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Using Care Bundles to Improve Health Care Quality A new IHI Innovation Series White Paper, " Using Care Bundles to Improve Health Care Quality," describes the history, theory of change, design concepts, and outcomes associated with the development and use of bundles over the past decade. In 2001, IHI developed the "bundle" concept as part of the Idealized Design of the Intensive Care Unit (IDICU) project, a joint initiative with the Voluntary Hospital Association (VHA, Inc.) aimed at improving clinical care processes and outcomes. During the project, the teams found that using a "bundle" ---- a small set of evidence-based interventions for a defined patient population and care setting ---- led to improvements in patient outcomes that exceeded expectations.
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Article in JAMA: "Deciphering Harm Measurement" The Department of Health and Human Services' (HHS) Partnership for Patients initiative seeks to reduce "preventable hospital-acquired conditions" by 40% by 2013. Yet health care leaders and policy makers have not come to a consensus on the best method to identify and measure these harms, and the resulting confusion is slowing progress on improvement efforts. In a new article in JAMA, IHI authors Gareth Parry, Amelia Cline, and Don Goldmann look at several current approaches to measuring harm, including the Center for Medicare & Medicaid Services' (CMS) Medicare Patient Safety Monitoring System, AHRQ's Patient Safety Indicators, and IHI's Global Trigger Tool. The authors conclude that until a national consensus is reached, the Office of the Inspector General's approach (an adaption of the IHI Global Trigger Tool that estimates national harm rates based on review of a random sample of Medicare patient records) may be "the best available method for determining national harm trends."
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Using Social Media in Health Care Paul Levy (left), the former CEO and President of Beth Israel Deaconess Medical Center in Boston, writes a blog called Not Running a Hospital that gets about 10,000 visitors every day. Levy now spends most of his time writing and giving talks to people around the world about how to improve health care and, in particular, how to make hospitals safer, higher in quality, and more patient-centered. In a new two-part video series created by the IHI Open School team, Levy discusses how he got involved in blogging and how his blog promoted transparency at his hospital. Levy is also a big believer in the power of social media to educate, inform, and effect change, and has some tips for others who'd like to make blogging, tweeting, and the like part of their health care improvement strategy. 有哪位高手能够弄到这个白皮书？  |
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发表于 2012-5-30 08:29:19
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发表于 2012-5-30 09:15:48
