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Nursing Management May 2011 Kirsten Drake |
SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010. |
Nursing Management December 2010 Raso & Gulinello |
Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success. |
Managed Care December 2004 Martin Sipkoff |
A Better Case for Quality: Share the Savings! Brent James's research has led to a new and powerful vision of paying for performance that binds physicians, plans and hospitals together. |
Managed Care November 2003 Martin Sipkoff |
9 Ways To Reduce Unwarranted Variation Unwarranted variation in medical practice is costly -- and deadly. When the approach in one town is major surgery and in another, it's watchful waiting, you know there's a problem. |
Managed Care June 2001 Jack McCain |
Leapfrog Group Actions Will Be Felt Throughout the Health Care System Thanks to a Business Roundtable-sponsored group calling for better outcomes at hospitals, health plans' lobbying efforts may pay off... |
Nursing Management November 2010 Penprase et al. |
Preoperative communication to improve safety: A literature review Nurses should take the lead in championing the introduction and assessment of preoperative briefings, and in supporting other perioperative personnel who may be tasked with implementing them. |
Nursing Management November 2007 Carrick et al. |
Rapid-Fire Strategies for Regulatory Readiness The public opinion plays a key role in determining whether or not caregivers and hospitals are safe, high-quality providers. |
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D. |
Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations.... |
Nursing Management September 2009 Richard Hader |
Six Ways to Zero Defects Care delivery that's safe, effective, patient-centered, timely, efficient, and equitable is the challenge set forth by the Institute of Medicine in an effort to reduce medical-related errors |
Managed Care March 2004 Martin Sipkoff |
Can Transparency Save Health Care? If everyone can see what everyone is doing, we'll have better care at lower costs. First task: Create common standards. |
Nursing Management October 2011 Edna Cadmus |
Your role in redesigning healthcare We need to rethink how we provide care and to understand the interconnectedness and the structure of healthcare by looking at it as a whole vs. the sum of its parts. As leaders we need to view the evidence as we rethink healthcare together. |
Managed Care January 2008 Frank Diamond |
Leading With Its Heart Program Geisinger Health System's "warranty" for CABG surgery has gotten a lot of attention, but is it transplantable? |
Managed Care May 2003 |
Employer Coalition Leaps at Challenge of Grappling With Misaligned Incentives The executive director of the Leapfrog Group says that the organization pleads guilty to trying to create 'aspirational' standards for health care. |
Nursing Management April 2009 Sharon H. Pappas |
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. |
Managed Care July 2007 Martin Sipkoff |
Hospitals Asked To Account For Errors on Their Watch Centers for Medicare & Medicaid Services and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit? |
Managed Care July 2001 Patrick Mullen |
Interview: Lucien L. Leape, M.D. The way to reduce errors in health care is to change systems, says this Harvard educator. Punishment encourages people to cover up... |
American Journal of Nursing April 2010 Riesenberg et al. |
Nursing Handoffs: A Systematic Review of the Literature Handoffs of patient care from one nurse to another are an integral part of nursing practice; but there is abundant evidence that poor communication and variable procedures result in inadequate handoffs. |
Managed Care November 2007 Lola Butcher |
Blues Build on CMS Program To Boost Hospital Quality The insurer throws support behind a pay-for-performance program that promises "stunning" advances in cost-effectiveness. |
Nursing February 2012 Duncan et al. |
Early warning systems: The next level of rapid response Cardiac arrests in hospitals are usually preceded by observable signs of deterioration, which often appear 6 to 8 hours before the arrest occurs. |
Pharmaceutical Executive December 1, 2011 William Looney |
The Medicines Adherence Challenge Keeping skittish patients on their medicines ought to be a strategic priority for Big Pharma, but is it? An expert round table examines how best to make progress and agree on some practical steps for incorporation in the campaign agenda. |
American Journal of Nursing January 2012 Andrew D. Harding |
Increasing the Use of `Smart' Pump Drug Libraries by Nurses: A Continuous Quality Improvement Project Improving the quality of nursing care, as well as the organization's culture of safety and its financial discipline, are each further reasons to support the use of smart pump technology. |
American Family Physician July 15, 2000 Mitchell S. King |
Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery... |
Managed Care May 2004 Martin Sipkoff |
Will Pay for Performance Programs Introduce a New Set of Problems? Paying incentives to physicians to practice evidence-based medicine appears to be an idea whose time has come. Such programs -- even if successful -- may create a new set of problems. |
Managed Care June 2004 Jack McCain |
P&T Committees in Position To Reduce Medication Errors Pharmacy & Therapeutics Society works with Institute of Medicine and Leapfrog Group to improve processes. |
Nursing Management September 2010 Richard Hader |
The evidence that isn't... Interpreting research When patients seek a healthcare practitioner for services, they believe that the delivered care is based on proven science. But reality is far from patient perception. In fact, most care is still based on anecdote, not evidence. |
