The Multipurpose Surveillance-oriented Medical Record: A Tool for Quality of Care Management

1995 ◽  
Vol 7 (4) ◽  
pp. 399-405 ◽  
Author(s):  
I. MAISTRELLO ◽  
M. D. FEBBRARI ◽  
M. TRAMONTINI ◽  
M. MAISTRELLO ◽  
L. NATALE
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Care Management

scholarly journals Pre hospital indicators in assessing the quality of care for patients with acute coronary syndrome

2015 ◽  
Vol 36 (3) ◽  
pp. 49-55
Author(s):  
Gláucia de Souza Omori Maier ◽  
Eleine Aparecida Penha Martins ◽  
Mara Solange Gomes Dellaroza
Keyword(s):  
Acute Coronary Syndrome ◽  
Quality Of Care ◽  
Medical Record ◽  
Heart Attack ◽  
Tertiary Hospital ◽  
Coronary Syndrome ◽  
History Of ◽  
Assess Quality ◽  
Record Review

Objective: to assess quality indicators related to the pre-hospital time for patients with acute coronary syndrome.Method: collection took place at a tertiary hospital in Paraná between 2012 and 2013, through interviews and a medical record review. 94 patients participated, 52.1% male, 78.7% who were over 50 years old, 46.9% studied until the fourth grade, 60.6% were diagnosed with acute myocardial infarction.Results: the outcomes were the time between the onset of symptoms and the decision to seek help with an average of 1022min ± 343.13, door-to-door 805min ± 181.78; and reperfusion, 455min ± 364.8. The choice to seek out care within 60 min occurred in patients who were having a heart attack, and longer than 60 min in those with a history of heart attack or prior catheterization.Conclusion: We concluded that the pre-hospital indicators studied interfered with the quality of care.

scholarly journals Integrating Patient-Generated Health Data in an Electronic Medical Record: Stakeholders’ Perspectives

2020 ◽  
Author(s):  
Katherine Blondon ◽  
Frederic Ehrler
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Focus Group ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Data ◽  
Improve Quality

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.

scholarly journals Impact of an Evidence-Based Bundle Intervention in the Quality-of-Care Management and Outcome of Staphylococcus aureus Bacteremia

2013 ◽  
Vol 57 (9) ◽  
pp. 1225-1233 ◽  
Author(s):  
L. E. Lopez-Cortes ◽  
M. D. del Toro ◽  
J. Galvez-Acebal ◽  
E. Bereciartua-Bastarrica ◽  
M. C. Farinas ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Quality Of Care ◽  
Care Management ◽  
Evidence Based ◽  
Staphylococcus Aureus Bacteremia

scholarly journals Randomized trial of care management to improve Parkinson disease care quality

Neurology ◽  
2019 ◽  
Vol 92 (16) ◽  
pp. e1831-e1842 ◽  
Author(s):  
Karen I. Connor ◽  
Eric M. Cheng ◽  
Frances Barry ◽  
Hilary C. Siebens ◽  
Martin L. Lee ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Parkinson Disease ◽  
Usual Care ◽  
Randomized Trial ◽  
Care Management ◽  
Chronic Care ◽  
Care Quality ◽  
Patient Centered ◽  
Secondary Outcomes

ObjectiveTo test effects on care quality of Chronic Care Model-based Parkinson disease (PD) management.MethodsThis 2-group stratified randomized trial involved 328 veterans with PD in southwestern United States. Guided care management, led by PD nurses, was compared to usual care. Primary outcomes were adherence to 18 PD care quality indicators. Secondary outcomes were patient-centered outcome measures. Data sources were telephone survey and electronic medical record (EMR). Outcomes were analyzed as intent-to-treat comparing initial and final survey and repeated-measures mixed-effects models.ResultsAverage age was 71 years; 97% of participants were male. Mean proportion of participants receiving recommended PD care indicators was significantly higher for the intervention than for usual care (0.77 vs 0.58) (mean difference 0.19, 95% confidence interval [CI] 0.16, 0.22). Of 8 secondary outcomes, the only significant difference of the changes over time was in the positive Patient Health Questionnaire–2 depression screen for intervention minus usual care (−11.52 [95% CI −20.42, −2.62]).ConclusionA nurse-led chronic care management intervention, Care Coordination for Health Promotion and Activities in Parkinson's Disease (CHAPS), substantially increased adherence to PD quality of care indicators among veterans with PD, as documented in the EMR. Of 8 secondary outcomes assessed, a screening measure for depressive symptomatology was the only measure that was better in the intervention compared to usual care. More telephone calls in CHAPS were the only utilization difference over usual care. While CHAPS appears promising for improving PD care, additional iterative research is needed to refine the CHAPS model in routine clinical care so that it measurably improves patient-centered outcomes (NCT01532986).Classification of evidenceThis study provides Class I evidence that for patients with PD, CHAPS increased adherence to PD quality of care indicators.

scholarly journals Evaluating the Quality of Supportive Oncology Using Patient-Reported Data

2014 ◽  
Vol 10 (4) ◽  
pp. e223-e230 ◽  
Author(s):  
Sydney M. Dy ◽  
Anne M. Walling ◽  
Jennifer W. Mack ◽  
Jennifer L. Malin ◽  
Philip Pantoja ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
Self Report ◽  
Medical Record Data ◽  
Patient Reported ◽  
Record Data ◽  
Supportive Oncology ◽  
Reported Data

Quality of care for symptoms measured using patient self-report was higher than when including medical record data.

Penyelenggaraan rekam medik balai pengobatan rumah sakit gigi dan mulut program studi kedokteran gigi fakultas kedokteran universitas sam ratulangi manado

e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Edwin N Kalara
Keyword(s):  
Quality Of Care ◽  
Medical Record ◽  
General Condition ◽  
Medical Records ◽  
Check List ◽  
Study Program ◽  
Critical Data ◽  
Patient Registration ◽  
Forensic Case

Abstract: Completemedical recordcanprovidelegal protection forphysicians, dentists andmedical personnelin the event ofcertain cases. Dental medical records have critical data that needs to be recorded, summarized in the dental medical record sheet so that it serves as a check list for patients. Such as the identity of the patient, the patient's general condition, odontogram, Dental care data and the name of the treating dentist, so the medical record is crucial in analyzing a forensic case and as a primary proof of accurate, also in terms of improving quality of care. The purpose of this study was to determine the organization of medical records on BP-RSGM Dentistry Study Program Faculty of Medicine, University of  Sam Ratulangi Manado . The population  in this study were medical records in BP - RSGM University of Sam Ratulangi from a period of 3 weeks in a row on the 27th August to 14th September 2012 . The results showed that the procedure for the implementation of medical records at the BP-RSGM University of Sam Ratulangi begin receiving patient registration, medical records filling up on pengarsipannya is already pretty good. It was referring to the organization of the medical record that the guidelines issued by the Ministry of Health in 2006. Keywords: medical records Abstrak: Rekam medis yang lengkap dan jelas dapat memberikan perlindungan hukum bagi dokter, dokter gigi dan tenaga medis ketika terjadi kasus-kasus tertentu. Rekam medis gigi memiliki data-data penting yang perlu dicatat  dan dirangkum dalam lembar rekam medis gigi sehingga berfungsi sebagai check list untuk pasien. Seperti identitas pasien, keadaan umum pasien, odontogram, data perawatan Kedokteran Gigi dan nama dokter gigi yang merawat, sehingga rekam  medis merupakan hal yang sangat menentukan dalam menganalisa suatu kasus forensik dan sebagai alat bukti utama yang akurat, juga dalam hal peningkatan mutu pelayanan. Tujuan penelitian ini adalah untuk mengetahui penyelenggaraan rekam medis pada BP RSGM Program Studi Kedokteran Gigi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Populasi dalam penelitian ini adalah rekam medis di BP-RSGM Universitas Sam Ratulangi Manado dari kurun waktu 3 minggu berturut turut pada tanggal 27 Agustus sampai 14 September 2012. Hasil penelitian menunjukkan bahwa tatacara penyelenggaraan rekam medis di BP RSGM Universitas Sam Ratulangi mulai pendaftaran penerimaan pasien, pengisian rekam medis sampai pada pengarsipannya adalah sudah cukup baik. Hal tersebut sudah mengacu pada pedoman penyelengaraan rekam medis yang dikeluarkan oleh Departemen Kesehatan RI tahun 2006.Kata kunci : rekam medis

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