Good Practice Intervention for Clinical Assessment and Diagnosis of Atopic Dermatitis: Findings from the Atopic Dermatitis Quality of Care Initiative

2021 ◽  
Author(s):  
Stephan Weidinger ◽  
Audrey Nosbaum ◽  
Eric Simpson ◽  
Emma Guttman
Keyword(s):  
Atopic Dermatitis ◽  
Quality Of Care ◽  
Clinical Assessment ◽  
Good Practice ◽  
Assessment And Diagnosis

scholarly journals Impacts of common staff on indicators of sanitary evacuation: experience of the gynecology service of Treichville Teaching Hospital

2018 ◽  
Vol 7 (4) ◽  
pp. 1303
Author(s):  
Simplice Anongba ◽  
Jean-Marc Dia ◽  
Ignace Yao ◽  
Edouard N’guessan ◽  
Eric Bohoussou ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Cross Sectional ◽  
Balance Sheets ◽  
Gynecology And Obstetrics ◽  
The Common ◽  
The Impact

Background: In order to improve the quality of care for patients discharged in our department, since 1996 we have initiated monthly meetings called "common staffs", with the heads of the peripheral maternities who evacuate patients, during which we analyse reference indicators and the SONUs. The objective of this study was to describe the impact of the common staff on the indicators of the reference.Methods: We carried out a retrospective cross-sectional study on the balance sheets of the common staff over the 20 years of practice.Results: In 20 years, 132 meetings were organized, during which 24,337 files were analyzed. In 1996 the indicators of evacuations were at alarming levels: the time taken between the diagnosis and the decision to evacuate was long (more than 1 hour in 83.4%), 73% of the evacuation records were poorly informed, the majority evacuations were by non-medical vehicle (54.8%), pre-discharge management was incorrect in several patients (47%), and maternal and fetal lethality were high (5% and 10%, respectively). Over time, these indicators have improved and have had a favourable impact on maternal and fetal mortality rates, which have gradually decreased. At the same time, the results of the last three years of the evacuees coming from the maternities who do not participate in our staffs, shows that the indicators are still alarming, at levels where we were at the beginning of common staffs.Conclusions: The joint staff proved to be a good practice to promote in the Gynecology and Obstetrics Departments. It helped to improve the quality of care for referred patients.

Quality of care in atopic dermatitis – a position statement by the European Task Force on Atopic Dermatitis ( ETFAD )

2019 ◽  
Vol 34 (3) ◽  
Author(s):  
C. Vestergaard ◽  
J.P. Thyssen ◽  
S. Barbarot ◽  
C. Paul ◽  
J. Ring ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Quality Of Care ◽  
Task Force ◽  
Position Statement ◽  
European Task

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

28081 Strategies to improve quality of atopic dermatitis care in North America: Results from the Atopic Dermatitis Quality of Care (ADQoC) initiative

2021 ◽  
Vol 85 (3) ◽  
pp. AB173
Author(s):  
Peter Lio ◽  
Lawrence Eichenfield ◽  
Emma Guttman ◽  
Vincent Piguet ◽  
Eric Simpson
Keyword(s):  
Atopic Dermatitis ◽  
Quality Of Care ◽  
North America ◽  
Improve Quality

scholarly journals Community representation in hospital decision making: a literature review

2015 ◽  
Vol 39 (3) ◽  
pp. 323 ◽  
Author(s):  
Zoë Murray
Keyword(s):  
Decision Making ◽  
Quality Of Care ◽  
Community Engagement ◽  
Good Practice ◽  
Real Life ◽  
Hospital Governance ◽  
Hospital Boards ◽  
Set Up ◽  
Community Representation

Objective Advancing quality in health services requires structures and processes that are informed by consumer input. Although this agenda is well recognised, few researchers have focussed on the establishment and maintenance of customer input throughout the structures and processes used to produce high-quality, safe care. We present an analysis of literature outlining the barriers and enablers involved in community representation in hospital governance. The review aimed to explore how community representation in hospital governance is achieved. Methods Studies spanning 1997–2012 were analysed using Donabedian’s model of quality systems as a guide for categories of interest: structure, in relation to administration of quality; process, which is particularly concerned with cooperation and culture; and outcome, considered, in this case, to be the achievement of effective community representation on quality of care. Results There are limited published studies on community representation in hospital governance in Australia. What can be gleaned from the literature is: 1) quality subcommittees set up to assist Hospital Boards are a key structure for involving community representation in decision making around quality of care, and 2) there are a number of challenges to effectively developing the process of community representation in hospital governance: ambiguity and the potential for escalated indecision; inadequate value and consideration given to it by decision makers resulting in a lack of time and resources needed to support the community engagement strategy (time, facilitation, budgets); poor support and attitude amongst staff; and consumer issues, such as feeling isolated and intimidated by expert opinion. Conclusions The analysis indicates that: quality subcommittees set up to assist boards are a key structure for involving community representation in decision making around quality of care. There are clearly a number of challenges to effectively developing the process of community representation in hospital governance, associated with ambiguity, organisational and consumer issues. For an inclusive agenda to real life, work must be done on understanding the representatives’ role and the decision making process, adequately supporting the representational process, and developing organisational cooperation and culture regarding community representation. What is known about the topic? Partnering community is recognised as a fundamental element of hospital quality improvement strategies and the implementation of the Australian agenda for advancing the quality of health service standards. It is also known that developing collaborative environments and partnerships can be a challenging process, and that it is good practice to consider the factors that will influence their success and develop an approach built on the identification of potential challenges and the incorporation of facilitators. What does this paper add? This paper draws out key obstacles that can challenge the process of involving community representation into hospital governance structures. What are the implications for practitioners? There is little published on the challenges to community engagement in the hospital governance setting. By doing this, this paper encourages the recognition that although partnering with the community is an essential aspect of achieving quality of care, it requires significant effort and support to be an effective aspect. The paper highlights challenges and facilitators that practitioners should consider if planning for successful community representation on hospital committees.

