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排序方式: 共有70条查询结果,搜索用时 15 毫秒
1.
Sharron Rushton DNP MS RN CCM CNE Allison A. Lewinski PhD MPH RN Soohyun Hwang MPH Leah L. Zullig PhD Katharine A. Ball Ricks PhD MPH MS Katherine Ramos PhD Adelaide Gordon MPH Belinda Ear MPH Lindsay A. Ballengee PT DPT Mulugu V. Brahmajothi MSc PhD MHS Thomasena Moore DNP MHA RN CPHQ Dan V. Blalock PhD John W. Williams Jr MD MHS Sarah E. Cantrell MLIS AHIP Jennifer M. Gierisch PhD MPH Karen M. Goldstein MD MSPH 《Journal of clinical nursing》2023,32(1-2):3-30
2.
Mary Murray-Weir PT MBA Steven Magid MD CMIO Laura Robbins DSW Patricia Quinlan PhD MPA RN CPHQ Pamela Sanchez-Villagomez MPA Steven H. Shaha PhD DBA 《HSS journal》2014,10(1):52-58
Background
Computerized provider order entry (CPOE) has been considered essential for the reduction of medical errors and increased patient safety. Assessment of staff perception regarding a CPOE system is important for satisfaction and adoption. Incorporation of user feedback can greatly improve the functionality of a system and promote user satisfaction.Questions/Purposes
This study aims to develop an informatics staff satisfaction survey instrument and to understand what components of computerized prescriber order entry (CPOE) contribute to staff satisfaction and its variability over time.Methods
The 22-question survey was developed by a multidisciplinary group and focused on patient data including demographics, orders, medications, laboratory, and radiology data. The questions were designed to understand if clinicians (1) could easily access the information needed to properly take care of patients, (2) could act upon the information once acquired, (3) could obtain the information clearly, and (4) were alerted to potential errors. The survey was distributed just prior to “go-live,” 6 and 12 months after go-live. Responses were given on a five-point Likert scale.Results
The survey results post-implementation showed user satisfaction with CPOE. Satisfaction regarding the ease of obtaining orders, medication, and lab data had a significant improvement at 6 and 12 months post-implementation, p < 0.001. Satisfaction that the computerized order entry system provided information needed to take care of their patients improved, p < 0.01. At 1 year post-implementation, user satisfaction declined from 6 months earlier but still demonstrated an overall increase in satisfaction from pre-implementation.Conclusion
Compared prior to go-live, clinicians are satisfied or very satisfied across multiple spheres and multiple disciplines. At all time points, clinicians were able to obtain information required to take care of their patients. However, post-go-live, it was easier to obtain and act upon as well as more clear and understandable.Electronic supplementary material
The online version of this article (doi:10.1007/s11420-013-9377-1) contains supplementary material, which is available to authorized users. 相似文献3.
Victor R. Klein MD MBA FACOG FACMG CPHRM Vivian B. Miller BA DFASHRM CPHRM CPHQ LHRM 《Journal of healthcare risk management》2014,34(2):14-19
Scores of ASHRM members have collaborated to produce the Pearls Series, a set of pocket guides on topics of interest for not only risk managers but also administrators, clinicians, and board members. The succinct format facilitates the dissemination of pertinent information to a wide audience. Risk managers should be knowledgeable of the Pearls topics, understand how to develop appropriate metrics, and manage the monitoring and performance improvement aspects that are critical to ensuring successful knowledge transfer. 相似文献
4.
Use of Temporary Enteral Access Devices in Hospitalized Neonatal and Pediatric Patients in the United States 下载免费PDF全文
Beth Lyman MSN RN CNSC Carol Kemper PhD RN CPHQ LaDonna Northington DNS RN Jane Anne Yaworski MSN RN Kerry Wilder BSN RN MBA Candice Moore BSN RN CPN Lori A. Duesing MSN RN CPNP‐AC Sharon Irving PhD RN 《JPEN. Journal of parenteral and enteral nutrition》2016,40(4):574-580
Background: Temporary enteral access devices (EADs), such as nasogastric (NG), orogastric (OG), and postpyloric (PP), are used in pediatric and neonatal patients to administer nutrition, fluids, and medications. While the use of these temporary EADs is common in pediatric care, it is not known how often these devices are used, what inpatient locations have the highest usage, what size tube is used for a given weight or age of patient, and how placement is verified per hospital policy. Materials and Methods: This was a multicenter 1‐day prevalence study. Participating hospitals counted the number of NG, OG, and PP tubes present in their pediatric and neonatal inpatient population. Additional data collected included age, weight and location of the patient, type of hospital, census for that day, and the method(s) used to verify initial tube placement. Results: Of the 63 participating hospitals, there was an overall prevalence of 1991 temporary EADs in a total pediatric and neonatal inpatient census of 8333 children (24% prevalence). There were 1316 NG (66%), 414 were OG (21%), and 261 PP (17%) EADs. The neonatal intensive care unit (NICU) had the highest prevalence (61%), followed by a medical/surgical unit (21%) and pediatric intensive care unit (18%). Verification of EAD placement was reported to be aspiration from the tube (n = 21), auscultation (n = 18), measurement (n = 8), pH (n = 10), and X‐ray (n = 6). Conclusion: The use of temporary EADs is common in pediatric care. There is wide variation in how placement of these tubes is verified. 相似文献
5.
Nicholas J. Okon DO ; Daniel V. Rodriguez MD ; Dennis W. Dietrich MD ; Carrie S. Oser MPH ; Lynda L. Blades MPH ; Anne M. Burnett RN MN CPHQ ; Joseph A. Russell NREMT-P ; Martha J. Allen RN ; Linda Chasson MSA ; Steven D. Helgerson MD MPH ; Dorothy Gohdes MD ; Todd S. Harwell MPH 《The Journal of rural health》2006,22(3):237-241
CONTEXT: Rapid diagnosis and treatment of ischemic stroke can lead to improved patient outcomes. Hospitals in rural and frontier counties, however, face unique challenges in providing diagnostic and treatment services for acute stroke. PURPOSE: The aim of this study was to assess the availability of key diagnostic technology and programs for acute stroke evaluation and treatment in Montana and northern Wyoming. METHODS: In 2004, hospital medical directors or their designees were mailed a survey about the availability of diagnostic technology, programs, and personnel for acute stroke care. FINDINGS: Fifty-eight of 67 (87%) hospitals responded to the survey. Seventy-nine percent (46/58) of responding hospitals were located in frontier counties, with an average bed size of 18 (11 SD). Of the hospitals in frontier counties, 44% reported emergency medical services prehospital stroke identification programs, 39% had 24-hour computed tomography capability, 44% had an emergency department stroke protocol, and 61% had a recombinant tissue plasminogen activator protocol. Thirty percent of hospitals in frontier counties reported that they met 6-10 of the criteria established by the Brain Attack Coalition to improve acute stroke care compared to 67% of hospitals in the nonfrontier counties. CONCLUSION: A stroke network model could enhance care and improve outcomes for stroke victims in frontier counties. 相似文献
6.
The Office of Inspector General published a series of four reports from 2008 to 2010 after investigating the frequency and financial impact of “never events” on Medicare recipients. This series investigated healthcare's ability to identify the occurrence of these events and yielded a detailed analysis of data that must, or at least should, be reviewed to fully understand the clinical risks affecting organizations. These reports also shed light on the reality that there remains gross underreporting of adverse events in healthcare and begs several questions about healthcare's current efforts to fully identify and understand risk. This article summarizes the reports and considers their risk management implications, particularly regarding adverse events. 相似文献
7.
8.
Alan J. Card MPH CPH CPHQ James R. Ward BEng CEng PhD MIET P. John Clarkson PhD BA 《Journal of healthcare risk management》2012,32(2):20-27
In this article we call for a new approach to patient safety improvement, one based on the emerging field of evidence‐based healthcare risk management (EBHRM). We explore EBHRM in the broader context of the evidence‐based healthcare movement, assess the benefits and challenges that might arise in adopting an evidence‐based approach, and make recommendations for meeting those challenges and realizing the benefits of a more scientific approach. 相似文献
9.
Maura J. McGuire MD Gary Noronha MD Lipika Samal MD MPH Hsin-Chieh Yeh PhD Susan Crocetti BSN RN CPHQ CHEM Steven Kravet MD MBA 《Journal of general internal medicine》2013,28(2):184-192
BACKGROUND
Increasing the use of electronic medical records (EMR) has been suggested as an important strategy for improving healthcare safety.OBJECTIVE
To sequentially measure, evaluate, and respond to safety culture and practice safety concerns following EMR implementation.DESIGN
Safety culture was assessed using a validated tool (Safety Attitudes Questionnaire; SAQ), immediately following EMR implementation (T1) and at 1.5 (T2) and 2.5 (T3) years post-implementation. The SAQ was supplemented with a practice-specific assessment tool to identify safety needs and barriers.PARTICIPANTS
A large medical group practice with a primary care core of 17–18 practices, staffed by clinicians in family medicine, pediatrics, internal medicine.INTERVENTIONS
Survey results were used to define and respond to areas of need between assessments with system changes and educational programs.MAIN MEASURES
Change in safety culture over time; perceived impact of EMR on practice.KEY RESULTS
Responses were received from 103 of 123 primary care providers in T1 (83.7 % response rate), 122 of 143 in T2 (85.3 %) and 142 of 181 in T3 (78.5 %). Safety culture improved over this period, with statistically significant improvement in all domains except for stress recognition. Time constraints, communications and patient adherence were perceived to be the most important safety issues. The majority of respondents in both T2 (77.9 %) and T3 (85.4 %) surveys agreed that the EMR improved their ability to provide care more safely.CONCLUSIONS
Implementation of an EMR in a large primary care practice required redesign of many organizational processes, and was associated with improvements in safety culture. Most primary care providers agreed that the EMR allowed them to provide care more safely. 相似文献10.