Chemotherapy safe handling and safe labeling guideline concordance evaluation: A Canadian experience.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 179-179
Author(s):  
Kathy Vu ◽  
Sherrie Hertz ◽  
Esther Green ◽  
Leonard Kaizer ◽  
Maureen E. Trudeau ◽  
...  
Keyword(s):  
Performance Management ◽  
Health Care Providers ◽  
Care Providers ◽  
Process Improvements ◽  
Safe Delivery ◽  
Safe Handling ◽  
Included Patient ◽  
Baseline Evaluation ◽  
And Performance ◽  
Evidence Based Care

179 Background: The safe delivery of chemotherapy is of utmost importance to patients, health care providers and systems administrators. Cancer Care Ontario and the Program for Evidence-Based Care published two guidelines addressing issues of chemotherapy safety: Safe Handling of Parenteral Cytotoxics (Safe Handling) in 2007 and Key Components of Chemotherapy Labeling (Safe Labeling) in 2009. Concordance with the two documents was evaluated across systemic treatment hospitals in Ontario in order to direct quality improvement initiatives. Methods: Since 2009, concordance with Safe Handling has been assessed annually by self-reported questionnaire as part of the regular provincial performance review process. In 2011, concordance with Safe Labeling was assessed by submission and scoring of five standardized chemotherapy labels demonstrating core and additional criteria. Core criteria included patient and drug information, administration information, as well as adherence to other guidelines related to abbreviations and units of measurement. Individualized regional scorecards were compiled highlighting areas of discordance and then used to develop improvement plans. Results: As of October 2011, 98% of Ontario hospitals providing chemotherapy had updated policies and procedures in place for the safe handling of cytotoxics, significantly improved compared to a baseline of 77% in 2009. Baseline evaluation of Safe Labeling performed in 2011 showed a provincial average of 64% concordance for core criteria and 63% for additional criteria. Regionally, concordance scores ranged from 55% to 80% for core criteria and 38% to 75% for additional criteria. Conclusions: Concordance with safety practice guidelines has the potential to improve significantly with continued measurement and performance management. A baseline assessment serves to identify areas for quality and process improvements. Continued evaluation of guideline concordance is necessary in order to achieve the desired target rate for the province.

scholarly journals Nurses’ Knowledge, Attitude, and Performance about Disaster Management: A Case of Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 441-446
Author(s):  
Sedighe S. T. Far ◽  
Milad A. Marzaleh ◽  
Nasrin Shokrpour ◽  
Ramin Ravangard
Keyword(s):  
Disaster Management ◽  
Health Care Providers ◽  
Work Experience ◽  
Three Dimensions ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Medical Sciences ◽  
Significant Relationships ◽  
The Mean ◽  
And Performance

Background: Iran is a disaster-prone country in which many natural and man-made disasters happen every year. Because the health sector is vital due to its nature of treatment and rehabilitation of the injured after the disasters, all health care providers, especially hospital nurses, should be prepared to provide the services they need. Objective: The present study aimed to determine the level of knowledge, attitude, and performance of nurses about disaster management in teaching hospitals affiliated to Iran, Shiraz University of Medical Sciences in 2019. Methods: This cross-sectional and descriptive-analytical study was conducted on a sample of 230 nurses working in the teaching hospitals of Iran, Shiraz University of Medical Sciences, who were selected using the stratified sampling proportional to size and simple random sampling methods. The data were collected using a valid and reliable questionnaire containing 20 questions in three dimensions of knowledge, attitude, and performance. Then, the collected data were analyzed using SPSS 25.0 through independent samples t-test, ANOVA and Tukey tests at the significance level of 5%. Results: The results showed that the highest and lowest mean scores were related to the attitude (2.38±0.19) and knowledge (1.70±0.50) of the nurses, respectively. However, all three dimensions were at a moderate level. The results showed significant relationships between the mean score of performance and the gender, marital status, age, and work experience of the nurses. In addition, statistically significant relationships were found between the mean score of knowledge and their age and work experience (p<0.05). Conclusion: According to the findings, the following suggestions can be made to increase the knowledge and performance of the nurses for being prepared in critical situations: reducing the duration and increasing the quality of training classes and workshops on disaster preparedness; providing some incentives for nurses, especially female, married, older, and more experienced ones to attend these classes; and improving the methods of training materials related to disaster management.

