Base de dados : MEDLINE
Pesquisa : N04.452.677.420 [Categoria DeCS]
Referências encontradas : 1225 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 123 ir para página                         

  1 / 1225 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27681024
[Au] Autor:Jønsson T; Unterrainer C; Jeppesen HJ; Jain AK
[Ad] Endereço:Department of Psychology and Behavioral Sciences, Aarhus University , Aarhus, Denmark.
[Ti] Título:Measuring distributed leadership agency in a hospital context.
[So] Source:J Health Organ Manag;30(6):908-26, 2016 Sep 19.
[Is] ISSN:1758-7247
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose The purpose of this paper is to develop and validate an instrument that can measure distributed leadership (DL) as employees' active participation in DL tasks. The authors designate this as the distributed leadership agency (DLA). Design/methodology/approach Data were collected throughout all departments and occupational groups at a merged centralized hospital setting in Denmark. A total of 1,774 employees from 24 hospital departments and 16 occupational groups completed our survey. Structural equation model and confirmatory factor analyses were applied to identify appropriate items and a test for measurement invariance, predictive, discriminant and convergent validity, and ANOVAs were applied to analyse group differences in DLA. Findings The identified unidimensional questionnaire consists of seven items, as it is different from, but associated with, empowering leadership, organizational influence, attitude to participation and trust in management. As theoretically predicted, DLA is positively related to self-efficacy, job satisfaction and innovative behaviour. Chief physicians, permanent employees and employee representatives scored higher on the scale than the rest of their respective counterparts. Practical implications The survey offers a method to assess a distribution of leadership agency in hospital organizations. Such assessment may provide a basis for organizational and leadership development. Originality/value The present study provides a reliable and valid quantitative instrument that measures how much employees at all hierarchical levels are involved in concrete leadership activities in the hospital context. Taking a normative perspective the authors could show that DL - measured with the DLA-questionnaire - has positive effects on employees' behaviour.
[Mh] Termos MeSH primário: Administração Hospitalar
Liderança
Participação nas Decisões
[Mh] Termos MeSH secundário: Dinamarca
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170612
[Lr] Data última revisão:
170612
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE
[do] DOI:10.1108/JHOM-05-2015-0068


  2 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27599700
[Au] Autor:Mahlknecht A; Abuzahra ME; Piccoliori G; Enthaler N; Engl A; Sönnichsen A
[Ad] Endereço:Institut für Allgemein-, Familien- und Präventivmedizin, Paracelsus Medizinische Universität Salzburg, Strubergasse 21, 5020, Salzburg, Austria. angelika.mahlknecht@pmu.ac.at.
[Ti] Título:Improving quality of care in general practices by self-audit, benchmarking and quality circles.
[So] Source:Wien Klin Wochenschr;128(19-20):706-718, 2016 Oct.
[Is] ISSN:1613-7671
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:Guideline adherence of general practitioners (GP) regarding treatment of chronic conditions shows room for improvement. Thus, concepts have to be designed to promote quality of care. The aim of the interventional study "Improvement of Quality by Benchmarking" was to assess whether quality can be improved by self-auditing, benchmarking and quality circles in Salzburg (Austria) and South Tyrol (Italy). In this publication we present the Austrian results. Quality indicators were developed in a consensus process for eight chronic diseases based on pre-existing quality management systems. A quality score consisting of 35 indicators was calculated (0-5 points per indicator depending on fulfilment, maximum 175 points). Data were extracted from the electronic health records of participating practices in 2012, 2013 and 2014. A statistical pre-post analysis was performed using Wilcoxon signed-rank tests. A total of 20 GPs participated in the project. The mean quality score increased from 62.0 at baseline to 84.0 at the second follow-up (p = 0.003). Regarding the individual quality indicators, strong improvements were achieved between baseline and first follow-up, especially in process indicators concerning documentation. Between the first and second follow-up, quality remained in most cases at the same level. The validity of results is limited because of structural and technical problems. Due to the uncontrolled pre-post design we cannot exclude external influences on the results. Nevertheless, the intervention was able to improve measured quality of care. Barriers were detected that should be considered in a possible implementation of quality control programs.
[Mh] Termos MeSH primário: Benchmarking/utilização
Doença Crônica/terapia
Medicina Geral/normas
Participação nas Decisões/utilização
Auditoria Médica/utilização
Melhoria de Qualidade/utilização
[Mh] Termos MeSH secundário: Adulto
Áustria/epidemiologia
Benchmarking/normas
Doença Crônica/epidemiologia
Registros Eletrônicos de Saúde/estatística & dados numéricos
Feminino
Medicina Geral/classificação
Medicina Geral/estatística & dados numéricos
Seres Humanos
Itália/epidemiologia
Masculino
Participação nas Decisões/normas
Auditoria Médica/normas
Meia-Idade
Garantia da Qualidade dos Cuidados de Saúde/métodos
Garantia da Qualidade dos Cuidados de Saúde/normas
Melhoria de Qualidade/normas
Indicadores de Qualidade em Assistência à Saúde/normas
Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160908
[St] Status:MEDLINE


