Quality of care and information technology:
Gespeichert in:
Weitere Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
[2016]
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Schriftenreihe: | Pediatric clinics of North America
volume 63, number 2 (April 2016) |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | xviii Seiten, Seite 221-387 Illustrationen, Diagramme, Porträts 24 cm |
ISBN: | 9780323417655 |
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245 | 1 | 0 | |a Quality of care and information technology |c editor Srinivasan Suresh |
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490 | 1 | |a Pediatric clinics of North America |v volume 63, number 2 (April 2016) | |
490 | 0 | |a Clinics review articles | |
505 | 8 | |a Includes bibliographical references and index | |
505 | 8 | |a Foreword: Pediatric safety, quality, and informatics / Bonita F. Stanton -- Preface: The intersection of safety, quality, and informatics : solving problems in pediatrics / Srinivasan Suresh -- Population health and pediatric informatics / Emily C. Webber -- Measurement, standards, and peer benchmarking : one hospital's journey / Brian S. Martin -- Electronic health record-enabled research in children using the electronic health record for clinical discovery / Scott M. Sutherland [and four others] -- Quality care and patient safety in the pediatric emergency department / Johanna R. Rosen, Srinivasan Suresh, Richard A. Saladino -- Patient safety and quality metrics in pediatric hospital medicine / Bhanumathy Kumar -- Advanced technology in pediatric intensive care units : have they improved outcomes? / Sean A. Frederick -- ABCs of safety and quality for the pediatric resident and fellow / Emily Mathias, Usha Sethuraman -- Clinical pathways : driving high-reliability and high-value care / Andrew R. Buchert, Gabriella A. Butler -- Pediatric quality and safety : a nursing perspective / Gabriella A. Butler, Diane S. Hupp -- Pediatric quality improvement : practical and scholarly considerations / Matthew F. Niedner -- Big data and predictive analytics : applications in the care of children / Srinivasan Suresh -- Pediatric telehealth : opportunities and challenges / Levon Utidjian, Erika Abramson | |
650 | 4 | |a Medical care / United States / Quality control | |
650 | 4 | |a Child health services / United States / Quality control | |
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adam_text | Titel: Quality of care and information technology
Autor: Suresh, Srinivasan
Jahr: 2016
Quality of Care and Information Technology
Contents
Foreword: Pediatric Safety, Quality, and Informatics
Bonita F. Stanton
Preface: The Intersection of Safety, Quality, and Informatics: Solving Problems in
Pediatrics xvii
Srinivasan Suresh
Population Flealth and Pediatric Informatics 221
Emily C. Webber
Applications of health information technology (health IT) are now wide-
spread in the form of electronic medical records (EMRs), greatly reshaping
the practice of clinical pediatrics. Population health stands to benefit
greatly from the data produced by the alignment of pediatrics with other
social determinants of health: medical care, genetics, individual behavior,
social and physical environment. Before this potential can be realized,
population health information models must be integrated into the design
and evolution of EMRs and other data sources.
Measurement, Standards, and Peer Benchmarking: One Flospital s Journey 239
Brian S. Martin
Peer-to-peer benchmarking is an important component of rapid-cycle per-
formance improvement in patient safety and quality-improvement efforts.
Institutions should carefully examine critical success factors before
engagement in peer-to-peer benchmarking in order to maximize growth
and change opportunities. Solutions for Patient Safety has proven to be
a high-yield engagement for Children s Hospital of Pittsburgh of University
of Pittsburgh Medical Center, with measureable improvement in both
organizational process and culture.
Electronic Health Record-Enabled Research in Children Using the Electronic Health
Record for Clinical Discovery 251
Scott M. Sutherland, David C. Kaelber, N. Lance Downing, Veena V. Goel, and
Christopher A. Longhurst
Initially described more than 50 years ago, electronic health records
(EHRs) are now becoming ubiquitous throughout pediatric health care set-
tings. The confluence of increased EHR implementation and the exponen-
tial growth of digital data within them, the development of clinical
informatics tools and techniques, and the growing workforce of experi-
enced EHR users presents new opportunities to use EHRs to augment
clinical discovery and improve pediatric patient care. This article reviews
the basic concepts surrounding EHR-enabled research and clinical
x Contents
discovery, including the types and fidelity of EHR data elements, EHR data
validation/corroboration, and the steps involved in analytical interrogation.
Quality Care and Patient Safety in the Pediatric Emergency Department 269
Johanna R. Rosen, Srinivasan Suresh, and Richard A. Saladino
Over the past 15 years, with alarming and illustrative reports released from
the Institute of Medicine, quality improvement and patient safety have
come to the forefront of medical care. This article reviews quality improve-
ment frameworks and methodology and the use of evidence-based guide-
lines for pediatric emergency medicine. Top performance measures in
pediatric emergency care are described, with examples of ongoing process
and quality improvement work in our pediatric emergency department.
Patient Safety and Quality Metrics in Pediatric Hospital Medicine 283
Bhanumathy Kumar
Quality-based regulations, performance-based payouts, and open report-
ing have contributed to a growing focus on quality and safety metrics in
health care. Medical errors are a well-known catastrophe in the field. Espe-
cially disturbing are estimates of pediatric safety issues, which hold a
stronger capacity to cause serious issues than those found in adults.
