3,729 results
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2. The Values of Recommendations by Quality Assurance Papers: The Case of Vietnam
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Everard van Kemenade and Cuong Huu Nguyen
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Internal quality assurance ,quality management ,context analysis ,rapid review ,research applications ,Education (General) ,L7-991 - Abstract
Many scientific articles on quality in higher education are published every year. Ideally, these articles are read, studied and moreover used by others. However, the usability of articles on quality in higher education by scholars and quality responsible staff in institutions is not obvious. Do the right people read the articles? And moreover, are the recommendations of these articles transportable to the different contexts they are working in? This article summarizes some of the lessons learned from the articles published in the journal Quality in Higher Education from September 2021 to October 2022. It also relates the results to the Vietnamese higher education context. In doing so, the article presents a set of useful findings of international research for higher education in Vietnam and maybe in other Asian countries in comparable contexts. Furthermore, the authors propose a way to determine the usability of research results in another context.
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- 2023
3. Competence-based catalog of learning objectives for the subject area of quality management in medical studies – position paper of the working group Quality Management in Education, Training and Continuing Education of the Society for Quality Management in Health Care (GQMG)
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Vogeser, Michael, Börchers, Kirstin, James, Janina, Koch, Julian, Kurscheid-Reich, Doris, Kuske, Silke, Pietsch, Barbara, and Zillich, Susanne
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quality management ,medical studies ,catalog of learning objectives ,competencies ,teaching ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Background: Traditionally, direct medical competences are taught in medical studies, whereas leadership and quality management competences are hardly taught, although graduates are already confronted with management tasks at the beginning of their clinical work. With the upcoming amendment of the Medical Licensing Regulations, this topic area will probably be addressed and must be adequately taught by the faculties. The learning objectives in the area of quality management listed in the current working version of the German National Catalogue of Learning Objectives in Medicine (NKLM) 2.0 have so far been formulated in rather general terms and need to be concretized.Aim: To develop a competence-based learning objectives catalog for the topic area of quality management in medical studies as a structured framework recommendation for the design of faculty teaching-learning programs and as a suggestion for further development of the NKLM.Methods: The competence-based learning objectives catalog was developed by an eight-member working group “Quality Management in Education, Training and Continuing Education” of the Gesellschaft für Qualitätsmanagement in der Gesundheitsversorgung e.V. (GQMG) within the framework of a critical synthesis of central publications. The members of the project group have many years of project experience in quality management in health care as well as in university didactics. Results: Six basic competence goals as well as 10 specific competence goals could be formulated and consented upon. These are each flanked by a list of essential basic concepts and examples. These focus on quality improvements, including patient safety and treatment success against the background of a physician leadership role in an interprofessional context. Discussion: A competency-based set of learning objectives has been compiled that encompasses the necessary concepts and basic knowledge of quality management required for those entering the profession to understand and actively participate in quality management after completing medical school. To the authors' knowledge, no comparable learning objectives catalog is currently available for medical studies, even internationally.
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- 2023
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4. White Paper on Early Critical Care Services in Low Resource Settings
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Hendry R. Sawe, Diulu Kabongo, Edrist Duneant, Naomi George, Yasein Omer Osman, Gentle Sunder Shrestha, Biruk Girma, Niranjan Kissoon, Diptesh Aryal, Emilie J. Calvello Hynes, Daniel Schnorr, Vincent Atua, Mohammed Alsabri, Hanan Yusuf, Adam D. Laytin, Nicole Benzoni, Aparajita Sohoni, Andrea G. Tenner, Rebecca J. Kruisselbrink, Lee A. Wallis, Vanessa Moll, Christian Owoo, Teri A. Reynolds, Enrico Dippenaar, Neill K. J. Adhikari, Maxwell Osei-Ampofo, Ahmed Al Hazmi, Preeti Gupta, Srinvas Murthy, Abdelouahab Bellou, Shada A. Rouhani, Dennis Lee, John Marshall, Augusto Maldonado, Jesse May, Georgina Calderon, Bonaventure Hollong, Michael Jaung, Lia I. Losonczy, Sean M Kivlehan, Torben K. Becker, Alfred Papali, Menbeu Sultan, and Abdo Khoury
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Quality management ,Critical Care ,business.industry ,Best practice ,Critical Illness ,Psychological intervention ,Context (language use) ,General Medicine ,Infectious and parasitic diseases ,RC109-216 ,White paper ,Nursing ,Workforce ,Health care ,Humans ,Health Facilities ,Public aspects of medicine ,RA1-1270 ,Human resources ,business ,Expert Consensus Document ,Delivery of Health Care ,Poverty - Abstract
This White Paper has been formally accepted for support by the International Federation for Emergency Medicine (IFEM) and by the World Federation of Intensive and Critical Care (WFICC), put forth by a multi-specialty group of intensivists and emergency medicine providers from low- and low-middle-income countries (LMICs) and high-income countries (HiCs) with the aim of 1) defining the current state of caring for the critically ill in low-resource settings (LRS) within LMICs and 2) highlighting policy options and recommendations for improving the system-level delivery of early critical care services in LRS. LMICs have a high burden of critical illness and worse patient outcomes than HICs, hence, the focus of this White Paper is on the care of critically ill patients in the early stages of presentation in LMIC settings. In such settings, the provision of early critical care is challenged by a fragmented health system, costs, a health care workforce with limited training, and competing healthcare priorities. Early critical care services are defined as the early interventions that support vital organ function during the initial care provided to the critically ill patient—these interventions can be performed at any point of patient contact and can be delivered across diverse settings in the healthcare system and do not necessitate specialty personnel. Currently, a single “best” care delivery model likely does not exist in LMICs given the heterogeneity in local context; therefore, objective comparisons of quality, efficiency, and cost-effectiveness between varying models are difficult to establish. While limited, there is data to suggest that caring for the critically ill may be cost effective in LMICs, contrary to a widely held belief. Drawing from locally available resources and context, strengthening early critical care services in LRS will require a multi-faceted approach, including three core pillars: education, research, and policy. Education initiatives for physicians, nurses, and allied health staff that focus on protocolized emergency response training can bridge the workforce gap in the short-term; however, each country’s current human resources must be evaluated to decide on the duration of training, who should be trained, and using what curriculum. Understanding the burden of critical Illness, best practices for resuscitation, and appropriate quality metrics for different early critical care services implementation models in LMICs are reliant upon strengthening the regional research capacity, therefore, standard documentation systems should be implemented to allow for registry use and quality improvement. Policy efforts at a local, national and international level to strengthen early critical care services should focus on funding the building blocks of early critical care services systems and promoting the right to access early critical care regardless of the patient’s geographic or financial barriers. Additionally, national and local policies describing ethical dilemmas involving the withdrawal of life-sustaining care should be developed with broad stakeholder representation based on local cultural beliefs as well as the optimization of limited resources.
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- 2021
5. Análise de desperdício no processo de acoplagem de folhas de papel em uma empresa do ramo gráfico.
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Izidoro, Giovani, Bristot, Vilson Menegon, Ferreira Guimarães, Milla Lúcia, and Guimarães Filho, Leopoldo Pedro
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Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
6. Quality-oriented human resource practices (QHRP), ambidextrous culture and organizational ambidexterity: a study of green agro-food companies
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Moreno-Luzon, Maria, Gil-Marques, Maria, Lloria, M. Begoña, and Salas-Vallina, Andres
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- 2024
- Full Text
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7. Apheresis medicine in the era of advanced telehealth technologies: An American Society for Apheresis position paper Part I: Understanding the basic technologies and apheresis medicine practice models
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Kristin Ricci, Chester Andrzejewski, Ding Wen Wu, Timothy Roberts, Tina S. Ipe, Yanhua Li, Parsa Hodjat, Ramakrishna L. Reddy, Walter Linz, Jan C. Hofmann, and Susan Knight
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Telemedicine ,Quality management ,Coronavirus disease 2019 (COVID-19) ,SARS-CoV-2 ,business.industry ,COVID-19 ,Hematology ,General Medicine ,Telehealth ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Intervention (law) ,Engineering management ,0302 clinical medicine ,Accessible computing ,Blood Component Removal ,Apheresis (linguistics) ,Humans ,Position paper ,Medicine ,business ,Mobile Health Units ,Societies, Medical ,030215 immunology - Abstract
The wide spread availability and use of sophisticated high-speed telecommunication networks coupled with inexpensive and easily accessible computing capacity have catalyzed the creation of new tools and strategies for healthcare delivery. Such tools and strategies are of value to apheresis medicine (AM) practitioners if they improve delivery of patient care, enhance safety during a therapeutic apheresis (TA) intervention, facilitate care access, advance technical capabilities of apheresis devices, and/or elevate quality performance within TA programs. In the past several years, healthcare delivery systems' adoption of telecommunication technologies has been fostered by organizational financial and quality improvement objectives. More recently, adoption of telehealth technologies has been catalyzed by the COVID-19 pandemic as these technologies enhance both patient and provider safety in an era of social distancing. These changes will also influence the delivery of TA services which now can be generally viewed in a tripartite model format comprised of traditional hospital-based fixed site locales, mobile TA operations and lately an evolving telemedicine remote management model now reffered to as telapheresis (TLA). This communication developed by the Public Affairs and Advocacy Committee of the American Society for Apheresis (ASFA) and endorsed by its Board of Directors, reviews and describes various aspects of established and evolving electronic technologies related to TLA and the practice of AM. In subsequent companion publications, additional aspects to TLA will be explored and ASFA's vision of reasonable, regulatory compliant and high-quality TLA practices will be expounded.
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- 2020
8. Come from away: Best practices in mini-sabbaticals for the development of young investigators: a White Paper by the SEQUIN (mini-Sabbatical Evaluation and QUality ImprovemeNt) Group
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Robert J. White, Bruce N. Cronstein, Martin S. Zand, Michael H. Pillinger, Robert P. Kimberly, Jeanne Holden-Wiltse, Claudia Galeano, P. Jeffrey Foster Jr., Stephenie C. Lemon, Jeroan J. Allison, Melissa Trayhan, Amanda Davin, Kenneth G. Saag, and Jeanne S. Merchant
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Medical education ,Government ,training ,Quality management ,skills development ,4. Education ,Best practice ,Review Article ,General Medicine ,Mini-sabbatical ,KL2 ,010402 general chemistry ,01 natural sciences ,Education ,0104 chemical sciences ,Unit (housing) ,03 medical and health sciences ,0302 clinical medicine ,White paper ,TL1 ,Political science ,Clinical and Translational Science Award ,sabbatical ,030212 general & internal medicine - Abstract
Mini-sabbaticals are formal short-term training and educational experiences away from an investigator’s home research unit. These may include rotations with other research units and externships at government research or regulatory agencies, industry and non-profit programs, and training and/or intensive educational programs. The National Institutes of Health have been encouraging training institutions to consider offering mini-sabbaticals, but given the newness of the concept, limited data are available to guide the implementation of mini-sabbatical programs. In this paper, we review the history of sabbaticals and mini-sabbaticals, report the results of surveys we performed to ascertain the use of mini-sabbaticals at Clinical and Translational Science Award hubs, and consider best practice recommendations for institutions seeking to establish formal mini-sabbatical programs.
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- 2019
9. Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment: Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention
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Marc Ribó, Jakub Sulzenko, L. Nelson Hopkins, Olof Flodmark, István Szikora, Christophe Cognard, Andreas Baumbach, Dmitry Skrypnik, Peter Lanzer, Mark Abelson, Martijn Meuwissen, Andreas Gruber, Jan Kovac, Wim H. van Zwam, Petr Widimsky, Marco Roffi, Wolfram Doehner, Sándor Nardai, Horst Sievert, Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), RS: Carim - B05 Cerebral small vessel disease, and RS: Carim - B06 Imaging
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medicine.medical_specialty ,Quality management ,Percutaneous ,medicine.medical_treatment ,education ,Psychological intervention ,030204 cardiovascular system & hematology ,GUIDELINES ,THERAPY ,Brain Ischemia ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Medicine ,Humans ,cardiovascular diseases ,030212 general & internal medicine ,Stroke ,health care economics and organizations ,TISSUE-PLASMINOGEN ACTIVATOR ,Ischemic Stroke ,Thrombectomy ,COOPERATION ,THROMBOLYSIS ,Interventional cardiology ,Endovascular ,business.industry ,MECHANICAL THROMBECTOMY ,Endovascular Procedures ,medicine.disease ,Neurointervention ,Carotid stenting ,Treatment Outcome ,INTRAVENOUS T-PA ,Acute ischaemic stroke ,CARDIOLOGISTS ,Position paper ,Training requirements ,CATHETER-BASED THROMBECTOMY ,EXPERIENCE ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business - Abstract
This ESC Council on Stroke/EAPCI/EBNI position paper summarizes recommendations for training of cardiologists in endovascular treatment of acute ischaemic stroke. Interventional cardiologists adequately trained to perform endovascular stroke interventions could complement stroke teams to provide the 24/7 on call duty and thus to increase timely access of stroke patients to endovascular treatment. The training requirements for interventional cardiologists to perform endovascular therapy are described in details and should be based on two main principles: (i) patient safety cannot be compromised, (ii) proper training of interventional cardiologists should be under supervision of and guaranteed by a qualified neurointerventionist and within the setting of a stroke team. Interdisciplinary cooperation based on common standards and professional consensus is the key to the quality improvement in stroke treatment.
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- 2021
10. Duties and responsibilities of an integrated management system according ISO 9001:2015 in a paper and cardboard processing company
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Gabriel, Klara Emma
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Problemlösung ,paper and cardboard processing company ,certification ,document control ,Gelenkte Dokumente ,audit ,integrated management system ,qualisoft ,2015 [ISO 9001] ,Integriertes Managementsystem ,solving problems ,papier- und pappeverarbeitender Betrieb ,Qualitätsmanagement ,Zertifizierung ,A3-Report ,quality management - Abstract
In der vorliegenden Bachelorarbeit wird ein bereits bestehendes Managementsystem eines papier- und pappeverarbeitenden Betriebes auf Fehler untersucht und überarbeitet, um dieses wieder für die effiziente Nutzung im Unternehmen verfügbar zu machen. Für das bessere Verständnis wird zuerst ein Überblick über Qualitätsmanagement und dessen Herausforderungen gegeben. Es wird erklärt, wo die Ursprünge des Qualitätsmanagements, wie wir es heute kennen, liegen und welche Vorteile ein gutes Managementsystem dem Unternehmen bringen kann. Außerdem werden die Anforderungen der ISO 9001:2015 Norm untersucht und für die Praxis erläutert. Im weiteren Verlauf der Arbeit finden sich die Ergebnisse zu den jeweiligen Aufgaben, die in Form eines unternehmensinternen Projektes durchgeführt wurden. Die Arbeit basiert hauptsächlich auf der Literatur von (Brüggemann H. und Bremer P. 2019) und (Koubek A. 2017). Alle Daten vom Unternehmen Cardbox Packaging wurden empirisch gesammelt und aufbereitet. In this bachelor’s thesis an already existing management system of a paper and cardboard processing plant is examined for errors and revised in order to make it available again for efficient use in the company. For a better understanding, an overview of quality management and its challenges is given first. It explains where the origins of quality management as we know it today lie and how a good management system can benefit the company. In addition, the requirements of the ISO 9001:2015 standard are examined and explained for practice. In the further course of the work, the results of the respective tasks, which were carried out in the form of an internal company project, are to be found. The work is mainly based on the literature of (Brüggemann H. and Bremer P. 2019) and (Koubek A. 2017). All data from Cardbox Packaging were collected and processed empirically.
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- 2021
11. 2020 Update of the quality indicators for acute myocardial infarction:a position paper of the Association for Acute Cardiovascular Care: the study group for quality indicators from the ACVC and the NSTE-ACS guideline group
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Ekaterini Lambrinou, Suleman Aktaa, David Walker, Sigrun Halvorsen, Xavier Rossello, Christian Hassager, Adam Timmis, Frederick A. Masoudi, Tom Quinn, Holger Thiele, Ingo Ahrens, Marco Tubaro, Mai Blöndal, Borja Ibanez, Keith A.A. Fox, Eva Swahn, Kurt Huber, Alan Keys, Tomas Jernberg, Sergio Leonardi, Jarle Jortveit, Héctor Bueno, Zaza Iakobishvili, Maddalena Lettino, Marc J. Claeys, Chris P Gale, Christiaan J. Vrints, Francois Schiele, Susanna Price, and Jean-Philippe Collet
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medicine.medical_specialty ,Quality management ,media_common.quotation_subject ,Myocardial Infarction ,Cardiovascular care ,Quality indicators ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,Risk Assessment ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Quality improvement ,Myocardial infarction ,Humans ,Quality (business) ,Cardiac and Cardiovascular Systems ,030212 general & internal medicine ,Myocardial Infarction/diagnosis ,Non-ST Elevated Myocardial Infarction ,media_common ,Quality Indicators, Health Care ,Kardiologi ,business.industry ,Agricultural Sciences ,General Medicine ,Guideline ,medicine.disease ,Emergency medicine ,Position paper ,ST Elevation Myocardial Infarction ,Human medicine ,Clinical Medicine ,Cardiology and Cardiovascular Medicine ,business ,Risk assessment ,Nste acs - Abstract
Aims Quality indicators (QIs) are tools to improve the delivery of evidence-base medicine. In 2017, the European Society of Cardiology (ESC) Association for Acute Cardiovascular Care (ACVC) developed a set of QIs for acute myocardial infarction (AMI), which have been evaluated at national and international levels and across different populations. However, an update of these QIs is needed in light of the accumulated experience and the changes in the supporting evidence. Methods and results The ESC methodology for the QI development was used to update the 2017 ACVC QIs. We identified key domains of AMI care, conducted a literature review, developed a list of candidate QIs, and used a modified Delphi method to select the final set of indicators. The same seven domains of AMI care identified by the 2017 Study Group were retained for this update. For each domain, main and secondary QIs were developed reflecting the essential and complementary aspects of care, respectively. Overall, 26 QIs are proposed in this document, compared to 20 in the 2017 set. New QIs are proposed in this document (e.g. the centre use of high-sensitivity troponin), some were retained or modified (e.g. the in-hospital risk assessment), and others were retired in accordance with the changes in evidence [e.g. the proportion of patients with non-ST segment elevation myocardial infarction (NSTEMI) treated with fondaparinux] and the feasibility assessments (e.g. the proportion of patients with NSTEMI whom risk assessment is performed using the GRACE and CRUSADE risk scores). Conclusion Updated QIs for the management of AMI were developed according to contemporary knowledge and accumulated experience. These QIs may be applied to evaluate and improve the quality of AMI care.
- Published
- 2021
12. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper
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Katherine A. Froggatt, Danni Collingridge Moore, Lieve Van den Block, Julie Ling, Sheila A. Payne, Borja Arrue, Ilona Baranska, Luc Deliens, Yvonne Engels, Harriet Finne-Soveri, Katherine Froggatt, Giovanni Gambassi, Elisabeth Honincx, Viola Kijowska, Maud ten Koppel, Marika Kylanen, Federica Mammarella, Rose Miranda, Tinne Smets, Bregje Onwuteaka-Philipsen, Mariska Oosterveld-Vlug, Roeline Pasman, Sheila Payne, Ruth Piers, Lara Pivodic, Jenny van der Steen, Katarzyna Szczerbińska, Nele Van Den Noortgate, Hein van Hout, Anne Wichmann, Myrra Vernooij-Dassen, General practice, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care, Clinical sciences, Family Medicine and Chronic Care, and End-of-life Care Research Group
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Palliative care ,Quality management ,Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] ,Psychological intervention ,nursing homes ,long-term care facilities ,quality improvement ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,03 medical and health sciences ,0302 clinical medicine ,Empirical research ,White paper ,Nursing ,Intervention (counseling) ,Medicine and Health Sciences ,PROGRAM ,Medicine ,QUALITY ,Humans ,030212 general & internal medicine ,OLDER-PEOPLE ,implementation ,interventions ,General Nursing ,Pace ,Aged ,HOMES ,business.industry ,Health Policy ,Palliative Care ,General Medicine ,Long-Term Care ,Europe ,Long-term care ,Cross-Sectional Studies ,END ,OF-LIFE CARE ,Geriatrics and Gerontology ,business ,030217 neurology & neurosurgery ,Switzerland - Abstract
Contains fulltext : 225338.pdf (Publisher’s version ) (Open Access) OBJECTIVES: The number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations. DESIGN: Transparent expert consultation. SETTING: International experts in LTCFs. PARTICIPANTS: Eighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey. METHODS: The TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey. RESULTS: Thirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change. CONCLUSIONS AND IMPLICATIONS: We developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs.
- Published
- 2020
13. A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement:a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network
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Andrea Singer, A Sami, R. Speerin, Willem F. Lems, Cyrus Cooper, Masaki Fujita, Serge Ferrari, Paul J. Mitchell, Kristina Åkesson, Muhammad Javaid, Thierry Thomas, P. Halbout, D. D. Pierroz, Rheumatology, Amsterdam Movement Sciences - Rehabilitation & Development, Amsterdam Movement Sciences - Restoration and Development, Amsterdam Movement Sciences, and AMS - Tissue Function & Regeneration
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0301 basic medicine ,Quality management ,Endocrinology, Diabetes and Metabolism ,Best practice ,Osteoporosis ,030209 endocrinology & metabolism ,Secondary fracture prevention ,03 medical and health sciences ,0302 clinical medicine ,Key performance indicators ,medicine ,Secondary Prevention ,Humans ,Operations management ,Quality improvement ,Bone Density Conservation Agents ,business.industry ,Database audit ,medicine.disease ,Fracture (geology) ,Position paper ,Spinal Fractures ,030101 anatomy & morphology ,Performance indicator ,Position Paper ,Risk assessment ,business ,Fracture Liaison Service/FLS ,Osteoporotic Fractures - Abstract
Summary: The International Osteoporosis Foundation (IOF) Capture the Fracture® Campaign with the Fragility Fracture Network (FFN) and National Osteoporosis Foundation (NOF) has developed eleven patient-level key performance indicators (KPIs) for fracture liaison services (FLSs) to guide quality improvement. Introduction: Fracture Liaison Services (FLSs) are recommended worldwide to reduce fracture risk after a sentinel fracture. Given not every FLS is automatically effective, the IOF Capture the Fracture working group has developed and implemented the Best Practice Framework to assess the organisational components of an FLS. We have now developed a complimentary KPI set that extends this assessment of performance to the patient level. Methods: The Capture the Fracture working group in collaboration with the Fragility Fracture Network Secondary Fragility Fracture Special Interest Group and National Osteoporosis Foundation adapted existing metrics from the UK-based Fracture Liaison Service Database Audit to develop a patient-level KPI set for FLSs. Results: Eleven KPIs were selected. The proportion of patients: with non-spinal fractures; with spine fractures (detected clinically and radiologically); assessed for fracture risk within 12 weeks of sentinel fracture; having DXA assessment within 12 weeks of sentinel fracture; having falls risk assessment; recommended anti-osteoporosis medication; commenced of strength and balance exercise intervention within 16 weeks of sentinel fracture; monitored within 16 weeks of sentinel fracture; started anti-osteoporosis medication within 16 weeks of sentinel fracture; prescribed anti-osteoporosis medication 52 weeks after sentinel fracture. The final KPI measures data completeness for each of the other KPIs. For these indicators, levels of achievement were set at the < 50%, 50–80% and > 80% levels except for treatment recommendation where a level of 50% was used. Conclusion: This KPI set compliments the existing Best Practice Framework to support FLSs to examine their own performance using patient-level data. By using this KPI set for local quality improvement cycles, FLSs will be able to efficiently realise the full potential of secondary fracture prevention and improved clinical outcomes for their local populations.
