Integrating Guidelines with Continuous Quality Improvement: Doing the Right Thing the Right Way to Achieve the Right Goals

Kibbe, David C.; Kaluzny, Arnold D.; McLaughlin, Curtis P.

doi:10.1016/s1070-3241(16)30060-8

Cited by 37 publications

(8 citation statements)

References 8 publications

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“…In addition, for high-risk areas, public health departments should identify physicians for education, audits of their records, and constructive feedback on their performance. [32][33][34] A number of child and family characteristics in our model were associated with either a greater or lower likelihood of MOs occurring. Lower rates of MOs (ie, higher compliance by physicians) were associated with the negative characteristics of maternal smoking and a history of broken appointments.…”

Section: Discussionmentioning

confidence: 99%

Reducing Missed Opportunities to Vaccinate During Child Health Visits

Wood

Schuster²,

Donald-Sherbourne³

et al. 1998

Arch Pediatr Adolesc Med

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Background: At child health visits, immunizations that are due are frequently not given. Increased parent understanding of and demand for immunizations may influence providers to not miss these opportunities. Objective: To assess, as part of a larger study of effectiveness of parent education and case management (CM) in raising immunization rates, the intervention's effectiveness at reducing missed opportunities to vaccinate during child health visits. Methods: A representative sample of African American newborns and their families from south central Los Angeles, Calif, were randomly assigned to a control or a CM group and observed during the first year of life. Case managers visited and telephoned parents, educating them on the benefits and safety of immunizations, and encouraging them to request immunizations from providers. When the children were at least 1 year of age, parents were interviewed and provider records were abstracted. Results: Complete records were abstracted for 126 con-Editor's Note: So much for the effectiveness of case management-at least as it relates to immunization. Any other ideas?

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Section: Discussionmentioning

confidence: 99%

Reducing Missed Opportunities to Vaccinate During Child Health Visits

Wood

Schuster²,

Donald-Sherbourne³

et al. 1998

Arch Pediatr Adolesc Med

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“…[17][18][19] Second, recommendations contained within CPG must be able to yield best practice standards for deciding whether patients have received appropriate care. [20][21][22] Attempts to objectively evaluate quality of care will be hampered if robust and precise measures of appropriateness of care cannot be distilled from guidelines because of an inadequate review of extant evidence (validity problem) or because guideline recommendations are too non-specific, impractical or controversial (application problem).…”

Section: The Aims Of Developing Guidelinesmentioning

confidence: 99%

Towards more effective use of decision support in clinical practice: what the guidelines for guidelines don’t tell you

Scott¹,

Denaro²,

Bennett³

et al. 2004

Internal Medicine Journal

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The Brisbane Cardiac Consortium Clinical Support Systems Program used multiple strategies in optimising quality of care of patients with either of two cardiac conditions. One of these strategies was the development and active implementation of decision support systems centred on evidence-based, locally agreed clinical practice guidelines. Our experience in undertaking this task highlighted numerous operational challenges for which solutions were difficult to extract from existing published literature. In the present article we provide a methodology grounded in both theory and real-world experience that may assist others in developing and implementing systems of guideline-based decision support.

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“…Simply making information available is unlikely to change beliefs or behaviour. 24,25 Our education component was not ongoing. Inclusion of an ongoing education program is more likely to improve the chances of a new practice being adopted 26 and helps to address the problem of staff turnover.…”

Section: Discussionmentioning

confidence: 99%