Quality of Care Differs by Patient Characteristics: Outcome Disparities After Ambulatory Surgical Procedures

2007 ◽  
Vol 22 (6) ◽  
pp. 395-401 ◽  
Author(s):  
Nir Menachemi ◽  
Askar Chukmaitov ◽  
L. Steven Brown ◽  
Charles Saunders ◽  
Robert G. Brooks
Keyword(s):  
Quality Of Care ◽  
Surgical Procedures ◽  
Patient Characteristics ◽  
Ambulatory Surgical Procedures

The Outcomes of Patients with Mental Ilness Undergoing Surgical Procedures

2021 ◽  
Vol 2 (1) ◽  
pp. 152-156
Author(s):  
Muhammad Rizqi Firyal
Keyword(s):  
Mental Illness ◽  
Quality Of Care ◽  
Surgical Procedures ◽  
Critical Factor ◽  
Medical Procedure ◽  
Mental Ilness ◽  
Comorbidity Status

Mental illness influences 3 % of the population and incorporates handicapping despondency and uneasiness, just as maniacal issues, such as bipolar and Schizophrenia. Patients with Schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the critical factor in reducing their potential mortality afterward. Patients with SMI were substantially less liable to have a significant medical procedure in the wake of controlling for age, other segment measures, and illness trouble. Patients of a similar age, sex, race, and comorbidity status having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with Schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without Schizophrenia. During the emergency clinic confirmation, these antagonistic occasions were related to poor clinical and financial results. Endeavors to decrease these unfriendly occasions should turn into an examination need.

Abstract WP372: International Comparison of Patient Characteristics and Quality of Care for Ischemic Stroke

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Runqi Wangqin ◽  
Daniel Laskowitz ◽  
Yongjun Wang ◽  
Zixiao Li ◽  
Yilong Wang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Quality Of Care ◽  
International Comparison ◽  
Patient Characteristics

scholarly journals The Outcomes of Patients with Mental Illness Undergoing Surgical Procedures

2021 ◽  
Vol 1 (5) ◽  
pp. 106-110
Author(s):  
Muhammad Rizqi Firyal
Keyword(s):  
Mental Illness ◽  
Quality Of Care ◽  
Surgical Procedures ◽  
Medical Procedure ◽  
Key Factor ◽  
Comorbidity Status

Mental illness influences 3 % of the populace and incorporates handicapping types of despondency and uneasiness, just as maniacal issues, for example, bipolar and schizophrenia. Patients with schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the key factor in reducing their potential mortality afterwards. Patients with SMI were substantially less liable to have significant medical procedure, in the wake of controlling for age, other segment measures, and illness trouble. For patients of a similar age, sex, race and comorbidity status, having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without schizophrenia. These antagonistic occasions were related with poor clinical and financial results during the emergency clinic confirmation. Endeavors to decrease these unfriendly occasions should turn into an examination need.

scholarly journals National Surveillance of Stroke Quality of Care and Outcomes by Applying Post-Stratification Survey Weights on the Get With The Guidelines-Stroke Patient Registry

2020 ◽  
Author(s):  
Boback Ziaeian ◽  
Haolin Xu ◽  
Roland A. Matsouaka ◽  
Ying Xian ◽  
Yosef Khan ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Quality Of Care ◽  
Acute Ischemic Stroke ◽  
Clinical Outcomes ◽  
Patient Characteristics ◽  
Care Quality ◽  
Maximum Weight ◽  
Get With The Guidelines ◽  
Post Stratification

Abstract Background: The U.S. lacks a stroke surveillance system. This study develops a method to transform an existing registry into a nationally representative database to evaluate acute ischemic stroke care quality.Methods: Two statistical approaches were used to develop post-stratification weights for the Get With The Guidelines-Stroke registry by anchoring population estimates to the National Inpatient Sample. Post-stratification survey weights were estimated using a raking procedure and Bayesian interpolation methods. Weighting methods were adjusted to limit the dispersion of weights and make reasonable epidemiologic estimates of patient characteristics, quality of hospital care, and clinical outcomes. Standardized differences in national estimates were reported between the two post-stratification methods for anchored and non-anchored patient characteristics to evaluate estimation quality. Primary measures evaluated were patient and hospital characteristics, stroke severity, vital and laboratory measures, disposition, and clinical outcomes at discharge. Results: A total of 1,388,296 acute ischemic strokes occurred between 2012 and 2014. Raking and Bayesian estimates of clinical data not recorded in administrative databases were estimated within 5% to 10% of the margins of expected values. Median weights for the raking method were 1.386 and the weights at the 99th percentile were 6.881 with a maximum weight of 30.775. Median Bayesian weights were 1.329 and the 99th percentile weights were 11.201 with a maximum weight of 515.689. Conclusions: Leveraging existing databases with patient registries to develop post-stratification weights is a reliable approach to estimate acute ischemic stroke epidemiology and monitoring for stroke quality of care nationally. These methods may be applied to other diseases or settings to better monitor population health.

