Opinions and use of advance directives by physicians at a tertiary care hospital.

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: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：: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：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：: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：: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：: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：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：: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：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：: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：: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：: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：: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：: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 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：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：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：: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：: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：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：BACKGROUND AND OBJECTIVES:Inability to obtain timely medications is a patient safety concern that can lead to delayed or incomplete treatment of illness. While there are many patient and system factors contributing to postdischarge medication nonadherence, availability and insurance-related barriers are preventable. P...

journal_title：Quality management in health care

authors： Patel PA,Dillon JR,Mazique DC,Lee JI

更新日期：2020-10-01 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：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：: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：:The U.S. Healthcare Fellowship in Quality Management at Hahnemann University was developed by a managed health care organization and health science university in order to train physicians in the theory and practice of quality management and clinical outcomes measurement. This article describes in detail the program co...

journal_title：Quality management in health care

authors： Paz HL,Paradis J,Zatz S

更新日期：1996-10-01 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：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