scholarly journals Types of screening tools used to identify potential inappropriate medication in the geriatric

2022 ◽  
Author(s):  
Marwah Y. Abdullah ◽  
Majed M. Alomari ◽  
Ali N. AlNihab ◽  
Maha S. Alshaikh ◽  
Maryam A. Alzahrani ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Inappropriate Medication ◽  
Screening Tools ◽  
Medication Appropriateness Index ◽  
Geriatric Population ◽  
Inappropriate Use ◽  
Advantages And Disadvantages ◽  
Area Of Interest ◽  
Different Types

Inappropriate intake of medications can increase the risk of many morbidities and mortality among the geriatric population. Therefore, assessment of drug underuse, overuse, and inappropriate use has been an area of interest across the different investigations, and according to which, different screening tools were developed to identify these problems and enhance the quality of care to these patients. In the present study, we aim comprehensively discuss the different types of currently reported screening tools that can identify potentially inappropriate medication in the geriatric population. Studies show that assess, review, minimize, optimize, reassess (ARMOR), and medication appropriateness index (MAI) tools are the most commonly reported for this purpose to appropriately evaluate drug administration practices. However, they are time-consuming and need adequately trained personnel, which might not be available within the different settings. Accordingly, we suggest that more than one tool should be used, as we have reviewed all the advantages and disadvantages of the modality within the current study, to adequately facilitate and make the process of evaluation easy and enhance the quality of care for the geriatric population.

Options for Assessing PPO Quality: Accreditation and Profiling as Accountability Strategies

2001 ◽  
Vol 58 (1_suppl) ◽  
pp. 70-100
Author(s):  
Dennis P. Scanlon ◽  
Michael Chernew ◽  
Hilary E. Doty ◽  
Dean G. Smith
Keyword(s):  
Quality Of Care ◽  
Advantages And Disadvantages ◽  
Preferred Provider Organizations ◽  
Unbiased Manner ◽  
Significant Attention ◽  
Normative Judgments

This article examines and discusses various alternatives for measuring the quality of care and services provided by preferred provider organizations (PPOs). The topic is approached from both a conceptual and a practical perspective, outlining key assumptions that underlie the desire to measure the quality of PPOs, while considering the current limitations and difficulties associated with existing PPO arrangements. Although the article does not provide normative judgments about which approach is best, it attempts to highlight the advantages and disadvantages of possible approaches in an unbiased manner. Significant attention is given to accreditation and profiling as possible methods for assessing the quality of care in PPOs.

scholarly journals The model final results how the method of complex evaluation of improving quality of care in obstetrics

2016 ◽  
Vol 65 (6) ◽  
pp. 109-115
Author(s):  
Konstantin V Yaroslavsky ◽  
Vladimir O Atlasov ◽  
Vyacheslav M Bolotskykh
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Total Quality Management ◽  
Continuous Improvement ◽  
Integrated Assessment ◽  
Total Quality ◽  
Advantages And Disadvantages ◽  
Complex Evaluation ◽  
Quality Of Medical Care

The article considers the issues of managing quality of medical care in obstetrics, the aim of which is to consider different management models, their advantages and disadvantages. Described the system of total quality management based on the needs of the patient. The presented method models outputs and its use in obstetric institution for integrated assessment activities and ensure continuous improvement and improve the quality of care. The calculation of the performance of the obstetric hospital and dynamic analysis of their effectiveness.

scholarly journals Interpretation of hospital-specific outcome measures based on routine data

2002 ◽  
Vol 25 (4) ◽  
pp. 69 ◽  
Author(s):  
Michael Coory ◽  
Danny Youlden ◽  
Philip Baker
Keyword(s):  
Quality Of Care ◽  
Outcome Measures ◽  
Health Workers ◽  
Routine Data ◽  
Screening Tools ◽  
High Quality ◽  
False Negatives ◽  
Specific Outcome ◽  
Skilled Health

Hospital-specific outcome measures based on routine data are useful for stimulating interest in quality of care and for suggesting avenues for more in-depth analyses. They might also identify serious, once-in-a-lifetime failures of health care. However, such analyses are not definitive. They are a way of screening large amounts of routine data and, like all screening tools, they can generate false positives and false negatives. This is because differences in outcome measures across hospitals can be due to differences in types of patients seen (casemix), differences in data quality, and the play of chance; rather than differences in the quality of care. End-users of such analyses should be aware of these technical difficulties, otherwise skilled health workers in high-quality hospitals might be subjected to unwarranted criticism.

