Pioneering Global Best Practices in Atopic Dermatitis: Results from the Atopic Dermatitis Quality of Care Initiative

2021 ◽  
Author(s):  
E. Guttman ◽  
A. Nosbaum ◽  
E. Simpson ◽  
S. Weidinger
Keyword(s):  
Atopic Dermatitis ◽  
Quality Of Care ◽  
Best Practices

Best Practices in Implementing and Sustaining Quality of Care: A Review of the Quality Improvement Literature

2008 ◽  
Vol 1 (3) ◽  
pp. 209-216
Author(s):  
Carol Compas ◽  
Kimberly A. Hopkins ◽  
Elaine Townsley
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Best Practices

Best Practices in Dementia Care: A Review of the Grey Literature on Guidelines for Staffing and Physical Environment in Long-Term Care

2020 ◽  
pp. 1-16
Author(s):  
Kishore Seetharaman ◽  
Habib Chaudhury ◽  
Michael Kary ◽  
Jennifer Stewart ◽  
Barbara Lindsay ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Best Practices ◽  
Physical Environment ◽  
Care Delivery ◽  
Grey Literature ◽  
Care Staff ◽  
Care Homes ◽  
National Strategy ◽  
Term Care

ABSTRACT In its first national strategy on dementia, the Government of Canada has highlighted the need to improve quality of care for individuals living with dementia, with emphasis on following best practices and evidence in care delivery and providing care staff access to education and training. It is also known that the design of the physical environment of care homes is integral to the care experience of individuals living with dementia. Therefore, this study aims to identify the best national and international practices implemented in care homes for people living with dementia in: (1) education, training, staffing, and care practices; and (2) environmental design and physical infrastructure, through the review of relevant grey literature. This article highlights key recommendations for improving the quality of care for residents living with dementia in care homes, such as: (1) facilitating translation of training into practice, (2) maintaining consistent staffing levels, and (3) designing care homes to facilitate wayfinding, accessibility, safety, comfort, appropriate sensory stimulation, familiarity, and homelikeness. The findings from this review are expected to inform the development of guidelines for a provincial dementia-friendly care home designation program and various advocacy efforts to help achieve the objectives of the national strategy on dementia.

Best Practices: Improving Quality of Care for Patients With First-Episode Psychosis

2009 ◽  
Vol 60 (9) ◽  
pp. 1164-1166 ◽  
Author(s):  
Donald Addington
Keyword(s):  
Quality Of Care ◽  
Best Practices ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

scholarly journals Trajectories of Stroke Care in Ontario: Which Path to Best Care?

2017 ◽  
Vol 44 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Ruth E. Hall ◽  
Diana Sondergaard ◽  
Walter P. Wodchis ◽  
Jiming Fang ◽  
Prosanta Mondal ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Best Practices ◽  
Hospital Admissions ◽  
Inpatient Rehabilitation ◽  
Stroke Care ◽  
Administrative Databases ◽  
Prevention Measures ◽  
Stroke Patients ◽  
Health Card

AbstractBackground:Few studies have tracked stroke survivors through transitions across the health system and identified the most common trajectories and quality of care received. The objectives of our study were to examine the trajectories that incident stroke patients experience and to quantify the extent to which their care adhered to the best practices for stroke care.Methods:A population-based cohort of first-ever stroke/transient ischemic attack (TIA) patients from the 2012/13 Ontario Stroke Audit was linked to administrative databases using an encrypted health card number to identify dominant trajectories (N=12,362). All trajectories began in the emergency department (ED) and were defined by the transitions that followed immediately after the ED. Quality indicators were calculated to quantify best practice adherence within trajectories.Results:Six trajectories of stroke care were identified with significant variability in patient characteristics and quality of care received. Almost two-thirds (64.5%) required hospital admission. Trajectories that only involved the ED had the lowest rates of brain and carotid artery imaging (91.5 and 44.2%, respectively). Less than 20% of patients in trajectories involving hospital admissions received care on a stroke unit. The trajectory involving inpatient rehabilitation received suboptimal secondary prevention measures.Conclusions:There are six main trajectories stroke patients follow, and adherence to best practices varies by trajectory. Trajectories resulting in patients being transitioned to home care following ED management only are least likely and those including inpatient rehabilitation are most likely to receive stroke best practices. Increased time in facility-based care results in greater access to best practices. Stroke patients receiving only ED care require closer follow-up by stroke specialists.