This article presents information collected in the past 2 decades pertaining
to the issue of quality, and describes a preliminary list of potential solutions
and methods of implementation. The beginning stages of a reconstructive
journey of safety and quality in a Michigan pediatric hospital is introduced
and discussed.
Advanced Technology in Pediatric Intensive Care Units: Have They Improved
Outcomes? 293
Sean A. Frederick
In medicine, providers strive to produce quality outcomes and work to
continually improve those outcomes. Whether it is reducing cost,
decreasing length of stay, mitigating nosocomial infections, or improving
survival, there are a myriad of complex factors that contribute to each
outcome. One of the greatest challenges to outcome improvement is in
pediatric intensive care units, which tend to host the sickest, most com-
plex, smallest, and frailest of pediatric patients. This article highlights
some studies and advances in informatics that have influenced intensive
care unit outcomes.
ABCs of Safety and Quality for the Pediatric Resident and Fellow 303
Emily Mathias and Usha Sethuraman
The role of resident and fellow trainees in patient-centered improvement
processes is critical to a health care system s success. There is a growing
impetus to incorporate patient safety and quality improvement into the
educational framework of physicians in training. As part of the Next
Accreditation System, practice-based learning and improvement and
systems-based practice domains mandate that residents and fellows be
assessed on their ability to enhance the quality of care and advocate for
Contents xi
patient safety. Best practices for incorporating quality improvement and
patient safety into the curriculum of residents and fellows remains an
area of interest for educators.
Clinical Pathways: Driving High-Reliability and High-Value Care 317
Andrew R. Buchert and Gabriella A. Butler
Health care in the United States is plagued by errors, inconsistencies, and
inefficiencies. It is also extremely costly. Clinical pathways can drive high-
value care and high reliability within a health care organization. Clinical
pathways are much more than just guidelines or order sets as a part of a
protocol of care, however; they must incorporate multiple elements that
are critical to their successful implementation and sustainability. Addition-
ally, clinical pathways can be utilized to accomplish strategic goals of the
organization while fulfilling the quality, safety, and clinical aspects of the
organization s mission.
Pediatric Quality and Safety: A Nursing Perspective 329
Gabriella A. Butler and Diane S. Hupp
Patient safety and quality are 2 of many competing priorities facing health
care providers. As safety and quality rise on the agenda of executives,
payers, and consumers, competing priorities, such as financial sustainabil-
ity, patient engagement, regulatory standards, and governmental de-
mands, remain organizational priorities. Nursing represents the largest
health care profession in the United States and has the ability to influence
the culture of patient safety and quality. It is essential for hospital leader-
ship to provide a culture whereby nurses and staff are actively engaged
and feel comfortable speaking up. Transparency is critical in the strategy
and implementation of improving quality and safety.
Pediatric Quality Improvement: Practical and Scholarly Considerations 341
Matthew F. Niedner
This article describes important aspects of health-care quality, quality
improvement (Ql), patient safety (PS), and approaches to research on
QI/PS efforts. Common terminology to facilitate an understanding of Ql
and PS research is reviewed. Models for understanding system and pro-
cess performance are discussed. Introductory considerations to Ql data
and Ql research analytical considerations are provided.
Big Data and Predictive Analytics: Applications in the Care of Children 357
Srinivasan Suresh
Emerging changes in the United States healthcare delivery model have
led to renewed interest in data-driven methods for managing quality of
care. Analytics (Data plus Information) plays a key role in predictive risk
assessment, clinical decision support, and various patient throughput
measures. This article reviews the application of a pediatric risk score,
which is integrated into our hospital s electronic medical record, and
provides an early warning sign for clinical deterioration. Dashboards that
are a part of disease management systems, are a vital tool in peer bench-
marking, and can help in reducing unnecessary variations in care.
xii Contents
Pediatric Telehealth: Opportunities and Challenges 367
Levon Utidjian and Erika Abramson
This article examines the current role of telehealth as a tool in the delivery
of pediatric health care. It defines telemedicine and telehealth and pro-
vides an overview of different types of telehealth services. The article
then explores the potential of telehealth to improve pediatric health care
quality and safety through increased access to care, enhanced communi-
cation, expanded educational opportunities, and better resource utiliza-
tion. It also discusses current challenges to the implementation of
telehealth, including technological, financial, and licensing barriers, as
well as provider, patient, and legal concerns.