scholarly journals Evidence-based care in high- and low-risk groups following whiplash injury: a multi-centre inception cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexandra Griffin ◽  
Jagnoor Jagnoor ◽  
Mohit Arora ◽  
Ian D. Cameron ◽  
Annette Kifley ◽  
...  
Keyword(s):  
Therapeutic Relationship ◽  
Health Care Providers ◽  
Neck Disability Index ◽  
Risk Groups ◽  
Risk Identification ◽  
Baseline Risk ◽  
Evidence Based ◽  
Care Providers ◽  
Post Injury ◽  
Evidence Based Care

Abstract Background Studies aimed at improving the provision of evidence-based care (EBC) for the management of acute whiplash injuries have been largely successful. However, whether EBC is broadly provided and whether delivery of EBC varies based on risk of non-recovery, is uncertain. Receiving EBC should improve recovery, though this relationship has yet to be established. Further, mitigating the effect of EBC is the relationship with the practitioner, a phenomenon poorly understood in WAD. This study aimed to determine the proportion of individuals with whiplash, at differing baseline risk levels, receiving EBC. This study also aimed to determine whether receiving EBC and the therapeutic relationship were associated with recovery at 3 months post injury. Methods Participants with acute whiplash were recruited from public hospital emergency departments, private physiotherapy practices, and State Insurance Regulatory Authority (SIRA) databases. Participants completed questionnaires at baseline (demographics, risk of non-recovery) and 3-months (treatment received, risk identification, therapeutic relationship) post injury. Primary health care providers (HCPs) treating these participants also completed questionnaires at 3-months. Recovery was defined as neck disability index ≤4/50 and global perceived effect of ≥4/5. Results Two-hundred and twenty-eight people with acute whiplash, and 53 primary care practitioners were recruited. The majority of the cohort reported receiving EBC, with correct application of the Canadian C-spine rule (74%), and provision of active treatments (e.g. 89% receiving advice) high. Non-recommended (passive) treatments were also received by a large proportion of the cohort (e.g. 50% receiving massage). The therapeutic relationship was associated with higher odds of recovery, which was potentially clinically significant (OR 1.34, 95% CI 1.18–1.62). EBC was not significantly associated with recovery. Conclusions Guideline-based knowledge and practice has largely been retained from previous implementation strategies. However, recommendations for routine risk identification and tailored management, and reduction in the provision of passive treatment have not. The therapeutic relationship was identified as one of several important predictors of recovery, suggesting that clinicians must develop rapport and understanding with their patients to improve the likelihood of recovery.

Incentivising improvements in health care delivery

2015 ◽  
Vol 10 (3) ◽  
pp. 327-343 ◽  
Author(s):  
Adam Oliver
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Performance Management ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Special Section ◽  
Care Providers ◽  
Improved Performance

AbstractThis Special Section of Health Economics, Policy and Law begins with an article on the different ways in which one might incentivise improved performance among health care providers. I asked five experts on performance management, Gwyn Bevan, Tim Doran, Peter Smith, Sandra Tanenbaum and Karsten Vrangbaek, to write brief reactions to the article and to the notion of performance management in health care in general. The commentators were given an open remit to be as critical as they wished to be, and their reactions can be found in the pages that follow. I would like to thank Albert Weale for reviewing all of the articles, and Katie Brennan for serving as the catalyst for this collection.

Evaluation of Glove Liners with Objective, Subjective and Performance Measures

1998 ◽  
Vol 42 (12) ◽  
pp. 846-850 ◽  
Author(s):  
S. C. Chen ◽  
I. Tarawneh ◽  
B. Goodwin ◽  
R. R. Bishu
Keyword(s):  
Performance Measures ◽  
Health Care Providers ◽  
Performance Tests ◽  
Care Providers ◽  
Before And After ◽  
Two Temperatures ◽  
And Performance ◽  
Subjective Discomfort ◽  
Skin Moisture ◽  
Skin Sensitizer

The objective of this study was to evaluate a number of inner glove liners used to protect the skin from latex proteins and chemical skin sensitizer found in gloves. A battery of performance tests were used for evaluating the inner gloves. Besides these, objective measurements such as skin temperature, skin conductance, and skin moisture content were measured. A series of subjective discomfort/comfort measures were also taken. Seventeen health care providers participated in this experiment where four liner conditions were evaluated at two temperatures. Some of the measures were recorded before and after the tests, while some other measures were recorded every fifteen minutes. Thus each subject participated in eight trials (4 liners X 2 temperatures). The tests were of two hours duration. Sweat, pegboard test, and discomfort measures were the best discriminators of liners, while the other subjective and objective measures were not.

scholarly journals Alternative payment approaches for advancing comprehensive medication management in primary care

2020 ◽  
Vol 18 (4) ◽  
pp. 2238
Author(s):  
Katherine Pham
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Medication Management ◽  
Fee For Service ◽  
Care Providers ◽  
Care Community ◽  
Improved Outcomes ◽  
And Performance ◽  
Value Based Care

The increasing prevalence of complex, chronic conditions has profound implications on the growing demand and cost of health care. The Center for Medicare and Medicaid Innovation is testing data-driven approaches to care delivery and payment that are drawn from innovative practices of health care providers and other partners in the health care community. The shift from fee-for-service to value-based care and performance-based payment places increased priority on improved outcomes at lower costs. To advance comprehensive medication management, pharmacists need to understand the opportunities in the evolving value-based payment models and align medication optimization with the specific goals and incentives of these models.

