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Best practices and benchmarking in healthcare : a practical journal for clinical and management application最新文献

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UCH operations improvement: emergency department benchmarking project summary. UCH操作改进:急诊科标杆项目总结。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-09-01
D Carrier
{"title":"UCH operations improvement: emergency department benchmarking project summary.","authors":"D Carrier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The editors are providing this Executive Summary by the University HealthSystem Consortium of their Emergency Department Benchmarking Project. The report has been reviewed by the participating members listed at the end of the summary. The summary report provides both an interesting account of how a benchmarking project of considerable magnitude can be accomplished but also indicates how important comparative data can be used to improve individual programs.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 5","pages":"185-95"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20378137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
UHC operations improvement: adult ICU benchmarking project summary. University HealthSystem Consortium. UHC运营改进:成人ICU标杆项目总结。大学健康系统联盟。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
J DePorter
{"title":"UHC operations improvement: adult ICU benchmarking project summary. University HealthSystem Consortium.","authors":"J DePorter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The editors are providing this Executive Summary by the University HealthSystem Consortium of their Adult ICU Benchmarking Project. The report has been reviewed by the participating members listed at the end of the summary. The summary report provides both an interesting account of how a benchmarking project of considerable magnitude can be accomplished but also indicates how important comparative data can be used to improve individual programs.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"147-53"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benchmarking for best practice in critical care medicine: can it realistically be done? 危重病医学最佳实践的标杆管理:现实可行吗?
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
P B Angood, M E Ivy, J R Hardy, R C Merrel
{"title":"Benchmarking for best practice in critical care medicine: can it realistically be done?","authors":"P B Angood,&nbsp;M E Ivy,&nbsp;J R Hardy,&nbsp;R C Merrel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An individual program's viewpoint on the overall benchmarking process for critical care medicine and how this process can provide a conceptual understanding of how benchmarking can be beneficial.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"154-61"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opportunities for potential cost saving in the management of acute myocardial infarction. 急性心肌梗死管理中潜在的成本节约机会。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
Y Kazzaz, S Levey, M Mcknight, M A Schnitzler
{"title":"Opportunities for potential cost saving in the management of acute myocardial infarction.","authors":"Y Kazzaz,&nbsp;S Levey,&nbsp;M Mcknight,&nbsp;M A Schnitzler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The total expense associated with acute myocardial infarction in the United States is substantial because of the combination of high volume and high cost per case. The aim of this study was to identify potential cost-saving strategies for the management of acute myocardial infarction.</p><p><strong>Methods: </strong>Information was gathered through professional interviews combined with an extensive literature review.</p><p><strong>Results: </strong>Numerous opportunities for cost savings were identified and classified into six categories: pharmaceuticals, changing the work within steps, corporate philosophy and clinical decision making, continuous physician education and involvement, preventive measures and systems of care, and additional resources.</p><p><strong>Conclusions: </strong>Although there are many possible areas healthcare providers could consider for cost saving in acute myocardial infarction, the situation at each site will need to be considered carefully before areas are selected. It is of vital importance that the quality of care not be compromised in the effort to reduce cost.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"178-82"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20292751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of managed care on hospital nursing. 管理式护理对医院护理的影响。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
G Mayer
{"title":"The impact of managed care on hospital nursing.","authors":"G Mayer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a significant but different role for hospital staff nurses within a managed care environment. This article describes the role and reviews major areas where the staff nurse is critical in achieving positive patient outcomes that are cost-effective and efficient.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"162-7"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benchmarking retirement: a best practices decision. 基准退休:最佳实践决策。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
G T Anast
{"title":"Benchmarking retirement: a best practices decision.","authors":"G T Anast","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Making the decision to retire from active practice is a complex process with very strong psychological overtones. Successful retirement demands preplanning, and financial preplanning must begin very early in the career to achieve the time value of money. Psychological preparation requires recognition that retirement is inevitable, and an avenue of change for yourself and your spouse should be identified, anticipated, and refined over time.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"168-73"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20293493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Standardized patients: a new method to assess the clinical skills of physicians. 规范化患者:评估医师临床技能的新方法。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-07-01
J Chalabian, G Dunnington
{"title":"Standardized patients: a new method to assess the clinical skills of physicians.","authors":"J Chalabian,&nbsp;G Dunnington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A growing concern about the deterioration of the clinical skills of physicians has stimulated a renewed interest in the teaching and assessment of these skills. Standardized patients can be an effective means to teach or assess a physician's competence in clinical skills, such as history taking, physical examination, and patient-physician interaction skills. This article will describe this new method and delineate its emerging role in medical school education, residency training, and its potential role in continuing education and quality assurance for practicing physicians within a managed care setting.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 4","pages":"174-7"},"PeriodicalIF":0.0,"publicationDate":"1997-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20292755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Highmark Pegasus Project report: characteristics of highly successful health plans. Highmark Pegasus项目报告:非常成功的健康计划的特点。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-05-01
J Barish, K Breiner, D Fetterolf, K Heisler, J Moise
{"title":"The Highmark Pegasus Project report: characteristics of highly successful health plans.","authors":"J Barish,&nbsp;K Breiner,&nbsp;D Fetterolf,&nbsp;K Heisler,&nbsp;J Moise","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Highmark Blue Cross/Blue Shield Pegasus Project was created in the fall of 1996 to benchmark best practices at health plans around the United States through extensive interviews, literature searches, and other measures. Characteristics of highly successful health plans across a number of major categories are summarized in the final recommendations presented by this report.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"112-7"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost versus cost effectiveness: the Achilles' heel for healthcare delivery. 成本与成本效益:医疗保健服务的致命弱点。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-05-01
S B Wilen, B M Stone
{"title":"Cost versus cost effectiveness: the Achilles' heel for healthcare delivery.","authors":"S B Wilen,&nbsp;B M Stone","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"142-4"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing a clinical pathway for the treatment of Medicare patients with cardiac chest pain. 实施医保患者心源性胸痛的临床路径治疗。
Best practices and benchmarking in healthcare : a practical journal for clinical and management application Pub Date : 1997-05-01
M L Bing, R L Abel, K Sabharwal, C McCauley, K Zaldivar
{"title":"Implementing a clinical pathway for the treatment of Medicare patients with cardiac chest pain.","authors":"M L Bing,&nbsp;R L Abel,&nbsp;K Sabharwal,&nbsp;C McCauley,&nbsp;K Zaldivar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>A small urban hospital identified angina pectoris (DRG 140) as a high-cost and low-reimbursement DRG. Variation in the process of care for patients with cardiac chest pain was related to the timing of decisions on stress tests and whether inpatient GI workups were performed. Underutilization of aspirin was identified as a quality of care issue. In collaboration with Texas Medical Foundation (TMF), the Quality Improvement Organization (QIO) for Texas, this became the initial Health Care Quality Improvement Program (HCQIP) project and the first effort by the hospital at pathway development.</p><p><strong>Intervention: </strong>A team effort lead by physicians, including other healthcare groups at the hospital, identified elements considered essential to providing ideal care for patients with cardiac chest pain, formulating these elements into a clinical pathway.</p><p><strong>Results: </strong>Emergency room physicians, an essential stakeholder group, had not been included in the initial pathway development, which proved to be a critical factor to effective implementation. Pathway implementation was associated with increased administration of aspirin by 45.7% (p < 0.001), reduced length of stay by 1.0 days (p = 0.064), and reduced total charges by an average of $1710.20 (p = 0.039).</p><p><strong>Discussion: </strong>These results suggest that process of care improvement, i.e., clinical pathway implementation, in collaboration with a QIO, contributed to reduced variation in the process of care. Participation by all stakeholders from the beginning in process of care improvement is essential.</p>","PeriodicalId":79476,"journal":{"name":"Best practices and benchmarking in healthcare : a practical journal for clinical and management application","volume":"2 3","pages":"118-22"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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