Why we love quality but hate to measure it.

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：: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：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：BACKGROUND:In Thailand, hospital accreditation (HA) is widely recognized as one of the system tools to promote effective operation of universal health coverage. This nationwide study aims to examine the relationship between accredited statuses of the provincial hospitals and their mortality outcomes. METHOD:A 5-year r...

journal_title：Quality management in health care

authors： Sriratanaban J,Ngamkiatpaisarn S,Charoenmukayananta S

更新日期：2020-07-01 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 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 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：: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：: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：: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：: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：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：: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：: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：:The aim of this study was to explore and evaluate managers' views of a large-scale improvement program, including their experiences and opinions about improvement initiatives and drivers for change. The study is based on a survey used in 2 nationwide mappings of improvement initiatives and developmental trends in Swed...

journal_title：Quality management in health care

authors： Andersson AC

更新日期：2013-04-01 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: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：: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：:"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：: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：: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：: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：: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：:Academic medical centers and clinicians have been slow to embrace continuous quality improvement. The Mount Sinai Medical Center in New York has created a new Department of Health Policy that combines an academic research mission with an administrative mission to demonstrate improving quality of care. This article dis...

journal_title：Quality management in health care

authors： Chassin MR,Siu AL

更新日期：1996-07-01 00:00:00

abstract：OBJECTIVE:This pilot study describes the development of an instrument to measure nursing quality knowledge, skills, and attitudes for practicing pediatric oncology nurses. Because many nurse leaders of academic centers are responsible for outcomes at both local and global level, ensuring nursing quality is critical, gi...

journal_title：Quality management in health care

authors： Dycus P,McKeon L

更新日期：2009-07-01 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 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：: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：: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：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