A systems framework for evaluating nursing care quality in nursing homes.

Abstract:

:Given the ongoing concerns about the quality of care in nursing homes, a theoretical framework to guide a systems approach to quality is important. Existing frameworks either do not model causality, or do so in a linear fashion in which the actual linkages between components of quality may not be well specified. Through a review of frameworks for nursing home quality, and empirical studies on the subject, the authors construct a framework for nursing home quality that links contextual components of quality with structure, structure with process, and process with outcomes, focusing on nursing care quality. Intrastructural relationships and feedback mechanisms are also modeled. The framework is matched with a discussion of multilevel structural equation analysis for statistical application. Future research should expand the framework to include non-nursing components of quality.

journal_name

J Med Syst

authors

Unruh L,Wan TT

doi

10.1023/b:joms.0000023302.80118.74

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

197-214

issue

2

eissn

0148-5598

issn

1573-689X

journal_volume

28

pub_type

杂志文章,评审
  • COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU.

    abstract::The Intensive Care Unit is a data intensive environment where large volumes of patient monitoring and observational data are daily generated. Today, there is a lack of an integrated clinical platform for automated decision support and analysis. Despite the potential of electronic records for infection surveillance and...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-012-9849-8

    authors: Steurbaut K,Colpaert K,Gadeyne B,Depuydt P,Vosters P,Danneels C,Benoit D,Decruyenaere J,De Turck F

    更新日期:2012-12-01 00:00:00

  • Computer analysis of auditory brainstem responses by using advanced pattern recognition.

    abstract::Automatic peak detection of auditory brainstem responses is a multistage process. The main task is the detection of the pedestal peak, which is a broad peak filtered out from the auditory brainstem signal. Special validation stages have been used to determine whether a real response is present, and if so, peak V is de...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996703

    authors: Grönfors TK

    更新日期:1994-08-01 00:00:00

  • A detecting method for the fetal QRS complex with a small amplitude.

    abstract::It is often impossible to determine the presence of the fetal QRS waves from leads on the maternal abdomen because the amplitude is small or noise interferes. Yet, clinically, confirmation is highly necessary. Clinicians face a great difficulty when the fetal QRS waves are not identifiable: when, for example, they are...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00992433

    authors: Yano F,Ninomija SP

    更新日期:1986-08-01 00:00:00

  • Determining the appropriate amount of anesthetic gas using DWT and EMD combined with neural network.

    abstract::The spectrum of EEG has been studied to predict the depth of anesthesia using variety of signal processing methods up to date. Those standard models have used the full spectrum of EEG signals together with the systolic-diastolic pressure and pulse values. As it is generally agreed today that the brain is in stable sta...

    journal_title:Journal of medical systems

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10916-014-0173-3

    authors: Coşkun M,Gürüler H,Istanbullu A,Peker M

    更新日期:2015-01-01 00:00:00

  • A computer workstation for clinical medicine.

    abstract::New computer tools for physicians, nurses, and the medical care team will become common in the 1990s. This paper describes a clinical workstation (CWS) development project that uses new technology that moves the technical support for medical decision making from the computer room to the nursing station. Collection, pr...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00993933

    authors: Lenhard RE,Kahane SN,Richmond DW,Phipps KJ,Ardolino MK,Kearney LA,Lifshitz K

    更新日期:1990-10-01 00:00:00

  • The Turkish commercial health insurance industry.

    abstract::Turkey has experienced significant development in the private health insurance market since 1991. Improvements in private health services, increased public awareness, and insufficient service delivery by the social security organizations have encouraged more people to buy private health insurance. The number of people...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1010749320021

    authors: Kisa A

    更新日期:2001-08-01 00:00:00

  • Exploring Factors Affecting Voluntary Adoption of Electronic Medical Records Among Physicians and Clinical Assistants of Small or Solo Private General Practice Clinics.

    abstract::The health care reform initiative led by the Hong Kong government's Food and Health Bureau has started the implementation of an electronic sharing platform to provide an information infrastructure that enables public hospitals and private clinics to share their electronic medical records (EMRs) for improved access to ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-0971-0

    authors: Or C,Tong E,Tan J,Chan S

    更新日期:2018-05-29 00:00:00

  • Biometrics for electronic health records.

    abstract::Securing electronic health records, in scenarios in which the provision of care services is share among multiple actors, could become a complex and costly activity. Correct identification of patients and physician, protection of privacy and confidentiality, assignment of access permissions for healthcare providers and...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-009-9313-6

    authors: Flores Zuniga AE,Win KT,Susilo W

    更新日期:2010-10-01 00:00:00

  • Clinical research databases--a historical review.

    abstract::The increasing importance of computer-stored databases for clinical research prompted a historical review of their evolution over the past three decades. The special problems associated with the computer processing of clinical research data were reviewed, and the various types of clinical research registers and databa...

    journal_title:Journal of medical systems

    pub_type: 历史文章,杂志文章,评审

    doi:10.1007/BF00996713

    authors: Collen MF

    更新日期:1990-12-01 00:00:00

  • Study on the Acceptability of an ICT Platform for Older Adults with Mild Cognitive Impairment.

