Proposal of a multidimensional strategic-management dashboard for use in a rehabilitation respiratory unit.

Abstract:

:Health information systems are the core support to decision-making in health organizations. Economic and clinical managements often function separately, while a governance system for quality and safety functions with quality checks and performance accountability, could improve efficiency. The aims of this study were, within a respiratory rehabilitation unit (RRU), to: develop a management-strategy dashboard based on key performance areas (KPAs), identify key performance indicators (KPIs) for each KPA which allow multidimensional assessment; estimate the expected results from the implementation of this dashboard using the balanced score card (BSC) method.In December 2017, a working group was set up at the RRU to develop the dashboard by selecting criteria for KPA and determining the KPIs with their rationale, weight, calculation method, measurements, supply system, target values, and working rules.After 3 meetings, 6 KPAs and 12 KPIs for the financial area, 3 KPAs and 15 KPIs for internal processes, 6 KPAs and 8 KPIs for innovation and growth, and 4 KPAs and 5 KPIs for the Clients' Perspective were approved. A strategic map showing the cause/effect relations between the different KPAs was drawn.A BSC-based quality measurement integrating economic and clinical management dimensions is possible also in an RRU. The proposed dashboard can improve communication, strategy, information dissemination, information communication technology management, budget negotiations, organizational quality, and accountability to stakeholders.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Vitacca M,Vitacca M

doi

10.1097/MD.0000000000015728

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e15728

issue

20

eissn

0025-7974

issn

1536-5964

pii

00005792-201905170-00101

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Hepatitis C Virus Infection Associated With an Increased Risk of Deep Vein Thrombosis: A Population-Based Cohort Study.

    abstract::The association between the hepatitis C virus (HCV) infection and the risk of myocardial infarction (MI) and stroke has been previously investigated. However, the association between the HCV infection and the risk of venous thromboembolism (VTE) has not been extensively discussed. Using the Longitudinal Health Insuran...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001585

    authors: Wang CC,Chang CT,Lin CL,Lin IC,Kao CH

    更新日期:2015-09-01 00:00:00

  • Strategies to Make Ramadan Fasting Safer in Type 2 Diabetics: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials and Observational Studies.

    abstract::Ramadan is the holy month for Muslims whereby they fast from predawn to after sunset and is observed by all healthy Muslim adults as well as a large population of type 2 diabetic Muslims.To determine the comparative effectiveness of various strategies that have been used for type 2 diabetic Muslim who fast during Rama...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000002457

    authors: Lee SWH,Lee JY,Tan CSS,Wong CP

    更新日期:2016-01-01 00:00:00

  • A novel dermato-pulmonary syndrome associated with MDA-5 antibodies: report of 2 cases and review of the literature.

    abstract::Melanoma differentiation-associated protein 5 (MDA-5) is a novel autoantibody frequently characterized by interstitial lung disease and a distinct cutaneous phenotype with palmar papules, ulceration, and rash. Virtually all patients have underlying dermatomyositis, but many lack the characteristic clinical myopathy as...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0b013e3182606f0b

    authors: Chaisson NF,Paik J,Orbai AM,Casciola-Rosen L,Fiorentino D,Danoff S,Rosen A

    更新日期:2012-07-01 00:00:00

  • Clinical characteristics and prognosis of nonsurgically treated patients with pneumonic-type adenocarcinoma.

    abstract::Pneumonic-type adenocarcinoma (P-ADC) is a subtype of lung adenocarcinoma with high mortality, which often requires lobectomy surgery. Nonsurgically treated P-ADC patients usually have more advanced or complex conditions, which remain poorly understood and pose a major challenge in clinical management. We aimed to des...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015420

    authors: Wei J,Tang D,Nie Y,Chen J,Peng L

    更新日期:2019-05-01 00:00:00

  • Burnout level and job satisfaction in Chinese pediatrics residents: A web-based cross-sectional study.

    abstract::To study the prevalence of burnout and job satisfaction in Chinese pediatrics residents.Prospective participants were invited via a WeChat group to participate from October 1, 2018 to January 31, 2019. The Maslach Burnout Inventory-Human Services Survey was used to measure physician burnout, and the Minnesota Satisfac...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019249

    authors: Ji L,Xiaowei Z,Ling K,Yao F,Qingkun S,Jun Z

    更新日期:2020-02-01 00:00:00

  • The efficacy of dexamethasone on pain management for knee arthroscopy: A meta-analysis of randomized controlled trials.

