Crossing the Quality Chasm
Crossing the Quality Chasm

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-07-19

Total Pages: 359

ISBN-13: 0309132967

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Patient Safety and Quality
Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Improving the Quality of Care in Nursing Homes
Improving the Quality of Care in Nursing Homes

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1986-02-01

Total Pages: 432

ISBN-13: 0309036461

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As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author: OECD

Publisher: OECD Publishing

Published: 2019-10-17

Total Pages: 447

ISBN-13: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Quality Assurance
Quality Assurance

Author: Diana N. T. Sale

Publisher: Springer

Published: 1990-06-18

Total Pages: 66

ISBN-13: 1349101893

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An outline of some of the most commonly used methods for assuring the quality of care and their advantages and disadvantages aimed at assisting the charge nurse or ward sister choose the most appropriate measuring tool for his or her clinical area.

Registries for Evaluating Patient Outcomes
Registries for Evaluating Patient Outcomes

Author: Agency for Healthcare Research and Quality/AHRQ

Publisher: Government Printing Office

Published: 2014-04-01

Total Pages: 385

ISBN-13: 1587634333

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This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Medicare
Medicare

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1990-02-01

Total Pages: 462

ISBN-13: 0309042305

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Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

Managing Client Care
Managing Client Care

Author: Elizabeth F. Wywialowski

Publisher: Elsevier Health Sciences

Published: 2004-01-01

Total Pages: 442

ISBN-13: 9780323024822

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Providing a focus on the knowledge and skills needed to become a successful first-line manager, this unique text emphasizes successful client care by addressing the role of nurses in managing quality and the available resources needed. It also discusses each of the essential components of the manager of care role, as well as the basic or core competencies required of staff nurses inherent in the direct care of clients. Thoroughly revised and updated, this 3rd edition reflects the numerous changes related to evolving management concepts - including understanding the health care system, using personal strengths most effectively, and nurturing professional integrity. Content focuses on client care management, rather than staff management, to go beyond basic management concepts and help those whose role will be managing quality client care. Essential theoretical information is covered with an emphasis on practical application. Application Exercises at the end of each chapter challenge readers to apply what they've just learned. A brief clinical situation is followed by questions or commands to describe the solution, based on what was learned in the chapter. Critical Thinking Scenarios at the end of each chapter give readers a short case study to consider and questions to test their application of knowledge. A competency-based format is applied throughout and is based on a research study that identifies clinical management skills needed by beginning staff nurses. Objectives and Key Concepts at the beginning of each chapter provide readers with a glimpse at important information contained within. Key concepts are also shown in boldface upon first mention in that chapter. Cartoons are provided throughout to keep readers more actively interested in the text content. Terrorism readiness and disaster management content has been added to prepare readers for today's most relevant issues. The chapter on Understanding the Context of Health has been thoroughly revised to offer readers a glimpse into the heart of the business of health care. New content in this chapter includes economic and political ties to seamless health care, nursing informatics, and technology in practice. The latest issues facing staff nursing are covered - including content on staff shortages, mandatory overtime, agency nurses/temps, self-preservation, and continuing education. Revised and updated instructor's resources are now located online for added flexibility.