Appropriateness of care: the case for changing the focus of "quality" measurement.

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：: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：: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：: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：: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：: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：: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：: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：: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：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：: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：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：: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：: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：: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：:In determining intervention effects, quality improvement researchers typically use statistical testing--Fisher's "significance testing" and/or Neyman and Pearson's "hypothesis testing." Such tests are employed in an effort to demonstrate whether or not a statistically and practically significant difference exists when...

journal_title：Quality management in health care

authors： Baghi H

更新日期：2008-10-01 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 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：: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：: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: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：:The aim of this study is to empirically identify and present different kinds of practice-based improvement ideas developed in health care services. The focus is on individual placement needs, problems/issues, and the ability to organize work on the development, implementation, and institutionalization of ideas for the...

journal_title：Quality management in health care

authors： Andersson AC,Elg M,Idvall E,Perseius KI

更新日期：2011-04-01 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：: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：:In 1998, the Veterans Health Administration invested in the creation of the Veterans Administration National Quality Scholars Fellowship Program (VAQS) to train physicians in new ways to improve the quality of health care. We describe the curriculum for this program and the lessons learned from our experience to date....

journal_title：Quality management in health care

authors： Splaine ME,Aron DC,Dittus RS,Kiefe CI,Landefeld CS,Rosenthal GE,Weeks WB,Batalden PB

更新日期：2002-04-01 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：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：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：: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：:In this article, we report on the implementation of a computerized scheduling tool to optimize staffing for patient transport at the Mayo Clinic. The tool was developed and implemented in Microsoft Excel and Visual Basic for Applications and includes an easy-to-use interface. The tool allows transport management to co...

journal_title：Quality management in health care

authors： Kuchera D,Rohleder TR

更新日期：2011-10-01 00:00:00