Base de dados : MEDLINE
Pesquisa : N04.452.955 [Categoria DeCS]
Referências encontradas : 12210 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1221 ir para página                         

  1 / 12210 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29461353
[Au] Autor:Moreno JV; Girard AS; Foad W
[Ad] Endereço:Author Affiliations: Director of Professional Development and Clinical Education (Dr Moreno), Center of Professional Excellence and Inquiry, Stanford Children's Health/Lucille Packard Children's Hospital, Menlo Park; and Magnet Program Director (Dr Girard) and Associate Chief Nursing Officer (Ms Foad), Patient Care Services, Stanford Health Care, Stanford, California.
[Ti] Título:Realigning Shared Governance With Magnet® and the Organization's Operating System to Achieve Clinical Excellence.
[So] Source:J Nurs Adm;48(3):160-167, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2012, an academic medical center successfully overhauled a 15-year-old shared governance to align 6 house-wide and 30 unit-based councils with the new Magnet Recognition Program® and the organization's operating system, using the processes of LEAN methodology. The redesign improved cross-council communication structures, facilitated effective shared decision-making processes, increased staff engagement, and improved clinical outcomes. The innovative structural and process elements of the new model are replicable in other health institutions.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/organização & administração
Tomada de Decisões Gerenciais
Recursos Humanos de Enfermagem no Hospital/organização & administração
Gestão da Qualidade Total/organização & administração
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/normas
Tomada de Decisões
Seres Humanos
Relações Interprofissionais
Liderança
Recursos Humanos de Enfermagem no Hospital/psicologia
Recursos Humanos de Enfermagem no Hospital/normas
Estudos de Casos Organizacionais
Inovação Organizacional
Melhoria de Qualidade/organização & administração
Melhoria de Qualidade/normas
Gestão da Qualidade Total/normas
Engajamento no Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000591


  2 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:27779538
[Au] Autor:Fisher C; Cusack G; Cox K; Feigenbaum K; Wallen GR
[Ad] Endereço:Author Affiliations: Sr Nurse Consultant Nursing Department (Dr Fisher), Director of Education and Outcomes, National Heart, Lung and Blood Institute (Ms Cusack), Clinical Nurse Specialist (Ms Cox), Clinical Nurse Specialist, Nursing Department (Ms Feigenbaum), and Deputy Chief Research and Practice Development, Nursing Department (Dr Wallen), National Institutes of Health Clinical Center, Bethesda, Maryland.
[Ti] Título:Developing Competency to Sustain Evidence-Based Practice.
[So] Source:J Nurs Adm;46(11):581-585, 2016 Nov.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Organizations must ensure that nursing care delivery is based on best evidence. This article describes how a clinical research hospital used a competency-based approach to structure the development and execution of a strategic plan and integrated evidence-based practice concepts into the activities of nurses at all levels. The article will also describe the process for developing and implementing the competency across our department including outcomes achieved.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação Baseada em Competências
Enfermeiras Clínicas/organização & administração
Papel do Profissional de Enfermagem
[Mh] Termos MeSH secundário: Seres Humanos
Modelos de Enfermagem
Pesquisa em Avaliação de Enfermagem
Gestão da Qualidade Total/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


  3 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28967954
[Au] Autor:Zarbo RJ; Copeland JR; Varney RC
[Ad] Endereço:Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, MI.
[Ti] Título:Deviation Management: Key Management Subsystem Driver of Knowledge-Based Continuous Improvement in the Henry Ford Production System.
[So] Source:Am J Clin Pathol;148(4):354-367, 2017 Oct 01.
[Is] ISSN:1943-7722
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objectives: To develop a business subsystem fulfilling International Organization for Standardization 15189 nonconformance management regulatory standard, facilitating employee engagement in problem identification and resolution to effect quality improvement and risk mitigation. Methods: From 2012 to 2016, the integrated laboratories of the Henry Ford Health System used a quality technical team to develop and improve a management subsystem designed to identify, track, trend, and summarize nonconformances based on frequency, risk, and root cause for elimination at the level of the work. Results: Programmatic improvements and training resulted in markedly increased documentation culminating in 71,641 deviations in 2016 classified by a taxonomy of 281 defect types into preanalytic (74.8%), analytic (23.6%), and postanalytic (1.6%) testing phases. The top 10 deviations accounted for 55,843 (78%) of the total. Conclusions: Deviation management is a key subsystem of managers' standard work whereby knowledge of nonconformities assists in directing corrective actions and continuous improvements that promote consistent execution and higher levels of performance.
[Mh] Termos MeSH primário: Eficiência Organizacional
Patologia Cirúrgica/organização & administração
Controle de Qualidade
Gestão da Qualidade Total/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE
[do] DOI:10.1093/ajcp/aqx084


