scholarly journals Quality Performance Improvement With the Implementation of Standard Chemotherapy Order Forms

2006 ◽  
Vol 2 (3) ◽  
pp. 104-107 ◽  
Author(s):  
L. Dumasia ◽  
E. Harris ◽  
A. Drelichman
Keyword(s):  
Performance Improvement ◽  
Standard Chemotherapy ◽  
Quality Performance

scholarly journals Quality Performance Improvement With the Implementation of Standard Chemotherapy Order Forms

2006 ◽  
Vol 2 (3) ◽  
pp. 104-107 ◽  
Author(s):  
Lena Dumasia ◽  
Ellen Harris ◽  
Anibal Drelichman
Keyword(s):  
Best Practice ◽  
Standard Form ◽  
Electronic Version ◽  
Standard Chemotherapy ◽  
Average Order ◽  
Quality Performance ◽  
Chemotherapy Dose ◽  
Additional Improvement ◽  
Order Completeness ◽  
Missing Variables

Purpose Before October 2000, physicians in our institution handwrote chemotherapy orders on blank order sheets. There was no standard to which the physician could include variables that were crucial to the completeness of a chemotherapy order. For this reason, chemotherapy orders were frequently incomplete and had to be adjusted by the pharmacist after discussing the missing variables with the ordering physician. As a part of our goal to minimize errors, standard chemotherapy forms were initiated at our institution in October 2000. Methods The first standard form implemented was a written order form that constituted a standard of the ideal variables necessary to accurately complete chemotherapy orders. These variables were the diagnosis, regimen, height, weight, body surface area (BSA), route, frequency, duration and chemotherapy dose and calculation based upon BSA. The next updated form was an electronic version similar to the original, and was implemented in April 2002. Results From February 1999 to March 2000, using the traditional unstandardized blank order sheets, the average order completeness was 45%. After the standard written forms were introduced, from October 2000 to March 2002, the average chemotherapy order completeness was 81%, an improvement of 36%. Completeness improved to an average of 93% from April 2002 to December 2003, after the implementation of the electronic chemotherapy form. Conclusion Chemotherapy order completeness improves considerably through the standardization of chemotherapy order forms. The electronic forms show an additional improvement over handwritten forms. Electronic standardization of chemotherapy forms should be adopted as a best-practice model in hematology-oncology practices throughout the country.

scholarly journals Blood Transfusion Practices in a Tertiary Referral Intensive Care Unit: A Clinical Audit and Performance Improvement Project

2021 ◽  
Vol 11 (8) ◽  
pp. 143-148
Author(s):  
Mohammed Gharba ◽  
Abdullah A. Balahmar ◽  
Zohdi A. Saif
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Transfusion ◽  
Performance Improvement ◽  
Clinical Audit ◽  
Transfusion Rate ◽  
Quality Performance ◽  
Improvement Project ◽  
Key Words Blood Transfusion ◽  
And Performance

Anemia is common among critically ill patients, despite guidelines recommendations for restrictive transfusion practices, blood transfusion continues beyond recommended triggers. Frequency of blood transfusion in ICU calls for auditing of practices. Method: Two audit cycles a month each, separated by interventional period, audit standards were order issuing personnel, documentation of trigger, trigger according to policy, checking of received unit documentation, monitoring during transfusion, and reporting of adverse events. Results: Standards of trigger documentation, trigger according to policy, and checking documentation were very low in the first cycle, but showed significant improvement in the second cycle, after the performance improvement project. The transfusion rate was significantly lower in the second cycle (18.8/100 patient days vs 14.8 /100 patient days; p = 0.04). Conclusion: Blood transfusion practices remain unsatisfactory in several aspects, however, they could be improved by quality performance improvement projects. Key words: Blood transfusion, intensive care unit, ICU, clinical audit, performance improvement project.

A review of performance-geared contracting

2019 ◽  
Vol 32 (2) ◽  
pp. 226-248
Author(s):  
Nickson Herbert Odongo ◽  
Daoping Wang ◽  
Obadia Bishoge ◽  
Tsitaire Jean Arrive
Keyword(s):  
Quality Management ◽  
Performance Improvement ◽  
Job Design ◽  
Quality Performance ◽  
Content Type ◽  
Performance Contracting ◽  
The Public ◽  
The Government ◽  
Relative Analysis ◽  
Practical Implications

Purpose The purpose of this paper is to provide a systematic review of numerous writings addressing quality performance-geared contracting (PC) and self-stated performance. Design/methodology/approach The study systematically reviewed 134 refereed papers across various fields published between from 2000 to 2018. A categorization framework of PC is suggested addressing fundamental dimensions of its plan and management. Findings The relative analysis of pertinent articles advancing interdisciplinary perspective encourages learning and provides knowledge about quality management in organizations especially at individual and organizational levels. Research limitations/implications The outcomes indicate that much of the present-day wide-ranging performance contracting studies do not have robust theoretical grounds. Studies are also inclined to certain theories for instance agency theory and play down other theories with the likelihood of contributing to quality management. Practical implications Performance contracting between citizens and public entities is important in that the written contract limits what the public entities, for instance, the government can and cannot do and informs on the rights and privileges of citizens, thus contracts to form the core of a free society. Originality/value This review demonstrates that performance contracting is useful in performance improvement if proper job design and contract management exist.

Management Tools for Quality Performance Improvement in Italian Hospitals

2017 ◽  
Vol 40 (10) ◽  
pp. 808-819 ◽  
Author(s):  
Simone Fanelli ◽  
Gianluca Lanza ◽  
Antonello Zangrandi
Keyword(s):  
Performance Improvement ◽  
Management Tools ◽  
Quality Performance

Towards medicines regulatory authorities' quality performance improvement: value for public health

2014 ◽  
Vol 31 (1) ◽  
pp. E22-E40 ◽  
Author(s):  
Gordana Pejović ◽  
Jovan Filipović ◽  
Ljiljana Tasić ◽  
Valentina Marinković
Keyword(s):  
Public Health ◽  
Performance Improvement ◽  
Quality Performance ◽  
Regulatory Authorities
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