Quality mprovment
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1. This document discusses quality improvement in healthcare and anesthesiology. It notes that improving quality requires measuring performance, learning from measurements, and reorganizing care delivery systems. 2. Effectively measuring quality requires developing valid, reliable, and practical quality measures. This involves prioritizing areas to evaluate, selecting measure types, testing data collection tools, and collecting baseline data. 3. Future efforts to improve anesthesiology quality should focus on translating evidence into practice, identifying and reducing hazards, and enhancing safety culture and communication. These strategies can help evaluate progress on patient safety and quality.
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This document discusses patient satisfaction and quality in healthcare. It defines patient satisfaction as how an individual regards healthcare services as useful, effective or beneficial. Patient satisfaction is important for public accountability and quality improvement at both the system and individual provider levels. The document outlines factors that influence patient satisfaction, including quality and competency of providers, effectiveness and appropriateness of care, and interpersonal relationships. It also discusses the importance of a client-centered approach that prioritizes patients' needs and rights.
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Quality mprovment
- 1. 5 – QualityImprovement Eugenie S.Heitmiller, ElizabethA.Martinez, PeterJ.Pronovost KeyPoints 1. Qualityisa characteristicof the systeminwhichcare isdelivered,andeverysystemisperfectly designedtoachieve the resultsthatitachieves.If we wanttoimprove the qualityof care that we provide,we needtoreorganize the waythatwe work. 2. The growingdemandforimprovedqualityandsafetyinhealthcare frompatients,providers, insurers,regulators,accreditors,andpurchaserscallsforanesthesiologiststoevaluatethe qualityof care that theyprovide. 3. Improvingqualityof care entailsmeasuringperformance.However,healthcare providershave limitedabilitytoobtainfeedbackregardingperformanceintheirdailywork,inpartbecause of a lackof informationsystemsandlackof agreementonhow to measure qualityof care. 4. The goal of measurementistolearnandimprove.The measurementsystemmustfitintoan improvementsystem;caregiversmusthave the willtoworkcooperativelytoimprove,theymusthave ideasor hypothesesaboutchangesinthe currentsystemof care,and the team musthave a model for testingchangesandimplementingthose thatresultinimprovements. 5. Previouseffortstomeasure performance have focusedpredominantlyonoutcome measures, includingin-hospital mortality rates.Althoughimportant,hospital mortalityalone providesan incomplete pictureinthatitdoesnot provide insightintoall domainsof quality.A balancedsetof structures(howcare is organized),processes(whatwe do),andoutcome measures(results we achieve) isneededtoobtaina more accurate picture of the qualityof care. 6. Future effortstoimprove qualityof care inthe fieldof anesthesiologyshouldfocusonthe developmentof valid,reliable,andpractical measuresof quality. 7. Developingaqualitymeasure requiresseveral steps:prioritize the clinical areatoevaluate;select the type of measure;write definitionsanddesignspecifications;developdatacollectiontools;pilot-test data collectiontoolsandevaluatethe validity,reliability,andfeasibilityof measures;developscoring and analyticspecifications;andcollectbaselinedata.
- 2. 8. One of the greatestopportunitiestoimprove qualityof care and patientoutcomesprobablywill not come fromdiscovering newtherapiesbutfromdiscoveringhow tobetterdelivertherapiesthatare knownto be effective. 9. Strategiesthathave beenusedsuccessfullyinthe aviationindustrytoimprove performance include interventionstoreduce complexityandthe creationof redundanciesinthe systemtoensure that critical processesoccur.These strategieshave notbeenfullyevaluatedinthe practice of anesthesia. 10. Healthcare providerscanorganize theirpatientsafetyandqualityimprovementeffortsaround three keyareas:translatingevidence intopractice,identifyingandmitigatinghazards,andimproving culture andcommunication.Althougheachof these areasrequiresdifferenttools,theyall helphealth care organizationstoevaluate progressinpatientsafetyandquality.