Studying physician effects on patient outcomes: Physician interactional style and performance on quality of care indicators

2006 ◽  
Vol 62 (2) ◽  
pp. 422-432 ◽  
Author(s):  
Peter Franks ◽  
Anthony F Jerant ◽  
Kevin Fiscella ◽  
Cleveland G Shields ◽  
Daniel J Tancredi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
And Performance

Nurse-Sensitive Quality Metrics to Benchmark in Pediatric Cardiovascular Care

2020 ◽  
Vol 29 (6) ◽  
pp. 468-478
Author(s):  
Jean Connor ◽  
Lauren Hartwell ◽  
Jennifer Baird ◽  
Benjamin Cerrato ◽  
Araz Chiloyan ◽  
...  
Keyword(s):  
Nursing Education ◽  
Patient Outcomes ◽  
Nursing Care ◽  
Measurement Data ◽  
Care Process ◽  
Nursing Workforce ◽  
Care Processes ◽  
And Performance ◽  
Collaborative Evaluation

Background Associations between the quality of nursing care and patient outcomes have been demonstrated globally. However, translation and application of this evidence to robust measurement in pediatric specialty nursing care has been limited. Objectives To test the feasibility and performance of nurse-sensitive measures in pediatric cardiovascular programs. Methods Ten nurse-sensitive measures targeting nursing workforce, care process, and patient outcomes were implemented, and measurement data were collected for 6 months across 9 children’s hospitals in the Consortium of Congenital Cardiac Care–Measurement of Nursing Practice (C4-MNP). Participating sites evaluated the feasibility of collecting data and the usability of the data. Results Variations in nursing workforce characteristics were reported across sites, including proportion of registered nurses with 0 to 2 years of experience, nursing education, and nursing certification. Clinical measurement data on weight gain in infants who have undergone cardiac surgery, unplanned transfer to the cardiac intensive care unit, and pain management highlighted opportunities for improvement in care processes. Overall, each measure received a score of 75% or greater in feasibility and usability. Conclusions Collaborative evaluation of measurement performance, feasibility, and usability provided important information for continued refinement of the measures, development of systems to support data collection, and selection of benchmarks across C4-MNP. Results supported the development of target benchmarks for C4-MNP sites to compare performance, share best practices for improving the quality of pediatric cardiovascular nursing care, and inform nurse staffing models.

scholarly journals Review: Relation Between Quality-of-Care Indicators for Diabetes and Patient Outcomes: A Systematic Literature Review

2011 ◽  
Vol 68 (3) ◽  
pp. 263-289 ◽  
Author(s):  
Grigory Sidorenkov ◽  
Flora M Haaijer-Ruskamp ◽  
Dick de Zeeuw ◽  
Henk Bilo ◽  
Petra Denig
Keyword(s):  
Quality Of Care ◽  
Literature Review ◽  
Patient Outcomes ◽  
Systematic Literature Review

Quality of care and performance-based reimbursement: The contemporary landscape and implications for urologists

Urology ◽  
2006 ◽  
Vol 67 (6) ◽  
pp. 1117-1125 ◽  
Author(s):  
David C. Miller ◽  
John T. Wei ◽  
James E. Montie ◽  
Brent K. Hollenbeck
Keyword(s):  
Quality Of Care ◽  
And Performance

scholarly journals Changing diabetes® barometer: A global quality monitoring framework for improving patient outcomes

2013 ◽  
Vol 01 (01) ◽  
pp. 044-047
Author(s):  
Pavika Jain ◽  
Niels Aamand
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
Diabetes Care ◽  
Best Practice ◽  
Diabetes Management ◽  
Global Perspective ◽  
Quality Monitoring ◽  
Good Practices ◽  
Quality Of Diabetes Care

