• clinical
  • Clinical profile and surgical outcome for pulmonary aspergilloma: a single center experience. (biomedsearch.com)
  • Presented are overall readmission rates, and disaggregated by the nature of the indexed admission, including whether it was elective or emergency, and by clinical health condition recorded. (bmj.com)
  • This highlights the need to better understand variations in outcomes across clinical subgroups to allow for targeted interventions that will ensure highest standards of care provided for all patients. (bmj.com)
  • Evidence-based nursing (EBN) is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current, relevant research available on the topic. (wikipedia.org)
  • Some examples of improvements in process are: clinical practice guidelines, analysis of cost efficiency, and risk management, which consists of proactive steps to prevent medical errors. (wikipedia.org)
  • The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. (wikipedia.org)
  • The Clinical Care Classification (CCC), previously the Home Health Care Classification (HHCC), was originally created to document nursing care in home health and ambulatory care settings. (wikipedia.org)
  • Specifically designed for clinical information systems, the CCC facilitates nursing documentation at the point-of-care. (wikipedia.org)
  • The Clinical Care Classification (CCC) System is an American Nurses Association (ANA)-recognized comprehensive, coded, nursing terminology standard. (wikipedia.org)
  • In 2007/2008, the Healthcare Information Technology Standards Panel selected and recommended the Clinical Care Classification (CCC) System as the first national nursing terminology inter operable for the exchange of information among HIT systems. (wikipedia.org)
  • In 2010, the Agency for Healthcare Research and Quality (AHRQ) awarded CERTAIN a $10.8 million grant to develop the network infrastructure, and in 2011, the Life Sciences Discovery Fund (LSDF) awarded CERTAIN a $2.5 million grant to broaden the network to include additional clinical disciplines and healthcare stakeholder groups. (wikipedia.org)
  • Nursing documentation is the principal clinical information source to meet legal and professional requirements, and one of the most significant components in nursing care. (wikipedia.org)
  • The nursing care plan (NCP) is a clinical document recording the nursing process, which is a systematic method of planning and providing care to clients. (wikipedia.org)
  • Nowadays, the NCP is widely used in nursing in various clinical and educational settings as a tool to direct individualized nursing care for clients. (wikipedia.org)
  • It was set up as the National Institute for Clinical Excellence in 1999, and on 1 April 2005 joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence (still abbreviated as NICE). (wikipedia.org)
  • NICE was established in an attempt to end the so-called postcode lottery of healthcare in England and Wales, where treatments that were available depended upon the NHS Health Authority area in which the patient happened to live, but it has since acquired a high reputation internationally as a role model for the development of clinical guidelines. (wikipedia.org)
  • were being made to set professionally agreed standards for clinical care. (wikipedia.org)
  • Frank Dobson became Secretary of State and was supported by a team of Ministers keen on introducing clinical and health outcome measures to achieve improvements in the quality and delivery of care. (wikipedia.org)
  • Outcomes research is applied to clinical and population based research that seeks to study and optimize the end results of healthcare in terms of benefits to the patient and society. (wikipedia.org)
  • Like clinical trials, outcomes research seeks to provide evidence about which interventions work best for which types of patients and under what circumstances. (wikipedia.org)
  • However, the evaluation methodology of outcomes research may include both experimental and non-experimental designs: further, the "intervention" being evaluated is not limited to medications or new clinical procedures, but may also include the provision of particular services or resources, or even the enforcing of specific policies and regulations by legislative/financial bodies. (wikipedia.org)
  • Also, while traditional clinical trials focus primarily on therapeutic efficacy and safety, outcomes research may consider additional parameters such as cost, timeliness, convenience, geographical accessibility and patient preferences. (wikipedia.org)
  • It had been formally incorporated in the healthcare systems of a number of countries, for instance in 1993 into the United Kingdom's National Health Service (NHS), and within the NHS there is a clinical audit guidance group in the UK. (wikipedia.org)
  • Whilst Codman's 'clinical' approach is in contrast with Nightingale's more 'epidemiological' audits, these two methods serve to highlight the different methodologies that can be used in the process of improvement to patient outcome. (wikipedia.org)
  • In 1989, the White Paper, Working for patients, saw the first move in the UK to standardise clinical audit as part of professional healthcare. (wikipedia.org)
