scholarly journals 673 An audit and feedback intervention to monitor quality of care of ovarian cancer according to ESGO guidelines in the Piemonte cancer network

2021 ◽  
Author(s):  
A Ferrero ◽  
E Pagano ◽  
M Mistrangelo ◽  
L Fuso ◽  
VH Martins ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Quality Of Care ◽  
Audit And Feedback ◽  
Feedback Intervention ◽  
Cancer Network

scholarly journals Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nataliya Brima ◽  
Nick Sevdalis ◽  
K. Daoh ◽  
B. Deen ◽  
T. B. Kamara ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Sierra Leone ◽  
Referral Hospital ◽  
Audit And Feedback ◽  
Health System Strengthening ◽  
Theory Of Change ◽  
Improve Quality ◽  
Nursing Documentation

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.

scholarly journals Association of Hospital Volume and Quality of Care With Survival for Ovarian Cancer

2017 ◽  
Vol 130 (3) ◽  
pp. 545-553 ◽  
Author(s):  
Jason D. Wright ◽  
Ling Chen ◽  
June Y. Hou ◽  
William M. Burke ◽  
Ana I. Tergas ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Quality Of Care ◽  
Hospital Volume

The Italian Rare Cancer Network.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 10053-10053 ◽  
Author(s):  
Roberta Sanfilippo ◽  
Marco Tricomi ◽  
Federica Grosso ◽  
Giacomo Baldi ◽  
Beatrice De Troia ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Clinical Research ◽  
Observational Studies ◽  
Specific Treatment ◽  
Rare Cancer ◽  
Web Resource ◽  
Rare Cancers ◽  
Cancer Network ◽  
Clinical Cases

10053 Background: Rare cancers (RC) are a challenge in terms of quality of care, access to health resources and clinical research. The Italian Rare Cancer Network (RTR: “Rete Tumori Rari”) is a clinical collaborative effort to improve quality of care in adult rare solid cancers in Italy. RTR enables institutions to share clinical cases and to rationalize access to distant reference centers minimizing patient migration. It indirectly promotes collaborative clinical research by encouraging accrual into clinical trials and supporting observational studies. Methods: RTR includes 150 oncology institutions across Italy. Clinical cases are shared asynchronously over a secure Web resource. Data, images and transactions are stored in an online clinical record. Patients are shared: 1. "logically”, when they are dealt with following common clinical practice guidelines; 2. "virtually”, when they are discussed over the network between two or more centers; 3: "physically", when they are referred to an excellence center for a specific treatment modality. Pathology review is arranged through transferal of paraffin-embedded specimens and upload of consultations. While it was chosen not to implement telepathology facilities, a teleradiology resource is now available. Results: From 2003 to 2011, more than 5,000 rare cancers cases (mostly sarcomas) have been uploaded. More than 1,300 teleconsultations have been delivered, while more than 1,000 patients moved across the network during their experience of disease. 700 cases were reviewed pathologically: amongst 365 cases originally diagnosed as soft tissues sarcomas up to 2010, treatment-relevant discordances were recorded in more than one third. An observational prospective study on gastrointestinal stromal tumors was done, enrolling 800 patients. An original paper documenting the activity of a drug in a highly specific sarcoma subgroup was published. Conclusions: Clinical asynchronous online collaboration on RC is feasible through a Web-based secure environment and proved the most practical way of clinical distant sharing. Pathologic review was a crucial network service, with a special added value in RC. Retrospective and prospective observational studies, and unplanned observations in very rare cases, were an interesting by-product.

Opportunities for improvement (OFI) in guideline concordance (GLC) at National Comprehensive Cancer Network (NCCN) member institutions (MI).

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 172-172
Author(s):  
Jennifer Lyle ◽  
Jonathan L. Vandergrift ◽  
Kimary Kulig ◽  
Keyword(s):  
Quality Of Care ◽  
Performance Improvement ◽  
Institutional Delivery ◽  
Data Driven ◽  
Provider Education ◽  
Post Intervention ◽  
Improvement Programs ◽  
Quality Improvement Programs ◽  
Cancer Network