Best practices interventions to improve quality of care of people with dementia living at home

2014 ◽  
Vol 95 (2) ◽  
pp. 175-184 ◽  
Author(s):  
Adelaida Zabalegui ◽  
Jan P.H. Hamers ◽  
Staffan Karlsson ◽  
Helena Leino-Kilpi ◽  
Anna Renom-Guiteras ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Best Practices ◽  
Improve Quality ◽  
People With Dementia ◽  
At Home

Improving the Quality of Care and Communication During Patient Transitions: Best Practices for Urgent Care Centers

2014 ◽  
Vol 40 (7) ◽  
pp. 319-324 ◽  
Author(s):  
Hannah Shamji ◽  
Rosa R. Baier ◽  
Stefan Gravenstein ◽  
Rebekah L. Gardner
Keyword(s):  
Quality Of Care ◽  
Best Practices ◽  
Urgent Care ◽  
Urgent Care Centers

scholarly journals Improvement of Statin Utilization in Veterans With Diabetes Through Pharmacy Interventions

2021 ◽  
Author(s):  
Sang Wan Kim ◽  
Jennifer Chen ◽  
Kevin J. Wegener ◽  
Nina D. Resch ◽  
Kimberly M. Neff ◽  
...  
Keyword(s):  
Quality Of Care ◽  
New Mexico ◽  
Best Practices ◽  
Medical Center ◽  
Veterans Affairs ◽  
Clinical Diabetes ◽  
Standard Format ◽  
Pharmacy Interventions

This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes an effort aimed at increasing the use of statins among veterans with diabetes at a Veterans Affairs medical center in New Mexico.

28 QUALITY OF CARE INITIATIVE IMPROVES OUTCOMES FOR PATIENTS WITH INFLAMMATORY BOWEL DISEASE

2020 ◽  
Vol 26 (Supplement_1) ◽  
pp. S54-S55
Author(s):  
Gil Melmed ◽  
Brant Oliver ◽  
Jason Hou ◽  
Donald Lum ◽  
Donna Gerner ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Quality Of Care ◽  
High Risk ◽  
Best Practices ◽  
Bowel Disease ◽  
Urgent Care ◽  
Relative Reduction ◽  
Inflammatory Bowel ◽  
Successful Change

Abstract Introduction There is significant variation in processes and outcomes of care for patients with inflammatory bowel disease (IBD), suggesting opportunities to improve quality of care. Recent efforts to define quality measures for IBD have identified emergency room (ER) visits, hospitalizations, corticosteroid use, and opioid use as indicators of care quality. We hypothesized that IBD care could be improved through a structured quality improvement (QI) program. Methods We utilized the Breakthrough Series Collaborative approach developed by the Institute for Healthcare Improvement to improve care for adults with IBD. We identified primary and secondary drivers of urgent care need for patients including those at high risk for ER use, and a multi-stakeholder panel developed 19 practice change ideas that could influence those drivers. Between January 2018 and May 2019, clinical sites participating in a QI collaborative across the United States tested and implemented various change ideas, shared ongoing results during coached monthly webinars, and participated in 3 in-person meetings to learn QI methods and share best practices. Patient-reported outcomes (PROs) were collected at clinical visits, including recent ER use and hospitalizations, use of steroids and narcotics, and measures of care utilization. Providers rated whether patients were at high risk for urgent care needs. Site performance on key measures were monitored using statistical control charts, with assessment for common cause (due to chance) variation and special cause (non-random) variation. Results We collected data prospectively from 20,382 discrete visits at twenty-six participating clinical practices (14 academic/university, 12 private/community). Disease type included Crohn’s disease (58%), ulcerative colitis (39%), and other (3%); 54% were female. During the 15-month project period, improvement with special cause variation was noted across multiple measures. Collaborative-wide decreases were seen in ER utilization (18% to 14%, relative reduction of 22%; Figure), hospitalization (14% to 11%, relative reduction of 21%), steroid use (14% to 10%, relative reduction of 29%), and narcotic utilization (8% to 4%, relative reduction of 50%). Successful change ideas tested by sites included proactive maintenance of a “high risk” patient list, reserved outpatient visits for urgent needs, “morning-after” contact with patients who went to the ER, patient education about how and when to get help, and proactively scheduling earlier follow-up for high risk patients. Conclusions Outcomes of IBD care were improved using a structured QI program that facilitates small changes in practice structure, sharing of best practices across sites, and ongoing feedback. Spread of successful change ideas may facilitate broad improvement in IBD care and significant cost savings when applied to a large population. Changes in Key Measures Over Time Statistical Process Control Chart Showing Monthly Proportion of Patients Reporting Recent ER Utilization

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