Improved population-based care: Implementing patient-and demand-directed care for inflammatory bowel disease and evaluating the redesign with a population-based registry.

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：: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：: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：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：: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：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：: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：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：: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：: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：: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：:Recently, many have begun to explore the possibility of using analytical methods associated with continuous quality improvement in the efforts to improve health care. Central to this paradigm is the proposition that such analytical methods can be used to identify and react to variations in the processes and outcomes o...

journal_title：Quality management in health care

authors： Howland R,Decker MD

更新日期：1992-10-01 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：BACKGROUND:Organizational health literacy is the degree to which an organization considers and promotes the health literacy of patients. Addressing health literacy at an organizational level has the potential to have a greater impact on more health consumers in a health system than individual-level approaches. OBJECTI...

journal_title：Quality management in health care

authors： Prince LY,Schmidtke C,Beck JK,Hadden KB

更新日期：2018-04-01 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：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：: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：: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：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：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：: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：: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：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: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：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：: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：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：: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：: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：: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