scholarly journals The potential for integrated care programmes to improve quality of care as assessed by patients with COPD: early results from a real-world implementation study in The Netherlands

2012 ◽  
Vol 12 (5) ◽  
Author(s):  
Jane Murray Cramm ◽  
Maureen PMH Rutten-Van Mölken ◽  
Anna Petra Nieboer
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Integrated Care ◽  
Real World ◽  
Implementation Study ◽  
Improve Quality ◽  
Early Results

Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in The Netherlands

2009 ◽  
Vol 99 (8) ◽  
pp. 481-487 ◽  
Author(s):  
M.W.J.M. Wouters ◽  
P. Krijnen ◽  
S. Le Cessie ◽  
G.A. Gooiker ◽  
O.R. Guicherit ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Quality Of Care ◽  
The Netherlands ◽  
Cancer Surgery ◽  
Improve Quality ◽  
Esophageal Cancer Surgery

scholarly journals Development of a Framework for Redesigning a Terminology Maintenance Process – Case Study in the Netherlands

2021 ◽  
Author(s):  
Eva S. Klappe ◽  
Nicolette F. de Keizer ◽  
Ronald Cornet
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Medical Knowledge ◽  
Improve Quality ◽  
Theoretical Frameworks ◽  
Specific Domain ◽  
Medical Concepts ◽  
Maintenance Process

Structuring clinical data in electronic health records supports reuse of data to improve quality of care, reduce costs and perform research. This requires terminologies to assign terms from language used in a specific domain to medical concepts. Given the developing character of medical knowledge, these terminologies need continuous maintenance. Nonetheless, little is known about terminology maintenance processes. To specify the (re)design of a terminology maintenance process, we first merged and adapted two static theoretical frameworks that consisted of criteria relating to using a terminology, divided among relevant stakeholders. Following, we applied the framework to the healthcare terminology maintenance process in the Netherlands. We held interviews with relevant stakeholders and used the framework as checklist to identify missing criteria and bottlenecks. Saturation in interviews and fulfilment of the criteria indicated that all bottlenecks were discovered, therefore the framework was considered useful for redesigning a terminology maintenance process. Other countries could benefit from this framework as well to discover and resolve any unfulfilled maintenance criteria.

scholarly journals Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nataliya Brima ◽  
Nick Sevdalis ◽  
K. Daoh ◽  
B. Deen ◽  
T. B. Kamara ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Sierra Leone ◽  
Referral Hospital ◽  
Audit And Feedback ◽  
Health System Strengthening ◽  
Theory Of Change ◽  
Improve Quality ◽  
Nursing Documentation

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.

scholarly journals Physician beliefs about the impact of meaningful use of the EHR

2014 ◽  
Vol 05 (03) ◽  
pp. 789-801 ◽  
Author(s):  
D.Y. Ting ◽  
M. Healey ◽  
S.R. Lipsitz ◽  
A.S. Karson ◽  
J. S. Einbinder ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Primary Care Physicians ◽  
Meaningful Use ◽  
The United States ◽  
Improve Quality ◽  
Cross Sectional ◽  
Incentive Program ◽  
Physician Beliefs ◽  
The Impact

SummaryBackground: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.Objective: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.Results: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.Conclusions: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.Citation: Emani S, Ting DY, Healey M, Lipsitz SR, Karson AS, Einbinder JS, Leinen L, Suric V, Bates DW. Physician beliefs about the impact of meaningful use of the EHR: A cross-sectional study. Appl Clin Inf 2014; 5: 789–801http://dx.doi.org/10.4338/ACI-2014-05-RA-0050

scholarly journals Quality of care for anxiety and depression in different ethnic groups by family practitioners in urban areas in the Netherlands

2010 ◽  
Vol 32 (4) ◽  
pp. 368-376 ◽  
Author(s):  
Thijs Fassaert ◽  
Mark Nielen ◽  
Robert Verheij ◽  
Arnoud Verhoeff ◽  
Jack Dekker ◽  
...  
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Ethnic Groups ◽  
Urban Areas ◽  
Anxiety And Depression ◽  
Family Practitioners

Designing the WHO Safe Childbirth Checklist program to improve quality of care at childbirth

2013 ◽  
Vol 122 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Jonathan M. Spector ◽  
Angela Lashoher ◽  
Priya Agrawal ◽  
Claire Lemer ◽  
Gerald Dziekan ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Improve Quality ◽  
Safe Childbirth Checklist ◽  
Safe Childbirth
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