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Quality improvement
Quality Improvement
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Review: Educational outreach visits combined with additional interventions reduce inappropriate prescribing by physicians
Review: Computer-based clinical decision support systems can improve physician performance in some areas
Practice based education did not increase recognition of depression by primary care physicians nor improve the outcome of depression
Group and individual academic detailing for clinicians influenced prescribing of antidepressants for the elderly
Practice guidelines improved reporting of patient variables
Feedback to physicians plus telephone care management improved outcomes in primary care patients with depression
Review: multidisciplinary coronary heart disease management programmes improve the process of care and reduce hospital admissions
Review: evidence on the effectiveness of interventions to assist patient adherence to prescribed medications is limited
A series of evidence-based drug therapy letters improved prescribing behaviour
Handrubbing with an alcohol based solution reduced healthcare workers’ hand contamination more than handwashing with antiseptic soap
Local warming of the hand and lower arm improved successful peripheral venous cannulation and reduced insertion time
Audit and feedback and educational outreach did not differ from printed educational materials for improving community nursing practice
Including a weaning predictor in the daily assessment of weaning readiness increased mechanical ventilation weaning time
Obstetrician-led shared care was not better than care from general practitioners and community midwives in low-risk pregnant women
Quality improvement programmes were effective for depression in managed primary care
A multicomponent intervention improved diabetes care in primary care practices
Interdisciplinary rounds reduced hospital stay and costs and improved staff satisfaction
Social services case management did not improve behaviour or quality of life in persons with long-term mental disorders
Practicing doctors were more likely to give telephone advice and to visit the home more quickly than deputising doctors
Reminders in echocardiography reports increased use of β blockers in reduced left ventricular ejection fraction
A composite management intervention plus financial incentives reduced mortality from malaria in children <5 years of age
Review: interactive, but not didactic, continuing medical education is effective in changing physician performance
Review: most disease management programmes for providers and patients lead to improvements in care
A nurse case management intervention improved medical care given to older women with newly diagnosed breast cancer
Physician reminders and audit with feedback are effective in increasing breast cancer screening
A critical pathway reduced resource use without compromising safety and effectiveness in community acquired pneumonia
A collaborative care management programme in a primary care setting was effective for older adults with late life depression
Educational outreach visits to primary care nurses improved tuberculosis detection and treatment of obstructive lung disease
Participation in an interactive seminar improved paediatricians' patient teaching and communication skills
Written prompts to GPs to elicit patient concerns led to a small increase in 1 measure of patient satisfaction in self limiting illness
Pharmacist led, primary care based disease management reduced risk factors and improved glycaemic control in diabetes
Preoperative assessments by trained nurses were equal in quality to assessments by preregistration house officers
A reduced schedule of antenatal visits resulted in similar clinical outcomes, poorer psychosocial outcomes, and less satisfaction
A nurse led clinic and computer decision support software for anticoagulation decisions were as effective as a hospital clinic
Practice based education did not increase primary care physician recognition of depression nor improve the outcome of depression
Review: comprehensive organisational and educational interventions appear to be effective for managing depression in primary care
Group visits improved concordance with American Diabetes Association practice guidelines in type 2 diabetes
An evidence based algorithm for nutritional support accompanied by a multifaceted implementation strategy improved some outcomes in critically ill patients
Review: care assisted by nurses or pharmacists provides better blood pressure control
Review: telephone and computer communication improves healthcare process and patient outcomes
Handrubbing with an aqueous alcohol solution was as effective as handscrubbing with antiseptic soap for preventing surgical site infections
The benefits of nurse led secondary prevention clinics for coronary heart disease continued after 4 years
Review: case management and team changes are particularly effective strategies for reducing HbA1c concentrations in type 2 diabetes
A nurse-run program for congestive heart failure reduced time to hospital readmission
A comprehensive annotated reminder tool increased appropriate screening in primary care
Delayed prescription reduced antibiotic use in the common cold
