The importance of negative feedback and consequences of actions in the design of processes.

abstract：:Quality is an illusive concept with different meanings to different people. Providers often define quality in terms of patient outcomes, professional standards of practice, predetermined criteria used to measure quality, and even subjective opinion. Patients describe quality in terms of the interpersonal aspects of ca...

journal_title：Quality management in health care

authors： Stichler JF,Weiss ME

更新日期：2000-07-01 00:00:00

abstract：:Part II of this three-part tutorial focuses on the logistics of data collection. The author presents a checklist of things to consider when planning the details of a data collection effort; touches on the topics of bias and stratification; discusses examples of popular data collection methods; and points out some comm...

journal_title：Quality management in health care

authors： Plsek PE

更新日期：1994-07-01 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：: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：: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：: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：:"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：: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：: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：: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: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：: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：: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

authors： Kilo CM

更新日期：1998-09-01 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：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

authors： Mattsson TO,Lipczak H,Pottegård A

更新日期：2019-01-01 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：CONTEXT:In October 2008, the Centers for Medicare & Medicaid Services reduced payments to hospitals for a group of hospital-acquired conditions (HACs) not documented as present on admission (POA). It is unknown what proportion of Medicare severity diagnosis related group (MS-DRG) assignments will change when the Intern...

journal_title：Quality management in health care

authors： McNutt R,Johnson TJ,Odwazny R,Remmich Z,Skarupski K,Meurer S,Hohmann S,Harting B

更新日期：2010-01-01 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：:Accountability in health care has taken on new dimensions with the drive to base contracting and provider of care selection upon data driven "report cards." The measurement and development of reportable outcomes are driving providers to move their organizations from a focus not only on "caring" but to one highly cogni...

journal_title：Quality management in health care

authors： Sisk FA,Hampton B

更新日期：2000-10-01 00:00:00

abstract：INTRODUCTION:Real-time location systems (RTLS) and Lean management approaches have been employed to improve patient flow in clinical settings. This study explored the feasibility of using these methodologies in an outpatient resident ophthalmology clinic. METHODS:Patients, providers, and staff in Wilmer Eye Institute ...

journal_title：Quality management in health care

authors： Singman EL,Haberman CV,Appelbaum J,Tian J,Shafer K,Toerper M,Katz S,Kelsay M,Boland MV,Greenbaum M,Adelman R,Thomas RC,Vakili S

更新日期：2015-10-01 00:00:00

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

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

更新日期：2019-04-01 00:00:00

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

authors： Wojtusiak J,Michalski RS

更新日期：2008-01-01 00:00:00

abstract：:Methods to produce change in physician practice patterns are of increasing importance to payers and regulators as well as to physicians themselves. Because some of the strategies being adopted occur without physician input and participation, they have aroused concern in the medical community. We describe the methods u...

journal_title：Quality management in health care

authors： Keller RB,Wennberg DE,Soule DN

更新日期：1997-07-01 00:00:00

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

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

更新日期：2011-07-01 00:00:00

abstract：:This article proposes a new class of control charts that may be used for monitoring and improving the quality of care. Unlike conventional control charts that rely on observed performance data, these charts use risk-adjusted data in addition to the observed data. The resulting time-ordered charts are capable of reduci...

journal_title：Quality management in health care

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

更新日期：2003-01-01 00:00:00

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

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

更新日期：2010-07-01 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：: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：:Handover communication improvement initiatives typically employ a "one size fits all" approach. A human factors perspective has the potential to guide how to tailor interventions to roles, levels of experience, settings, and types of patients. We conducted ethnographic observations of sign-outs by attending and reside...

journal_title：Quality management in health care

authors： Mount-Campbell AF,Rayo MF,OʼBrien JJ Jr,Allen TT,Patterson ES

更新日期：2016-10-01 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