Suite Lessons: Pointers for Private Practitioners

2018 ◽  
Author(s):  
Robert D. Friedberg ◽  
Micaela A. Thordarson
Keyword(s):  
Health Care Providers ◽  
Private Practice ◽  
Professional Organizations ◽  
Marketing Plan ◽  
Small Business Owners ◽  
Care Providers ◽  
Private Practitioners ◽  
Child Psychologist ◽  
Evidence Based Care ◽  
Clear Objective

Electing to enter private practice as a clinical child psychologist poses a variety of unique challenges. Private practice clinicians (PPCs) are mental health care providers as well as small business owners and must thus cultivate success in both roles in order to remain relevant. In a saturated marketplace, PPCs must distinguish themselves. Clinically, PPCs who deliver evidence-based care and who monitor progress with clear, objective measures are able to gain a competitive marketplace edge. Membership in professional organizations provides easy connections to cutting edge research as well as a broad referral network. Diversification of revenue streams allows PPCs flexibility in practice and affords increased financial security. Establishing a marketing plan sets up PPCs for success and creates an explicit framework from which to launch business efforts. Although it stretches PPCs’ comfort zones, clinicians are compelled to become business savvy in order to thrive.

scholarly journals Patient support groups: A survey of United Kingdom practice, purpose and performance

2020 ◽  
pp. 175114372095201
Author(s):  
Jeremy Groves ◽  
Julie Cahill ◽  
Gordon Sturmey ◽  
Mo Peskett ◽  
Dorothy Wade ◽  
...  
Keyword(s):  
Critical Care ◽  
Peer Support ◽  
Support Groups ◽  
Health Care Providers ◽  
Stressful Event ◽  
Service Users ◽  
Care Providers ◽  
Patient Support ◽  
And Performance ◽  
The Uk

Background Critical care survivors face physical, psychological and socio-economic burdens. Peer support is acknowledged as a way individuals can face, accept and overcome the challenges arising from a stressful event. We sought to examine the provision and benefits of peer support to critical care survivors in the UK. Method We distributed a survey, devised by the patients and relatives committee of the Intensive Care Society and ICUsteps, to contacts in 163 UK Trusts/hospitals with critical care departments. The benefit to individuals was assessed by seeking the views of attendees of two support groups. Results A response was received from 91 (56%) of the critical care departments. Of these, 46 (48% of respondents) have patient support groups. Our analysis of comments from 30 people is that support groups greatly benefit service users and staff. Conclusions Attendees of patient support groups gave highly positive comments about the service yet provision of patient support groups in the UK is not universal. Recommendations We make a series of recommendations for consideration by UK health care providers.

Enabling quality improvement in systemic cancer treatment through a collaborative approach.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 88-88
Author(s):  
Vicky Simanovski ◽  
Sherrie Hertz ◽  
Esther Green ◽  
Elaine Meertens ◽  
Leonard Kaizer ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health Care Providers ◽  
Large Scale ◽  
Systemic Treatment ◽  
Lessons Learned ◽  
Average Score ◽  
Quality And Safety ◽  
Care Providers ◽  
Safe Delivery ◽  
Regional Engagement

88 Background: The Regional Systemic Treatment Program at Cancer Care Ontario (CCO) aims to ensure the highest quality of systemic treatment is available to Ontarians, as close to home as possible. CCO initiated a provincial collaborative with the aim of improving the safe delivery of parenteral chemotherapy from orders through preparation, to administration, for patients, and providers. Methods: From April 2011 to March 2012, interdisciplinary hospital teams across Ontario followed multiple Plan, Do, Study, Act cycles to perform QI projects focusing on safe delivery of systemic treatment. Over this period, three in-person sessions educating participants on improvement methodology were held. Monthly teleconferences and an electronic discussion forum encouraged a culture of knowledge sharing and collaboration. Results: 113 participants from 26 teams participated in a total of 81 improvement initiatives. 96% of participants surveyed indicated that the collaborative provided a valuable opportunity to network with peers, share ideas, and discuss lessons learned. During the collaborative, teams reported their progress on a scale of 1-5. At May 2011, teams averaged a self-assessment score of 1, indicating no progress had been made. By February 2012, this increased to an average score of 4, indicating significant progress and achievement of at least one improvement objective/goal. CCO has leveraged the foundations built by the collaborative to develop a Regional Quality and Safety Network. This network provides a regular forum for health care providers and administrators to share knowledge and collaborate on strategies for improving quality and safety in the delivery of systemic treatment. Conclusions: The collaborative demonstrated that the use of a formal quality improvement model is a successful mechanism for regional engagement; that provides the foundation necessary for building a provincial network with common goals and understanding regarding quality improvement. By educating participants, supporting local efforts and enabling knowledge transfer and exchange, the collaborative showed that shared ideas and even small changes can lead to large-scale improvements for patients and providers.

