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Building Quality in the Healthcare Environment

Donald M. Berwick

in The Trust Crisis in Healthcare: Causes, Consequences, and Cures

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195176360
eISBN:
9780199865598
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195176360.003.04
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The quality of care issues in healthcare has long been recognized and publicized in studies done by the Institute of Medicine and other organizations. This chapter explores the relationship between ... More


The Trust Crisis in Healthcare: Causes, Consequences, and Cures

David A. Shore (ed.)

Published in print:
2006
Published Online:
September 2009
ISBN:
9780195176360
eISBN:
9780199865598
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780195176360.001.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The lack of trust in the U.S. healthcare system brings ominous results, from decreasing health outcomes to increasing costs, from organizational inefficiencies to a pattern of litigation. The trust ... More


Improving quality and safety

Heather Shearer

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0021
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses the improvement of healthcare quality and safety. Topics covered include a brief history of quality improvement, measuring improvement, the Six Sigma approach, the productive ... More


Performance management of acute and specialist trusts

Richard Connett

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0022
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses performance management, which is important in ensuring high standards of clinical governance, which in turn drives improvement in patient safety. Performance management is ... More


Communication between patients and healthcare staff

Elizabeth Haxby

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0047
Subject:
Public Health and Epidemiology, Public Health

Effective communication is fundamental to the provision of healthcare and ensures that patients are equal partners with the healthcare providers in making decisions about their health and treatment. ... More


Clinical governance at service level

David James

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0019
Subject:
Public Health and Epidemiology, Public Health

There is currently no universal model of clinical governance (CG) at service delivery level. This chapter discusses a simple approach that allows the concepts of CG to be tailored to various clinical ... More


Healthcare networks

Angela Walsh

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0044
Subject:
Public Health and Epidemiology, Public Health

Clinical networks are described as linked groups of health professionals and organizations from primary, secondary, and tertiary care, working in a co-ordinated manner, unconstrained by existing ... More


National Institute for Health and Clinical Excellence (NICE), National Service Frameworks (NSF), and governance

Peter Littlejohns and Augustine J Pereira

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0010
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses the NICE and NSFs. NICE was established in April 1999 to increase efficiency in the National Health Service's (NHS) uptake of interventions that are both clinically and ... More


Clinical audit

David Hunter

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0012
Subject:
Public Health and Epidemiology, Public Health

A clinical audit can be defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of ... More


Team working

Allan Goldman and Guy Hirst

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0049
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses teamwork in the healthcare setting. There is now sufficient evidence that effective teamwork leads to improved patient outcomes, reduced costs, and improved staff morale. In ... More


Personnel: Poor clinical performance

Jeremy Mitchell

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0026
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses the poor clinical performance of medical staff, which may impact on the quality of care given to patients and may be related to behaviour, conduct, or health issues. Personal ... More


Accountability, safety, and professionalism

Edwin Borman

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0048
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses accountability in medical practice. Accountability confirms that doctors provide safe care for patients. Openness regarding quality of care contributes to the trust in, and ... More


The Legislative Odyssey of Comparative Effectiveness Research: Birth in 2002 to the First Federal Mandate in 2003

Carol M. Ashton and Nelda P. Wray

in Comparative Effectiveness Research: Evidence, Medicine, and Policy

Published in print:
2013
Published Online:
September 2013
ISBN:
9780199968565
eISBN:
9780199346080
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199968565.003.0007
Subject:
Public Health and Epidemiology, Public Health

From a nearly imperceptible start, federal policy on comparative effectiveness research gained substantial momentum over its eight-year odyssey and got several legislative toeholds. The story starts ... More


Medical Care

Oliver Fein and H. Jack Geiger

in Social Injustice and Public Health

Published in print:
2019
Published Online:
August 2019
ISBN:
9780190914653
eISBN:
9780190914684
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/oso/9780190914653.003.0012
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The United States is the only industrialized democracy that does not define access to healthcare as a right and a government responsibility and therefore does not provide universal healthcare ... More


Patient choice

Ruth Robertson

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0039
Subject:
Public Health and Epidemiology, Public Health

Patients in the NHS have always had some choice over how and where they receive treatment, but it is only recently that patient choices have been seen as a mechanism for improving the quality of NHS ... More


Patient and public involvement (PPI)

Rachel Matthews

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0035
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses the importance of patient and public involvement (PPI). PPI increases the accountability of the NHS to the taxpayer. PPI can support service improvement and the concept of ... More


User feedback/surveys

Alison Wright

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0038
Subject:
Public Health and Epidemiology, Public Health

Patient feedback and the associated assessment of the performance of health care professionals has increased in prominence in recent years. This is attributed partly to concerns around patient safety ... More


Revalidation

Judith Hulf and Kirstyn Shaw

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0025
Subject:
Public Health and Epidemiology, Public Health

This chapter focuses on the revalidation process, where all licensed doctors are required to demonstrate periodically their continued fitness to practise, both clinically and in terms of professional ... More


Irruption onto the World Stage

Robert L. Wears and Kathleen M. Sutcliffe

in Still Not Safe: Patient Safety and the Middle-Managing of American Medicine

Published in print:
2019
Published Online:
November 2019
ISBN:
9780190271268
eISBN:
9780190271299
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/oso/9780190271268.003.0008
Subject:
Public Health and Epidemiology, Public Health

The Institute of Medicine (IOM) report To Err Is Human created a media firestorm. Prior to this, interest in patient safety might be described as a cult—a small group of passionate believers—but the ... More


Patient Advice and Liaison Service

Eve Cartwright

in An Introduction to Clinical Governance and Patient Safety

Published in print:
2010
Published Online:
January 2011
ISBN:
9780199558612
eISBN:
9780191595011
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199558612.003.0036
Subject:
Public Health and Epidemiology, Public Health

This chapter discusses Patient Advice and Liaison Services (PALS), which were introduced as part of a government plan to make health care services more accountable to patients. PALS is a confidential ... More


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