  • Medical audit later evolved into clinical audit and a revised definition was announced by the NHS Executive: "Clinical audit is the systematic analysis of the quality of healthcare, including the procedures used for diagnosis, treatment and care, the use of resources and the resulting outcome and quality of life for the patient. (wikipedia.org)
  • The National Institute for Health and Clinical Excellence (NICE) published the paper Principles for Best Practice in Clinical Audit, which defines clinical audit as "a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. (wikipedia.org)
  • surgical
  • The aim of this study was to assess the surgical outcome of the Nuss procedure in different age groups and to analyze its feasibility in the adult population. (biomedsearch.com)
  • the use of interventional care for claudication, the role of antibiotics in appendicitis, the value of elective surgery for diverticulitis, the impact of non-steroidal pain medication on outcomes and the effect of hyperglycemia on surgical infections. (wikipedia.org)
  • Codman became known as the first true medical auditor following his work in 1912 on monitoring surgical outcomes. (wikipedia.org)
  • methods
  • METHODS: A non-randomized controlled trial was conducted in three intervention and three control maternity and child health clinics in primary health care in Finland. (biomedsearch.com)
  • EBN implements the most up to date methods of providing care, which have been proven through appraisal of high quality studies and statistically significant research findings. (wikipedia.org)
  • Cultivating a spirit of inquiry allows healthcare providers to feel comfortable with questioning current methods of practice and challenging these practices to create improvements and change. (wikipedia.org)
  • Methods for the Economic Evaluation of Health Care Programmes (3 ed. (wikipedia.org)
  • Although the exact origins of the term "outcomes research" is unclear, the methods associated with outcomes research first gained wide attention in the 1850s as a result of the work of Florence Nightingale during the Crimean War. (wikipedia.org)
  • The others imply that assessments should be based on scientific studies and methods, scientific criteria for quality of evidence and scientific standards for reporting of results, e.g. as described in EQUATOR Network. (wikipedia.org)
  • 1996
  • In 1996, the UK National Screening Committee (NSC) had been established by Sir Kenneth Calman and Muir Gray (now Sir Muir Gray) by the Policy Team led by Dr Tim Riley and latterly Sir Charles Nightingale for the Department of Health. (wikipedia.org)
  • According to one medical outcomes and guidelines source book - 1996, Outcomes research[full citation needed] includes health services research that focuses on identifying variations in medical procedures and associated health outcomes. (wikipedia.org)
  • Hospitalization
  • We determined whether gastrostomy or tracheostomy insertion during emergent hospitalization is associated with patient or hospital characteristics, changed Medicare policy in 2001, or proximity to specialized ALS care. (biomedsearch.com)
  • RESEARCH DESIGN: This is a retrospective cohort study during which we used administrative and centralized pharmacy records for sample identification, derivation of guideline-based process measures (antidepressant dosage and duration adequacy), and subsequent hospitalization ascertainment. (umassmed.edu)
  • We used multivariable regression to evaluate the link between depression care and subsequent overall and psychiatric hospitalization, adjusting for patient age, race, sex, socioeconomic status, comorbid illness, and hospitalization in the prior 12 months. (umassmed.edu)
  • diagnosis
  • Speech services begin with initial screening for communication and swallowing disorders and continue with assessment and diagnosis, consultation for the provision of advice regarding management, intervention, and treatment, and providing counseling and other follow up services for these disorders. (wikipedia.org)
  • The internationally accepted nursing process consists of five steps: assessment, nursing problem/diagnosis, goal, intervention and evaluation. (wikipedia.org)
  • During nursing assessment, a nurse systematically collects, verifies, analyses and communicates a health care client's information to derive a nursing diagnosis and plan individualized nursing care for the client. (wikipedia.org)
  • Researchers
  • Researchers measure health care quality to identify problems caused by overuse, underuse, or misuse of health resources. (wikipedia.org)
  • Consequently, the field is more multi-disciplinary, involving, in addition to healthcare professionals and the manufacturers of medical devices or pharmaceuticals, medical economists, sociologists, and public health researchers. (wikipedia.org)
  • telemedicine
  • Model for assessment of telemedicine (MAST) is a framework for assessment of the value of telemedicine. (wikipedia.org)
  • Telemedicine services may have many different types of outcomes and can be studied in many ways. (wikipedia.org)
