

更新日期：1993-07-01 00:00:00

abstract：:Like many organizations, Continental Rehabilitation Hospital of San Diego designs and communicates templates and targets for desired changes in behaviors and tracks results. It recognizes and celebrates successes and struggles with its failures. A recent case example demonstrates the importance of generating immediate...

journal_title：Quality management in health care

authors： Chaplin E,Bailey M,Barger L,Bruce J,Guzman O,Galleisky G,Thompson-Henry S

更新日期：1997-10-01 00:00:00

abstract：:The past decade has been marked by extensive change in the organization of health care delivery systems (the "supply side" of health care). There has been relatively less change in the nature of the health care consumer (the "demand side" of health care). The emergence of the Internet as a consumer health care technol...

journal_title：Quality management in health care

authors： Sennett C

更新日期：2000-01-01 00:00:00

abstract：:Quality indicators and a quality-monitoring system developed for use in the regulatory survey process offer a quality improvement tool for nursing home staff. The systematic use of resident assessment data can aid in the identification of quality of care problems and the determination of the nature of those problems. ...

journal_title：Quality management in health care

authors： Karon SL,Zimmerman DR

更新日期：1996-04-01 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：:Today's health care programs are being scrutinized like never before and yet few clinicians and managers know how to show the value of programs without time-consuming outcomes research. This is especially true for new and innovative programs that are dependent on outside funding and may not have enough time to show an...

journal_title：Quality management in health care

authors： Quinn DC

更新日期：2001-07-01 00:00:00

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

authors： Amin SG

更新日期：2001-04-01 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：:Recently, many have begun to explore the possibility of using analytical methods associated with continuous quality improvement in the efforts to improve health care. Central to this paradigm is the proposition that such analytical methods can be used to identify and react to variations in the processes and outcomes o...

journal_title：Quality management in health care

authors： Howland R,Decker MD

更新日期：1992-10-01 00:00:00

abstract：CONTEXT:The phrase "Science of Improvement" or "Improvement Science" is commonly used today by a range of people and professions to mean different things, creating confusion to those trying to learn about improvement. In this article, we briefly define the concepts of improvement and science, and review the history of ...

journal_title：Quality management in health care

authors： Perla RJ,Provost LP,Parry GJ

更新日期：2013-07-01 00:00:00

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

authors： Chyka PA,Winbery SL

更新日期：2006-10-01 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：:A variety of approaches are available to monitor and quantify the frequency of medical errors and the harm associated with them. The University HealthSystem Consortium Patient Safety Net provides a categorical, rank-ordered approach for designating harm associated with medical errors but does not lend itself to routin...

journal_title：Quality management in health care

authors： Madan A,Borckardt D,Borckardt JJ,Herbert J,Cooney H

更新日期：2010-10-01 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：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