CALPERS TELLS 18 HEALTH-CARE PROVIDERS IT EXPECTS A 5% ROLLBACK IN PREMIUMS

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. A50-A50
Author(s):  
J. F. L.
Keyword(s):  
Magnetic Resonance Imaging ◽  
Health Care ◽  
Health Care Providers ◽  
Public Employees ◽  
Care Providers ◽  
Resonance Imaging ◽  
Invasive Procedures ◽  
Retirement System ◽  
And Performance ◽  
Care Costs

In it most aggressive swipe at health-care costs to date, the huge California Public Employees' Retirement System served notice that it expects health-care providers to agree to a 5% rollback in health-care premiums for 900,000 public employee families ... Calpers, which manages one of the country's largest groups of insured individuals and is often cited as a model of health-care reform, told 18 managed-care companies that it expects the 5% rollback to be effective in the 1994-95 contract year, which begins August 1 ... Providers expressed surprise and muted alarm at the depth of the cutback proposed ... The 5% target was based on numerous studies, not only of individual HMO fiscal data, but also on Rand Corp. studies showing the persistence of waste and overutilization in health care which documented excessive Caesarean deliveries, overuse of magnetic resonance imaging scans, overprescribing of drugs, and performance of unnecessary surgery when less invasive procedures would suffice.

DECREASED HANDGRIP STRENGTH IS ASSOCIATED WITH IMPAIRMENTS IN EACH AUTONOMOUS LIVING TASK FOR AGING ADULTS IN THE UNITED STATES

2018 ◽  
pp. 1-5
Author(s):  
R. McGrath ◽  
K. M. Erlandson ◽  
B.M. Vincent ◽  
K.J. Hackney ◽  
S.D. Herrmann ◽  
...  
Keyword(s):  
United States ◽  
Health Care Providers ◽  
Handgrip Strength ◽  
The United States ◽  
Grocery Shopping ◽  
Care Providers ◽  
Nationally Representative ◽  
And Performance ◽  
Aging Adults ◽  
Retirement Study

Objectives: The primary purpose of this study was to determine the time-varying associations between decreased handgrip strength (HGS) and individual instrumental activities of daily living (IADL) impairments for a nationally-representative sample of aging adults in the United States. Design: Longitudinal-Panel. Setting: Detailed interviews were completed in person and core interviews were typically completed over the telephone. Participants: A total of 15,336 participants aged at least 50 years who participated in the 2006 wave of the Health and Retirement Study were followed biennially for 8-years. Measurements: A hand-held dynamometer assessed HGS and performance in IADLs were self-reported. Results: Every 5-kilogram decrease in HGS was associated with an increased odds ratio for the following IADL impairments: 1.11 (95% confidence interval (CI): 1.09, 1.13) for using a map, 1.10 (CI: 1.07, 1.12) for grocery shopping, 1.09 (CI: 1.05, 1.14) for taking medications, 1.07 (CI: 1.05, 1.09) for preparing hot meals, 1.06 (CI: 1.04, 1.08) for managing money, and 1.05 (CI: 1.02, 1.09) for using a telephone. Conclusions: Decreased HGS was associated with each IADL impairment, and slightly different associations were observed in individual IADL tasks for aging adults in the United States. Our findings suggest that decreased HGS, which is reflective of reduced function of the neuromuscular system, is associated with diminished performance in autonomous living tasks during aging. Losses in HGS may lead to the development of an IADL impairment. Therefore, health-care providers working with aging adults should utilize measures of HGS as a screening tool for identifying future deficits in neuromuscular functioning. Interventions designed to preserve IADLs in aging adults should also include measures of HGS for detecting early changes in IADL capacity, and intervening at the onset of HGS declines may help aging adults retain their ability to live autonomously.

Sign in / Sign up

Export Citation Format

Share Document