  3 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27590248
[Au] Autor:Siebolds M; Münzel B; Müller R; Häußermann S; Paul M; Kahl C
[Ad] Endereço:Sysco GmbH Köln, Sielsdorferstraße 7, 50935, Köln, Deutschland. sysco-koeln@t-online.de.
[Ti] Título:[Comprehensive implementation of interprofessional quality circles regarding early prevention of childhood disadvantage in Baden Württemberg (Germany)].
[Ti] Título:Flächendeckende Implementierung von hilfesystemübergreifenden Qualitätszirkeln zum Thema Frühe Hilfen in Baden-Württemberg..
[So] Source:Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz;59(10):1310-4, 2016 Oct.
[Is] ISSN:1437-1588
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: The integration of available early interventions and healthcare for families with children by practicing pediatricians has yet to be systematically established. For this reason, the Association of Statutory Health Insurance Physicians of Baden-Wuerttemberg established overarching, accredited, cross-system quality circles that serve to integrate all representatives of the healthcare system as well as child and youth welfare services. These quality circles are led by specially trained moderator tandems consisting of pediatricians and staff members from youth welfare services. OBJECTIVES: The goal was to evaluate the endpoints of the regional implementation of cross-system quality circles for early interventions in the state of Baden-Wuerttemberg as well as the feasibility of establishing long-term training programs for cross-system moderator tandems. METHODS: This was a noncontrolled, longitudinal study to prepare a yearly evaluation of the quality-circle assessments as well as to gather statistics on the training of the moderator tandems within the Association of Statutory Health Insurance Physicians of Baden-Wuerttemberg. RESULTS: A total of 59 moderator tandems were trained in nine separate training sessions within the project period from 2011 to 2015. Overall, 33 quality circles were founded. In 2015, 566 persons were participating in the respective circles. Over the course of the study between 26 and 33 of the 44 urban and rural districts in the state of Baden-Wuerttemberg had at least one quality circle dedicated to early interventions. Ten further circles are presently in the process of being founded; 29 moderators have yet to commence their activity or have withdrawn from the program. DISCUSSION: Between 59 and 81 % of the urban and rural districts implemented cross-system quality circles. The training of the moderator tandems proceeded without complications. Because of the dropout quota of the trained moderator tandems, systematic and continual training of new tandems proves to be necessary.
[Mh] Termos MeSH primário: Prestação Integrada de Cuidados de Saúde/utilização
Deficiências do Desenvolvimento/epidemiologia
Deficiências do Desenvolvimento/prevenção & controle
Participação nas Decisões/utilização
Modelos Organizacionais
Serviços Preventivos de Saúde/utilização
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Alemanha/epidemiologia
Seres Humanos
Lactente
Recém-Nascido
Relações Interprofissionais
Masculino
Participação do Paciente/estatística & dados numéricos
Prevalência
Fatores de Risco
Revisão da Utilização de Recursos de Saúde
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160904
[St] Status:MEDLINE
[do] DOI:10.1007/s00103-016-2427-3


  4 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26902062
[Au] Autor:Zhang H; Wang L; Cai Y; Ye R; Lin J; Jiang D
[Ti] Título:Application of a Quality Control Circle to Reduce the Wait Times between Continuous Surgeries.
[So] Source:Eye Sci;30(2):60-2, 2015 Jun.
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To investigate how to shorten patient wait times between continuous ocular operations and to evaluate the influence of a quality control circle (QCC) on operating room management. METHODS: QCC management was established to conduct activities. Clinical data were collected to analyze the causes of long wait times between continuous surgeries. Effective measures were undertaken correspondingly. RESULTS: The staff from QCC actively undertook measures that would significantly shorten patient wait times between continuous ocular surgeries (P < 0.05). CONCLUSION: Multiple measures, such as setting up a QCC, enhancing the arrangement of surgical procedures, establishing effective communication channels, optimizing human resources, and integrating the use of instruments, can effectively shorten patient wait times between continuous vitreous or retinal surgeries.
[Mh] Termos MeSH primário: Participação nas Decisões/organização & administração
Salas Cirúrgicas/organização & administração
Procedimentos Cirúrgicos Oftalmológicos/normas
[Mh] Termos MeSH secundário: Seres Humanos
Procedimentos Cirúrgicos Oftalmológicos/instrumentação
Controle de Qualidade
Fatores de Tempo
Listas de Espera
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:160223
[Lr] Data última revisão:
160223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160224
[St] Status:MEDLINE


  5 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26665279
[Au] Autor:Creighton R
[Ti] Título:MAKE PERFORMANCE MANAGEMENT INTELLIGENT.
[So] Source:Health Serv J;125(6440):24, 2015 Mar 27.
[Is] ISSN:0952-2271
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Participação nas Decisões
Medicina Estatal
[Mh] Termos MeSH secundário: Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1602
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151216
[St] Status:MEDLINE


  6 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26642537
[Au] Autor:Rice S
[Ti] Título:LEARNING to be LEAN. One hospital's staff discovers improving efficiency isn't easy.
[So] Source:Mod Healthc;45(39):14-6, 18, 20 passim, 2015 Sep 28.
[Is] ISSN:0160-7480
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Eficiência Organizacional
Corpo Clínico Hospitalar
Melhoria de Qualidade
Centro Cirúrgico Hospitalar
[Mh] Termos MeSH secundário: Participação nas Decisões
Estudos de Casos Organizacionais
Gestão da Qualidade Total
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151208
[Lr] Data última revisão:
151208
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151209
[St] Status:MEDLINE


  7 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26625534
[Au] Autor:Inglesfield J; McEvoy J
[Ti] Título:OLDER PEOPLE'S SERVICES. Turnaround starts with a system-wide approach.
[So] Source:Health Serv J;125(6434):22-3, 2015 Feb 13.
[Is] ISSN:0952-2271
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermagem Geriátrica/normas
Participação nas Decisões
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Inglaterra
Hospitais Públicos
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151202
[Lr] Data última revisão:
151202
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151203
[St] Status:MEDLINE


  8 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26625533
[Au] Autor:Trueland J
[Ti] Título:CHANGE CHALLENGE CAMPAIGN. Put frontline staff in the driving seat for change.
[So] Source:Health Serv J;125(6434):19-21, 2015 Feb 13.
[Is] ISSN:0952-2271
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Participação nas Decisões
Corpo Clínico Hospitalar
Melhoria de Qualidade
Qualidade da Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Inglaterra
Hospitais Pediátricos
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151202
[Lr] Data última revisão:
151202
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151203
[St] Status:MEDLINE


  9 / 1225 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:26571974
[Au] Autor:Cull D
[Ti] Título:Process Improvement: Customer Service.
[So] Source:Radiol Manage;37(5):53-6, 2015 Sep-Oct.
[Is] ISSN:0198-7097
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Utilizing the comment section of patient satisfaction surveys, Clark Memorial Hospital in Jeffersonville, IN went through a thoughtful process to arrive at an experience that patients said they wanted. Two Lean Six Sigma tools were used--the Voice of the Customer (VoC) and the Affinity Diagram. Even when using these tools, a facility will not be able to accomplish everything the patient may want. Guidelines were set and rules were established for the Process Improvement Team in order to lessen frustration, increase focus, and ultimately be successful. The project's success is driven by the team members carrying its message back to their areas. It's about ensuring that everyone is striving to improve the patients' experience by listening to what they say is being done right and what they say can be done better. And then acting on it.
[Mh] Termos MeSH primário: Participação nas Decisões/organização & administração
Satisfação do Paciente
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Departamentos Hospitalares
Indiana
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1512
[Cu] Atualização por classe:151116
[Lr] Data última revisão:
151116
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:151118
[St] Status:MEDLINE


  10 / 1225 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26028449
[Au] Autor:Redaèlli M; Vollmar HC; Simic D; Maly-Schürer C; Löscher S; Koneczny N
[Ad] Endereço:Institut für Allgemeinmedizin und Familienmedizin, Department für Humanmedizin, Universität Witten / Herdecke, Witten, Deutschland; Institut für Allgemeinmedizin, Fakultät für Medizin, Universität Düsseldorf, Düsseldorf, Deutschland. Electronic address: marcus.redaelli@uni-wh.de.
[Ti] Título:[Guideline implementation study on asthma: Results of a pragmatic implementation approach].
[Ti] Título:Leitlinien-Implementierungs-Studie Asthma (L.I.S.A.): Ergebnisse eines pragmatischen Implementierungsansatzes..
[So] Source:Z Evid Fortbild Qual Gesundhwes;109(2):124-31, 2015.
[Is] ISSN:2212-0289
[Cp] País de publicação:Netherlands
[La] Idioma:ger
[Ab] Resumo:OBJECTIVE: Knowledge transfer from theory to practice in healthcare systems poses a challenge worldwide. Typical examples include national disease management guidelines. The present study contributes towards improving implementation strategies for an asthma guideline. METHODS: A guideline implementation strategy was examined in a four-armed, non-randomised, controlled intervention study with an additional control group. The study participants were general practitioners and paediatricians recruited from primary care quality circles. All study participants attended an interactive seminar on the evidence-based recommendations for patients with asthma. In addition, the participants were asked to choose among the following options: no further intervention, additional e-learning, training of their practice nurses, or e-learning and training of their practice nurses. The success of the intervention was measured by questionnaire (and the success rate expressed as a percentage). RESULTS: About one third of all participants (n=313) opted for the combination of an interactive seminar and a training of practice nurses; two third preferred the classic way of continuing medical education with an interactive seminar without a further intervention. Just 10 % of the physicians participated in e-learning. Independently of their choice for continuing medical education, all participants demonstrated an increase in knowledge about asthma and an improvement in the management of asthma. The physicians exhibited an average increase in both categories of about 10 % of the percentage values, compared to an increase of about 28 % among the practice nurses without continuing medical education. CONCLUSIONS: The physicians' free choice of the educative modules might be an integral part of successful implementation strategies. However, this will require a change of focus from general continuing medical education packages to a more individualised culture of continuing professional development in Germany.
[Mh] Termos MeSH primário: Asma/diagnóstico
Asma/terapia
Medicina Baseada em Evidências/organização & administração
Fidelidade a Diretrizes/organização & administração
Implementação de Plano de Saúde/organização & administração
Garantia da Qualidade dos Cuidados de Saúde/organização & administração
Pesquisa Médica Translacional
[Mh] Termos MeSH secundário: Adulto
Criança
Feminino
Medicina Geral/organização & administração
Alemanha
Seres Humanos
Capacitação em Serviço/organização & administração
Masculino
Participação nas Decisões/organização & administração
Meia-Idade
Enfermagem no Consultório/organização & administração
Pediatria/organização & administração
Padrões de Prática Médica/organização & administração
Inquéritos e Questionários
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; ENGLISH ABSTRACT; JOURNAL ARTICLE; PRAGMATIC CLINICAL TRIAL
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150601
[Lr] Data última revisão:
150601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150602
[St] Status:MEDLINE



página 1 de 123 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde