Quality Assurance, Health Care

Publication Title: 
Herz

The impact of treatment on prognosis of patients with chronic congestive heart failure depends not only on pharmacological therapy but also on nonpharmacological aspects of patient management. Patient compliance, life style changes, salt and fluid restriction, detailed patient information and measures of self control greatly affect therapeutic efficacy.

Author(s): 
Bertel, O.
Publication Title: 
Zeitschrift F¸r Gerontologie Und Geriatrie

The quest for postponing ageing has been in the mind of man since the earliest civilisations and the ancient symbols (healing water, herbs, sleep and the snake) are also found in the attempts undertaken today. Maximum life span, however, has not changed much due to these efforts. The rate of increase has been estimated to be about 10 year per million years. Mean life span has, on the other hand, increased dramatically, due to major environmental improvements, from about 30 to 80 years.

Author(s): 
Viidik, A.
Publication Title: 
Health Progress (Saint Louis, Mo.)

In April 2005, the American Nurses Association (ANA) awarded St. Joseph Hospital, Nashua, NH, its highest honor for excellence in nursing: "Magnet Recognition." The Magnet Recognition Program was developed by the ANA's American Nurses Credentialing Center in the early 1980s to recognize health care organizations that provide the best in nursing care and uphold the tradition of excellence in professional nursing practice. St. Joseph began pursuing Magnet status more than three years ago, starting with a number of enhancements to nursing practices.

Author(s): 
Duchene, Pam
Muhm, John B.
Publication Title: 
Medical care research and review: MCRR

This article evaluates the impact of the Centers for Medicare & Medicaid Services/Premier pay-for-performance demonstration project on performance improvement in three clinical areas in a multihospital health care system. The study compares a group of hospitals participating in this project against a control group of similar hospitals that did not participate. Although the incentives are extremely small, the findings show that participation in the pay-for-performance initiative had a significant impact on the rate and magnitude of performance improvement.

Author(s): 
Grossbart, Stephen R.
Publication Title: 
Health Care Management Review

BACKGROUND: Catholic health systems represent a unique sector of nonprofit health care delivery organizations because they must be accountable to institutional pressures of the Roman Catholic Church, in addition to responsiveness to market pressures. Mission statements and values are purported to be the driving force of Catholic institutional identity. Central to the understanding of the Catholic health care delivery sector is the exploration of variation in mission and values statements across the homogeneous field of organizations.

Author(s): 
White, Kenneth R.
Dandi, Roberto
Publication Title: 
Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality

Catholic Health Initiatives (CHI) set a goal of reducing birth injuries throughout the system. Although the number of injuries was small, clinical and risk leadership agreed that even one injury is too many. Through a multidisciplinary partnership to initiate perinatal bundles, the CHI Perinatal Care Collaborative was able to continue the reduction of injuries each year.

Author(s): 
Osborne, Mary
Graham, Joyce
Cowley, Kathy
Hundley, Denise D.
Chambers, Debbie
Publication Title: 
Health Affairs (Project Hope)

Communicating openly and honestly with patients and families about unexpected medical events-a policy known as full disclosure-improves outcomes for patients and providers. Although many certification and licensing organizations have declared full disclosure to be imperative, the adoption of and adherence to a full disclosure protocol is not common practice in most clinical settings. We conducted a case study of Ascension Health's implementation of a full disclosure protocol at five labor and delivery demonstration sites.

Author(s): 
Hendrich, Ann
McCoy, Christine Kocot
Gale, Jane
Sparkman, Lora
Santos, Palmira
Publication Title: 
Family & Community Health

This article documents the historical factors that led to shifts in mission work toward a greater emphasis on community health for the poor and most vulnerable of society in sub-Saharan Africa after 1945. Using the example of the Medical Mission Sisters from Philadelphia, Pennsylvania, and their work in Ghana, we challenge the conventional narrative of medical missions as agents of imperialism.

Author(s): 
Johnson, Lauren
Wall, Barbra Mann
Publication Title: 
Journal of Nursing Management

Although effective pain treatment is available for both cancer-related pain and acute post-operative pain, many patients suffer unnecessarily. The aim of this study was to evaluate post-operative patients' pain management. A descriptive survey study was conducted in a 460-bed acute hospital in the southwestern part of Sweden. One hundred post-operative inpatients, on their second post-operative day, took part in the study. They were consecutively selected from six surgical wards.

Author(s): 
Bostrˆm, B. M.
Ramberg, T.
Davis, B. D.
Fridlund, B.
Publication Title: 
Journal of Nursing Management

Although effective pain treatment is available for both cancer-related pain and acute post-operative pain, many patients suffer unnecessarily. The aim of this study was to evaluate post-operative patients' pain management. A descriptive survey study was conducted in a 460-bed acute hospital in the southwestern part of Sweden. One hundred post-operative inpatients, on their second post-operative day, took part in the study. They were consecutively selected from six surgical wards.

Author(s): 
Bostrˆm, B. M.
Ramberg, T.
Davis, B. D.
Fridlund, B.

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