Quality management in health care
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Qual Manag Health Care · Jan 1999
May I take your order: a user-friendly resuscitation status and medical treatment plan form.
Practice did not conform with our hospital's Do Not Resuscitate (DNR) policy. We sought explanations and suggestions from parties involved in the DNR order process. From what we learned, we developed an easy to use, specific form for Resuscitation Status and a Medical Treatment Plan. Surveillance of form use indicates we have addressed unrealistic expectations about efficacy of CPR, improved documentation of Do Not Attempt Resuscitation (DNAR) discussions, and clarified DNAR orders and other medical treatments intended for DNAR patients.
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Qual Manag Health Care · Jan 1999
Evaluation of a local cooperative project to improve postoperative pain management in Wisconsin hospitals.
The effectiveness of a local collaborative quality improvement project in improving the management of postoperative pain for Wisconsin Medicare patients was assessed. Six quality indicators were evaluated on the basis of baseline data from 714 subjects at 15 collaborating hospitals and follow-up data from 406 subjects from the same 15 hospitals. After efforts to improve postoperative pain management, there was statistically significant improvement in all six quality indicators.
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Qual Manag Health Care · Jan 1999
Institutionwide pain management improvement through the use of evidence-based content, strategies, resources, and outcomes.
The Agency for Health Care Policy and Research pain guidelines and implementation theories were used in this improvement initiative to ensure that evidence-based pain management reached every provider and patient in a large tertiary care hospital. Implementation strategies, products, and outcome measures are described for use in the clinical setting. Critical success factors and implementation barriers are also addressed.