Interdisciplinary quality improvement from the perspective of a clinical pathway team

Article Abstract:

An interdisciplinary coronary artery bypass graft (CABG) clinical pathway team at the University of Iowa Hospitals and Clinics has worked on development of a clinical pathway for care-quality improvement and cost control for its patients, a high-volume, high-cost population. The problems that cause difficulty in implementing clinical pathways usually relate to accountability, development and implementation and these areas were addressed. Monitoring key junctures in care and use of high-tech interventions turned out to be useful, as opposed to trying to look at and manage every detail.

Methods, Coronary artery bypass, Outcome and process assessment (Health Care), Outcome and process assessment (Medical care)

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A framework for integrated quality improvement

Article Abstract:

Division of Psychiatric and Chemical Dependency Nursing staff at the University of Iowa Hospitals and Clinics developed an integrative framework for structuring a quality control program. Indicators of basic structural soundness and staff competence form the framework's foundation. Other framework components include patient care improvement processes that measure conformity and variance to performance standards, research projects that alleviate problems in care or infrastructure, and grave errors, known as sentinel events, that require intense scrutiny to prevent their reoccurrence.

Management, Quality control, Health facilities

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