A Narrative Review of Methods for Causal Inference and Associated Educational Resources
Conclusion:
A familiarity with causal inference methods can help risk managers empirically verify, from observed events, the true causes of adverse sentinel events. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Special Section on Event Analysis and Risk Management Source Type: research
Complementing Root Cause Analysis With Improvement Strategies to Optimize Venous Thromboembolism Prophylaxis in Patients With Epidural Catheters
Conclusions:
RCA can be utilized in the aftermath of an adverse event to establish causal factors and identify countermeasures to prevent recurrence of such an event. It can be further augmented with additional change management strategies including Lean, Six Sigma, the Model for Improvement, and failure modes and effects analysis. These strategies allowed us to design effective error-reducing strategies to achieve a more reliable process, which yielded reduced VTE prophylaxis administration defects that in turn has prevented recurrence of hospital-acquired VTE in patients with epidural catheters. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Special Section on Event Analysis and Risk Management Source Type: research
Using Failure Mode and Effects Analysis in Blood Administration Process in Surgical Care Units: New Categories of Errors
Conclusion:
HFMEA is an efficient and well-organized tool for identification of and reduction in high-risk failures and errors in the blood administration process among nurses without building punitive culture. This tool also helps pay attention to redesigning and standardizing the blood administration process as well as providing training and educational programs for providing knowledge. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Special Section on Event Analysis and Risk Management Source Type: research
Health Care Failure Mode and Effect Analysis in the Operating Room Setting
Conclusion:
Developing policy for the familiarization of new personnel designing a checklist for accurate gases counting; drafting comprehensive presurgical posters; preparing all necessary equipment in difficult intubation; developing instruction for monthly checking of the OR equipment; and developing the evaluation criteria of staff performance are examples of solutions that are proposed to improve the quality of OR processes. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Special Section on Event Analysis and Risk Management Source Type: research
It Is Time for a Paradigm Shift in Sentinel Event Investigations
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Special Section on Event Analysis and Risk Management Source Type: research
From Hospital to Home: A Resident-Driven Quality Improvement Project to Overcome Discharge Prescription Barriers
Conclusions:
In our study, we preemptively identified that over a third of patients discharged would have encountered barriers filling their prescriptions. This interdisciplinary quality improvement project using nonclinical team members removed barriers for over 90% of our patients to ensure continuation of medical therapy without disruption and a safer postdischarge plan. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Quality Management Applications Source Type: research
Addressing Behavioral Health Concerns in Trauma: Using Lean Six Sigma to Implement a Depression Screening Protocol in a Level I Trauma Center
Conclusion:
LSS DMADV methodology helped health care professionals design a process to facilitate compliance with the PHQ-2 depression screening protocol in trauma patients. Adherence with this screening can help increase the number of behavioral health consultations, which in turn improves the treatment of traumatic injury survivors. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Quality Management Applications Source Type: research
Application of a Hybrid Method for Performance Evaluation of Teaching Hospitals in Tehran
Conclusion:
Given the results of this approach and the identification of a considerable number of teaching hospitals as inefficient hospitals, top managers of medical centers must adopt the necessary planning to improve system performance and realize the optimal application of resources. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Methods and Instruments Source Type: research
A Blueprint for Streamlining Patient Pathways Using a Hybrid Lean Management Approach
Conclusion:
This blueprint demonstrates a comprehensive method for streamlining patient pathways, using Lean management techniques complemented by additional methods. This approach was developed by frontline clinicians and can be replicated by others, translating quality improvement ideas into sustainable change in practice. It enables the design of streamlined pathways that confer significant benefits to patients, health care service providers, and the health economy. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Methods and Instruments Source Type: research
Development of a Self-Assessment Tool for the Nontechnical Skills of Hemophilia Teams
Conclusion:
The proposed tool may contribute to providing HCPs with strategic knowledge to successfully perform everyday practices, to improve the effectiveness of hemophilia teams and the care model adopted by their centers, and to implement intercultural research in this field. It may be used to propose ad hoc training courses targeted by challenge, in order to fill the major gaps reported by the teams, or targeted by medical specialty or country (and therefore health care system) specificity. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Methods and Instruments Source Type: research
Reducing Door-to-Needle Time for Tissue Plasminogen Activator Administration in a Community Hospital: An Operations Study
Background and Objectives:
The benefit of tissue plasminogen activator (tPA) in acute ischemic stroke is time dependent. A 15-minute decrease in door-to-needle (DTN) time has been associated with increased odds of ambulating independently, faster discharge, and decreased odds of death. We investigated common causes of delay in DTN times in a community hospital setting in order to identify areas for improvement.
Methods:
A retrospective medical record review was conducted at a 574-bed community hospital. This included 100 patients who received tPA from 2016 to 2019. Time segments were classified a priori to reflect key...
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Original Research Source Type: research
Some Aspects of Patient Experience Assessed by Practices Undergoing Patient-Centered Medical Home Transformation Are Measured by CAHPS, Others Are Not
Conclusion:
NCQA PCMH practices included CAHPS items on their patient experience surveys even if they did not administer the full CG-CAHPS survey or the recommended CAHPS PCMH survey. To enhance the usefulness of patient experience surveys for practices undergoing PCMH changes, additional CAHPS measures could be developed related to key areas of PCMH change, including expanded access to care (ie, after-hours and weekend visits, ease of scheduling, being informed about delays), use of shared decision-making, and improvements in provider communication (ie, the provider is courteous, communication by other clinical staff me...
Source: Quality Management in Healthcare - September 29, 2020 Category: Health Management Tags: Original Research Source Type: research
Call for Reviewers
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - June 25, 2020 Category: Health Management Tags: Call for Reviewers Source Type: research
Call for Papers
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - June 25, 2020 Category: Health Management Tags: Call for Papers Source Type: research
Information for Authors
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - June 25, 2020 Category: Health Management Tags: Information for Authors Source Type: research