American Journal of Nursing November 2011 Christine L. Cutugno |
The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population. |
Managed Care May 2005 Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes. |
Nursing March 2009 Kate J. Morse |
Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery. |
Managed Care December 2006 Lola Butcher |
ICUs Cut Costs by Hiring Intensivists Now that the value of hospitalists is well established, attention turns to those whose only duties are in intensive care. |
American Journal of Nursing January 2008 Maslow & Mezey |
Recognition of Dementia in Hospitalized Older Adults Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures. |
Managed Care October 2002 Pamela L. Popp |
How To -- And Not To -- Disclose Medical Errors to Patients Health care facilities and physician practices must commence development and implementation of a disclosure policy. The policy should include a statement of the need and willingness of the patient and physician to have an open and honest relationship and a constant dialogue. |
Nursing Management June 2010 Alison Trembly |
Stroke care in the 21st century Stroke care has changed dramatically in the last decade. This story emphasizes several key points about stroke in the 21st century. |
American Journal of Nursing December 2011 Mary K. Walton |
Supporting Family Caregivers: Communicating with Family Caregivers A transformation is under way in acute care, at least in the United States, from provider-centered care to patient- and family-centered care. |
Managed Care January 2004 Martin Sipkoff |
Cardiologists Call Collaboration Heart of Effort To Improve Care Surgeons in nine hospitals formed a study group and then hit the road to learn from peers. Outcomes improved dramatically. |
Pharmaceutical Executive March 1, 2014 William Looney |
The Call to Community: A Conversation with Dr. David Nash Population health is the foundation for much of what is truly new in US health reform. For big Pharma, it represents yet another escalation in expectations. |
Nursing April 2011 Sally Austin |
Stay Out of Court with Proper Documentation Here is a practical guideline to help you document your assessments and interventions completely, accurately, and concisely. Doing so not only improves patient care, but also shields you from legal fallout if something goes wrong. |
Nursing Management November 2011 Mary Ann Remshardt |
The Impact of Patient Literacy on Healthcare Practices With regard to patient teaching, how can healthcare personnel be certain that patients understand concepts basic to informed consent, hospital safety, dietary restrictions, and prescription information? |
Managed Care December 2007 Lola Butcher |
Insurers Get Involved in Campaign Against Hospital-Acquired Infections Health plans prod hospitals to do a better job of addressing problems that kill nearly 100,000 Americans a year. |
American Family Physician October 1, 2005 Crane, Wittink & Doukas |
Respecting End-of-Life Treatment Preferences Research suggests that families are the best sources of patients' values and preferences, and that patients will more likely choose a loved one to make future decisions for them than someone who might best articulate their wishes. |
Managed Care December 2005 Ricardo Guggenheim |
Putting EBM To Work (Easier Said Than Done) Through widespread implementation of evidence-based medicine, the United States has its best chance of erasing the variations in care that currently extract such huge costs -- both human and financial -- from the health care system. |
Managed Care September 2007 Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
Nursing Management July 2010 Lois Welden |
Transfusion confusion Over the past decade, literature has indicated that liberal use of blood transfusions results in poor clinical outcomes in the majority of critically ill patients. |
Managed Care June 2004 Martin Sipkoff |
The New Consensus Favoring IOM's Definition of Quality The word "quality" is ubiquitous in health care, but what does it mean to health plan leaders, providers, patients, and payers? |
Managed Care October 2000 |
For Most States, Medical Error Reporting Is Uncertain Science Other industries have figured out how to collect, analyze, and use error data to prevent catastrophes and drive continuous-quality-improvement programs. Health care is only now beginning that process... |
Managed Care August 2000 David Classen, M.D. |
He Puts Patient Safety First By Bucking Conventional Wisdom This versatile physician holds the view that the Institute of Medicine actually understated the number of medical errors. He also doubts that the usual prescriptions for reducing errors will be effective. |
Nursing Management May 2010 Urbanowicz & Taylor |
Hybrid OR: Is it in your future? Having the availability of a hybrid suite creates new opportunities to combine endovascular and open surgery into one operative episode. |
Pharmaceutical Executive September 1, 2011 Richard Gliklich |
The Power of Observation Observational studies present a compelling real-world corollary to the classic randomized clinical trial. |
Nursing August 2010 Bartley & Shiflett |
Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible. |
Managed Care January 2004 Martin Sipkoff |
Transparency Called Key To Uniting Cost Control, Quality Improvement NCQA President Margaret O'Kane and a panel of clinically oriented administrators call for emphasis on making the best care financially attractive to physicians, plans, and employers. |
BusinessWeek January 7, 2010 Catherine Arnst |
Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists. |