    abstract:INTRODUCTION:The impact of dexamethasone on pain management for knee arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the influence of dexamethasone for knee arthroscopy. METHODS:We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through Octobe...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000019417

    authors: Peng C,Li C,Yuan B,Jiao J

    更新日期:2020-04-01 00:00:00

  • Diagnostic Performance of Diffusion-weighted Magnetic Resonance Imaging in Bone Malignancy: Evidence From a Meta-Analysis.

    abstract::Current state-of-the-art nuclear medicine imaging methods (such as PET/CT or bone scintigraphy) may have insufficient sensitivity for predicting bone tumor, and substantial exposure to ionizing radiation is associated with the risk of secondary cancer development. Diffusion-weighted MRI (DW-MRI) is radiation free and ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001998

    authors: Liu LP,Cui LB,Zhang XX,Cao J,Chang N,Tang X,Qi S,Zhang XL,Yin H,Zhang J

    更新日期:2015-11-01 00:00:00

  • Increased TRPV1 and PAR2 mRNA expression levels are associated only with the esophageal reflux symptoms, but not with the extraesophageal reflux symptoms.

    abstract::Transient receptor potential vanilloid-1 (TRPV1) receptor and proteinase-activated receptor 2 (PAR2) have been implicated in the mechanism of acid-induced inflammation in gastroesophageal reflux disease (GERD). We aimed to evaluate TRPV1 and PAR2 mRNA expression levels in the GERD patients and their relationship with ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004387

    authors: Kim JJ,Kim N,Choi YJ,Kim JS,Jung HC

    更新日期:2016-08-01 00:00:00

  • Efficacy of 18-fluoro deoxy glucose-positron emission tomography computed tomography for the detection of colonic neoplasia proximal to obstructing colorectal cancer.

    abstract::Identification of secondary colonic neoplasia proximal to obstructing colorectal cancer is essential for determining the range of colorectal resection.We examined the accuracy of 18-fluoro deoxy glucose-positron emission tomography (FDG-PET) for detection of colonic neoplasia.We recruited patients with obstructing col...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011655

    authors: Hojo D,Tanaka T,Takahashi M,Murono K,Emoto S,Kaneko M,Sasaki K,Otani K,Nishikawa T,Hata K,Kawai K,Momose T,Nozawa H

    更新日期:2018-08-01 00:00:00

  • Idiopathic prepubertal unilateral gynecomastia: Case report and literature review.

    abstract:RATIONALE:Prepubertal unilateral gynecomastia is extremely rare, whose etiology and management strategy are not familiar. We would like to present a case and a literature review of unilateral prepubertal gynecomastia. PATIENT CONCERNS:A 11-year old male patient with complaints of unilateral enlargement of breast tissu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017374

    authors: Wang C,Yu N,Zhu L,Zeng A

    更新日期:2019-10-01 00:00:00

  • Silent pulmonary thromboembolism in neurosurgery patients: Report of 2 cases and literature review.

    abstract:BACKGROUND:The requirement of postoperative bedridden and immobilization renders neurosurgical patients with higher risk of deep vein thrombosis (DVT), then more vulnerable for pulmonary thromboembolism (PTE). But silent pulmonary thromboembolism (SPTE) can be the very early stage of any typical form of PTE, its diagno...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000004589

    authors: Tian R,Gao J,Chen A,Bao X,Guan J,Feng M,Li Y,Ma W,Ren Z,Wang R,Wei J

    更新日期:2016-08-01 00:00:00

  • Step Counter Use and Sedentary Time in Adults: A Meta-Analysis.

    abstract::Although step counters are increasingly being used in walking programmes to promote sedentary behavior changes in adults, their effectiveness remains unknown. The aim of this meta-analysis of randomized controlled trials (RCTs) was to assess the effectiveness of step counter use in reducing sedentary time among adults...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001412

    authors: Qiu S,Cai X,Ju C,Sun Z,Yin H,Zügel M,Otto S,Steinacker JM,Schumann U

    更新日期:2015-09-01 00:00:00

  • Status and associated characteristics of HIV disclosure among people living with HIV/AIDS in Liangshan, China: A cross-sectional study.

    abstract::Human immunodeficiency virus (HIV) disclosure is a prerequisite to get access to antiretroviral therapy (ART) and social support. Increased disclosure of HIV status has been shown to reduce mother-to-child transmission and high-risk sexual behaviors. Limited studies were conducted to get an insight into HIV disclosure...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016681

    authors: Yin Y,Yang H,Xie X,Wang H,Nie A,Chen H

    更新日期:2019-08-01 00:00:00

  • Effectiveness of different types of ultrasonography screening for developmental dysplasia of the hip: A meta-analysis.