Index
379
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contents | Includes bibliographical references and index Foreword: Pediatric safety, quality, and informatics / Bonita F. Stanton -- Preface: The intersection of safety, quality, and informatics : solving problems in pediatrics / Srinivasan Suresh -- Population health and pediatric informatics / Emily C. Webber -- Measurement, standards, and peer benchmarking : one hospital's journey / Brian S. Martin -- Electronic health record-enabled research in children using the electronic health record for clinical discovery / Scott M. Sutherland [and four others] -- Quality care and patient safety in the pediatric emergency department / Johanna R. Rosen, Srinivasan Suresh, Richard A. Saladino -- Patient safety and quality metrics in pediatric hospital medicine / Bhanumathy Kumar -- Advanced technology in pediatric intensive care units : have they improved outcomes? / Sean A. Frederick -- ABCs of safety and quality for the pediatric resident and fellow / Emily Mathias, Usha Sethuraman -- Clinical pathways : driving high-reliability and high-value care / Andrew R. Buchert, Gabriella A. Butler -- Pediatric quality and safety : a nursing perspective / Gabriella A. Butler, Diane S. Hupp -- Pediatric quality improvement : practical and scholarly considerations / Matthew F. Niedner -- Big data and predictive analytics : applications in the care of children / Srinivasan Suresh -- Pediatric telehealth : opportunities and challenges / Levon Utidjian, Erika Abramson |
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spelling | Quality of care and information technology editor Srinivasan Suresh Philadelphia, Pennsylvania Elsevier [2016] xviii Seiten, Seite 221-387 Illustrationen, Diagramme, Porträts 24 cm txt rdacontent n rdamedia nc rdacarrier Pediatric clinics of North America volume 63, number 2 (April 2016) Clinics review articles Includes bibliographical references and index Foreword: Pediatric safety, quality, and informatics / Bonita F. Stanton -- Preface: The intersection of safety, quality, and informatics : solving problems in pediatrics / Srinivasan Suresh -- Population health and pediatric informatics / Emily C. Webber -- Measurement, standards, and peer benchmarking : one hospital's journey / Brian S. Martin -- Electronic health record-enabled research in children using the electronic health record for clinical discovery / Scott M. Sutherland [and four others] -- Quality care and patient safety in the pediatric emergency department / Johanna R. Rosen, Srinivasan Suresh, Richard A. Saladino -- Patient safety and quality metrics in pediatric hospital medicine / Bhanumathy Kumar -- Advanced technology in pediatric intensive care units : have they improved outcomes? / Sean A. Frederick -- ABCs of safety and quality for the pediatric resident and fellow / Emily Mathias, Usha Sethuraman -- Clinical pathways : driving high-reliability and high-value care / Andrew R. Buchert, Gabriella A. Butler -- Pediatric quality and safety : a nursing perspective / Gabriella A. Butler, Diane S. Hupp -- Pediatric quality improvement : practical and scholarly considerations / Matthew F. Niedner -- Big data and predictive analytics : applications in the care of children / Srinivasan Suresh -- Pediatric telehealth : opportunities and challenges / Levon Utidjian, Erika Abramson Medical care / United States / Quality control Child health services / United States / Quality control Child health services / Quality control fast Medical care / Quality control fast United States fast USA Suresh, Srinivasan (DE-588)1103241443 edt Pediatric clinics of North America volume 63, number 2 (April 2016) (DE-604)BV000001093 63,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029009513&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Quality of care and information technology Pediatric clinics of North America Includes bibliographical references and index Foreword: Pediatric safety, quality, and informatics / Bonita F. Stanton -- Preface: The intersection of safety, quality, and informatics : solving problems in pediatrics / Srinivasan Suresh -- Population health and pediatric informatics / Emily C. Webber -- Measurement, standards, and peer benchmarking : one hospital's journey / Brian S. Martin -- Electronic health record-enabled research in children using the electronic health record for clinical discovery / Scott M. Sutherland [and four others] -- Quality care and patient safety in the pediatric emergency department / Johanna R. Rosen, Srinivasan Suresh, Richard A. Saladino -- Patient safety and quality metrics in pediatric hospital medicine / Bhanumathy Kumar -- Advanced technology in pediatric intensive care units : have they improved outcomes? / Sean A. Frederick -- ABCs of safety and quality for the pediatric resident and fellow / Emily Mathias, Usha Sethuraman -- Clinical pathways : driving high-reliability and high-value care / Andrew R. Buchert, Gabriella A. Butler -- Pediatric quality and safety : a nursing perspective / Gabriella A. Butler, Diane S. Hupp -- Pediatric quality improvement : practical and scholarly considerations / Matthew F. Niedner -- Big data and predictive analytics : applications in the care of children / Srinivasan Suresh -- Pediatric telehealth : opportunities and challenges / Levon Utidjian, Erika Abramson Medical care / United States / Quality control Child health services / United States / Quality control Child health services / Quality control fast Medical care / Quality control fast |
title | Quality of care and information technology |
title_auth | Quality of care and information technology |
title_exact_search | Quality of care and information technology |
title_full | Quality of care and information technology editor Srinivasan Suresh |
title_fullStr | Quality of care and information technology editor Srinivasan Suresh |
title_full_unstemmed | Quality of care and information technology editor Srinivasan Suresh |
title_short | Quality of care and information technology |
title_sort | quality of care and information technology |
topic | Medical care / United States / Quality control Child health services / United States / Quality control Child health services / Quality control fast Medical care / Quality control fast |
topic_facet | Medical care / United States / Quality control Child health services / United States / Quality control Child health services / Quality control Medical care / Quality control United States USA |
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volume_link | (DE-604)BV000001093 |
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