Electronic Health Records

2012 ◽  
pp. 18-32
Author(s):  
Stacy Bourgeois ◽  
Ulku Yaylacicegi
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Electronic Health Records ◽  
Surgical Procedures ◽  
Sufficient Evidence ◽  
Quality Performance ◽  
Health Records ◽  
American Hospital ◽  
The Relationship

Electronic health records (EHRs) have been proposed as a sustainable solution for improving the quality of medical care. This study investigates how EHR use, as implemented and utilized, impacts patient safety and quality performance. Data in this paper include nonfederal acute care hospitals in the state of Texas, and the data sources include the American Hospital Association, the Dallas Fort Worth Hospital Council, and the American Hospital Directory. The authors use partial least squares modeling to assess the relationship between hospital EHR use, patient safety, and quality of care. Patient safety is measured using 11 indicators as identified by the Agency for Healthcare Research and Quality (AHRQ) and quality performance is measured by 11 mortality indicators as related to 2 constructs, that is, conditions and surgical procedures. Results identify positive significant relationships between EHR use, patient safety, and quality of care with respect to procedures. The authors conclude that there is sufficient evidence of the relationship between hospital EHR use and patient safety, and that sufficient evidence exists for the support of EHR use with hospital surgical procedures.

Electronic Health Records

2010 ◽  
Vol 5 (3) ◽  
pp. 1-13 ◽  
Author(s):  
Stacy Bourgeois ◽  
Ulku Yaylacicegi
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Electronic Health Records ◽  
Surgical Procedures ◽  
Sufficient Evidence ◽  
Quality Performance ◽  
Health Records ◽  
American Hospital ◽  
The Relationship

Electronic health records (EHRs) have been proposed as a sustainable solution for improving the quality of medical care. This study investigates how EHR use, as implemented and utilized, impacts patient safety and quality performance. Data in this paper include nonfederal acute care hospitals in the state of Texas, and the data sources include the American Hospital Association, the Dallas Fort Worth Hospital Council, and the American Hospital Directory. The authors use partial least squares modeling to assess the relationship between hospital EHR use, patient safety, and quality of care. Patient safety is measured using 11 indicators as identified by the Agency for Healthcare Research and Quality (AHRQ) and quality performance is measured by 11 mortality indicators as related to 2 constructs, that is, conditions and surgical procedures. Results identify positive significant relationships between EHR use, patient safety, and quality of care with respect to procedures. The authors conclude that there is sufficient evidence of the relationship between hospital EHR use and patient safety, and that sufficient evidence exists for the support of EHR use with hospital surgical procedures.

scholarly journals Medical surveillance unit: patient characteristics, outcome, and quality of care in Saskatchewan, Canada

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Karl Vantomme ◽  
Muhammad Siddiqui ◽  
Marlee Cossette ◽  
Kish Lyster
Keyword(s):  
Quality Of Care ◽  
Patient Characteristics ◽  
Medical Surveillance ◽  
Surveillance Unit

scholarly journals Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036264 ◽  
Author(s):  
Matthew D McHugh ◽  
Linda H Aiken ◽  
Carol Windsor ◽  
Clint Douglas ◽  
Patsy Yates
Keyword(s):  
Quality Of Care ◽  
Emotional Exhaustion ◽  
Nurse Staffing ◽  
Patient Characteristics ◽  
Public Hospitals ◽  
Job Dissatisfaction ◽  
Additional Patient ◽  
Cross Sectional ◽  
Hospital Size

ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety indicators, nurse outcomes including emotional exhaustion and job dissatisfaction.ResultsMedical-surgical nurse-to-patient ratios before implementation of ratio legislation varied significantly across hospitals (mean 5.52 patients per nurse; SD=2.03). After accounting for patient characteristics and hospital size, each additional patient per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12; 95% CI 1.01 to 1.26). Each additional patient per nurse was associated with poorer outcomes for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI 1.07 to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to 1.28), as well as higher odds of concerns about quality of care (OR=1.12; 95% CI 1.01 to 1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57).ConclusionsBefore ratios were implemented, nurse staffing varied considerably across Queensland hospital medical-surgical wards and higher nurse workloads were associated with patient mortality, low quality of care, nurse emotional exhaustion and job dissatisfaction. The considerable variation across hospitals and the link with outcomes suggests that taking action to improve staffing levels was prudent.

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