Compliance with self-reporting quality assurance database entry can be improved via active and sustained interventions

2021 ◽  
Vol 72 ◽  
pp. 110290
Author(s):  
George Tewfik ◽  
Neil P. Borad
Keyword(s):  
Quality Assurance ◽  
Reporting Quality ◽  
Database Entry

scholarly journals Compliance with self-reporting quality assurance database entry in a tertiary academic anesthesiology practice

2019 ◽  
Author(s):  
George Tewfik ◽  
Neil Borad
Keyword(s):  
Quality Assurance ◽  
Reporting System ◽  
Compliance Rate ◽  
Reporting Quality ◽  
Daily Practice ◽  
Day Surgery ◽  
Voluntary Reporting ◽  
Improvement Measures ◽  
Academic Year ◽  
Surgery Center

Abstract Background. Quality assurance (QA) programs are critical to ensuring patient safety in current anesthesiology practices. While challenging to adapt to daily practice, rates of case entry into other Anesthesiology quality assurance databases have ranged from 48% to 85.1%. The goal of this study was to investigate entry rates at our institution’s voluntary QA database and uncover patterns of reporting. Methods. From 2013 to 2017, a total of 61,492 surgeries were analyzed to determine the rates of voluntary reporting of all cases (with or without a reportable incident) in our QA database by comparing the number of total procedures billed in that time to the total number of cases input into the QA system. Results. The overall compliance rate of entry of cases into the QA database during the 5 year period analyzed was 65.51%. Cases in the Main OR had a higher 5 year rate of entry compared to cases in the Same Day Surgery center. Interestingly, during the 5 year period, July has consistently had the highest rate of case entry (72.54%) into the QA Database, perhaps due to the start of the new academic year for residents. More importantly, there was a decreasing trend of entry into the QA database over the 5 year period of study. From an initial rate of 84.37% in 2013, compliance rates have gradually declined to 78.88% in 2014, 67.30% in 2015, 54.18% in 2016, and 45.16% in 2017. Conclusion. The inherent disadvantages of a voluntary reporting system combined with the growing requirement for quality improvement measures in today’s healthcare system reflect the necessity for particular interventions at our institution aimed at increasing QA compliance rates.

Outcomes/Quality Assurance

1999 ◽  
Vol 8 (1) ◽  
pp. 15-17
Author(s):  
Michael Groher ◽  
Caryn Easterling
Keyword(s):  
Quality Assurance

Percutaneous Tracheostomy: A Multidisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Vinciya Pandian ◽  
Thai Tran Nguyen ◽  
Marek Mirski ◽  
Nasir Islam Bhatti
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Data Collection ◽  
Health Care Professionals ◽  
Multidisciplinary Approach ◽  
Percutaneous Tracheostomy ◽  
Johns Hopkins Hospital ◽  
Prospective Data ◽  
Comprehensive Service ◽  
Over Time

Abstract The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.

Quality assurance of volumetric modulated arc therapy using Elekta Synergy

2009 ◽  
pp. 1-5 ◽  
Author(s):  
Akihiro Haga ◽  
Keiichi Nakagawa ◽  
Kenshiro Shiraishi ◽  
Saori Itoh ◽  
Atsuro Terahara ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Volumetric Modulated Arc Therapy ◽  
Arc Therapy

Study of quality assurance in prevention and therapy of pressure sores by measurement of overlay pressure with test persons on different prophylaxis systems

Pflege ◽  
2000 ◽  
Vol 13 (5) ◽  
pp. 297-305 ◽  
Author(s):  
Stefan Roales-Welsch ◽  
Antaszek ◽  
Hense ◽  
Pfeiffer ◽  
Freyenhagen ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Pressure Sores ◽  
Os Coccygis ◽  
Prevention And Therapy

In dieser Studie zur Qualitätssicherung in der Prophylaxe und Therapie des Dekubitus durch Auflagedruckmessungen bei Probanden auf sechs Weichlagerungs- und fünf Wechseldrucksystemen war die Zielsetzung, eine Ist-Analyse der am Klinikum eingesetzten Antidekubitushilfsmittel durchzuführen. Außerdem galt es herauszufinden, ob die angewandte Methode der pneumatischen Druckmessung mit Probanden auch im Versorgungsalltag verwendbar ist. Können verlässliche und valide Messdaten erwartet werden, wenn man bei betroffenen Patienten Messungen durchführt? Zur Beantwortung dieser Fragen wurden bei 23/19 Probanden, auch in Seitenlage, durch das Platzieren von Messmatten zwischen Körper und unterschiedliche Antidekubitussysteme Messungen durchgeführt. Bei den Weichlagerungssystemen kann an allen Messorten eine signifikante Druckreduzierung (p < 0,05), am Os coccygis eine hochsignifikante Druckreduzierung (p < 0,01) nachgewiesen werden. Bei den Wechseldrucksystemen liegt der Mittelwert der maximalen Druckbelastung über 12 min bei unterschiedlicher Amplitude (75,47 mmHg–5 mmHg) und verschiedener Frequenz (1,5 min–10 min) zwischen 56,39 mmHg und 38,94 mmHg.

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