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Documentation of preventive education and screening for osteoporosis. 骨质疏松症的预防教育和筛查。
Outcomes management Pub Date : 2003-01-01
Mary Jo De Villers
{"title":"Documentation of preventive education and screening for osteoporosis.","authors":"Mary Jo De Villers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to identify provider documentation practices related to osteoporosis prevention and screening for women aged 40 to 65 years and to determine whether documentation practices differ by type of provider. The setting was an obstetric/gynecologic clinic of a large metropolitan health maintenance organization in Minnesota. One hundred fifty medical records were reviewed for documentation addressing calcium intake, vitamin D intake, exercise, hormone replacement therapy (HRT), and bone mineral densitometry. A statistically significant difference was found between physicians and advanced practice nurses in the documentation of vitamin D and HRT as osteoporosis prevention strategies. The results of this study suggest a need for increased awareness on the part of providers about the importance of their comprehensive documentation of counseling and education interventions as one strategy to promote positive outcomes such as osteoporosis prevention.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"7 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22252127","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
A balanced scorecard approach for nursing report card development. 护理报告卡开发的平衡计分卡方法。
Outcomes management Pub Date : 2003-01-01
Linda McGillis Hall, Diane Doran, Heather Spence Laschinger, Claire Mallette, Cheryl Pedersen, Linda-Lee O'Brien-Pallas
{"title":"A balanced scorecard approach for nursing report card development.","authors":"Linda McGillis Hall,&nbsp;Diane Doran,&nbsp;Heather Spence Laschinger,&nbsp;Claire Mallette,&nbsp;Cheryl Pedersen,&nbsp;Linda-Lee O'Brien-Pallas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article we describe the process used to introduce and structure a nursing perspective as part of a balanced scorecard framework within a provincial hospital performance report. Results of a critical literature review and consultative process with key informants are outlined. Nurse-sensitive indicators emerged in the areas of system integration and change, clinical utilization and outcomes, patient satisfaction, and financial performance.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"7 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22252102","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
Incidence of postoperative complications among coronary artery bypass patients with and without hypertension. 合并和不合并高血压的冠状动脉搭桥术患者术后并发症的发生率。
Outcomes management Pub Date : 2003-01-01
Scott D Barnett, Linda S Halpin, Alan M Speir
{"title":"Incidence of postoperative complications among coronary artery bypass patients with and without hypertension.","authors":"Scott D Barnett,&nbsp;Linda S Halpin,&nbsp;Alan M Speir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients (n = 3301) undergoing first-time elective coronary artery bypass surgery, between 1994 and 2000, with or without hypertension were compared for the incidence of postoperative complications. Fifty-five leg infections were documented (overall incidence 1.7%). Hypertension patients had a significantly increased risk of leg infections (2.45% versus 0.46%). A 10-year increase in age was associated with a 44% increased risk of leg infections (odds ratio = 1.44; 95% confidence interval = 1.09, 1.91). Hypertension patients also had a greater risk of stroke and prolonged ventilation time but not of postoperative mortality.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"7 1","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22252103","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
Patient satisfaction outcomes in nurse-managed centers. 护士管理中心的患者满意度结果。
Outcomes management Pub Date : 2002-10-01
Ramona Benkert, Violet Barkauskas, Joanne Pohl, William Corser, Clare Tanner, Margaret Wells, Jean Nagelkirk
{"title":"Patient satisfaction outcomes in nurse-managed centers.","authors":"Ramona Benkert,&nbsp;Violet Barkauskas,&nbsp;Joanne Pohl,&nbsp;William Corser,&nbsp;Clare Tanner,&nbsp;Margaret Wells,&nbsp;Jean Nagelkirk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient satisfaction remains one of the critical benchmarks of primary care delivery. Although much of the research reporting outcomes related to nurse-managed centers (NMC) has included patient satisfaction, most of the reports have been limited to individual clinical settings. This study collected satisfaction data from 7 NMCs operated by 4 different academic institutions. Results demonstrated 3 components of patient satisfaction: patient perceptions of care, phone contact, and the patient's willingness to return to or recommend the clinic. Consistent with previous research, professional responsiveness and respect and courtesy from nurse practitioners were rated high on the composite satisfaction levels from a heterogeneous sample of consumers.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"174-81"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069317","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
Outcomes for an outcomes information system. 结果信息系统的结果。
Outcomes management Pub Date : 2002-10-01
Marion R Johnson
{"title":"Outcomes for an outcomes information system.","authors":"Marion R Johnson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"143-5"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069989","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
Characteristics and outcomes of elderly patients receiving transitional care. 老年患者接受过渡性护理的特点和结果。
Outcomes management Pub Date : 2002-10-01
Pamela L Parsons, Cynthia Gifford
{"title":"Characteristics and outcomes of elderly patients receiving transitional care.","authors":"Pamela L Parsons,&nbsp;Cynthia Gifford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transitional care programs are one method of providing care to elderly high-risk patients. The aims of this study were to determine if patient characteristics (including number of comorbidities, functional status, and length of stay during initial hospitalization) and social factors (including presence of a caregiver in the home and place of discharge disposition) were associated with increased hospital readmission and mortality for patients discharged from specialized transitional care.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"182-5"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069319","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