- Published
- 2020
14. ANALYSIS OF ACADEMIC PAPERS ON QUALITY AND PERFORMANCE MANAGEMENT IN PUBLIC ADMINISTRATION.
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Džinić, Jasmina and Manojlović, Romea
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FINANCIAL performance ,PERIODICAL editors ,CIVIL service ,MACROECONOMICS ,PERFORMANCE management - Abstract
Copyright of Collected Papers of Zagreb Law Faculty / Zbornik Pravnog Fakulteta u Zagrebu is the property of Sveuciliste u Zagrebu, Pravni Fakultet and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
15. Position Paper on Critical Care Pharmacy Services (Executive Summary): 2020 Update
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Scott Bolesta, Kendall Gross, Judith Jacobi, Nicole M. Acquisto, Tricia A. Meyer, Joanna L. Stollings, Scott Taylor, Russel J. Roberts, Jennifer McCann, Mitchell J. Daley, Christopher Paciullo, Michael L. Bentley, Sarah A. Foos, Ishaq Lat, and Robert MacLaren
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Societies, Pharmaceutical ,Quality management ,Critical Care ,Critical Illness ,education ,Pharmacist ,Pharmaceutical Science ,Pharmacy ,Pharmacists ,Credentialing ,Critical Care and Intensive Care Medicine ,030226 pharmacology & pharmacy ,03 medical and health sciences ,0302 clinical medicine ,Professional Role ,Medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,Societies, Medical ,Pharmacology ,Medical education ,Executive summary ,business.industry ,Health Policy ,Professional development ,030208 emergency & critical care medicine ,Quality Improvement ,Clinical pharmacy ,Intensive Care Units ,030228 respiratory system ,Position paper ,Pharmacy practice ,business ,Pharmacy Service, Hospital - Abstract
Objectives Provide a multiorganizational statement to update the statement from a paper in 2000 about critical care pharmacy practice and make recommendations for future practice. Design The Society of Critical Care Medicine, American College of Clinical Pharmacy Critical Care Practice and Research Network, and the American Society of Health-System Pharmacists convened a joint task force of 15 pharmacists representing a broad cross-section of critical care pharmacy practice and pharmacy administration, inclusive of geography, critical care practice setting, and roles. The Task Force chairs reviewed and organized primary literature, outlined topic domains, and prepared the methodology for group review and consensus. A modified Delphi method was used until consensus (>66% agreement) was reached for each practice recommendation. Previous position statement recommendations were reviewed and voted to either retain, revise, or retire. Recommendations were categorized by level of ICU service to be applicable by setting, and grouped into five domains: patient care, quality improvement, research and scholarship, training and education, and professional development. Main Results There are 82 recommendation statements: forty-four original recommendations and 38 new recommendation statements. Thirty-four recommendations were made for patient care, primarily relating to critical care pharmacist duties and pharmacy services. In the quality improvement domain, 21 recommendations address the role of the critical care pharmacist in patient and medication safety, clinical quality programs, and analytics. Nine recommendations were made in the domain of research and scholarship. Ten recommendations are in the domain of training and education and eight recommendations regarding professional development. Conclusions The statements recommended by this taskforce delineate the activities of a critical care pharmacist and the scope of pharmacy services within the ICU. Effort should be made from all stakeholders to implement the recommendations provided, with continuous effort toward improving the delivery of care for critically ill patients.
- Published
- 2020
16. ASPiH Conference 2019 keynote paper. Quality improvement through simulation: a missed opportunity?
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Paul O'Connor
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Process management ,Quality management ,Computer science ,business.industry ,Aviation ,Psychological intervention ,Health Informatics ,Paper quality ,EDUCATION ,Editorial ,Modeling and Simulation ,Health care ,HEALTH-CARE ,Health education ,Missed opportunity ,business ,Working environment ,Simulation - Abstract
As the use of simulation has become more established in the delivery of healthcare education and training, there has been a corresponding increase in healthcare simulation research. Simulation-based research can be divided into research about simulation (answers research questions in which the focus is on simulation itself) and research through simulation (simulation as a method/tool for research). However, there are barriers, particularly for smaller less well-resourced simulation centres, that may prohibit participation in research. Therefore, it is suggested that quality improvement (QI) through simulation may be a pragmatic way in which simulation centres of all sizes can contribute to improving patient care beyond education and training. QI is defined as systematic, data-guided activities designed to bring about immediate, positive changes in the delivery of healthcare. Although not the case in healthcare, other industries routinely used simulation to support QI. For example, in aviation simulation is used to inform the design of the working environment, the appropriate use of technology, to exercise emergency procedures and to ‘re-fly’ flights following an adverse event as part of the mishap investigation. Integrating simulation within healthcare QI can support the development of novel interventions as well helping to address heretofore intractable issues.
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- 2020
17. Starter Kit for Geotagging and Geovisualization in Health Care: Resource Paper
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Marat Plotkin, Brian W. Pickering, Quan Do, David T. Marc, and Vitaly Herasevich
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Geospatial analysis ,Quality management ,geographic mapping ,Computer science ,Population ,lcsh:Medicine ,population ,Medicine (miscellaneous) ,medicalGIS guidelines ,Health Informatics ,information storage and retrieval ,computer.software_genre ,03 medical and health sciences ,geotagging ,0302 clinical medicine ,Resource (project management) ,Health care ,data visualization ,030212 general & internal medicine ,mapping ,education ,Original Paper ,education.field_of_study ,030505 public health ,business.industry ,lcsh:R ,public health ,Data science ,Computer Science Applications ,Geotagging ,Geocoding ,Geovisualization ,0305 other medical science ,business ,computer - Abstract
Background Geotagging is the process of attaching geospatial tags to various media data types. In health care, the goal of geotagging is to gain a better understanding of health-related questions applied to populations. Although there has been a prevalence of geographic information in public health, in order to effectively use and expand geotagging across health care there is a requirement to understand other factors such as the disposition, standardization, data sources, technologies, and limitations. Objective The objective of this document is to serve as a resource for new researchers in the field. This report aims to be comprehensive but easy for beginners to understand and adopt in practice. The optimal geocodes, their sources, and a rationale for use are suggested. Geotagging’s issues and limitations are also discussed. Methods A comprehensive review of technical instructions and articles was conducted to evaluate guidelines for geotagging, and online resources were curated to support the implementation of geotagging practices. Summary tables were developed to describe the available geotagging resources (free and for fee) that can be leveraged by researchers and quality improvement personnel to effectively perform geospatial analyses primarily targeting US health care. Results This paper demonstrated steps to develop an initial geotagging and geovisualization project with clear structure and instructions. The geotagging resources were summarized. These resources are essential for geotagging health care projects. The discussion section provides better understanding of geotagging’s limitations and suggests suitable way to approach it. Conclusions We explain how geotagging can be leveraged in health care and offer the necessary initial resources to obtain geocodes, adjustment data, and health-related measures. The resources outlined in this paper can support an individual and/or organization in initiating a geotagging health care project.
- Published
- 2020
18. Quality assessment of vascular access procedures for hemodialysis: A position paper of the Vascular Access Society based on the analysis of existing guidelines
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Ramon Roca-Tey, Mariusz Kusztal, Maurizio Gallieni, Nicola Pirozzi, Tamara Jemcov, Branko Fila, Marko Malovrh, and Jan Malik
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medicine.medical_specialty ,Quality management ,Consensus ,Referral ,medicine.medical_treatment ,Fistula ,Population ,Specialty ,Arteriovenous fistula ,Arteriovenous Shunt, Surgical ,Renal Dialysis ,Risk Factors ,medicine ,Humans ,Intensive care medicine ,education ,Quality Indicators, Health Care ,Surgeons ,education.field_of_study ,Evidence-Based Medicine ,business.industry ,guidelines ,hemodialysis ,quality assessment ,vascular access procedures ,arteriovenous shunt ,surgical ,consensus ,evidence-based medicine ,humans ,kidney failure, chronic ,outcome and process assessment ,health care ,practice guidelines as topic ,quality improvement ,quality indicators ,renal dialysis ,risk factors ,surgeons ,treatment outcome ,medicine.disease ,Quality Improvement ,Outcome and Process Assessment, Health Care ,Treatment Outcome ,Nephrology ,Practice Guidelines as Topic ,Position paper ,Kidney Failure, Chronic ,Hemodialysis ,Surgery ,business - Abstract
Quality assessment in vascular access procedures for hemodialysis is not clearly defined. The aim of this article is to compare various guidelines regarding recommendation on quality control in angioaccess surgery. The overall population of end-stage renal disease patients and patients in need for hemodialysis treatment is growing every year. Chronic intermittent hemodialysis is still the main therapy. The formation of a functional angioaccess is the cornerstone in the management of those patients. Native (autologous) arteriovenous fistula is the best vascular access available. A relatively high percentage of primary failure and fistula abandonment increases the need for quality control in this field of surgery. There are very few recommendations of quality assessment on creation of a vascular access for hemodialysis in the searched guidelines. Some guidelines recommend the proportion of native arteriovenous fistula in incident and prevalent patients as well as the maximum tolerable percentage of central venous catheters and complications. According to some guidelines, surgeon’s experience and expertise have a considerable influence on outcomes. There are no specific recommendations regarding surgeon’s specialty, grade, level of skills, and experience. In conclusion, there is a weak recommendation in the guidelines on quality control in vascular access surgery. Quality assessment criteria should be defined in this field of surgery. According to these criteria, patients and nephrologists could choose the best vascular access center or surgeon. Centers with best results should be referral centers, and centers with poorer results should implement quality improvement programs.
