Multidetector CT Dose: Clinical Practice Improvement Strategies From a Successful Optimization Program

2011 ◽  
Vol 2011 ◽  
pp. 172-173
Author(s):  
A.D. Elster
Keyword(s):  
Clinical Practice ◽  
Multidetector Ct ◽  
Optimization Program ◽  
Practice Improvement ◽  
Ct Dose ◽  
Improvement Strategies

Multidetector CT Dose: Clinical Practice Improvement Strategies From a Successful Optimization Program

2010 ◽  
Vol 7 (8) ◽  
pp. 614-624 ◽  
Author(s):  
Anthony B. Wallace ◽  
Stacy K. Goergen ◽  
Daniel Schick ◽  
Tina Soblusky ◽  
Damien Jolley
Keyword(s):  
Clinical Practice ◽  
Multidetector Ct ◽  
Optimization Program ◽  
Practice Improvement ◽  
Ct Dose ◽  
Improvement Strategies

Clinical Practice Improvement: Mind the Gap or Fall into the Chasm

2019 ◽  
Vol 33 (11) ◽  
pp. 2900-2901
Author(s):  
Nanette M. Schwann ◽  
Ray H. Engstrom ◽  
Stanton K. Shernan ◽  
Bruce A. Bollen
Keyword(s):  
Clinical Practice ◽  
Practice Improvement

scholarly journals A Scoping Review of Clinical Practice Improvement Methodology Use in Rehabilitation

2016 ◽  
Vol 5 ◽  
pp. RPO.S20360 ◽  
Author(s):  
Marie-Eve Lamontagne ◽  
Cynthia Gagnon ◽  
Anne-Sophie Allaire ◽  
Luc Noreau
Keyword(s):  
Quality Improvement ◽  
Clinical Practice ◽  
Scoping Review ◽  
Methodological Approach ◽  
Implementation Process ◽  
Individual Characteristics ◽  
Internal Environment ◽  
Practice Improvement ◽  
Systematic Description ◽  
Different Populations

Context The Clinical Practice Improvement (CPI) approach is a methodological and quality improvement approach that has emerged and is gaining in popularity. However, there is no systematic description of its use or the determinants of its practice in rehabilitation settings. Method We performed a scoping review of the use of CPI methodology in rehabilitation settings. Results A total of 103 articles were reviewed. We found evidence of 13 initiatives involving CPI with six different populations. A total of 335 citations of determinants were found, with 68.7% related to CPI itself. Little information was found about what type of external and internal environment, individual characteristics and implementation process might facilitate or hinder the use of CPI. Conclusion Given the growing popularity of this methodological approach, CPI initiatives would gain from increasing knowledge of the determinants of its success and incorporating them in future implementation.

scholarly journals MIPS: Clinical practice improvement activities

2017 ◽  
Vol 66 (1) ◽  
pp. 326 ◽  
Author(s):  
Rocco G. Ciocca ◽  
Brad Johnson ◽  
Jill Rathbun ◽  
Karen Woo
Keyword(s):  
Clinical Practice ◽  
Practice Improvement

Febrile Neutropenia in Lymphoma Patients Is Associated with Substantial Resource Use and Healthcare Costs in Clinical Practice in Spain.

Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 5512-5512 ◽  
Author(s):  
A. López ◽  
J.D. Alonso ◽  
J. Gómez-Codina ◽  
A. Novo ◽  
C. Herrera ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Febrile Neutropenia ◽  
Resource Use ◽  
Healthcare Costs ◽  
Length Of Hospital Stay ◽  
Retrospective Chart Review ◽  
Substantial Impact ◽  
Ct Dose ◽  
Common Clinical Practice ◽  
The Impact

Abstract Background Despite the significant impact of chemotherapy-induced febrile neutropenia (FN) on patients (pts) with cancer and its consequences for health care costs, there have been no studies in common clinical practice in Spain assessing the burden and economic impact of this complication. Methods This is a sub-analysis of lymphoma pts included in a multicentre, retrospective, chart review of adult pts from 16 Spanish hospitals who suffered from at least one FN episode related to cytotoxic chemotherapy (CT). Resource use and subsequent costs including days of hospitalization, number of transfusions, number and type of complementary tests, use of colony-stimulating factors (CSFs), and use of antibiotics and other drugs to manage FN were assessed for each episode. The impact of FN on planned CT was also analysed in terms of dose delays (DD) and/or reductions (DR). Results Medical charts from 194 pts were reviewed, 67 (34.5%) of whom had lymphoma, which accounted for 87 documented FN episodes included in this analysis. The median (range) age of patients was 62 (19–85) years, 31.7% had aggressive NHL, and 58.2% were treated with CHOP-like CT. FN appeared during first CT cycle in 61.2% of the pts. Hospitalization was required in 100% of the pts and the median length of hospital stay due to FN was 8 days (p25:6–p75:11). During an FN episode, 42% of pts required ≥1 transfusion, 100% needed a blood test and 98.9% a blood culture. Microbiologically documented infection appeared in 33% of FN episodes. All pts were treated with antibiotics (69.3% with cephalosporins) and CSFs were used in 64.8% of pts. In 40.9% of episodes, FN impacted on planned CT dose and/or schedule: DR was observed in 16.7% of pts, DD in 24.0% and CT withdrawal in 15.2%. Conclusions FN has a substantial impact on resource use and associated costs in pts with lymphoma. Hospitalization and antibiotic treatment were the main drivers of the cost associated with the management of FN in current clinical practice. Furthermore, FN has a meaningful effect on planned CT dose and/or schedule, with potential consequences for treatment outcome. Mean (SD) healthcare costs per FN episode (All cost data expressed as €) Hospitalization Transfusions Complementary Tests CSFs Antibiotics and Other Drugs Total 3,557.17 (3,050.44) 43.24 (58.59) 162.77 (135.36) 223.39(231.40) 527.67 (448.56) 4,514.24 (3,392.20)

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