The Impact of Designated Behavioral Health Services on Resource Utilization and Quality of Care in Patients Requiring Constant Observation in a General Hospital Setting: A Quality Improvement Project

2018 ◽  
Vol 55 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Aaron Pinkhasov ◽  
Deepan Singh ◽  
Sridivya Chavali ◽  
Lori Legrand ◽  
Rose Calixte
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Health Services ◽  
General Hospital ◽  
Resource Utilization ◽  
Hospital Setting ◽  
Improvement Project ◽  
Constant Observation ◽  
The Impact

Quality Improvement: Buzz Words or Boon?

1993 ◽  
Vol 14 (6) ◽  
pp. 208-213 ◽  
Author(s):  
David A. Bergman
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Quality Of Care ◽  
General Hospital ◽  
Surgical Procedures ◽  
Massachusetts General Hospital ◽  
Quality In Health Care

Background Assessment of quality in health care has a long history, dating back to the works of E.A. Codman, who wrote in 1914 about improving the quality of care by evaluating the results of treatments.1 These views were not widely accepted at the time. Codman experienced considerable frustration in persuading his colleagues to keep accurate records and note the outcomes of their treatment. Ultimately, he resigned from the staff of the Massachusetts General Hospital and formed his own hospital, where he diligently kept records of his surgical procedures and patients' outcomes. Codman's ideas concerning outcome-based quality improvement were not considered seriously again until the 1980s. In the interim, many physicians regarded the quality of care they provided to be high, but they could neither define nor measure it exactly. This attitude toward quality perhaps is illustrated by a quotation from Pirsig's Zen and the Art of Motorcycle Maintenance: "Quality.... you know what it is, yet you don't know what it is....But when you try to say what quality is, apart from the things that have it, it all goes poof! There is nothing to talk about. But if you can't say what quality is, how do you know what it is, or how do you know that it even exists?"2

scholarly journals Standard operating procedure for paediatric inpatient care in a public general hospital in rural South India: a quality improvement project

2021 ◽  
Vol 8 (3) ◽  
pp. 1164
Author(s):  
Arkadeep Dhali ◽  
Christopher D'Souza
Keyword(s):  
Quality Of Care ◽  
General Hospital ◽  
Operating Procedure ◽  
Inpatient Care ◽  
Admission Rate ◽  
Standard Operating Procedure ◽  
Initial Assessment ◽  
Improvement Project ◽  
Standard Operating

Background: The paediatrician stationed in a Public General Hospital noticed a significant number of complaints from the patient party about the delay in initial assessment and the quality of care provided in the hospital. This initiated the idea to review the standard of care given in the paediatric inpatient ward.Methods: Aiming to ensure proper management of children in the paediatric inpatient ward, a team was formed to improve inpatient care and daily functioning of the ward. A standard operating procedure (SOP) was formulated referring to the National Rural Health Mission (NRHM), while modifying it to suit available resources and manpower in the hospital. A series of interventions were implemented and assessed using plan-do-study-act (PDSA) cycles. The findings from the PDSA cycle of a previous intervention were used to implement change in the next intervention. The data was analysed to accept the change or to further modify it.Results: At the end of 3 months, improvement was noted with the increase in the bed occupancy rate by 22%, paediatric admission rate by 8%, bed turnover rate by 24%, percentage of new-borns exclusively breastfed from admission to discharge by 30%, and proportion of mothers given effective nutritional counselling by 35%. There was also decrease in the time taken for initial assessment by 50 minutes, average length of stay by 2 days and LAMA rate by 4%.Conclusions: In the span of few months, we were able to implement an SOP and bring a significant improvement in the quality of care provided.

scholarly journals The Pulmonary Hypertension Association Registry: Rationale, Design, and Role in Quality Improvement

2018 ◽  
Vol 16 (4) ◽  
pp. 185-188 ◽  
Author(s):  
Michael P. Gray ◽  
Steven M. Kawut
Keyword(s):  
Pulmonary Hypertension ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Health Services ◽  
Health Outcomes ◽  
Medical Management ◽  
Treatment Guidelines ◽  
Professional Knowledge ◽  
Improve Quality

The Pulmonary Hypertension Association (PHA) Scientific Leadership Council (SLC) prioritized the development of the PH Care Centers (PHCC) initiative in part to identify centers that adhere to expert consensus diagnostic and treatment guidelines in both community and academic practice settings, decreasing the chances of misdiagnosis and inappropriate medical management. The overall goal of the PHCC is to improve outcomes of patients with pulmonary hypertension (PH). It is generally accepted that measurement of processes and outcomes are required in order to improve quality of care: the degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowledge. The PHA Registry (PHAR) was developed to collect data regarding key measures to facilitate the achievement of these goals of the PHCC.

scholarly journals COVID-19 Effect on Access to Maternal Health Services in Kenya

2020 ◽  
Vol 1 ◽  
Author(s):  
Jackline Oluoch-Aridi ◽  
Tecla Chelagat ◽  
Mary M. Nyikuri ◽  
Joseph Onyango ◽  
Danice Guzman ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Informal Settlements ◽  
Safety Net ◽  
Mitigation Strategies ◽  
Access To Health ◽  
The Impact

Introduction: Maternal mortality continues to be one of the biggest challenges of the health system in Kenya. Informal settlements in Kenya have been known to have higher rates of maternal mortality and also receive maternity services of varied quality. Data assessing progress on key maternal health indicators within informal settlements are also often scarce. The COVID-19 pandemic hit Kenya in March this year and so far, the impact of the pandemic on access to maternal health has not been established. This study aims to add to the body of knowledge by investigating the effects of the COVID-19 pandemic and mitigation strategies on access to health care services in informal settlements.Methods: Qualitative methods using in-depth interviews were used to assess women's experiences of maternity care during the COVID-19 era and the impact of proposed mitigation strategies such as the lockdown and the curfew. Other aspects of the maternity experience such as women's knowledge of COVID-19, their perceived risk of infection, access to health facilities, perceived quality of care were assessed. Challenges that women facing as a result of the lockdown and curfew with respect to maternal health access and quality were also assessed.Results: Our findings illustrate that there was a high awareness of the symptoms and preventative measures for COVID-19 amongst women in informal settlements. Our findings also show that women's perception of risk to themselves was high, whereas risk to family and friends, and in their neighborhood was perceived as low. Less than half of women reported reduced access due to fear of contracting Coronavirus, Deprioritization of health services, economic constraints, and psychosocial effects were reported due to the imposed lockdown and curfew. Most respondents perceived improvements in quality of care due to short-waiting times, hygiene measures, and responsive health personnel. However, this was only reported for the outpatient services and not in-patient services.Conclusion: The most important recommendation was for the Government to provide food followed by financial support and other basic amenities. This has implications for the Government's mitigation measures that are focused on public health measures and lack social safety-net approaches for the most vulnerable communities.

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