  4 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28890090
[Au] Autor:Guerrier B; Halm É; Craman M; Dujols JP; Norkowski JL; Meynard K
[Ad] Endereço:Groupement de radiothérapie et d'oncologie des Pyrénées (GROP), 57, rue Aristide-Briand, 64000 Pau, France. Electronic address: performance64@orange.fr.
[Ti] Título:[From quality management to dynamic management through quality: Deployment within a radiotherapy group].
[Ti] Título:De la démarche qualité vers la gestion dynamique par la qualité : déploiement au sein d'un groupe de radiothérapie..
[So] Source:Cancer Radiother;21(6-7):655-661, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:In 2015, the quality group of the radiotherapy clinic Groupement de Radiothérapie et d'Oncologie des Pyrénées (GROP, Pau, France) decided to review the deployment of its quality approach in order to optimize it continuously. For this, two improvements were proposed: an involvement of process drivers and a material and financial investment in document management software. The implementation of these organizational and managerial provisions enabled us to better cover the requirements of the ISO 9001 standard, the international reference in quality management.
[Mh] Termos MeSH primário: Radioterapia/normas
Gestão da Qualidade Total
[Mh] Termos MeSH secundário: Documentação
Processos Grupais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE


  5 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28869197
[Au] Autor:Ponsard N; Brusadin G; Schick U
[Ad] Endereço:CHRU de Brest, 2, rue Auguste-Morvan, 29200 Brest, France. Electronic address: ponsard.nathalie@wanadoo.fr.
[Ti] Título:[Radiotherapy quality and risk manager role optimization in 2017].
[Ti] Título:Optimisation du rôle du responsable qualité­gestion des risques au sein des services de radiothérapie en 2017..
[So] Source:Cancer Radiother;21(6-7):670-672, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The quality and risk manager works in a regulated framework, which delimits its missions. Nevertheless, the variety among the centers generates heterogeneous situations regarding the positioning and the range of action. A well-defined framework is needed in order to ratify the legitimacy and the recognition of quality and risk manager's main function.
[Mh] Termos MeSH primário: Radioterapia/normas
Gestão de Riscos
[Mh] Termos MeSH secundário: Seres Humanos
Gestão da Qualidade Total
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170905
[St] Status:MEDLINE


  6 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28617783
[Au] Autor:Shuker C; Bohm G; Hamblin R; Simpson A; St George D; Stolarek I; Wilson J; Merry AF
[Ad] Endereço:Principal Advisor, Publications, Health Quality & Safety Commission, Wellington.
[Ti] Título:Progress in public reporting in New Zealand since the Ombudsman's ruling, and an invitation.
[So] Source:N Z Med J;130(1457):11-22, 2017 06 16.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Mh] Termos MeSH primário: Disseminação de Informação/métodos
Defesa do Paciente
Relações Públicas
Qualidade da Assistência à Saúde
Gestão da Qualidade Total
[Mh] Termos MeSH secundário: Revelação
Seres Humanos
Disseminação de Informação/legislação & jurisprudência
Nova Zelândia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE


  7 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28555631
[Au] Autor:Beg S; Sansone S; Manguso F; Schembri J; Patel J; Thoufeeq M; Corbett G; Ragunath K
[Ad] Endereço:Queens Medical Centre, Nottingham University Hospitals, Gastroenterology, Nottingham, UK.
[Ti] Título:The Conversion of Planned Colonoscopy to Sigmoidoscopy and the Effect of this Practice on the Measurement of Quality Indicators.
[So] Source:Am J Gastroenterol;112(10):1545-1552, 2017 Oct.
[Is] ISSN:1572-0241
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: A cecal intubation rate (CIR) of >90% is a well-accepted quality indicator of colonoscopy and is consequently monitored within endoscopy units. Endoscopists' desire to meet this target may mean that incomplete colonoscopies are recorded as flexible sigmoidoscopies. The aim of this study was to examine whether the conversion of requested colonoscopies is a clinically significant phenomenon and whether this impacts upon the measurement of quality indicators. METHODS: A retrospective review of all flexible sigmoidoscopies performed between 1 January 2015 and 31 December 2015 at Nottingham University Hospitals, Sheffield Teaching Hospitals, and Cambridge University Hospitals was performed. Where a colonoscopy was requested but a flexible sigmoidoscopy performed, the patient's records and endoscopy reports were reviewed to determine whether this conversion was decided before the start of the procedure and documented. RESULTS: During the 12-month period, 6,839 flexible sigmoidoscopies were performed by 125 endoscopists. The original requests of 149 sigmoidoscopies could not be retrieved and were therefore excluded from this analysis. Of the 6,690 sigmoidoscopy requests reviewed, 2.8% (n=190) procedures were originally requested as a colonoscopy. On review of patient records, 85 conversions were appropriate according to pre-defined criteria. However, 105 conversions were deemed inappropriate, occurring in patients who had a valid documented indication for colonoscopy and had undergone full bowel preparation. The most common reasons cited included poor bowel preparation (n=37), technically challenging procedure (n=24), at the endoscopist's discretion based on clinical factors (n=21), and obstructing patology (n=8). A clear reason for conversion was not apparent in 11 cases. During the study period, 21,271 colonoscopies were performed and so conversions represent 0.45% of the total requests. When inappropriate conversions were included in individuals' performance data, 15 endoscopists fell to ≤90% target cecal intubation target. CONCLUSIONS: A small, but significant number of colonoscopies are converted to flexible sigmoidoscopies at the time of the procedure. This study demonstrates the conversion of colonoscopy to sigmoidoscopy as being a potential limitation of relying on CIR alone. Endoscopy units should consider monitoring the rate of inappropriate conversions to ensure quality.
[Mh] Termos MeSH primário: Doenças do Colo/diagnóstico
Colonoscopia
Intubação Gastrointestinal
Sigmoidoscopia
[Mh] Termos MeSH secundário: Idoso
Competência Clínica/normas
Colonoscopia/métodos
Colonoscopia/normas
Colonoscopia/estatística & dados numéricos
Feminino
Seres Humanos
Intubação Gastrointestinal/métodos
Intubação Gastrointestinal/normas
Intubação Gastrointestinal/estatística & dados numéricos
Masculino
Registros Médicos Orientados a Problemas/estatística & dados numéricos
Meia-Idade
Indicadores de Qualidade em Assistência à Saúde
Estudos Retrospectivos
Sigmoidoscopia/métodos
Sigmoidoscopia/estatística & dados numéricos
Gestão da Qualidade Total/métodos
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE
[do] DOI:10.1038/ajg.2017.138


  8 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28496271
[Au] Autor:Cooley J; Stolpe SF; Montoya A; Walsh A; Hincapie AL; Arya V; Nelson ML; Warholak T
[Ad] Endereço:University of Arizona College of Pharmacy, Tucson, Arizona.
[Ti] Título:An Analysis of Quality Improvement Education at US Colleges of Pharmacy.
[So] Source:Am J Pharm Educ;81(3):51, 2017 Apr.
[Is] ISSN:1553-6467
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Analyze quality improvement (QI) education across US pharmacy programs. This was a two stage cross-sectional study that inspected each accredited school website for published QI curriculum or related content, and e-mailed a questionnaire to each school asking about QI curriculum or content. -test and chi square were used for analysis with an alpha a priori set at .05. Sixty responses (47% response rate) revealed the least-covered QI topics: quality dashboards /sentinel systems (30%); six-sigma or other QI methodologies (45%); safety and quality measures (57%); Medicare Star measures and payment incentives (58%); and how to implement changes to improve quality (60%). More private institutions covered Adverse Drug Events than public institutions and required a dedicated QI class; however, required QI projects were more often reported by public institutions. Despite the need for pharmacists to understand QI, it is not covered well in school curricula.
[Mh] Termos MeSH primário: Educação em Farmácia/normas
Melhoria de Qualidade
Faculdades de Farmácia/normas
[Mh] Termos MeSH secundário: Estudos Transversais
Currículo
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Seres Humanos
Internet
Gestão da Qualidade Total
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170513
[St] Status:MEDLINE
[do] DOI:10.5688/ajpe81351