    abstract::EhcoBUTLER is an Information and Communication Technology (ICT) solution funded by the European Union (H2020; ID: 643566) and intended especially for elderly people with mild cognitive impairment (MCI) to improve their health, independence and quality of life, particularly at the social level. The purpose of this stud...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-020-01566-x

    authors: Contreras-Somoza LM,Irazoki E,Castilla D,Botella C,Toribio-Guzmán JM,Parra-Vidales E,Suso-Ribera C,Suárez-López P,Perea-Bartolomé MV,Franco-Martín MÁ

    更新日期:2020-05-25 00:00:00

  • A New Evolutionary Algorithm-Based Home Monitoring Device for Parkinson's Dyskinesia.

    abstract::Parkinson's disease (PD) is a neurodegenerative movement disorder. Although there is no cure, symptomatic treatments are available and can significantly improve quality of life. The motor, or movement, features of PD are caused by reduced production of the neurotransmitter dopamine. Dopamine deficiency is most often t...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-017-0811-7

    authors: Lones MA,Alty JE,Cosgrove J,Duggan-Carter P,Jamieson S,Naylor RF,Turner AJ,Smith SL

    更新日期:2017-09-25 00:00:00

  • Quantitative Analysis Methods Using Histogram and Entropy for Detector Performance Evaluation According to the Sensitivity Change of the Automatic Exposure Control in Digital Radiography.

    abstract::The purpose of this study is to evaluate detector performance using histogram and entropy analysis according to the sensitivity change of the automatic exposure control (AEC). The experiment was performed as follows: The sensitivity of the detector was analyzed through a normalized histogram with sensitivities of S200...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-020-01652-0

    authors: Hwang JH,Lee KB,Choi JA,Lee TS

    更新日期:2020-09-04 00:00:00

  • Association Between TG-to-HDL-C Ratio and In-Stent Stenosis Under Optical Coherence Tomography Guidance.

    abstract::We determined the relevance between the TG-to-HDL-C ratio and stent restenosis. Ninety-nine patients with in-stent stenosis (ISR) who were admitted to An Zhen Hospital in Beijing between April 2014 and June 2017 were selected. At the same time, 122 patients with coronary stenosis <50% were selected. All patients were ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1119-y

    authors: Li Y,Jin P,Hou F,Zhou Y

    更新日期:2018-11-20 00:00:00

  • Apply influence diagrams for utility analysis of paying the weight-reducing expenses: a case study in taiwan.

    abstract::To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface....

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-009-9346-x

    authors: Wu F,Sun PR,Chang CC

    更新日期:2011-02-01 00:00:00

  • Advantages and Disadvantages in Image Processing with Free Software in Radiology.

    abstract::Currently, there are sophisticated applications that make it possible to visualize medical images and even to manipulate them. These software applications are of great interest, both from a teaching and a radiological perspective. In addition, some of these applications are known as Free Open Source Software because t...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-017-0888-z

    authors: Mujika KM,Méndez JAJ,de Miguel AF

    更新日期:2018-01-15 00:00:00

  • Improving doctor-patient communication: examining innovative modalities vis-a-vis effective patient-centric care management technology.

    abstract::This analysis investigates what patients and practitioners can do to improve their interactive communications to achieve optimal patient-centric (PC) care. One goal of this clinical practice approach is to improve patient satisfaction, compliance, and outcomes. The mutual responsibilities required of both the patients...

    journal_title:Journal of medical systems

    pub_type: 杂志文章,评审

    doi:10.1007/s10916-008-9175-3

    authors: Breen GM,Wan TT,Zhang NJ,Marathe SS,Seblega BK,Paek SC

    更新日期:2009-04-01 00:00:00

  • Automation of patient dependency systems.

    abstract::One of the most challenging decisions in resource allocations in hospitals is: how to allocate nursing duties on the basis of patients' needs? Patient Dependency Systems, in different forms, can be used to provide information for staffing decisions and budgetary developments. That is why Patient Dependency Systems are...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1022609717031

    authors: Soliman F

    更新日期:1998-08-01 00:00:00

  • Privacy-Preserving Integration of Medical Data : A Practical Multiparty Private Set Intersection.

    abstract::Medical data are often maintained by different organizations. However, detailed analyses sometimes require these datasets to be integrated without violating patient or commercial privacy. Multiparty Private Set Intersection (MPSI), which is an important privacy-preserving protocol, computes an intersection of multiple...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0657-4

    authors: Miyaji A,Nakasho K,Nishida S

    更新日期:2017-03-01 00:00:00

  • Physics-based simulation of surgical fields for preoperative strategic planning.

    abstract::Although careful planning of surgical approach is a key for success of surgery, conventional planning and simulation tools cannot support detailed discussion. This issue is derived from the difficulty of estimating complex physical behavior of soft tissues provided by a series of surgical procedures like cutting and d...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-006-9021-4

    authors: Nakao M,Kuroda T,Oyama H,Sakaguchi G,Komeda M

    更新日期:2006-10-01 00:00:00

  • Medical students' expectations towards an implementation of a family medicine textbook as a comprehensive app in Germany.