Symptom status and quality-of-life outcomes of home-based disease management program for heart failure patients. 以家庭为基础的疾病管理方案对心力衰竭患者的症状状态和生活质量的影响。
Outcomes management Pub Date : 2002-10-01
Catherine M Todero, Louise M LaFramboise, Lani M Zimmerman
{"title":"Symptom status and quality-of-life outcomes of home-based disease management program for heart failure patients.","authors":"Catherine M Todero,&nbsp;Louise M LaFramboise,&nbsp;Lani M Zimmerman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Symptom occurrence, symptom characteristics (frequency, severity, interference with activities and enjoyment of life), and quality of life were examined in heart failure patients after release from the hospital and 2 months after enrollment in a home-based disease management program. The results provide information on the most common and distressing symptoms in a community-based heart failure population. This information may be useful in guiding assessments and designing specific nursing interventions to include in a home-based disease management program.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"161-8"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069322","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
Outcomes and effectiveness research: capacity building for nurse researchers at the Agency for Healthcare Research and Quality. 结果和有效性研究:医疗保健研究和质量局护士研究人员的能力建设。
Outcomes management Pub Date : 2002-10-01
Heddy Hubbard, Patricia Hinton Walker, Carolyn M Clancy, Daniel Stryer
{"title":"Outcomes and effectiveness research: capacity building for nurse researchers at the Agency for Healthcare Research and Quality.","authors":"Heddy Hubbard,&nbsp;Patricia Hinton Walker,&nbsp;Carolyn M Clancy,&nbsp;Daniel Stryer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several of AHRQ's priority areas including disease prevention, health promotion, primary care, quality of care, service delivery, and patient safety are particularly relevant to nurse researchers. With much national attention focused on nursing-related issues such as staff shortages, training, mandatory overtime, working conditions, and autonomy, it is mandatory that nursing research be conducted to inform healthcare delivery and policy. Nurses also need to contribute to the health services literature so that an even balance of discipline perspective is represented. AHRQ's mandate is represented by the slogan \"quality research for quality health care.\" Although our understanding has expanded of contributors to and determinants of evidence-based practice and the relationship between clinical care and improved outcomes, we have much to learn. Appreciating how and which components of nursing care influence patient outcomes represents an essential area of research in need of development. While clarifying nursing contributions to improved outcomes is not the sole purview of nurse researchers, it is plausible to assume that a clinical background in nursing combined with strong methodological skills can help policy makers and health system leaders understand how nurses can most effectively contribute to outcomes and quality improvement. AHRQ is clearly interested in capacity building of researchers from all relevant disciplines. Nurses, the largest provider of healthcare, need to build capacity and develop a much stronger presence in the health services research community of scholars.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"146-51"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069312","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
Measuring nurse-sensitive patient outcomes across specialty units. 衡量跨专科单位的护士敏感患者结果。
Outcomes management Pub Date : 2002-10-01
Gayle R Whitman, Yookyung Kim, Lynda J Davidson, Gail A Wolf, Shiaw-Ling Wang
{"title":"Measuring nurse-sensitive patient outcomes across specialty units.","authors":"Gayle R Whitman,&nbsp;Yookyung Kim,&nbsp;Lynda J Davidson,&nbsp;Gail A Wolf,&nbsp;Shiaw-Ling Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In efforts to quantify the quality of care delivered to patients within their systems, nursing administrators are being called on to both privately and publicly report nursing-sensitive outcomes for their institutions. Accurate reporting with appropriate patient population or risk adjustment is essential if the reported outcomes are to provide meaningful data to consumers and providers. At present there are no effective mechanisms available that can sufficiently adjust nursing-sensitive outcomes to assure reliable reporting. This study suggests that specialty unit classification may be one method by which nursing-sensitive outcomes can be accurately reported.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"152-8; quiz 159-60"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069321","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
Inpatient mortality: a reflection of quality care? 住院病人死亡率:优质护理的反映?
Outcomes management Pub Date : 2002-10-01
Janis Krauss, Ross Maclean
{"title":"Inpatient mortality: a reflection of quality care?","authors":"Janis Krauss,&nbsp;Ross Maclean","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The debate surrounding mortality as a measure of healthcare quality is not a new one. In this article, the authors review the origin of mortality indices within the healthcare industry, explore the challenges and limitations to generating and risk adjusting mortality data, and discuss the relationship between institutional mortality and quality of care. The article ends with a summary of current sources of mortality data with which healthcare professionals need to be familiar.</p>","PeriodicalId":83840,"journal":{"name":"Outcomes management","volume":"6 4","pages":"169-73"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22069324","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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