Institutionwide pain management improvement through the use of evidence-based content, strategies, resources, and outcomes.

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：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

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

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:The obesity epidemic threatens to shorten life expectancy and reduce the quality of life for large segments of the population. The purpose of this study was to develop a decision rule for referral to a weight-loss program on the basis of the relationship between body mass index (BMI) and self-rated overall h...

journal_title：Quality management in health care

authors： Rohrer JE,Merry SP,Lopez-Jimenez F,Adamson SC,Wilshusen L

更新日期：2007-07-01 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 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：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：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：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

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：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：: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：:To see the world systematically through the practice of systems thinking means to see the relationship in the phenomena we experience. The systems view is not just another way of improving an object, a process, or even services. It should not be viewed as a method that is focused only on "quality." The intrinsic value...

journal_title：Quality management in health care

authors： Seigfried RJ

更新日期：1998-10-01 00:00:00

abstract：:Increasingly, businesses are reporting successful implementation of self-directed work teams. In health care, team-based structures in both clinical and nonclinical areas are now rapidly emerging. This paper describes the linkage between the literature of sociotechnical systems theory and current applications of self-...

journal_title：Quality management in health care

authors： Maxwell CI,Ziegenfuss JT Jr,Chisholm RF

更新日期：1993-01-01 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：:Many hospitals are unable to successfully implement "evidence-based practices" at the unit level. For example, consistent implementation of the central line bundle (CLB), proven to prevent catheter-related bloodstream infections (CRBSIs) is often difficult. This problem has been broadly characterized as "change implem...

journal_title：Quality management in health care

authors： Rangachari P

更新日期：2013-01-01 00:00:00

abstract：:This article reviews studies of the effects of medical organization structure on quality and cost conducted over the past three decades. Topics of inquiry have proceeded from the organizational to the individual provider level and from the inpatient to the ambulatory level. The article presents the findings of these s...

journal_title：Quality management in health care

authors： Burns LR

更新日期：1995-07-01 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：: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：: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：:"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：: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：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：: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：AIMS:The purpose of this quantitative descriptive correlational study was to assess for presence and degree of critical thinking skills among perioperative (OR) nurses. BACKGROUND:Critical thinking has become a multidisciplinary "buzz phrase"; however, critical thinking, reflective thinking, or mental discipline was d...

journal_title：Quality management in health care

authors： Fesler-Birch DM

更新日期：2010-04-01 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：: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：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：: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：: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

authors： Nickel S,Schmidt UA

更新日期：2009-10-01 00:00:00

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

authors： Slavin L,Best MA,Aron DC

更新日期：2001-10-01 00:00:00