This article has a global perspective and includes examples from several continents i.e. Latin America, Africa, Asia and Europe. The Changing Diabetes® Barometer (CDB) is a Novo Nordisk initiative that works as a worldwide quality monitoring system for diabetes management to measure the gains made in the fight against diabetes focusing on quality of care and patient outcomes. CDB provides a platform for countries to share local diabetes data and good practices. In doing so it aims to disseminate improved practices of care. CDB is conceptualised as a framework that can help change diabetes. Its three cornerstones are “Measure, Share, Improve” (MSI):• MEASURE the quality of diabetes care through patient outcomes and care processes.• SHARE data on the quality of diabetes care and good practices with all relevant stakeholders.• IMPROVE the quality of diabetes care by identifying and actively spreading good practices in diabetes care and inspire others to adopt and follow best practice examples.Italy and Algeria both constitute best practice examples of CDB initiatives. In Italy a registry solution is already solidly implemented and improvements in patient outcomes have been documented. The initiative in Algeria has recently been initiated including establishment of IT equipment in participating clinics to ensure all relevant measurements. This will enable transparency on current level of quality of diabetes care. Both initiatives have the common goal of driving improvements in quality of care and patient outcomes across clinics. India is another good example where data is collected through the CDB aimed at driving improvement of diabetes care in order to improve quality of life for people with diabetes. CDB in India is implemented in five states (Goa, Bihar, Gujarat, Puducherry and Andhra Pradesh) and is planned to be expanded to five additional states.

Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals

2015 ◽  
Vol 48 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Apiradee Nantsupawat ◽  
Raymoul Nantsupawat ◽  
Wipada Kunaviktikul ◽  
Sue Turale ◽  
Lusine Poghosyan
Keyword(s):  
Quality Of Care ◽  
Patient Outcomes ◽  
Nurse Burnout

scholarly journals Quality of Care and Performance Improvement: Two Ideas that Go Hand-in-Hand

2004 ◽  
Vol 65 (5) ◽  
pp. 298-300
Author(s):  
Noel B. McDevitt ◽  
William A. Walker ◽  
Gordon H. DeFriese
Keyword(s):  
Quality Of Care ◽  
Performance Improvement ◽  
And Performance

scholarly journals Performance and trend for quality of service in a large HIV/AIDS treatment program in Nigeria

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Ahmad Aliyu ◽  
Samer El-Kamary ◽  
Jessica Brown ◽  
Bruce Agins ◽  
Nicaise Ndembi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Patient Outcomes ◽  
Health Facilities ◽  
Rate Of Change ◽  
Resource Limited Settings ◽  
Trend Line ◽  
Resource Limited ◽  
Hiv Aids

Abstract Background As antiretroviral therapy (ART) programs expand access, there is an increase in burden to a healthcare system. These results are reduced provider-patient contact time and poor programmatic and patient outcomes. Quality management offers providers a standardized approach for addressing the appropriateness of care to be applied in resource-limited settings. This study aimed to determine the trend of performance on HIV/AIDS quality management indicators of health facilities providing ART over a period of 5 years. Methods The annual performance scores of quality of care (QoC) indicators of 31 health facilities providing ART was extracted from a database covering a period of 5 years (from October 2008 to September 2012). The data are percentages that indicate scores of each health facility assessed based on compliance to National ART guidelines categorized into several indicator domains. A Chi square statistic for the trend, as well as test for departure from the trend line was determined. The p value associated with each indicator provides the significant level for testing an alternative hypothesis that the rate of change over the period considered for that indicator does not equal to zero. The slope of the regression line also gives the magnitude of the rate of change for each indicator by healthcare level across the review period. Results Generally, performance trends showed improvement across most indicator domains. The highest improvement occurred for “3 month loss to follow-up” and “1 year no-visit”, with scores declining from 37 to 3%, and 42% to 12% respectively. However, there was a sharp decline in performance between 2010 and 2012 in weight monitoring of patients (p < 0.01), adherence assessment to ARVs (p < 0.01) and hematocrit measurements (p = 0.01). The aggregate rate of change β, as obtained from the slope of the trend line is highly significant (p < 0.01) for all the quality of care indicators considered, whether improving or declining. Conclusion Periodic assessment to determine HIV/AIDS quality of care can guide rapid scale-up of services to achieve universal coverage in resource-limited settings. Determining trends to understand patterns is very useful for improving programmatic and patient outcomes.

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