    abstract::Undergraduate and postgraduate medical education in general practice is complex as a wide medical spectrum needs to be covered. Modern guidelines demand students to be able to recall immense amounts of information relating to the diagnosis and management of clinical problems. With the intent of making a medical textbo...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-014-0125-y

    authors: Sandholzer M,Rurik I,Deutsch T,Frese T

    更新日期:2014-10-01 00:00:00

  • Improved Deep Learning Network Based in combination with Cost-sensitive Learning for Early Detection of Ovarian Cancer in Color Ultrasound Detecting System.

    abstract::With the development of theories and technologies in medical imaging, most of the tumors can be detected in the early stage. However, the nature of ovarian cysts lacks accurate judgement, leading to that many patients with benign nodules still need Fine Needle Aspiration (FNA) biopsies or surgeries, increasing the phy...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1356-8

    authors: Zhang L,Huang J,Liu L

    更新日期:2019-06-28 00:00:00

  • An expert consultation system for frontline health workers in primary eye care.

    abstract::In developing countries, blindness is a major health problem whose control depends on the application of simple measures by frontline workers because, in many of these countries, specialist medical care is not readily available. To assist primary health workers in the management of common and potentially blinding eye ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02285251

    authors: Kastner JK,Dawson CR,Weiss SM,Kern KB,Kulikowski CA

    更新日期:1984-10-01 00:00:00

  • A new microcontroller supervised thermoelectric renal hypothermia system.

    abstract::In the present study, a thermoelectric system controlled by a microcontroller is developed to induce renal hypothermia. Temperature value was managed by 8-byte microcontroller, PIC16F877, and was programmed using microcontroller MPASM package. In order to ensure hypothermia in the kidney 1-4 modules and sensors percei...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-005-6101-9

    authors: Işik H

    更新日期:2005-10-01 00:00:00

  • Liver isolation in abdominal MRI.

    abstract::This work presents a method for liver isolation in magnetic resonance imaging (MRI) abdomen images. It is based on a priori statistical information about the shape of the liver obtained from a training set using the segmentation approach. Morphological watershed algorithm is used as a key technique as it is a simple a...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-008-9131-2

    authors: Rajasvaran L,Haw TW,Sarker SZ

    更新日期:2008-08-01 00:00:00

  • Efficient management of health centres human resources in Zambia.

    abstract::This study uses Data Envelopment Analysis (DEA) to estimate the degree of technical, allocative and cost efficiency in individual public and private health centres in Zambia; and to identify the relative inefficiencies in the use of various inputs among individual health centers. About 83% of the 40 health centres wer...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-006-9032-1

    authors: Masiye F,Kirigia JM,Emrouznejad A,Sambo LG,Mounkaila A,Chimfwembe D,Okello D

    更新日期:2006-12-01 00:00:00

  • Automated computer-assisted detection of follicles in ultrasound images of ovary.

    abstract::Monitoring the follicles in women's ovaries is especially important in human reproduction. Today, the monitoring of follicles is done with human interaction. Such monitoring can be very demanding and inaccurate, and in most cases signifies additional burdens for the experts. In this paper, a new algorithm for automate...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1022832515369

    authors: Potocnik B,Zazula D,Korze D

    更新日期:1997-12-01 00:00:00

  • A generalized laboratory software package--a prototype approach.

    abstract::A prototyped model of a generalized table-driven software package for laboratory testing and results registration is presented. The need to computerize dozens of laboratories performing hundreds of tests, called for a radical approach which would enable the quick addition of new laboratories to the system, as well as ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00996459

    authors: Lazinger B

    更新日期:1989-10-01 00:00:00

  • Prediction of forced expiratory volume in pulmonary function test using radial basis neural networks and k-means clustering.

    abstract::In this work, prediction of forced expiratory volume in pulmonary function test, carried out using spirometry and neural networks is presented. The pulmonary function data were recorded from volunteers using commercial available flow volume spirometer in standard acquisition protocol. The Radial Basis Function neural ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-008-9196-y

    authors: Manoharan SC,Ramakrishnan S

    更新日期:2009-10-01 00:00:00

  • Advanced nurse-patient communication system.

    abstract::Effective communication is the most important part of any healthcare organization. For many years, hospital nurse call solutions had been stand-alone systems with occasional integration to pocket paging for outputting patient call alerts to mobile staff. In the late 1990's, technology enabled in-building wireless phon...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9725-y

    authors: Unluturk MS

    更新日期:2012-08-01 00:00:00

  • Bleeding detection in Wireless Capsule Endoscopy based on Probabilistic Neural Network.

    abstract::Wireless Capsule Endoscopy (WCE), which allows clinicians to inspect the whole gastrointestinal tract (GI) noninvasively, has bloomed into one of the most efficient technologies to diagnose the bleeding in GI tract. However WCE generates large amount of images in one examination of a patient. It is hard for clinicians...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-009-9424-0

    authors: Pan G,Yan G,Qiu X,Cui J

    更新日期:2011-12-01 00:00:00