Approaches to improve the interaction between general practitioners and migrants – a systematic review of international literature

2017 ◽  
Vol 13 (3) ◽  
pp. 321-333 ◽  
Author(s):  
Daniela Christen ◽  
Andreas Balthasar
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
General Practitioners ◽  
New Technologies ◽  
Good Practice ◽  
Migrant Population ◽  
Level Of Evidence ◽  
Content Type ◽  
Wide Range

Purpose Health monitoring of the migrant population in most European countries shows that migrants have a lower standard of health conditions than the resident population. One of the problems is that the interaction between migrants and general practitioners (GPs) is not optimal. Most of the migrants are not able to fully understand the GP’s advice or instructions. GPs report that they are not adequately supported by health institutions, and they are asking for new solutions. Therefore, the purpose of this paper is to conduct a systematic review to find existing international approaches to improve the interaction between GPs and their migrant patients. Design/methodology/approach The literature search identified 2,387 articles, 36 of which met the full inclusion criteria. In total, 12 of the included studies referenced approaches for improving GPs’ communication skills. Seven articles described solutions for a better understanding of cultural differences, and six articles listed approaches to health education for GPs. One article highlighted how health information can improve the interaction between GPs and migrants, and four articles detailed new technologies that could improve and enhance quality of care. The last six articles included good practice strategies described by GPs. Findings This paper provides an overview of international approaches from the viewpoint of GPs. It concludes that there is no single instrument or method that works in all situations. There are, however, a wide range of approaches available that could lead to substantial improvements in the quality of care for the migrant population. Research limitations/implications Different health systems in the reviewed countries and changing roles of GPs must be taken into consideration when making statements about successful approaches. Migrants have different backgrounds and cannot all be categorized as one and the same group of patients. Another limitation of the review concerns the evidence level of the articles included, since most of the studies do not reach high level of evidence. In addition, there is a need to analyze aspects of the relationship between GPs and the migrant population that have been neglected up to now, such as financial issues, patients’ expectations, or lack of trust. Originality/value This paper provides an overview of international approaches from the viewpoint of GPs.

scholarly journals Dying in acute hospitals: voices of bereaved relatives

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Diarmuid Ó Coimín ◽  
Geraldine Prizeman ◽  
Bettina Korn ◽  
Sarah Donnelly ◽  
Geralyn Hynes
Keyword(s):  
Quality Of Care ◽  
End Of Life ◽  
Good Practice ◽  
Hospital Environment ◽  
Service Improvement ◽  
Care Providers ◽  
Care Needs ◽  
Experience Of Care ◽  
Acute Hospitals

Abstract Background Internationally there is an increasing concern about the quality of end-of-life care (EoLC) provided in acute hospitals. More people are cared for at end of life and die in acute hospitals than in any other healthcare setting. This paper reports the views of bereaved relatives on the experience of care they and the person that died received during their last admission in two university adult acute tertiary hospitals. Methods Relatives of patients who died were invited to participate in a post-bereavement postal survey. An adapted version of VOICES (Views of Informal Carers - Evaluation of Services) questionnaire was used. VOICES MaJam has 36 closed questions and four open-ended questions. Data were gathered in three waves and analysed using SPSS and NVivo. 356 respondents completed the survey (46% response rate). Results The majority of respondents (87%: n = 303) rated the quality of care as outstanding, excellent or good during the last admission to hospital. The quality of care by nurses, doctors and other staff was highly rated. Overall, care needs were well met; however, findings identified areas of care which could be improved, including communication and the provision of emotional and spiritual support. In addition, relatives strongly endorsed the provision of EoLC in single occupancy rooms, the availability of family rooms on acute hospital wards and the provision of bereavement support. Conclusions This research provides a powerful snapshot in time into what works well and what could be improved in EoLC in acute hospitals. Findings are reported under several themes, including the overall quality of care, meeting care needs, communication, the hospital environment and support for relatives. Results indicate that improvements can be made that build on existing good practice that will enhance the experience of care for dying persons and their relatives. The study adds insights in relation to relative’s priorities for EoLC in acute hospitals and can advance care providers’, policy makers’ and educationalists’ priorities for service improvement.

Evaluations of effectiveness and quality of care

1989 ◽  
Vol 53 (11) ◽  
pp. 673-676 ◽  
Author(s):  
JJ Crall
Keyword(s):  
Quality Of Care

Quality of Care

ASHA Leader ◽  
2012 ◽  
Vol 17 (6) ◽  
pp. 2-2
Author(s):  
Dennis Hampton
Keyword(s):  
Quality Of Care
Sign in / Sign up

Export Citation Format

Share Document