Ambulatory care in the new millennium: the role of consumer information.

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：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：: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: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：: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：: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：: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：:Our objective was to test whether the Structured Problem and Success Inventory (SPI) instrument could capture mental representations of organizational and work-related problems as described by individuals working in health care organizations and to test whether these representations varied according to organizational ...

journal_title：Quality management in health care

authors： Nyström ME,Terris DD,Sparring V,Tolf S,Brown CR

更新日期：2012-04-01 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：: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：: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

abstract：PURPOSE:Medical home care has been identified as a model for improving primary care delivery and population-specific quality and safety outcomes. Questions remain how this model affects older adult quality. This systematic review addresses 2 important questions: Are quality and safety outcomes associated with medical h...

journal_title：Quality management in health care

authors： DePuccio MJ,Hoff TJ

更新日期：2014-10-01 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：:Many hospitals are unable to successfully implement evidence-based practices. For example, implementation of the central line bundle (CLB), proven to prevent catheter-related bloodstream infections (CRBSIs), is often challenging. This problem is broadly characterized as a "change implementation failure." A prospective...

journal_title：Quality management in health care

authors： Rangachari P,Madaio M,Rethemeyer RK,Wagner P,Hall L,Roy S,Rissing P

更新日期：2014-01-01 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：: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：: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 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：: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：: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

authors： Laffel G,Luttman R,Zimmerman S

更新日期：1994-10-01 00:00:00

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

authors： Strickland B,Hardison CD

更新日期：1993-10-01 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：: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：: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：: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：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：: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：: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：: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：: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