    abstract:BACKGROUND:Infant hip screening for early detection of developmental dysplasia of the hip (DDH) is essential as early detection can enable less invasive treatments and achieve better long-term results. A previous meta-analysis assessed about 10,000 infants per group, which is insufficient for evaluating the effect of d...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000023562

    authors: Jung HW,Jang WY

    更新日期:2020-12-11 00:00:00

  • Gout increases risk of fracture: A nationwide population-based cohort study.

    abstract::There is still debate on whether high uric acid increases bone mineral density (BMD) against osteoporotic fracture or bone resorption caused by gout inflammation. This study aimed to evaluate whether gout offers a protective effect on bone health or not. We conducted a nationwide population-based retrospective cohort ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004669

    authors: Tzeng HE,Lin CC,Wang IK,Huang PH,Tsai CH

    更新日期:2016-08-01 00:00:00

  • Isolated Langerhans cell histiocytosis of the spleen: A case report.

    abstract:RATIONALE:Langerhans cell histiocytosis (LCH) is a relatively rare disorder characterized by the proliferation of abnormal Langerhans cells. Splenic involvement usually presents in children with multisystem LCH, and isolated LCH of the spleen is a very rare disease. Herein, we report a case of isolated splenic LCH in a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012378

    authors: Hong L,Sun G,Peng L,Tu Y,Li Y,Xiao W

    更新日期:2018-09-01 00:00:00

  • Association of chronic kidney disease with periprocedural myocardial injury after elective stent implantation: A single center prospective cohort study.

    abstract::Coronary artery disease (CAD) is the leading cause of mortality in patients with chronic kidney disease (CKD). Patients with CKD who undergo percutaneous coronary intervention (PCI) may have more ischemic events than patients without CKD. The aim of our study was to determine the incidence of periprocedural myocardial...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005381

    authors: Jerkic H,Letilovic T,Stipinovic M,Pocanic D,Catic J,Knotek M

    更新日期:2016-11-01 00:00:00

  • Rotational atherectomy ablation for an unexpandable stent under the guide of IVUS: A case report.

    abstract:RATIONALE:Inadequate stent expansion due to rigid calcified may result in restenosis lesions, but the available options are limited. PATIENT CONCERNS:We report a case via the trans-radial approach of the severely underexpanded freshly deployed stent due to heavily calcified plaques DIAGNOSES:: Coronary angiography rev...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009978

    authors: Si D,Liu G,Tong Y,He Y

    更新日期:2018-02-01 00:00:00

  • Diagnostic accuracy of endoscopic ultrasound, computed tomography, magnetic resonance imaging, and endorectal ultrasonography for detecting lymph node involvement in patients with rectal cancer: A protocol for an overview of systematic reviews.

    abstract:BACKGROUND:Rectal cancer is one of the most common tumors and is the leading cause of cancer-related deaths in developed countries. Lymph node involvement remains the strongest prognostic factor associated with a worse prognosis in patients with rectal cancer. Several systematic reviews have investigated the accuracy o...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000012899

    authors: Wang X,Gao Y,Li J,Wu J,Wang B,Ma X,Tian J,Shen M,Wang J

    更新日期:2018-10-01 00:00:00

  • Investigation and estimation of the prevalence of drug addicts in Xichang, china.

    abstract::To use a new method to estimate the prevalence of drug addicts in Xichang for the first time and to suggest that Chinese Center for Disease Control and Prevention should strengthen surveillance and intervention for them.The Capture-Mark-Recapture (CMR) method of 3 correlated sources under the simple random sampling an...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013919

    authors: Chen K,Bian C,Song B,Gao G

    更新日期:2019-01-01 00:00:00

  • Association of increased B7 protein expression by infiltrating immune cells with progression of gastric carcinogenesis.

    abstract::B7 negative costimulatory molecules are a group of molecules associated with the occurrence, development, and therapy of cancers. Here, we aimed to determine the clinical significance of PD-L1, B7-H3, and B7-H4 and their expression in CD8 and CD68 positive cells at different stages of gastric carcinogenesis.We detecte...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014663

    authors: Guo L,Liu Z,Zhang Y,Quan Q,Huang L,Xu Y,Cao L,Zhang X

    更新日期:2019-02-01 00:00:00

  • Poor prognosis after surgery for intertrochanteric fracture in elderly patients with clopidogrel treatment: A cohort study.