scholarly journals A review of the use of telemedicine technology in caring for high-risk pregnant women

2017 ◽  
Vol 1 (4) ◽  
pp. 135-135
Author(s):  
Haleh Ayatollahi ◽  
Malihe GhalandarAbadi
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
High Risk ◽  
Pregnant Women ◽  
High Risk Pregnancy ◽  
Pregnancy Care ◽  
Advantages And Disadvantages ◽  
Risk Pregnancy ◽  
Telemedicine Technology

Introduction: The number of high-risk pregnancy in the country is a lot, and the evidence shows that quality of care is not high for this group of people. Due to the importance of pregnancy care and its effect on the mothers' and newborns' health and the priority of prevention over treatment, serious attention needs to be paid to this group of patients in this field, like other fields of medicine, telemedicine has been used as a tool to improve the quality of care. Aim: This study aimed to review the applications of telemedicine technology in the care of high-risk pregnant women. Method: The was a review study which was completed by searching the databases, such as PubMed, Science Direct, Scopus, Web of knowledge and by using keywords like “mhealth", "telehealth”, “high-risk pregnancy”, telemedicine”. Results: The results showed that in addition to describing different telemedicine technologies in pregnancy care, advantages and disadvantages of using these technologies were discussed in a number of papers. The most important benefits of using telemedicine in high-risk pregnancy included patient satisfaction, quality of care improvement, cost reduction and fast communication between clinical staff.  The main challenges of using these technologies included ethical, technical and financial challenges. Conclusion: Reducing health care costs and improving health care delivery to the pregnant women are among the leading health policies in all countries. Despite numerous challenges in deploying telemedicine technologies, it seems that using this technology is highly acceptable among users and the advantages of using this technology can help to accelerate delivery of health care to the high-risk pregnant women.

Material for Skis

2019 ◽  
pp. 24-25
Author(s):  
K. B. E. E. Eimeleus
Keyword(s):  
Raw Material ◽  
Deciduous Trees ◽  
Advantages And Disadvantages ◽  
Different Types

This chapter turns to ski manufacturing. It tries to ascertain when skis are well made from appropriate material and considers the advantages and disadvantages of different types of material used for skis. Concerning the quality of raw material, the chapter asserts that the most useful timber comes from pine or hardwoods. It has to be a hard, lightweight, supple, and durable type of wood. In Scandinavia, several ski makers use primarily deciduous trees: aspen, ash, and even goat willow. Birch is used extensively in Finland because the countryside has almost no other species of trees. Manufacturers have tried to build many kinds of metal skis, but they have not had much success because metal's friction greatly increases as temperatures drop.

Can quality from a care ethical perspective be assessed? A review

2013 ◽  
Vol 21 (7) ◽  
pp. 774-793 ◽  
Author(s):  
Esther E Kuis ◽  
Gijs Hesselink ◽  
Anne Goossensen
Keyword(s):  
Quality Of Care ◽  
Quality Assessment ◽  
Conceptual Framework ◽  
Psychometric Properties ◽  
Ethics Of Care ◽  
Specific Context ◽  
Ethical Perspective ◽  
Care Theory ◽  
Different Types

Background: Ethics-of-care theories contain important notions regarding the quality of care; however, until now, concrete translations of the insights into instruments are lacking. This may be a result of the completely different type of epistemology, theories and concepts used in the field of quality of care research. Objectives: Both the fields of ‘ethics of care’ and ‘quality of care’ aim for improvement of care; therefore; insights could possibly meet by focusing on the following question: How could ethics-of-care theories contribute to better quality in care at a measurement level? This study reviews existing instruments with the aim of bridging this gap and examines the evidence of their psychometric properties, feasibility and responsiveness. Research design: A systematic search of the literature was undertaken using multiple electronic databases covering January 1990 through May 2012. Method and findings: Of the 3427 unique references identified, 55 studies describing 40 instruments were selected. Using a conceptual framework, an attempt was made to distinguish between related concepts and to group available instruments measuring different types of concepts. A total of 13 instruments that reflect essential aspects of ethics-of-care theory were studied in greater detail, and a quality assessment was conducted. Conclusion: Three promising qualitative instruments were found, which follow the logic of the patient and take their specific context into account.