  9 / 12210 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28410337
[Au] Autor:Ball SL; Stevenson LD; Ladebue AC; McCreight MS; Lawrence EC; Oestreich T; Lambert-Kerzner AC
[Ad] Endereço:*Denver-Seattle Center of Innovation, Veterans Health Administration †Cleveland VA Medical Center, Cleveland, OH.
[Ti] Título:Adaptation of Lean Six Sigma Methodologies for the Evaluation of Veterans Choice Program at 3 Urban Veterans Affairs Medical Centers.
[So] Source:Med Care;55 Suppl 7 Suppl 1:S76-S83, 2017 Jul.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The Veterans Health Administration (VHA) is adapting to meet the changing needs of our Veterans. VHA leaders are promoting quality improvement strategies including Lean Six Sigma (LSS). This study used LSS tools to evaluate the Veterans Choice Program (VCP), a program that aims to improve access to health care services for eligible Veterans by expanding health care options to non-VHA providers. RESEARCH DESIGN: LSS was utilized to assess the current process and efficiency patterns of the VCP at 3 VHA Medical Centers. LSS techniques were used to assess data obtained through semistructured interviews with Veterans, staff, and providers to describe and evaluate the VCP process by identifying wastes and defects. RESULTS: The LSS methodology facilitated the process of targeting priorities for improvement and constructing suggestions to close identified gaps and inefficiencies. Identified key process wastes included inefficient exchange of clinical information between stakeholders in and outside of the VHA; poor dissemination of VCP programmatic information; shortages of VCP-participating providers; duplication of appointments; declines in care coordination; and lack of program adaptability to local processes. Recommendations for improvement were formulated using LSS. CONCLUSIONS: This evaluation illustrates how LSS can be utilized to assess a nationally mandated health care program. By focusing on stakeholder, staff, and Veteran perspectives, process defects in the VCP were identified and improvement recommendations were made. However, the current LSS language used is not intuitive in health care and similar applications of LSS may consider using new language and goals adapted specifically for health care.
[Mh] Termos MeSH primário: Comportamento de Escolha
Hospitais Urbanos
Hospitais de Veteranos/normas
Melhoria de Qualidade
Gestão da Qualidade Total/métodos
[Mh] Termos MeSH secundário: Avaliação de Programas e Projetos de Saúde
Estados Unidos
United States Department of Veterans Affairs
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000721


  10 / 12210 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28362246
[Au] Autor:Branco D; Wicks AM; Visich JK
[Ad] Endereço:a Byline Bank , Chicago , Illinois , USA.
[Ti] Título:Using Quality Tools and Methodologies to Improve a Hospital's Quality Position.
[So] Source:Hosp Top;95(1):10-17, 2017 Jan-Mar.
[Is] ISSN:1939-9278
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The authors identify the quality tools and methodologies most frequently used by quality-positioned hospitals versus nonquality hospitals. Northeastern U.S. hospitals in both groups received a brief, 12-question survey. The authors found that 93.75% of the quality hospitals and 81.25% of the nonquality hospitals used some form of process improvement methodologies. However, there were significant differences between the groups regarding the impact of quality improvement initiatives on patients. The findings indicate that in quality hospitals the use of quality improvement initiatives had a significantly greater positive impact on patient satisfaction and patient outcomes when compared to nonquality hospitals.
[Mh] Termos MeSH primário: Hospitais/normas
Melhoria de Qualidade
Gestão da Qualidade Total/métodos
[Mh] Termos MeSH secundário: Hospitais/tendências
Seres Humanos
Satisfação do Paciente
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170401
[St] Status:MEDLINE
[do] DOI:10.1080/00185868.2017.1279514



página 1 de 1221 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