  • In order for those who develop new telemedicine services to produce the information that healthcare managers need for making decisions on investment in telemedicine, a model for assessment of telemedicine (MAST) was developed. (wikipedia.org)
  • MAST is the most widely used framework for assessment of telemedicine in Europe. (wikipedia.org)
  • The model is used in large EU funded telemedicine project like Renewing Health, United4Health, Smartcare and inCASA. (wikipedia.org)
  • 2015). MAST has also been recommended as a usable structure for assessment of outcomes of telemedicine by the association of Danish Regions Telemedicine strategy, by the British Thoracic Society statement on telemedicine (2014) and within the field of wound care by Angel et al. (wikipedia.org)
  • 2014 Dec;20(6):857-64 Renewing Health United4Health Smartcare inCASA Patient@home Durand-Zaleski I, Zarca K, Charrier N, Treluyer L, Calinaud C. Deploying and assessing telemedicine in the Paris region: progress report. (wikipedia.org)
  • surgery
  • SCOAP's growth and development was supported through grants from the Life Sciences Discovery Fund, the Agency for Healthcare Research and Quality (AHRQ) and the National Cancer Institute (NCI) to investigators in the Department of Surgery at the University of Washington (UW) under principal investigator David Flum, MD, MPH. (wikipedia.org)
  • During World War I, intense efforts to improve the outcomes of care for battle casualties, with careful attention to outcomes led to major advances in orthopedic surgery, plastic surgery, blood transfusion and the prevention of tetanus and gangrene. (wikipedia.org)
  • Factors
  • The documentation of nursing assessment is the recording of the process about how a judgment was made and its related factors, in addition to the result of the judgment. (wikipedia.org)
  • stakeholders
  • In 2013, an additional AHRQ grant of $735,830 allowed CERTAIN to build a platform for collecting patient-reported outcomes and engage with healthcare stakeholders to conduct research prioritization activities. (wikipedia.org)
  • Stakeholders use the broad range of health system databases, measurements and standards, together with evidence-based reports and analyses, in their decision-making processes. (wikipedia.org)
  • The following year, in November 2003, the Standing Senate Committee on Social Affairs, Science and Technology, released a report (the Senator "Kirby" report) that emphasized the need for "cooperation among all stakeholders to reduce problems of maldistribution, undersupply, and jurisdictional competition" within the Canadian healthcare system. (wikipedia.org)
  • They collaborate with a variety of stakeholders to create and maintain a broad range of health databases, measurements and standards. (wikipedia.org)
  • describe
  • Structural measures describe the providers' ability to provide high quality care, process measures describe the actions taken to maintain or improve community health, and outcome measures describe the impact of a health care intervention. (wikipedia.org)
  • The following sections describe the concept, aim, possible structure and content of these nursing documents using the example of nursing documentation in Australian residential aged care homes. (wikipedia.org)
  • 1999
  • Riley joined Sir Michael Rawlins (the then recently appointed Chair of NICE) at the Health Select Committee in February 1999 where questions were raised as to whether NICE was just a means to "ration" healthcare. (wikipedia.org)
  • evaluation
  • A more sophisticated method of patient reported outcome measurement, with pre- and post-treatment questionnaires and the inclusion of quality-of-life criteria, might lead to higher associations between outcome and the overall evaluation of the received care. (bmj.com)
  • The components of the feasibility evaluation were 1) recruitment and participation, 2) completion of data collection, 3) realization of the intervention and 4) the public health nurses' experiences. (biomedsearch.com)
  • CERTAIN is a network of diverse healthcare providers and organizations participating in continuous evaluation of healthcare delivery and learning to improve patient care. (wikipedia.org)
  • Research
  • Funding The data used in this study for secondary analysis have been drawn from projects funded by The Netherlands' Organisation for Health Research and Development and Stichting Miletus (The Miletus Foundation, Association of Health Insurers). (bmj.com)
  • UKK Institute for Health Promotion Research, Tampere, Finland. (biomedsearch.com)
  • In his work as an editor of bibliographies in health care, van Campen became acqainted with the research subject of quality of life, focussing on health and happiness. (wikipedia.org)
  • In 1998, he moved to the Netherlands Institute of Social Research (SCP), the national institute on well-being, where he broadened the scope from health and health care to citizen's participation in work, leisure time activities and social activities. (wikipedia.org)
  • CIHI co-authored a report to this standing senate committee with Canadian Institutes of Health Research (CIHR) entitled Charting the Course - A Pan-Canadian Consultation on Population and Public Health Priorities, May 2002. (wikipedia.org)
