The effect of small peer group continuous quality improvement on the clinical practice of midwives in The Netherlands

Midwifery ◽  
2003 ◽  
Vol 19 (4) ◽  
pp. 250-258 ◽  
Author(s):  
Yvonne Engels ◽  
Nicole Verheijen ◽  
Margot Fleuren ◽  
Henk Mokkink ◽  
Richard Grol
1999 ◽  
Vol 10 (4) ◽  
pp. 872-877
Author(s):  
ALAN S. KLIGER ◽  
WILLIAM E. HALEY

Abstract. Clinical practice guidelines (CPGs) for end-stage renal failure (ESRD) were recently published, and represent a comprehensive review of available literature and the considered judgment of experts in ESRD. To prioritize and implement these guidelines, the evidence underlying each guideline should be ranked and the attributes of each should be defined. Strategies to improve practice patterns should be tested. Focused information for each high priority guideline should be disseminated, including a synopsis and assessment of the underlying evidence, the evidence model used to develop that guideline, and suggested strategies for CPG implementation. Clinical performance measures should be developed and used to measure current practice, and the success of changing practice patterns on clinical outcomes. Individual practitioners and dialysis facilities should be encouraged to utilize continuous quality improvement techniques to put the guidelines into effect. Local implementation should proceed at the same time as a national project to convert high priority CPGs into clinical performance measures proceeds. Patients and patient care organizations should participate in this process, and professional organizations must make a strong commitment to educate clinicians in the methodology of CPG and performance measure development and the techniques of continuous quality improvement. Health care regulators should understand that CPGs are not standards, but are statements that assist practitioners and patients in making decisions.


2003 ◽  
Vol 11 (1) ◽  
pp. 26-28 ◽  
Author(s):  
Margaret Tobin ◽  
Andrew Wilson ◽  
David Codyre ◽  
Alan Rosen ◽  
David Barton

Objective: To outline plans of the RANZCP Quality Improvement Committee (QIC) for the implementation of the Clinical Practice Guidelines (CPG) into clinical practice in Australia and New Zealand, and provide views of the QIC on the role of CPG as a quality improvement tool. Conclusions: Clinical Practice Guidelines are of limited utility unless there is clinician buy-in and they are used as a tool to measure variance as part of a continuous quality improvement cycle. The QIC actively encourages debate regarding the content and development process of the CPG as well as methods for their use in routine clinical practice.


2004 ◽  
Vol 30 (6) ◽  
pp. 310-321 ◽  
Author(s):  
Nicoline Beersen ◽  
J.H. Bart de Bruijn ◽  
Monique A. Dekkers ◽  
Pieter ten Have ◽  
Gideon B. Hekster ◽  
...  

1996 ◽  
Vol 25 (3) ◽  
pp. 259-267 ◽  
Author(s):  
Leif I. Solberg ◽  
Thomas E. Kottke ◽  
Milo L. Brekke ◽  
Carolyn A. Calomeni ◽  
Shirley A. Conn ◽  
...  

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