Understanding Patient Safety and Quality Outcome Data

2018 ◽  
Vol 38 (6) ◽  
pp. 58-66 ◽  
Author(s):  
Kathy Easter ◽  
Linda M. Tamburri

The need for nurses to understand patient safety and quality outcome data is pressing in the current era of data transparency. Health care outcomes data are now publicly reported and readily accessible to consumers, are necessary for performance-based reimbursement, and are required by government and regulatory agencies. In order for nurses at all levels of practice to own their outcomes and be accountable for making improvements, they must possess skills in collecting, analyzing, evaluating, and acting on outcome data. This article provides basic tools and clinical examples for nurses to use in a focused application of outcome data and a structured process for improving nursing care outcomes.

2017 ◽  
Vol 35 (2) ◽  
pp. 155-166 ◽  
Author(s):  
Howard J. Osofsky ◽  
Carl F. Weems ◽  
Tonya Cross Hansel ◽  
Anthony H. Speier ◽  
Joy D. Osofsky ◽  
...  

Author(s):  
Richard Gordon ◽  
Jeremy Grimshaw ◽  
Martin Eccles ◽  
Rachel Rowe ◽  
Jeremy Wyatt

2021 ◽  
pp. 1357633X2098405
Author(s):  
Rachel Crawford ◽  
Ciara Hughes ◽  
Sonyia McFadden ◽  
Jacqui Crawford

Objectives This review aimed to present the clinical and health-care outcomes for patients with congenital heart disease (CHD) who use home monitoring technologies. Methods Five databases were systematically searched from inception to November 2020 for quantitative studies in this area. Data were extracted using a pre-formatted data-collection table which included information on participants, interventions, outcome measures and results. Risk of bias was determined using the Cochrane Risk of Bias 2 tool for randomised controlled trials (RCTs), the Newcastle–Ottawa Quality Assessment Scale for cohort studies and the Institute of Health Economics quality appraisal checklist for case-series studies. Data synthesis: Twenty-two studies were included in this systematic review, which included four RCTs, 12 cohort studies and six case-series studies. Seventeen studies reported on mortality rates, with 59% reporting that home monitoring programmes were associated with either a significant reduction or trend for lower mortality and 12% reporting that mortality trended higher. Fourteen studies reported on unplanned readmissions/health-care resource use, with 29% of studies reporting that this outcome was significantly decreased or trended lower with home monitoring and 21% reported an increase. Impact on treatment was reported in 15 studies, with 67% of studies finding that either treatment was undertaken significantly earlier or significantly more interventions were undertaken in the home monitoring groups. Conclusion The use of home monitoring programmes may be beneficial in reducing mortality, enabling earlier and more timely detection and treatment of CHD complication. However, currently, this evidence is limited due to weakness in study designs.


2021 ◽  
Author(s):  
Jonathan Weir-McCall ◽  
Michelle C. Williams ◽  
Anoop Shah ◽  
Giles Roditi ◽  
James Rudd ◽  
...  

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