172 Background: The NCCN is implementing a performance improvement initiative using breast cancer (BC) practice data from NCCN MIs to improve institutional delivery of GLC and identify tailored opportunities for improving efficiency and quality of care delivered. Methods: This initiative includes evaluation of baseline GLC, review of non-concordant (NC) cases, design of tailored institutional interventions, and post-intervention evaluation of GLC and reasons for NC. BC patients presenting from July 2007 to March 2009 at 11 NCCN MIs were included in the baseline review. Six Category 1 GLC and 3 ASCO/NCCN quality measures evaluating adjuvant chemotherapy (CTX), endocrine therapy (ET), and radiation (XRT) were reviewed. GLC was assessed using the NCCN Outcomes database. Results: Aggregate GLC across all measures was 90% (MI range 66% to 100%). Review of NC cases was used to develop tailored OFI interventions. Three MIs are focusing on clinical practice improvement via provider education and feedback and integration of electronic medical record flags for treatment consideration. Nine MIs are working on improving access and reducing time-to-treatment lags. Currently, half of MIs are implementing and half are evaluating OFI interventions. Conclusions: This program supports data-driven QI efforts at MIs with the goal of improving efficiency and quality of care delivered to patients at participating sites, as well as serving as a model for data-driven quality improvement programs. [Table: see text]

scholarly journals Florida Initiative for Quality Cancer Care: Changes in Psychosocial Quality of Care Indicators Over a 3-Year Interval

2015 ◽  
Vol 11 (1) ◽  
pp. e103-e109 ◽  
Author(s):  
Paul B. Jacobsen ◽  
Ji-Hyun Lee ◽  
William Fulp ◽  
Erin M. Siegel ◽  
David Shibata ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Cancer Care ◽  
Psychosocial Care ◽  
Well Being ◽  
Audit And Feedback ◽  
Quality Cancer Care

Findings suggest that more intensive efforts than audit and feedback will be required to improve the quality of psychosocial care, and that greater recognition of problems with emotional well-being may tax the ability of practices to link patients with appropriate services.

scholarly journals Better resource utilisation and quality of care for ovarian cancer patients using internet-based pathology review

2016 ◽  
Vol 116 (3) ◽  
pp. 287-292 ◽  
Author(s):  
S Kommoss ◽  
F Kommoss ◽  
J Diebold ◽  
S Lax ◽  
D Schmidt ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Quality Of Care ◽  
Cancer Patients ◽  
Resource Utilisation ◽  
Pathology Review

scholarly journals Tuberculosis screening in patients with HIV: use of audit and feedback to improve quality of care in Ghana

2016 ◽  
Vol 9 (1) ◽  
pp. 32390 ◽  
Author(s):  
Stephanie Bjerrum ◽  
Frank Bonsu ◽  
Nii Nortey Hanson-Nortey ◽  
Ernest Kenu ◽  
Isik Somuncu Johansen ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Audit And Feedback ◽  
Improve Quality ◽  
Tuberculosis Screening

scholarly journals Histologic Subtypes of Ovarian Carcinoma: Selected Diagnostic and Classification Problems in Bulgaria: Is Low Hospital Volume an Issue?

2016 ◽  
Vol 103 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Vesela Ivanova ◽  
Tihomir Dikov ◽  
Nadya Dimitrova
Keyword(s):  
Ovarian Cancer ◽  
Quality Of Care ◽  
Ovarian Carcinoma ◽  
Cancer Patients ◽  
Hospital Volume ◽  
Clear Cell ◽  
High Volume ◽  
Ovarian Carcinomas ◽  
Low Volume

Purpose To provide an overview of the morphologic subtypes of ovarian carcinomas in Bulgaria in relation to current healthcare organization using Bulgarian National Cancer Registry data. Further, we investigated hospital volume as a factor influencing the quality of care for patients with ovarian cancer. Methods Bulgarian National Cancer Registry ovarian carcinoma data were retrieved (2009-2011) and distribution of histologic types was analyzed. Cases were divided and compared with respect to main treatment: no surgery, surgery at hospitals dealing with ≥30 ovarian cancer patients/year (high volume), and surgery at hospitals dealing with <30 ovarian cancer patients/year (low volume). We then estimated the odds of being diagnosed with adenocarcinoma and carcinoma not otherwise specified (NOS) vs specified morphologies (serous, endometrioid, clear cell, and mucinous), including age, grade, stage, and hospital volume, in a logistic regression model. Results A total of 2,041 ovarian carcinomas were distributed as follows: serous 47.7%, mucinous 11.9%, endometrioid 5.8%, clear cell 1.8%, and adenocarcinoma and carcinoma NOS 32.5%. More than half of cancer patients (n = 1,100, 53.9%) were surgically treated in low-volume hospitals and they had a larger proportion of cases with adenocarcinoma and carcinoma NOS: 33.3%, in comparison with 24.0% in high-volume hospitals (p<0.0001). The odds of being diagnosed with unspecified morphology, assumed as a proxy of suboptimal quality of care, are higher for patients surgically treated in low-volume hospitals (odds ratio 1.50 [95% confidence interval 1.21-1.87]) compared with high-volume hospitals after adjustment for age, stage, and grade. Conclusions The results of our study may serve policymakers and healthcare professionals when optimizing diagnosis and treatment of ovarian cancer in Bulgaria.

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