- Published
- 2019
19. Lean Six Sigma and quality performance in Italian public and private hospitals: a gender perspective
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Ciasullo, Maria Vincenza, Douglas, Alexander, Romeo, Emilia, and Capolupo, Nicola
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- 2024
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20. Adopting quality management (QM) principles in managing facilities management service delivery
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Myeda, Nik Elyna, Chua, Shirley Jin Lin, and Aqillah, Nur Syafiqatul
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- 2023
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21. Surgical quality assurance in head and neck cancer trials: an EORTC Head and Neck Cancer Group position paper based on the EORTC 1420 'Best of' and 24954 'larynx preservation' study
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Christian Simon, C. René Leemans, Piero Nicolai, Petri Koivunen, Marc Hamoir, Dietmar Thurnher, Andreas Dietz, Philippe Ceruse, Guy Andry, Vincent Grégoire, Keith K.A. Hunter, Lisa Licitra, Hisham Mehanna, Carmela Caballero, Giuseppe Spriano, Jean-Pascal Machiels, UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie, UCL - (SLuc) Centre du cancer, and UCL - (SLuc) Unité d'oncologie médicale
- Subjects
Cancer Research ,medicine.medical_specialty ,Clinical trials ,EORTC ,Head and neck cancer ,Quality assurance ,Surgery ,Quality management ,Quality Assurance, Health Care ,medicine.medical_treatment ,03 medical and health sciences ,0302 clinical medicine ,Surgical oncology ,Medicine ,Humans ,Medical physics ,030223 otorhinolaryngology ,Protocol (science) ,business.industry ,medicine.disease ,Quality Improvement ,Radiation therapy ,Clinical trial ,Oncology ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,Position paper ,business - Abstract
Quality improvement of care for patients with head and neck cancer remains a constant objective for the multidisciplinary team of physicians managing these patients. The purpose of quality assurance (QA) for head and neck surgical oncology and surgical trials however differs. While QA for the general head and neck patient aims to improve global outcome through structural changes of health-care systems, QA for surgical trials pursues the goal to help providing meaningful results from a clinical trial through the definition of structure, process and outcome measures within the trial. Establishing a QA program for surgical trials is challenging largely due to the variation in the execution of surgical techniques. Within this article, we describe the surgical QA program, which was developed for the phase III European Organisation for Research and Treatment of Cancer (EORTC) 1420 study, a trial assessing swallowing function after transoral surgery compared with radiation therapy. We propose based on our experience to further develop surgical QA for surgical clinical trials by introducing two separate components, one adaptable and one non-adaptable. The adaptable is tailored to the scientific question and specific procedure; the non-adaptable consists of minimal structural requirements of the clinical unit to participate in surgical trials at EORTC as well as guidelines and incentives for protocol adherence based on our experience in EORTC 24954. Finally, we strongly believe that surgical QA designed for clinical trials may serve as a basis for the development of QA surgical guidelines in clinical practice.
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- 2018
22. American College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology
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Elena Losina, Eric D. Newman, Amye Leong, Heather Tory, Amy S. Miller, Mark L. Robbins, Lisa G. Suter, Claire E.H. Barber, Jeph Herrin, and Jinoos Yazdany
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030203 arthritis & rheumatology ,Measure (data warehouse) ,medicine.medical_specialty ,Medical education ,Quality management ,business.industry ,media_common.quotation_subject ,Usability ,Pay for performance ,Outcome (game theory) ,03 medical and health sciences ,0302 clinical medicine ,White paper ,Rheumatology ,Accountability ,Physical therapy ,medicine ,Quality (business) ,030212 general & internal medicine ,business ,media_common - Abstract
Objective To highlight the opportunities and challenges of developing and implementing performance outcome measures in rheumatology for accountability purposes. Methods We constructed a hypothetical performance outcome measure to demonstrate the benefits and challenges of designing quality measures that assess patient outcomes. We defined the data source, measure cohort, reporting period, period at risk, measure outcome, outcome attribution, risk adjustment, reliability and validity, and reporting approach. We discussed outcome measure challenges specific to rheumatology and to fields where patients have predominantly chronic, complex, ambulatory care–sensitive conditions. Results Our hypothetical outcome measure was a measure of rheumatoid arthritis disease activity intended for evaluating Accountable Care Organization performance. We summarized the components, benefits, challenges, and tradeoffs between feasibility and usability. We highlighted how different measure applications, such as for rapid cycle quality improvement efforts versus pay for performance programs, require different approaches to measure development and testing. We provided a summary table of key take-home points for clinicians and policymakers. Conclusion Performance outcome measures are coming to rheumatology, and the most effective and meaningful measures can only be created through the close collaboration of patients, providers, measure developers, and policymakers. This study provides an overview of key issues and is intended to stimulate a productive dialogue between patients, practitioners, insurers, and government agencies regarding optimal performance outcome measure development.
- Published
- 2016
23. Lean Six Sigma in the logistics of the loading process of a paper mill
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Eliane da Silva Christo, Marina Langoni Linares, and Kelly Alonso Costa
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Service (business) ,Quality management ,DMAIC ,Six Sigma ,Operations management ,Asset (economics) ,Business ,Market share ,Lean Six Sigma ,Lean manufacturing - Abstract
Customers are each day more demanding with costs reduction, sustainability, quality improvement and shorter lead times. Since logistics operation is involved in every step of the chain, it becomes an important asset for companies to win market share. Seeking to attend the organizations and customers’ needs, Lean Six Sigma methodology could bring benefits to logistics services. Aiming to study those benefits, this article presents a case study about the interaction between the LSS and the loading process in a paper mill located in Brazil. The site had already adopted the DMAIC method in the manufacturing areas, but not in the service ones, which made it easier the implementation, guaranteeing the support and involvement of management. In the end of the study, it was possible to notice several benefits in implementing the LSS, as reduction of 32% of cycle time and 43% of performance improvement.
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- 2019
24. Age and Ageing to introduce a new category of paper: healthcare improvement science
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T Downes, Mary Godfrey, R Matthews, Stuart G Parker, and Finbarr C. Martin
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Aging ,Quality management ,Scope (project management) ,Health Services for the Aged ,business.industry ,General Medicine ,Public relations ,Quality Improvement ,03 medical and health sciences ,0302 clinical medicine ,Work (electrical) ,Scale (social sciences) ,Health care ,Sustainability ,Humans ,Medicine ,Health Services Research ,030212 general & internal medicine ,Periodicals as Topic ,Geriatrics and Gerontology ,business ,Older people ,030217 neurology & neurosurgery ,Aged - Abstract
Age and Ageing is now inviting papers on healthcare improvement for older people. In this article we outline the nature and scope of healthcare improvement and reference improvement models and the tools and methods of improvement science. We emphasise the issues of sustainability, including scale and spread; evaluation - including associated ethical consideration and the involvement of patients and the public in healthcare improvement and associated research. Throughout we refer to resources the authors have found useful in their own work, and provide a bibliography of sources and web-links which will provide essential guidance and support for potential contributors to this new category of submission to Age and Ageing.