Case method learning for general practitioners reduces cholesterol concentrations in coronary artery disease
A patient initiated computer program improved breast cancer screening practices in primary care
Review: Printed educational materials do not change physician behaviours or patient outcomes
Care coordination for patients with chronic conditions did not reduce hospital admissions or Medicare costs
Review: complex organisational and educational interventions appear to be effective for managing depression in primary care
Case management reduced hospital admission in caregivers of people with Alzheimer's disease
Nurse-run clinics in primary care increased secondary prevention in coronary artery disease
A tailored, multifaceted programme in capitation-based family practices improved appropriate use of preventive care manoeuvres
Review: nursing care driven by guidelines improves some process measures and patient outcomes
A multifaceted intervention reduced antimicrobial prescriptions for suspected urinary tract infections in nursing home residents
Training and support for nursing home staff reduced neuroleptic drug use and did not increase aggression in residents with dementia
Computer use enhances clinician task performance
Review: symptom-based action plans reduce acute care visits more than peak flow-based plans in children with asthma
Protocol-directed sedation did not reduce duration of mechanical ventilation or hospital stay in ICU patients
Review: organisational change and patient involvement may increase the use of prevention cancer screening services
Review: 3 of 4 RCTs on the treatment of adolescent depression in primary care have positive results
Review: community mental health team management for adults with severe mental illnesses increases satisfaction with care
Reminder interventions increased women's use of mammography and Pap smear screening
Review: case management programmes improve patient outcomes
Review: Clinical practice guidelines may not improve patient outcomes in primary care
Review: Provision of costing information changes physician behaviour and reduces costs
Recall to a general practitioner or to a nurse clinic improved assessment in patients with coronary artery disease
Review: patient reminder or recall systems improve immunisation rates
Review: interventions focusing on patient behaviours in provider patient interactions improve diabetes outcomes
Pharmacist medication review decreased death, and number and cost of drugs prescribed for residents in nursing homes
Interactive continuing education workshops or conferences can improve professional practice and patient outcomes
Use of a treatment algorithm did not improve blood pressure control in primary care patients with type 2 diabetes
Physician training in the use of a decision aid increased patient participation in decision making for CVD prevention
Ambulatory test result follow-up represents a serious problem and solutions are needed
Surgical safety checklists are an effective means for reducing surgical morbidity and mortality, but have we gone far enough in team-building and leadership to create high reliability?
Review: computerised reminders and feedback can improve provider medication management
Review: quality improvement interventions reduce unnecessary prescription of antibiotics for outpatients
Review: nurse practitioner primary care improves patient satisfaction and quality of care with no difference in health outcomes
An educational programme for primary healthcare providers improved functional ability in older people living in the community
Interventions improve primary care processes but not necessarily outcomes
Review: Computerized reminders increase the rate of use of most preventive services
Review: Effectiveness of local opinion leaders varies
Caregiver teamwork improved psychotropic drug prescribing in nursing homes
Patient education after inguinal hernia surgery did not differ from routine information for pain at rest at 7 days
Interdisciplinary medical rounds improved patient care efficiency and the care process and decreased costs
On call paediatricians were not better than advice nurses for after hours medical advice in a general paediatric population
Primary care-based screening, diagnosis and management of postpartum depression effective for improving symptoms
Review: some interventions are effective in reducing medical errors
The benefits of nurse led secondary prevention clinics continued after 4 years
Cleaning of the perineal/genital area before urine collection from toilet-trained children prevented sample contamination
Computer-assisted module for nursing students provides similar improvements in handwashing knowledge and may improve handwashing practice compared with face-to-face teaching
A height based graphic method was more accurate than estimation based on external landmarks for determining depth of paediatric gastric tube insertion
Review: involvement of former or current users of mental health services may improve outcomes in patients with severe mental illness
A collaborative quality improvement intervention was effective for promoting use of surfactant therapy in preterm infants
Systematic practice-based interventions are better than conferences for improving professional practice
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