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A guide to quality improvement methods from Healthcare Quality Improvement Partnership (HQIP) brings together twelve quality improvement (QI) methods, providing an overview of each and practical advice on how and when to implement them, with illustrative case examples. QI methods covered include clinical audit; Plan, Do, Study, Act; model for improvement; LEAN/Six Sigma; performance benchmarking, process mapping and statistical process control and it is aimed at all professionals with an interest in QI. The purpose of this guidance is to signpost those working within, leading, commissioning and using healthcare services to a broad range of quality improvement methods. It should be especially useful to those putting together quality improvement programmes.
Updated in January 2015, the Good Governance Handbook is focused on the developing role of clinicians in management and resource allocation and should help existing and aspirant clinical, nurse and medical directors as well as those who support and challenge them to understand and apply good governance in a demanding environment. The guide includes good and weak answers to key questions on governance at board, division and department level as well as matrices that can be used by organisations to self assess their current position and progress towards excellence.
Clinical audit is at the heart of clinical governance. Provides the mechanisms for reviewing the quality of everyday care provided to patients with common conditions like asthma or diabetes. Builds on a long history of doctors, nurses and other healthcare professionals reviewing case notes and seeking ways to serve their patients better. Addresses the quality issues systematically and explicitly, providing reliable information. Can confirm the quality of clinical services and highlight the need for improvement. Provides clear statements of principle about clinical audit in the NHS.
With the NHS committed to making quality the centre of treatment, clinical audit - a proven and effective process for measuring quality and driving its improvement - has never been a more topical issue. Now thoroughly updated and rewritten, this new edition describes the process by which health professionals, managers and other NHS staff can assess the standard of care they deliver and how closely it corresponds with recommended best practice. It sets out the key principles of clinical audit practice, detailing advances in recent years such as simplified and accelerated audit, improved patient involvement, attention to ethics and methodology and the embedding of clinical audit in organisatio...
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis...
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
This is the report of the European Association of Perinatal Medicine Working Party following a workshop held in Florence, Italy, 4-7 November, 1993, on the need to achieve standardization across Europe in the methodology of perinatal audit. This document concerns primarily the audit of perinatal outcome in terms of maternal, fetal, and infant mortality and morbidity. It uses the nomenclature, definitions, and classification system of the World Health Organization (WHO) and the International Federation of Gynecology and Obstetrics (FIGO). The report contain seven chapters replete with tables and four appendixes on perinatal definitions and tabulations, definitions of short-term infant and long-term infant outcome indicators of perinatal morbidity, and reporting and functional classification of the causes of fetal, neonatal, and infant death.
The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of ri...
This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sar...