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Author : John Ovretveit
Publisher : Unknown
Page : 0 pages
File Size : 55,5 Mb
Release : 2009
Category : Electronic
ISBN : OCLC:1391241066
Author : John Ovretveit
Publisher : eBook Partnership
Page : 162 pages
File Size : 45,9 Mb
Release : 2009-10-04
Category : Business & Economics
ISBN : 9781904235897
Improvement in healthcare has not delivered on its promise, outside of a few examples. This is because it has not sufficiently been linked to resources - thus argues this book. Value improvement focuses on changes which raise quality and lower costs. This is effective because it unites professions, patients, payers and purchasers in a common cause and uses tested solutions and methods. Value improvement works with the realities of resources and politics, and with knowledge of what is effective in different situations. The purpose of healthcare is to reduce avoidable suffering. This includes the suffering unknowingly caused by a service, when we do not use an effective treatment or make an error. These events are also waste, and they have a financial cost. The good news is that we now have more knowledge about these adverse or subA-optimal events, and about effective solutions. We now know these organisational events are not inevitable and we can prevent them. We are also beginning to discover that many, if prevented, will reduce the costs of healthcare. Improving diagnosis and prescribing reduces both avoidable sufferA- ing and higher costs, as do hygiene strategies and changes to ensure professionals pass on correct information about patients to the next caregiver. We are entering an exciting time in healthcare, equivalent to earA- lier periods of medical discoveries. The discoveries of improvement and implementation science in organisations are now being linked to the discoveries about the costs and savings of quality and safety changes. This knowledge is beginning to be used by clinicians, manA-agement and purchasers, and alliances are forming to bring in a new era of quality and safety improvement. The aim of this book is to show how ordinary leaders can comA-bine improvement knowledge with resource knowledge to reduce suffering and the costs of healthcare. It does not assume good inforA-mation technology or special resources to help improvement. It recA-ognises that our colleagues may not want to spend time on this work, and often do not do what they are asked to do. It recognises some improvements are not value improvements: they do not add value for patients and reduce costs. Where improvements do both, we may find that the financing system penalises the provider for making the change, or we cannot covert the saved resources into lower costs or higher income. Thus, it is also about both short A-term and long A-term value improvements. It is about how managers and other leaders find and awaken energy in themselves to make improvement, and bring this energy to life in the people they work with. How we channel this energy in effective ways and enable others to make improvement. It is about tomorrow, and next week and about where the real innovation, creativity and inspiration happens: in the routine but changing, short A-staffed, semiA- chaos of most health services. We are not powerless and can choose not to accept failings of the health system as being outside of our influence. A few others have shown what can be achieved when we join in a common cause and use these effective methods. The challenge is for us is to do this in our local service and to connect our services.
Author : Institute of Medicine,Roundtable on Evidence-Based Medicine,J. Michael McGinnis,W. Alexander Goolsby,LeighAnne Olsen
Publisher : National Academies Press
Page : 369 pages
File Size : 51,6 Mb
Release : 2009-07-27
Category : Medical
ISBN : 9780309142434
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors-patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology-conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.
Author : Institute of Medicine,Roundtable on Evidence-Based Medicine,J. Michael McGinnis,W. Alexander Goolsby,LeighAnne Olsen
Publisher : National Academies Press
Page : 368 pages
File Size : 45,5 Mb
Release : 2009-08-27
Category : Medical
ISBN : 9780309110532
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors-patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology-conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.
Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 53,7 Mb
Release : 2008-09-06
Category : Medical
ISBN : 9780309113694
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author : Roundtable on Evidence-Based Medicine,Roundtable on Value & Science-Driven Health Care,Institute Of Medicine
Publisher : Unknown
Page : 368 pages
File Size : 54,6 Mb
Release : 2009-07-27
Category : Electronic
ISBN : 0309385601
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system's component sectors--patients, healthcare professionals, healthcare delivery organizations, healthcare product developers, clinical investigators and evaluators, regulators, insurers, employers and employees, and individuals involved in information technology--conducts activities that support a common goal: to improve patient health and wellbeing. Implicit in this goal is the commitment of each stakeholder group to contribute to the evidence base for health care, that is, to assist with the development and application of information about the efficacy, safety, effectiveness, value, and appropriateness of the health care delivered.