  • CIHI produces various reports to support policy makers and health systems research. (wikipedia.org)
  • The intent of this research is to identify shortfalls in practice and to develop strategies to improve care. (wikipedia.org)
  • The results of outcomes research are used to inform the decisions of legislative bodies that make decisions related to healthcare, as well as of financial bodies (governments, insurers, employers) who seek to minimize cost and waste while ensuring the provision of an acceptable level of care. (wikipedia.org)
  • The c. 1847 work of Ignaz Semmelweis on the association between puerperal fever and the absence of aseptic procedures (specifically, doctors who failed to clean their hands before delivering babies) and the subsequent use of calcium hypochlorite to reduce risk, is an early example of outcomes research. (wikipedia.org)
  • Organizations
  • CIHI works with a broad range of health organizations and partners across the country, providing data and information to help them fulfill their mandates. (wikipedia.org)
  • An incentive for many health plans to collect HEDIS data is a Centers for Medicare and Medicaid Services (CMS) requirement that health maintenance organizations (HMOs) submit Medicare HEDIS data in order to provide HMO services for Medicare enrollees under a program called Medicare Advantage. (wikipedia.org)
  • caregivers
  • OUTLINE: Caregivers (CG) complete written questionnaires assessing demographics, positive and negative affect, dispositional inhibition, marital satisfaction, and physical health over 45 minutes to 1 hour on day 1. (bioportfolio.com)
  • Routine assessment of unmet needs in individuals with advanced cancer and their caregivers: A qualitative study of the Palliative Care Needs Assessment Tool (PC-NAT). (bioportfolio.com)
  • Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. (wikipedia.org)
  • adverse
  • There are potential adverse health outcomes with underutilization. (wikipedia.org)
  • Adverse occurrence screening and critical incident monitoring - This is often used to peer review cases which have caused concern or from which there was an unexpected outcome. (wikipedia.org)
  • Council
  • Recommendation 2 - A Health Council of Canada should be established by the provincial, territorial and federal governments to facilitate co-operation and provide national leadership in achieving the best health outcomes in the world. (wikipedia.org)
  • The Royal Commission on the Future of Health Care in Canada (Romanow Report) tabled a final report to the House of Commons on 28 November 2002 that recommended that a Health Council of Canada should be established by the provincial, territorial and federal governments to facilitate co-operation and provide national leadership in achieving the superior health outcomes. (wikipedia.org)
  • nurses
  • Altogether, 132 pregnant and 92 postpartum women and 23 public health nurses (PHN) participated in the study. (biomedsearch.com)
  • It contains observations by the nurses about the client's condition, care, and treatment delivered. (wikipedia.org)
  • The nurses make nursing care plans based on the assessments they have completed previously with a client. (wikipedia.org)
  • postpartum
  • BACKGROUND: Excessive gestational weight gain and postpartum weight retention may predispose women to long-term overweight and other health problems. (biomedsearch.com)
  • CIHI
  • CIHI provides comparable and actionable data and information that are used to accelerate improvements in health care, health system performance and population health across Canada. (wikipedia.org)
  • CIHI protects the privacy of Canadians by ensuring the confidentiality and integrity of the health care information. (wikipedia.org)
  • CIHI was established in 1994 and is governed by a 16-member Board of Directors that links federal, provincial and territorial governments with non-governmental health groups. (wikipedia.org)
  • CIHI has a unique mandate to make health information "publicly available" to Canadians. (wikipedia.org)
  • Partners include Ministries of health - They contribute to CIHI's work and help achieve the mandate Statistics Canada and Health Canada - Both provide rich data sources and expertise that complement CIHI's work The partnerships help CIHI avoid duplication of effort and cost, while ensuring value for Canadians. (wikipedia.org)
  • CIHI tracks data in the different provinces with the help of information that is provided by hospitals, regional health authorities, medical practitioners and governments bodies. (wikipedia.org)
  • data
  • CONCLUSIONS: Guideline-based depression process measures derived from centralized data sources offer an important method of depression care surveillance. (umassmed.edu)
  • Provides data for quality assurance studies and shows progress toward expected outcomes. (wikipedia.org)
  • These documents record the client's data captured at the relevant stages of the nursing process. (wikipedia.org)
  • HEDIS is one component of NCQA's accreditation process, although some plans submit HEDIS data without seeking accreditation. (wikipedia.org)
  • It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups. (wikipedia.org)