- Published
- 2018
25. Reliability of Paper-Based Routine Documentation in Psychiatric Inpatient Care and Recommendations for Further Improvement
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Daniela Fröhlich, Christin Bittersohl, Katrin Schroeder, Daniel Schöttle, Eva Kowalinski, Stefan Borgwardt, Undine E. Lang, and Christian G. Huber
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medicine.medical_specialty ,Quality management ,lcsh:RC435-571 ,03 medical and health sciences ,0302 clinical medicine ,Documentation ,lcsh:Psychiatry ,Health care ,Medicine ,data quality ,Psychiatry ,Reliability (statistics) ,Original Research ,Inpatient care ,business.industry ,Health services research ,Missing data ,basic documentation ,patient files ,030227 psychiatry ,Psychiatry and Mental health ,routine data ,Data quality ,psychiatric routine documentation ,business ,030217 neurology & neurosurgery - Abstract
Background: Health services research is of increasing importance in current psychiatry. Therefore, large datasets and aggregation of data generated by electronic routine documentation due to legal, financial, or administrative purposes play an important role. However, paper-based routine documentation is still of interest. It remains relevant in less developed health care systems, in emergency settings, and in long-term retrospective and historical studies. Whereas studies examining the reliability of electronic routine documentation support the application of routine data for research purposes, our knowledge regarding reliability of paper-based routine documentation is still very sparse.Methods: Basic documentation (BADO) was completed on paper forms and digitalized manually for all inpatients of the Department of Psychiatry and Psychotherapy, University Hospital Hamburg-Eppendorf, Germany, treated within the time period from 1998 to 2006. Four hundred twelve cases of first-episode psychosis patients were chosen for comparison with clinical data from paper-based patient files. The percentage of missing information, the percentage of correct classifications, sensitivity, and positive predictive value were calculated for all applicable variables.Results: In eight cases (1.9%), a BADO form was available, but was not filled in. In 37 cases (7.0%), the patient files were lost and could not be obtained from the centralized archive. Routine data were available for all other cases in 20 (58.8%) of the examined 34 variables, and the percentage of missing data for the remaining variables ranged between 0.3% and 22.9%, with only the variables education and suicidality during treatment having more than 5% missing data. In general, the overall rate of correct classifications was high, with a median percentage of 86.4% to 99.7% for the examined variables. Sensitivity was above 75% for eight and
- Published
- 2020
26. Optimising process and product performance in complex systems: a study in the automotive industry
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Pacheco, Diego Augusto de Jesus and Librelato, Tatiane Pereira
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- 2023
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27. The quality of servitization in project-oriented organizations
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Zighan, Saad, Bamford, David, Reid, Iain, and EL-Qasem, Ahmed
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- 2023
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28. Scholarly Publications: Policy Papers, Quality Improvement Projects, and Evidence-Based Implementation Initiatives
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Martha Dewey Bergren
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Biomedical Research ,Policy ,Nursing (miscellaneous) ,Evidence-based practice ,Quality management ,Knowledge management ,business.industry ,Political science ,Humans ,business ,Quality Improvement - Published
- 2021
29. SEAAIR 20|20: A Review of SEAAIR Annual Conferences 2007 – 2021.
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Yit Yan Koh and Yaw Long Chua
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EDUCATIONAL technology ,TOTAL quality management - Abstract
Since its establishment in 2000, the South East Asia Association for Institution Research (SEAAIR) has organized the SEAAIR Annual Conference in different countries in South East Asia (SEA), including the extension of SEA, which was China (2002), Taiwan (2019) and Korea (2022). Each year, the Conference focuses on different themes based on the country's institutional research and current educational and socio-economic development. The paper reviews the development of SEAAIR conference themes and subthemes to reveal the relatedness of the theme based on the country's contemporary educational or socio-economic development. The analysis of the paper submission based on the country for 2001 – 2021 is presented to provide an analysis of the trend and active participation level of the countries at the SEAAIR Annual Conference. [ABSTRACT FROM AUTHOR]
- Published
- 2023
30. A conceptual framework of employees’ perceived organisational support on student loyalty
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Koomson, Samuel
- Published
- 2022
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31. 41 From paper to paperless: do electronic systems ensure safe and effective communication and documentation of do not attempt cardio-pulmonary resuscitation (DNACPR) decisions?
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Polly Edmonds, Laura Harrington, and Kathryn Price
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Resuscitation ,Patient safety ,Documentation ,Quality management ,business.industry ,Cardio-pulmonary resuscitation ,Psychological intervention ,Medicine ,Geriatric assessment ,Medical emergency ,business ,medicine.disease ,Electronic systems - Abstract
Introduction and aim With NHS Trusts making the transition from paper to paperless; it is vital that integration of electronic systems are safe for patients. Following introduction of an electronic-DNACPR toolbar, this project aimed to improve the quality of documentation and communication of DNACPR decisions. Method A singled centered, closed loop quality improvement project was performed January - June 2018 including all inpatients with a DNACPR on three gerontology wards. Data was collected over a four week period. The DNACPR toolbar, e-form, medical notes and discharge letters were reviewed. The documentation of discussions with patients, families, senior doctors, nursing staff and the MDT were recorded. Retrospective discharge analysis was performed to review communication to the GP. Chi Squared analysis was used to assess statistical significance of the raw measure improvements after the second cycle. Interventions (Figure 1) Results (Figure 2) January cycle, all 181 patients had a resuscitation status and treatment escalation plan (TEP). 73% had a DNACPR (86% by senior doctor). 85% had a valid e-form. 68% evidenced a discussion patients/relatives, 13% had a documented discussion with the MDT. 79% were communicated on discharge through comprehensive geriatric assessment (CGA). Following interventions, all measures improved. Of 176 patients; 72% a DNACPR decision (93% by senior doctor), 100% an e-form. 71% evidenced discussion with patients/relatives, 57% had documented discussion with the MDT. Conclusion A critical finding was poor communication, increasing risk of inappropriate resuscitation. Process revision and staff training has led to improved communication and documentation, increasing patient safety. DNACPR decision inclusion in discharge letters via CGAs has improved care co-ordination on discharge.
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- 2019
32. Upgrading to digital: Objective review of our quality improvement project upgrading handover from a paper based system to a trust wide computerised e-handover system
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Rober Grounds and Oliver Sidebotham
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Engineering management ,Quality management ,Handover ,business.industry ,Medicine ,Surgery ,General Medicine ,Paper based ,business ,Simulation - Published
- 2014
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33. How to facilitate improvements in public service systems: propositions for action
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Gyllenhammar, Daniel and Hammersberg, Peter
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- 2023
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34. Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper
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Birgitta Åkesdotter Gustafsson, Ann-Christin von Vogelsang, Christine Leo Swenne, and Karin Falk Brynhildsen
- Subjects
Operating Rooms ,Quality management ,Evidence-based practice ,evidence-based practice ,evidence‐based practice ,Nursing ,Operating Room Nursing ,Asepsis ,quality improvement ,Nursing care ,Patient safety ,Health care ,patient safety ,informatics ,Humans ,Competence (human resources) ,General Nursing ,patient‐centred care ,lcsh:RT1-120 ,Sweden ,Medical education ,lcsh:Nursing ,business.industry ,Omvårdnad ,Core competency ,patient-centred care ,interdisciplinary health team ,operating room nursing ,Patient Safety ,Psychology ,business ,Nurse Specialists ,Discursive Article - Abstract
Aim: To discuss specialist operating theatre nurses’ competence in relation to the general six core competencies and patient safety. Design: A discursive analysis of legal statutes and scientific articles. Methods: Swedish legal statutes and an overview of scientific articles on operating theatre nursing were deductively analysed and classified into healthcare providers’ general six core competencies. Results: All healthcare professionals should possess the general core competencies, regardless of their discipline. The specific content within these competencies differs between disciplines. The specialized operating theatre nurse is the only healthcare professional having the competence to be responsible for asepsis, instrumentation, infection and complication, control and management of biological specimens during the surgical procedure. Besides operating theatre nurses, no other healthcare profession has the formal education, competence or skills to perform operating theatre nursing care in the theatre during the surgical procedure. Operating theatre nurse competence is therefore indispensable to ensure patient safety during surgery. (Less)
- Published
- 2019
35. Dynamic Innovation Information System (DIIS) for a New Management Age.
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Gallego-García, Sergio, Ren, Diqian, Gallego-García, Diego, Pérez-García, Salvador, and García-García, Manuel
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INFORMATION storage & retrieval systems ,TECHNOLOGICAL innovations ,INDUSTRY 4.0 ,ELECTRONIC paper ,PROJECT management software ,DATABASES ,INDUSTRIAL ecology - Abstract
Featured Application: Generation of a Dynamic Innovation Information System (DIIS) for optimized planning and decision-making thanks to the dynamic evaluation of innovations over their life cycle, applying a methodology for Digital Ecosystems in the Fourth Industrial Revolution and an innovation management model based on the Viable System Model. Innovations are essential for global development and market dynamics. Innovation management is central to organizations for gaining adaptability and dynamic capabilities to ensure their sustainability over time. Right decisions are essential for the implementation of innovations. However, on many occasions, especially in the product development process, decisions are taken based on static analysis, qualitative criteria, questionnaires, and/or quantitative evaluations that are outdated. Moreover, many innovation developments do not consider the existing databases in their information systems of similar innovation projects, especially in the early phases of new innovations when evaluations are mainly driven by area, group, or person. Furthermore, inventions are introduced in different regions, plants, and socio-economic situations, providing different results. In this context, considering that innovations shape our current and future world, including all products and services, as well as how humans, organizations, and machines interact, the significance of the paper is clear. Therefore, it is necessary to develop an innovation management model based on the Viable System Model to cope with any potential future environment based on internal organizational capabilities. For this purpose, the paper designs a Digital Ecosystem for the Fourth Industrial Revolution (DE4.0) based on the Plan-Do-Check-Act methodology applicable to any information system consisting of a digital twin, a simulation model, databases from existing information systems, and quality management techniques. This DE4.0 provides a huge advantage for the applicability and scalability of innovations as it allows one to plan, monitor, assess, and improve. Moreover, based on the conceptual model, a generic project evaluation scheme is developed, providing a platform for innovation project management and control during the whole innovation life cycle. As a result, the research provides a scientific and practical contribution for an integrated management of innovations based on the best information and set of techniques available. Based on this framework, a supply-chain case study is developed. The results show how, depending on the intended goals, the past experiences, the evolution of the innovation, and the innovation scope, indicators can be influenced towards reaching the initial goals and reducing the innovation risks. Finally, a discussion about the potential use and role of the DE4.0 for innovation projects and the related learning process is performed. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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36. Process quality management and operational performance: exploring the role of learning and development orientation
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Sahoo, Saumyaranjan
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- 2022
- Full Text
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37. Optimizing the Design and Analysis of Clinical Trials for Antibacterials Against Multidrug-resistant Organisms: A White Paper From COMBACTE's STAT-Net
- Author
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Esther Bettiol, Harriet Sommer, Stavros Nikolakopoulos, Isaac Gravestock, Alasdair P. MacGowan, Ohad Amit, Jan Beyersmann, Alexandra McAleenan, Femke de Velde, Johan W. Mouton, Marlieke E. A. de Kraker, Aaron Dane, Andrew M. Lovering, Stéphan Juergen Harbarth, Jean-François Timsit, Martin Wolkewitz, Leonhard Held, Emmanuel Weiss, David Wilson, Teri Ashton, Medical Microbiology & Infectious Diseases, Pharmacy, University of Zurich, and de Kraker, Marlieke E A
- Subjects
0301 basic medicine ,Microbiology (medical) ,medicine.medical_specialty ,randomized clinical trials ,Evidence-based practice ,Quality management ,030106 microbiology ,Population ,610 Medicine & health ,Analysis of clinical trials ,2726 Microbiology (medical) ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Drug Resistance, Multiple, Bacterial ,medicine ,antibacterial drug development ,Humans ,030212 general & internal medicine ,Intensive care medicine ,education ,multidrug-resistant organisms ,Randomized Controlled Trials as Topic ,ddc:616 ,education.field_of_study ,Evidence-Based Medicine ,Surrogate endpoint ,business.industry ,Clinical study design ,Bayes Theorem ,Evidence-based medicine ,Bacterial Infections ,10060 Epidemiology, Biostatistics and Prevention Institute (EBPI) ,2725 Infectious Diseases ,clinical trial design ,3. Good health ,Anti-Bacterial Agents ,Viewpoints ,Infectious Diseases ,Research Design ,Data Interpretation, Statistical ,novel biostatistical methods ,business - Abstract
Innovations are urgently required for clinical development of antibacterials against multidrug-resistant organisms. Therefore, a European, public-private working group (STAT-Net; part of Combatting Bacterial Resistance in Europe [COMBACTE]), has reviewed and tested several innovative trials designs and analytical methods for randomized clinical trials, which has resulted in 8 recommendations. The first 3 focus on pharmacokinetic and pharmacodynamic modeling, emphasizing the pertinence of population-based pharmacokinetic models, regulatory procedures for the reassessment of old antibiotics, and rigorous quality improvement. Recommendations 4 and 5 address the need for more sensitive primary end points through the use of rank-based or time-dependent composite end points. Recommendation 6 relates to the applicability of hierarchical nested-trial designs, and the last 2 recommendations propose the incorporation of historical or concomitant trial data through Bayesian methods and/or platform trials. Although not all of these recommendations are directly applicable, they provide a solid, evidence-based approach to develop new, and established, antibacterials and address this public health challenge., Innovations are urgently required for clinical development of antibiotics against multidrug-resistant organisms. COMBACTE-STAT-Net provides recommendations for improved pharmacokinetic-pharmacodynamic modeling, more sensitive primary end points, hierarchical nested-trial designs, and use of historical/concomitant trial data through Bayesian methods and/or platform trials.
- Published
- 2018
38. Rubber stamp templates for improving clinical documentation: A paper-based, m-Health approach for quality improvement in low-resource settings
- Author
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Paul Mwaniki, Pratap Kumar, Phoebe Wekesa, Bernadette Kleczka, Anita Musiega, Grace Rabut, and Michael Marx
- Subjects
medicine.medical_specialty ,Quality management ,Health Personnel ,Vital signs ,Health Informatics ,Audit ,Documentation ,Article ,03 medical and health sciences ,0302 clinical medicine ,Continuing medical education ,Ambulatory care ,Health care ,medicine ,Diabetes Mellitus ,Humans ,030212 general & internal medicine ,Developing Countries ,Primary Health Care ,business.industry ,030503 health policy & services ,1. No poverty ,Guideline ,medicine.disease ,Kenya ,Quality Improvement ,Telemedicine ,3. Good health ,Family medicine ,Chronic Disease ,Hypertension ,Practice Guidelines as Topic ,Medical emergency ,Guideline Adherence ,0305 other medical science ,business - Abstract
Background The United Nations’ Sustainable Development Goal #3.8 targets ‘access to quality essential healthcare services’. Clinical practice guidelines are an important tool for ensuring quality of clinical care, but many challenges prevent their use in low-resource settings. Monitoring the use of guidelines relies on cumbersome clinical audits of paper records, and electronic systems face financial and other limitations. Here we describe a unique approach to generating digital data from paper using guideline-based templates, rubber stamps and mobile phones. Intervention The Guidelines Adherence in Slums Project targeted ten private sector primary healthcare clinics serving informal settlements in Nairobi, Kenya. Each clinic was provided with rubber stamp templates to support documentation and management of commonly encountered outpatient conditions. Participatory design methods were used to customize templates to the workflows and infrastructure of each clinic. Rubber stamps were used to print templates into paper charts, providing clinicians with checklists for use during consultations. Templates used bubble format data entry, which could be digitized from images taken on mobile phones. Besides rubber stamp templates, the intervention included booklets of guideline compilations, one Android phone for digitizing images of templates, and one data feedback/continuing medical education session per clinic each month. In this paper we focus on the effect of the intervention on documentation of three non-communicable diseases in one clinic. Methods Seventy charts of patients enrolled in the chronic disease program (hypertension/diabetes, n = 867; chronic respiratory diseases, n = 223) at one of the ten intervention clinics were sampled. Documentation of each individual patient encounter in the pre-intervention (January–March 2016) and post-intervention period (May–July) was scored for information in four dimensions – general data, patient assessment, testing, and management. Control criteria included information with no counterparts in templates (e.g. notes on presenting complaints, vital signs). Documentation scores for each patient were compared between both pre- and post-intervention periods and between encounters documented with and without templates (post-intervention only). Results The total number of patient encounters in the pre-intervention (282) and post-intervention periods (264) did not differ. Mean documentation scores increased significantly in the post-intervention period on average by 21%, 24% and 17% for hypertension, diabetes and chronic respiratory diseases, respectively. Differences were greater (47%, 43% and 27%, respectively) when documentation with and without templates was compared. Changes between pre- vs.post-intervention, and with vs.without template, varied between individual dimensions of documentation. Overall, documentation improved more for general data and patient assessment than in testing or management. Conclusion The use of templates improves paper-based documentation of patient care, a first step towards improving the quality of care. Rubber stamps provide a simple and low-cost method to print templates on demand. In combination with ubiquitously available mobile phones, information entered on paper can be easily and rapidly digitized. This ‘frugal innovation’ in m-Health can empower small, private sector facilities, where large numbers of urban patients seek healthcare, to generate digital data on routine outpatient care. These data can form the basis for evidence-based quality improvement efforts at large scale, and help deliver on the SDG promise of quality essential healthcare services for all.
