Se desconoce Datos Sobre Review Aggregator
Se desconoce Datos Sobre Review Aggregator
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When multiple measures were used, along with better documentation of care, it was easier to assess the impact of the initiative on patient outcomes.93 Investigators from one initiative put forth the notion that hospital administrators should encourage more evaluations of initiatives and that the evaluations should focus on comprehensive models that assess patient outcomes, patient satisfaction, and cost effectiveness.
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These measures are generally developed through a process including an assessment of the scientific strength of the evidence found in peer-reviewed literature, evaluating the validity and reliability of the measures and sources of data, determining how best to use the measure (e.g., determine if and how risk adjustment is needed), and actually testing the measure.24, 25
The strength of the following practice implications is associated with the methodological rigor and generalizability of these strategies and projects:
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"Assessing the risk of bias of quantitative analytical studies: introducing the vision for critical appraisal within JBI systematic reviews"
59, 88 Additionally, investigators reported that the more teams worked with this strategy, the better they became at implementing it and the more effective the results.84 Yet it was noted that to use this strategy effectively, a substantial commitment of leadership time and resources was associated with improved patient safety, lowered costs, and increased job satisfaction.84 Six Sigma was also an important strategy for problem-solving and continuous improvement; communicating clearly about the Comparison Chart problem; guiding the implementation process; and producing results in a clear, concise, and objective way.59
Despite the benefits afforded by the initiatives, there were many challenges that were identified in implementing the various initiatives:
Plan-Do-Study-Act (PDSA) was used by the majority of initiatives included in this analysis to implement initiatives gradually, while improving them Campeón needed. The rapid-cycle aspect of PDSA began with piloting a single new process, followed by examining results and responding to what was learned by problem-solving and making adjustments, after which the next PDSA cycle would be initiated. The majority of quality improvement efforts using PDSA found greater success using a series of small and rapid cycles to achieve the goals for the intervention, because implementing the initiative gradually allowed the team to make changes early in the process80 and not get distracted or sidetracked by every detail and too many unknowns.