Author : Institute of Medicine,Roundtable on Evidence-Based Medicine
Publisher : National Academies Press
Page : 374 pages
File Size : 40,7 Mb
Release : 2007-06-01
Category : Medical
ISBN : 9780309133937
As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Author : Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN,Tim Raderstorf, DNP, RN
Publisher : Springer Publishing Company
Page : 484 pages
File Size : 54,5 Mb
Release : 2019-11-11
Category : Medical
ISBN : 9780826196255
Delivers a practical leadership approach that will thrive in today’s healthcare environment This application-based text is designed to cultivate nursing and healthcare leaders who embrace the demands and opportunities of today’s healthcare environment, which is rooted in innovation. Authored by world-class innovators and leaders in evidence-based healthcare practice, the book provides proven strategies to incorporate innovative and evidence-based leadership strategies into daily use to build creative, high-functioning, and sustainable organizations. The book differs from traditional academic texts by providing content that is practical, personal, and engaging. It provides a clear path for readers to integrate innovation and leadership principles into their careers and daily practice. The text is enhanced by individualized quotes and first-person accounts from healthcare industries. Chapters offer objectives and case studies. Other features include “Calls to Action” which will help readers develop leadership skills, and “Key Takeaway Points” to help remember important concepts. Podcasts conducted with prolific leaders illustrate the many challenges they have faced over the years. Key Features: Rooted in AACN Essentials for DNP and Master’s Education Provides practical information on leadership, innovation, and entrepreneurship Includes best practice applications for healthcare and non-healthcare industries to improve outcomes in real-world settings Provides case studies, “Calls to Action,” and “Key Takeaway Points” Includes podcasts with top healthcare leaders
Author : Daniel Weberg,Sandra Davidson
Publisher : Jones & Bartlett Learning
Page : 493 pages
File Size : 46,6 Mb
Release : 2019-09-30
Category : Medical
ISBN : 9781284171365
Leadership for Evidence-Based Innovation in Nursing and Health Professions, Second Edition takes a patient-centered approach, discusses the perspectives on the dynamic of innovation and evidence as well as emerging competencies for leaders of healthcare innovation, making it the ideal textbook for DNP and Masters level leadership courses.
Author : Geri LoBiondo-Wood,Judith Haber,Marita G. Titler
Publisher : Elsevier Health Sciences
Page : 512 pages
File Size : 47,9 Mb
Release : 2018-07-25
Category : Medical
ISBN : 9780323480000
Equip yourself to expertly conduct evidence-based practice (EBP) or quality improvement (QI)projects. Written by renowned EBP and QI experts LoBiondo-Wood, Haber, & Titler, Evidence-Based Practice for Nursing and Healthcare Quality Improvement provides a straightforward yet comprehensive guide to planning, implementation, and evaluation of EBP and QI projects to improve quality of care and health outcomes. This brand-new, full-color, richly illustrated textbook begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information. The book’s content and approach have been developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key points to ground concepts in a "real-life" context. NEW! Written by renowned EBP experts LoBiondo-Wood, Haber, & Titler to provide a straightforward yet comprehensive guide to planning and conducting EBP and QI projects. NEW! A straightforward, practical approach begins with foundational content and then works through the processes of developing and exploring clinical questions, implementing results, and disseminating information. NEW! Developed specifically with the adult learner in mind, with multiple full-text appendix articles referenced throughout as examples, along with unique pedagogical aids including EBP Tips and EBP Key Points to ground concepts in a "real-life" context.
Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 128 pages
File Size : 50,9 Mb
Release : 2019-10-17
Category : Electronic
ISBN : 9789264805903
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Author : Institute of Medicine,LeighAnne M. Olsen,Elizabeth G. Nabel,J. Michael McGinnis,Mark B. McClellan
Publisher : National Academies Press
Page : 202 pages
File Size : 43,5 Mb
Release : 2008-08-06
Category : Medical
ISBN : 9780309185868
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author : Franz Porzsolt,Robert M. Kaplan
Publisher : Springer Science & Business Media
Page : 314 pages
File Size : 55,6 Mb
Release : 2007-07-07
Category : Medical
ISBN : 9780387339214
This book brings together the best thinking from both sides of the Atlantic to explore the issues surrounding soaring health care costs. It employs disciplinary perspectives from economics, ethics, philosophy, psychology, clinical practice, and epidemiology to explore various ways that value for patients have and can be determined. A major section of the book discusses problems that can reduce the value to patients of medical care. The volume is must read for practitioners, policy makers, and researchers who want to find in one place the state-of-the-art thinking and future directions of valuing medical care from the patient’s perspective.
Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 53,7 Mb
Release : 2008
Category : Medical
ISBN : IOWA:31858055672798
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author : Bernadette Mazurek Melnyk,Ellen Fineout-Overholt
Publisher : Lippincott Williams & Wilkins
Page : 1211 pages
File Size : 43,9 Mb
Release : 2018-10-17
Category : Medical
ISBN : 9781496386892
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 4th Edition Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN and Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN Enhance your clinical decision-making capabilities and improve patient outcomes through evidence-based practice. Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes. NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice. NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings. NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary. Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied. EBP Fast Facts reinforce key points at a glance. Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities.