{"title":"Ignorance is bliss but not in health care: teaching consumers about quality care.","authors":"M Oermann, D Huber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292474","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}
{"title":"Managing the outcome of infection: nosocomial infection initiative.","authors":"S Houston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outcomes management provides a mechanism to foster development of patient-driven services through revision of practice and measurement of outcomes. This article shares an outcome initiative that focused on reducing the incidence of nosocomial pneumonia in a hospital setting. Strategies used such as a case-control study, risk tool development and protocol implementation are discussed. Both process and outcome data are provided to demonstrate the positive impact of the initiative.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21293699","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}
M A Nies, T Cook, C A Bach, K Bushnell, M Salisbury, V Sinclair, G L Ingersoll
{"title":"Concept analysis of outcomes for advanced practice nursing.","authors":"M A Nies, T Cook, C A Bach, K Bushnell, M Salisbury, V Sinclair, G L Ingersoll","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The importance of accurately measuring health care outcomes is mentioned frequently in the literature. To do so, a common understanding of what constitutes a care delivery outcome is needed. In this article, a concept analysis of outcomes is provided, with identification of potential outcomes relevant to advanced practice.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21293697","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}
{"title":"Methodological issues in treatment effectiveness and outcomes research.","authors":"B A Mark, J Salyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors define treatment effectiveness and outcomes research, then discuss three critical methodological issues that if not appropriately resolved, can invalidate the findings of such studies. The three issues are research design, comparability of treatment groups, and approaches to measurement. These issues must be considered when the quality and contribution of findings from treatment effectiveness and outcomes research are evaluated.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839407","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}
J Cohen-Mansfield, L Taylor, D McConnell, D Horton
{"title":"Estimating the cognitive ability of nursing home residents from the minimum data set.","authors":"J Cohen-Mansfield, L Taylor, D McConnell, D Horton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two methods have been developed for using the Minimum Data Set (MDS) to estimate cognitive ability, the Cognitive Performance Scale (CPS) and the MDS Cognition Scale (MSD-COGS). The relative utility of the two scales was compared by correlating them with the Mini-Mental State Exam the Global Deterioration Scale in a sample of 290 nursing home residents with a mean age of 87 years. Both the CPS and the MDS-COGS related quite strongly to the Mini-Mental State Exam and to the Global Deterioration Scale, with the MDS-COGS correlating at slightly higher levels than the CPS. The CPS and the MDS-COGS both provide a simple, straightforward method of assessing cognitive function that is easy to understand and clinically meaningful. Because both are derived from the MDS, administration costs, as compared with that of the Mini-Mental State Exam or the Global Deterioration Scale, are also substantially lower. Inasmuch as the data are already available and the procedure is so simple (particularly with the MDS-COGS), it might be of benefit to include a computation of cognitive function as part of the MDS profile.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839907","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}
{"title":"Panning for gold: sifting through chart audit data for patient outcomes.","authors":"C A Cassidy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Randomly observing patients after a 6-month period of clinic visits that included time for an educational component revealed that although patients were making positive changes to improve their health, an identifiable pattern of improvement in health status was not apparent. A chart audit was performed to gather demographic and outcome data in a more systematic manner. This article describes the process for completing the chart audit and analyzing the data. The potential for chart audits to raise research questions for subsequent development of outcomes evaluation studies is discussed. The author presents a model for a health care outcome research study that can be applied to improve effectiveness of care.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839908","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}
{"title":"Rural versus urban home health: does locale influence OASIS outcomes?","authors":"C E Adams, R Short","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As home health administrators select performance evaluation systems to meet the benchmark requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), a frequently asked question is: Does rural versus urban locale influence patient outcomes? To answer the question, patient outcome data were collected from rural and urban home health agencies. Data analysis showed better outcomes for rural than for urban patients. Locale predicted less than 1% percent of the variance in each of the five outcomes studied. Factors that could account for rural-urban outcome differences were suggested.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839902","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}
{"title":"Comparison between reports of care obtained by postdischarge telephone interview and predischarge personal interview.","authors":"A Minnick, W B Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The question of when to survey patients is the subject of ongoing debate because of the rising interest in monitoring quality from the consumer's perspective. This study of 772 randomly assigned patients from 17 hospitals compared results from predischarge in-person interviews (HI) and postdischarge telephone interviews (PHTI) for differences in participation rates, respondents' characteristics, and reports of quality most affected by nursing. The methods were equally costly. The results suggest that hospital interviews may enhance response rates of some vulnerable patient groups without jeopardizing the results.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839914","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}
{"title":"Psychometric analysis of the problem rating scale for outcomes.","authors":"K S Martin, J Norris, G K Leak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current emphasis on outcomes management and outcomes research projects is stimulating interest in the psychometric properties of computerized clinical data bases among nurses and other health care providers. The knowledge, behavior, and status subscales of the Omaha System's Problem Rating Scale for Outcomes (PRSO) were evaluated for interrater reliability and content validity. The authors describe the methods used and the results of that research.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20839911","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}