    abstract::Choice of surgical approach in patients under clopidogrel treatment is controversial. Intertrochanteric fractures are common in the elderly, who also suffer from a number of comorbidities.The aim of this study is to assess the prognosis of elderly patients with clopidogrel treatment after surgery for intertrochanteric...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008169

    authors: Zhang J,Chen X,Wang J,Liu Z,Wang X,Ren J,Sun T

    更新日期:2017-09-01 00:00:00

  • Malignant phosphaturic mesenchymal tumor with pulmonary metastasis: A case report.

    abstract:RATIONALE:Phosphaturic mesenchymal tumor (PMT) is a new tumor entity of soft tissue and bone tumor recently accepted by the World Health Organization, which typically causes the paraneoplastic syndrome of tumor-induced osteomalacia (TIO). The majority of PMTs follow a benign clinical course and local recurrence occurs ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006750

    authors: Qiu S,Cao LL,Qiu Y,Yan P,Li ZX,Du J,Sun LM,Zhang QF

    更新日期:2017-04-01 00:00:00

  • Case report: A non-obstructive azoospermia patient with heat shock factor-2 mutation.

    abstract:RATIONALE:Infertility is a common medical condition that affects nearly 15% of the world population. Non-obstructive azoospermia (NOA) is one of the most severe forms of male infertility. Some common structural variants, single nucleotide polymorphisms (SNPs), and genetic factors were reported to be associated with NOA...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021107

    authors: Zhao H,Zhang H,Xi Q,Li L,Zhu H,Hu X,Liu R

    更新日期:2020-07-31 00:00:00

  • Relation between injury of the periaqueductal gray and central pain in patients with mild traumatic brain injury: Observational study.

    abstract::The periaqueductal gray (PAG) plays a pivotal role in pain modulation. We attempted to examine the relation between injury of the PAG and central pain in patients with mild traumatic brain injury (TBI).Sixty-one patients with mild TBI with central pain and 31 healthy control subjects were recruited for this study. Vis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004017

    authors: Jang SH,Park SM,Kwon HG

    更新日期:2016-06-01 00:00:00

  • Relationship between obesity and depression in Korean adults: Korea National Health and Nutrition Examination Survey 2014.

    abstract::Previous studies on the relationship between obesity and depression have produced conflicting results. And only a limited number of studies have been conducted in Asians, and few large-scale nationwide studies have been conducted in Korean populations.We investigated the relationship between obesity and depression in ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009478

    authors: Hong SM,Hur YI

    更新日期:2017-12-01 00:00:00

  • The effect of metabolic health and obesity phenotypes on risk of hypertension: A nationwide population-based study using 5 representative definitions of metabolic health.

    abstract::Although obesity is clearly identified as a risk factor for hypertension, the association between its different metabolic phenotypes and hypertension remains unclear. We aimed to investigate this association and compare the degree of association between metabolic health and obesity phenotypes defined by 5 representati...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012425

    authors: Tian S,Xu Y,Dong H

    更新日期:2018-09-01 00:00:00

  • Decreased cord blood estradiol levels in related to mothers with gestational diabetes.

    abstract::Recent studies have revealed a link between estradiol (E2) and glucose homeostasis. We aimed to assess the association between cord blood hormone levels and the risk of gestational diabetes mellitus (GDM).A total of 204 pregnant women with GDM and 204 pregnant women without GDM (control) were included in the study. Ma...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006962

    authors: Qi X,Gong B,Yu J,Shen L,Jin W,Wu Z,Wang J,Wang J,Li Z

    更新日期:2017-05-01 00:00:00

  • Analysis of risk factors for perioperative death in patients undergoing aortic valve replacement using biological valves.

    abstract:BACKGROUND:Aortic valve disease has become one of the important factors affecting human health. Aortic valve disease is a progressive disease, if not actively treated, the prognosis is poor. Aortic valve replacement (AVR) surgery is an important treatment for aortic valve disease. At present, the AVR surgery using biol...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023909

    authors: Li Q,Gao H,Ji Q,Song J,Li L,Liu X

    更新日期:2020-12-24 00:00:00

  • Pancreatic Adenocarcinoma Treated With Irreversible Electroporation Case Report: First Experience and Outcome.

    abstract::Irreversible electroporation (IRE) is a new nonthermal tumor ablation modality that induces apoptosis in the treated tissue without affecting collagen. Its use is particularly indicated for tumors involving major structures, such as encompassed or infiltrated vessels and/or ducts, which need to be preserved and hinder...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000946

    authors: Trueba-Arguiñarena FJ,de Prado-Otero DS,Poves-Alvarez R

    更新日期:2015-07-01 00:00:00