- Published
- 2017
39. White Paper on P4 Concepts for Pediatric Imaging
- Author
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Laura Olivieri, Christina L. Sammet, Heike E. Daldrup-Link, Andrew T. Trout, Ashok Panigrahy, Stephan D. Voss, Katherine A. Barsness, Kassa Darge, Sheila Moore, Matthew P. Lungren, Marta Hernanz-Schulman, Alexander J. Towbin, Anne Marie Cahill, Rajesh Krishnamurthy, Ellen Chung, and Andrea S. Doria
- Subjects
Diagnostic Imaging ,medicine.medical_specialty ,Biomedical Research ,Quality management ,Alternative medicine ,Pediatrics ,Article ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Radiation Protection ,0302 clinical medicine ,White paper ,Research Support as Topic ,medicine ,Medical imaging ,Humans ,Radiology, Nuclear Medicine and imaging ,Precision Medicine ,Preventive healthcare ,Medical education ,business.industry ,Professional Practice ,Precision medicine ,Quality Improvement ,United States ,Pediatric Radiology ,National Institutes of Health (U.S.) ,030220 oncology & carcinogenesis ,Preventive Medicine ,Personalized medicine ,Diffusion of Innovation ,business - Abstract
Over the past decade, innovations in the field of pediatric imaging have been largely based on single center and retrospective studies, which provided limited advances for the benefit of pediatric patients. In order to identify opportunities for potential quantum leap progress to the field of Pediatric Imaging, the American College of Radiology - Pediatric Imaging Research (ACR - PIR) Committee has identified high impact research directions related to the P4 Concept of Predictive, Preventive, Personalized, and Participatory Diagnosis and Intervention. Input from 237 members of the Society for Pediatric Radiology was clustered towards ten priority areas, which will be discussed in this article. Needs of each priority area have been analyzed in detail by dedicated ACR-PIR experts in these topics. By facilitating work on these priority areas, we hope to revolutionize the care of children by shifting our efforts from unilateral reaction to clinical symptoms to interactive maintenance of child health.
- Published
- 2016
40. An exploration of organizational readiness factors for Quality 4.0: an intercontinental study and future research directions
- Author
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Antony, Jiju, Sony, Michael, McDermott, Olivia, Jayaraman, Raja, and Flynn, David
- Published
- 2023
- Full Text
- View/download PDF
41. Impact of perceived importance of cultural readiness factors on perceived importance of Lean Six Sigma success factors for manufacturers
- Author
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Shokri, Alireza and Li, Gendao
- Published
- 2023
- Full Text
- View/download PDF
42. Sustainability and Quality Management: has EFQM fostered a Sustainability Orientation that delivers to stakeholders?
- Author
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de Menezes, Lilian M., Escrig-Tena, Ana B., and Bou-Llusar, Juan C.
- Published
- 2022
- Full Text
- View/download PDF
43. Exploring the process of management system implementation: a case of Six Sigma
- Author
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De Mast, Jeroen, Lameijer, Bart A., Linderman, Kevin, and Van de Ven, Andrew
- Published
- 2022
- Full Text
- View/download PDF
44. Antecedents of IoT adoption in food supply chain quality management: an integrative model
- Author
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Opasvitayarux, Pakorn, Setamanit, Siri-on, Assarut, Nuttapol, and Visamitanan, Krisana
- Published
- 2022
- Full Text
- View/download PDF
45. A robust multiobjective solution approach for mean-variance optimisation of correlated multiple quality characteristics
- Author
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Sharma, Abhinav Kumar, Mukherjee, Indrajit, Bera, Sasadhar, and Sengupta, Raghu Nandan
- Published
- 2022
- Full Text
- View/download PDF
46. Montreal Accord on Patient-Reported Outcomes Use Series – Paper 4: Patient Reported Outcomes (PRO) Can Inform Clinical Decision-Making in Chronic Care
- Author
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Debbie Ehrmann Feldman, Susan J. Bartlett, Clifton O. Bingham, Vanessa K. Noonan, Claudine Auger, and Sara Ahmed
- Subjects
Program evaluation ,Canada ,Quality management ,Epidemiology ,Comparative effectiveness research ,education ,Clinical Decision-Making ,Article ,03 medical and health sciences ,0302 clinical medicine ,Multidisciplinary approach ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Patient Reported Outcome Measures ,030203 arthritis & rheumatology ,Chronic care ,Medical education ,business.industry ,Management science ,Patient-centered outcomes ,Congresses as Topic ,Long-Term Care ,humanities ,Long-term care ,business - Abstract
Background Providing patient-centered health care requires that patient needs, preferences, and valued outcomes are more fully integrated into all decisions. Patient-reported outcome (PRO) measures provide unique information from the patient perspective on overall health, symptoms, burden, and treatment response. Objective We sought to describe applications of PROs in clinical settings and considerations for implementation from the perspectives of PRO researchers, clinicians, administrators, policy makers, and patients attending a multidisciplinary meeting. Discussion Clinical applications of PROs include individual level use for medical decision making and aggregate use for comparative effectiveness research, program evaluation, quality improvement, and performance assessments. Considerations of feasibility on workflow impact and patient burden, display of results, and administration frequency are important. PROs with strong psychometric properties, actionable thresholds, and interpretable results should be selected. We provide current exemplars of PRO use in various clinical applications, initial lessons learned, and highlight conceptual, logistical, and consequential considerations of PRO data collection. A research agenda is proposed to address critical knowledge gaps. In conclusion, PROs can be used in clinical settings to support patient-centered care. This requires an assessment of feasibility in the intended setting of use, measurement considerations, and process measures to optimize integration and use.
- Published
- 2017
47. Writing a better research paper: Advice for young authors
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Dirk M. Elston
- Subjects
Publishing ,Research Report ,Medical education ,Manuscripts as Topic ,Quality management ,business.industry ,Writing ,MEDLINE ,Dermatology ,Quality Improvement ,Advice (programming) ,Humans ,Medicine ,business - Published
- 2019
48. A proposed hybrid root cause analysis technique for quality management
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Abellana, Dharyll Prince
- Published
- 2021
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49. Quality management for high-contact professional service firms: a multiple-case evidence from Indian law firms
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Prashar, Anupama
- Published
- 2021
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50. The roles of national culture in affecting quality management practices and quality performance - multilevel and multi-country analysis
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Prajogo, Daniel, Mena, Carlos, Cooper, Brian, and Teh, Pei-Lee
- Published
- 2022
- Full Text
- View/download PDF
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