Evaluation of Quality of the e-Commerce Service

2018 ◽  
Vol 9 (2) ◽  
pp. 55-66 ◽  
Author(s):  
Manuela Ingaldi ◽  
Robert Ulewicz
Keyword(s):  
Performance Analysis ◽  
The Internet ◽  
Quality Level ◽  
Online Questionnaire ◽  
Advantages And Disadvantages ◽  
Conversion Rates ◽  
Different Types ◽  
Good Reputation ◽  
The One

E-commerce market continues to grow. It is so popular because more and more people are connected to the Internet. Nevertheless, not all online e-shops can be so proud of its conversion rates. The customers' satisfaction with the services of different types of e-shops are affected by many different factors. The authors can say that a satisfied customer is the one who maintains a good reputation of the sellers' despite of the disadvantages which he had to face, such as damage of product during its transport, the need to make a warranty repair. To evaluate the customers' satisfaction in the chosen e-shop, the authors decided to use two methods which according to them can be complementary in this case, these methods are following: the Servqual method and the Importance/Performance analysis (IPA). Then, advantages and disadvantages of e-commerce were described. Next, the research methods were characterized. Later, the survey and its results were shown. The research had the form of an online questionnaire. It was addressed to customers of the chosen e-shop. The Servqual method was used to evaluate the quality level of offered services in general and analyze the Servqual index (perceptions of the real services minus customers' expectations). The Importance/Performance analysis was used to indicate which areas of the service really need the intervention of the research e-shop.

scholarly journals Validity of the risk adjustment approach to compare outcomes

2003 ◽  
Vol 19 (1) ◽  
pp. 287-295 ◽  
Author(s):  
Leticia Krauss Silva
Keyword(s):  
Quality Of Care ◽  
Predictive Validity ◽  
Risk Adjustment ◽  
Medical Technologies ◽  
Sufficient Cause ◽  
Different Types ◽  
Risk Patients ◽  
Measuring Outcomes ◽  
Counterfactual Approach

This paper focuses on the issue of the extent to which the present mainstream risk adjustment (RA) methodology for measuring outcomes is a valid and useful tool for quality-improvement activities. The method's predictive and attributional validity are discussed, considering the confounding and effect modification produced by medical care over risk variables' effect. For this purpose, the sufficient-cause model and the counterfactual approach to effect and interaction are tentatively applied to the relationships between risk (prognostic) variables, medical technology, and quality of care. The main conclusions are that quality of care modifies the antagonistic interaction between medical technologies and risk variables, related to different types of responders, as well as the confounding of the effect of risk variables produced by related medical technologies. Thus, confounding of risk factors in the RA method, which limits the latter's predictive validity, is related to the efficacy and complexity of associated medical technologies and to the quality mix of services. Attributional validity depends on the validity of the probabilities estimated for each subgroup of risk (predictive validity) and the percentage of higher-risk patients at each service.

Use of the MMSE to screen for dementia in Delhi

Dementia ◽  
2011 ◽  
Vol 10 (4) ◽  
pp. 625-635 ◽  
Author(s):  
Bianca Brijnath
Keyword(s):  
Quality Of Care ◽  
Mini Mental State Examination ◽  
Participant Observation ◽  
Screening Tools ◽  
New Delhi ◽  
Work Demands ◽  
Clinical Environments ◽  
Continued Use ◽  
State Examination

Screening tools are created and administered within specific political, cultural and clinical contexts that problematize their supposed universality. This paper, drawing on interviews and participant observation undertaken in 2008 in New Delhi in India, examines how clinical environments influence the interpretations and use of the Mini Mental State Examination (MMSE), a popular screening instrument for dementia. Findings indicate that while doctors recognize the limitations of the MMSE in theory, its continued use in practice is because of time shortages and competing work demands. Yet misdiagnosis or even false-positive screening has implications for service delivery and quality of care. Further research is necessary into how diagnoses are made, which account for cultural and structural variance.

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