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Author: Alejandra K. Gabriel
Publisher:
ISBN: 9780355884432
Category :
Languages : en
Pages : 86
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Book Description
Abstract : Over 59 million US residents live in rural areas where they cannot easily access healthcare services. Well-documented disparities between rural and urban healthcare access led the federal government to certify and financially support Critical Access Hospitals (CAHs), which offer rural healthcare services and 24/7 emergency care. Many CAHs are in dire financial distress, and some are looking to increase their patient population volume to improve financial health and ensure continued operations. It is a well-known business truism that satisfied customers are return customers. Today many patients' first encounter with a hospital is with the emergency department (ED). Thus, it is likely that increasing patient satisfaction with their ED visits in a CAH can be expected to increase the chance that they will return for additional care.All hospitals engage in quality improvement (QI) activities. Many papers outline efforts by QI teams to implement one or a few predetermined interventions with mixed results. Because patients in an ED are subject to a variety of processes in the ED and other hospital departments, improving patient satisfaction in the ED demands a comprehensive approach. This paper focuses on the QI processes and tools used by the QI team in a CAH that developed a comprehensive list of (56) short- and long-term interventions to take place over five years to improve patient satisfaction in the ED. For this hospital, two aspects of the project deserve mention:1. The use of Failure Mode and Effects Analysis (FMEA): The FMEA is a QI tool developed by the military to address complex problems. Although it has been adapted for use in healthcare QI, in the author's experience, it has not always been fully implemented. The QI team completed a traditional, full, two-part FMEA. In completing both parts of a traditional FMEA, the team first identified and individually analyzed each known or potential failure in the care of an ED patient and potential interventions that could prevent each failure. Then, after careful analysis of all potential interventions, the QI team chose those most likely to succeed and began implementing a sequenced schedule of interrelated interventions deemed most likely to improve care and patient satisfaction.2. Learner-Centered Teaching: QI projects typically use learner-centered teaching methods that, according to Social Cognitive Theory, improve participants' general self-efficacy, which is the likelihood of choosing difficult problems to solve and persisting when faced with challenges. The hospital's project team members' self-efficacy scores increased after participating on the team. Post-project interviews with team members indicate they feel better equipped to solve other problems and have begun to plan other QI projects because they understand other areas' processes, they know who should participate on projects, and they better understand QI processes and tools.
Author: Alejandra K. Gabriel
Publisher:
ISBN: 9780355884432
Category :
Languages : en
Pages : 86
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Book Description
Abstract : Over 59 million US residents live in rural areas where they cannot easily access healthcare services. Well-documented disparities between rural and urban healthcare access led the federal government to certify and financially support Critical Access Hospitals (CAHs), which offer rural healthcare services and 24/7 emergency care. Many CAHs are in dire financial distress, and some are looking to increase their patient population volume to improve financial health and ensure continued operations. It is a well-known business truism that satisfied customers are return customers. Today many patients' first encounter with a hospital is with the emergency department (ED). Thus, it is likely that increasing patient satisfaction with their ED visits in a CAH can be expected to increase the chance that they will return for additional care.All hospitals engage in quality improvement (QI) activities. Many papers outline efforts by QI teams to implement one or a few predetermined interventions with mixed results. Because patients in an ED are subject to a variety of processes in the ED and other hospital departments, improving patient satisfaction in the ED demands a comprehensive approach. This paper focuses on the QI processes and tools used by the QI team in a CAH that developed a comprehensive list of (56) short- and long-term interventions to take place over five years to improve patient satisfaction in the ED. For this hospital, two aspects of the project deserve mention:1. The use of Failure Mode and Effects Analysis (FMEA): The FMEA is a QI tool developed by the military to address complex problems. Although it has been adapted for use in healthcare QI, in the author's experience, it has not always been fully implemented. The QI team completed a traditional, full, two-part FMEA. In completing both parts of a traditional FMEA, the team first identified and individually analyzed each known or potential failure in the care of an ED patient and potential interventions that could prevent each failure. Then, after careful analysis of all potential interventions, the QI team chose those most likely to succeed and began implementing a sequenced schedule of interrelated interventions deemed most likely to improve care and patient satisfaction.2. Learner-Centered Teaching: QI projects typically use learner-centered teaching methods that, according to Social Cognitive Theory, improve participants' general self-efficacy, which is the likelihood of choosing difficult problems to solve and persisting when faced with challenges. The hospital's project team members' self-efficacy scores increased after participating on the team. Post-project interviews with team members indicate they feel better equipped to solve other problems and have begun to plan other QI projects because they understand other areas' processes, they know who should participate on projects, and they better understand QI processes and tools.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424
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Book Description
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Author: Heather C. Kaplan
Publisher: Elsevier Health Sciences
ISBN: 0323960510
Category : Medical
Languages : en
Pages : 289
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Book Description
In this issue of Clinics in Perinatology, guest editors Drs. Heather C. Kaplan and Munish Gupta bring their considerable expertise to the topic of Quality Improvement. In recent years, the growing use of quality improvement (QI) methods to apply evidence-based practices to clinical care has resulted in a greater penetration of QI methods in neonatal intensive care units across the world and a more sophisticated appreciation of how best to use them. This issue provides important updates in these areas as well as looks at the future of QI in perinatology. Contains 15 practice-oriented topics including frameworks for quality improvement: Lean Six Sigma and the model for improvement in perinatology; sustaining improvement in perinatology; recent progress in global health quality improvement in perinatology; measuring equity for quality improvement in perinatology; pursuing equity for all mothers and newborns through population health: the role of perinatal quality collaboratives; and more. Provides in-depth clinical reviews on quality improvement in perinatology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Author: Gillian Leeder
Publisher:
ISBN:
Category : Continuum of care
Languages : en
Pages : 0
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Book Description
Studies have shown a significant correlation between patient complaints and inadequate communication. Patient satisfaction scores are publicly available with Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results, providing consumers with the ability to compare hospitals. The Patient Protection and Affordable Care Act mandate penalties for hospitals achieving low satisfaction scores. One way to improve satisfaction scores in the Emergency Department (ED) is to enhance communication, an easy to achieve and simple solution is to incorporate hourly rounding. This process not only improves communication, but also provides the opportunity for health care workers to anticipate needs, reduce risks, and improve patient outcome. The theory of planned behavior (TPB) can be used during the implementation process. There are several factors involved with strategic planning, including ways to develop an implementation plan, involving key stakeholders, assessing current policy, and evaluating tools used to implement the plan and disseminate evidence. Evaluation is the final stage and should include discussions to evaluate the effectiveness during and several months after the process has been initiated.
Author: Kelly Gagnon
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Victoria Hospital is a secondary-level medical facility located in the southern suburbs of Cape Town, South Africa. Victoria Hospital faces a unique set of obstacles linked to vast social and economic disparities. A lack of funding from the Provincial Department of Health prevents Victoria from expanding its facility and investing in new medical technologies and management programs. In order to optimize its current facility and procedures, a healthcare systems engineering approach was taken to improve the quality of care with minimal resource expenditure. A Healthcare Failure Mode Effect Analysis (HFMEA) was performed on the patient flow of Victoria Hospital in order to identify the most critical areas of the hospital for process improvement. The HFMEA followed the patient experience from check-in to the Emergency Department until discharge from the facility by identifying potential failures and their associated risks to the patient population and healthcare providers. Twenty-six of the 47 failure modes were prioritized for corrective action, recommended actions were identified, and a resource investment evaluation was used to illustrate the feasibility of intervention. Many of the most critical failures are associated with capacity and overcrowding issues, particularly in the Emergency Department. Keeping in mind a limited budget, long-term and short-term goals were created. Long-term goals include expanding Victoria Hospital, adding experienced medical and auxiliary staffing, creating a decontamination room, upgrading to Electronic Medical Records, and investing in a bed management system software. In the short term, great strides can be made in Victoria Hospital by hiring a bed manager and a discharge manager, improving check-in procedures, and updating the parking lot for efficient arrival to and exit from the hospital.
Author: Mohammed Hamed Ahmed Soliman
Publisher: Mohammed Hamed Ahmed Soliman
ISBN:
Category : Business & Economics
Languages : en
Pages : 75
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Book Description
A Failure Mode and Effect Analysis FMEA is a systematic method for identifying and preventing product and process problems before they occur. FMEAs are focused on preventing defects, enhancing safety and increasing customer satisfaction. FMEAs are conducted in the product design or process development stages, although conducting an FMEA on existing products and processes can also yield substantial benefits. Six Sigma's project team use FMEA in the Analyze stage of DMAIC because extraordinary quality is not only designed into the product, it is designed into the development process itself.
Author: Bei Bai
Publisher: Open Dissertation Press
ISBN: 9781361325711
Category :
Languages : en
Pages :
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Book Description
This dissertation, "Factors Associated With Patient Satisfaction in Emergency Department in Mainland China, Hong Kong and Taiwan: a Systematic Review" by Bei, Bai, 白蓓, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background Patient satisfaction is an important assessment of hospital's service quality. Patients from emergency department (ED) usually have high expectation on receiving timely and high quality medical service. They generally have low patient satisfaction. Patient satisfaction has been identified to be associated with willingness to return and recommendation of the medical service to others. Therefore, to identify the factors associated with patient satisfaction in ED is important. Factors associated with patient satisfaction could vary by different ED systems. This project aimed at synthesizing factors associated with patient satisfaction in ED in Mainland China, Hong Kong and Taiwan, and comparing the different factors associated with patient satisfaction among the three areas and make recommendations on interventions to improve patient satisfaction in ED. Methods This review retrieved published literatures from PubMed, CNKI, and Taiwan electronic periodical services (TEPS). There is no restriction on study design, study population and measurements of patient satisfaction. Studies reporting factors associated with patient satisfaction in ED, and studies reporting effective interventions of improving patient satisfaction in ED were included. A total of 20 including 12 studies about Mainland China, two studies about Hong Kong and six studies about Taiwan were included. Results Common factors associated with patient satisfaction in emergency services have been identified in Mainland China, Hong Kong and Taiwan as well as other countries. These common factors included patients' characteristics, technical skills of medical staff, service attitudes, communication skills, professional ethics, provision of sufficient information, waiting time, allocation of resources and physical environment of ED. Different health systems can explain some unique factors identified in different areas. Satisfaction with medical expenses has been identified as a factor associated with overall patient satisfaction of ED in Mainland China, which could be due to that patients in Mainland have higher out-of-pocket share. Hong Kong has a gate keeper system which results in a large number of inappropriate ED users and thereby increases the waiting time and causes the ED crowding. Conclusion On the basis of the identified factors, potential interventions such as providing patients with sufficient information and improving medical staff's technical skills, service attitude and communication skills can be implemented to increase patient satisfaction. Future studies should focus more on the evaluation of specific interventions. DOI: 10.5353/th_b5098337 Subjects: Patient satisfaction - China - Hong Kong Hospitals - Emergency services - China Patient satisfaction - Taiwan Hospitals - Emergency services - China - Hong Kong Hospitals - Emergency services - Taiwan Patient satisfaction - China
Author: Glenn D. Krasker
Publisher: HC Pro, Inc.
ISBN: 9781578393619
Category : Güvenlik yönetimi
Languages : en
Pages : 190
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Book Description
Your organization needs to conduct and analyze at least one high-risk process per year to comply with the JCAHO's Improving Organization Performance standard PI.3.20. The Failure Modes and Effects Analysis (FMEA) is a proactive process that helps you comply with this standard. It allows you to reduce risk-in a process, system, and ultimately your organization-so you can protect both patients and staff from the danger of medical errors before they occur. Your one-stop guide to conducting FMEAs Unfortunately, hospitals across the country continue to struggle with the practicality of this process and are unable to translate theory into reality. The good news? Our new book Failure Modes and Effects Analysis: Building Safety into Everyday Practice will walk you step-by-step through the FMEA process by using case studies that encompass the most problematic areas: blood transfusions, medication use, patient suicide, wrong-site surgery, and delay in treatment. Taking your FMEA to the next level Many of our customers who purchased our best-selling book, Step-by-Step Guide to Failure Modes and Effects Analysis, published in May 2002, learned the best way to conduct an FMEA. This new book takes this PI process to the next level by providing in-depth case studies, real examples, and practical tools! We've done the work for you by studying how other organizations have analyzed their own high-risk areas using an FMEA, and providing you with this information in an easy-to-read case study format. Sample FMEAs, charts, and tools! You'll receive tools including sample FMEAs, flowcharts of each process, and tables to indicate your risk-reduction efforts. The sample FMEAs highlight the potential failure modes and demonstrate how to rate the likelihood of each error, the severity of the outcome, and how to prioritize your improvement efforts to prevent medical errors. Take a look below to see how each sample FMEA will help you with your FMEA process
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Nicole P. Centrella
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"Introduction: Emergency departments are facing increasing numbers of non-emergent patients seeking care in their facilities. Fast Track areas have been shown to help manage this population of patients while providing high quality and efficient care. The purpose of this project was to redesign an existing Fast Track area using evidence based practice to help decrease length of stay and improve patient satisfaction. Methods: The Fast Track area was redesigned with new construction expanding the treatment area from 6 to 12 beds. The staffing numbers of midlevel providers, nurses, and clinical technician were adjusted. Emergency Severity Index (ESI) triage was reinforced and triage guidelines for Fast Track were adjusted to help ensure proper assignment of patients. Results: After a 4 week period of implementing the new Fast Track guidelines, staffing, and layout, patient satisfaction scores averaged 98% and the average length of stay was 86 minutes as compared to an average patient satisfaction score of 86.7% and an average length of stay of 92 minutes prior to the implementation of this project. The percentage of patients having lengths of stay greater than 120 minutes decreased from 31.5% to 24.5% after the intervention. Discussion: This redesign of the fast track area, using methods shown to be successful in the literature, helped reduce length of stay times and increase patient satisfaction scores in this emergency department. After the intervention staff reported improved morale and job satisfaction as well. These findings provide support for the efforts made by the hospital to fund these changes, as well, provide direction for future patient flow projects in the emergency department. " -- Abstract.
