Quality and safety in the time of Coronavirus: design better, learn faster.
TL;DR: The principles of quality improvement and patient safety science are set out, applying them in a selection of approaches, methods and tools which may be useful in crisis situations such as the current pandemic.
Abstract: The COVID-19 pandemic has required health systems to change much faster than normal. Many staff have experienced training in quality improvement and patient safety methods which can be used to support the design of new systems and to accelerate learning about new and adapted practices. This article sets out the principles of quality improvement and patient safety science, applying them in a selection of approaches, methods and tools which may be useful in crisis situations such as the current pandemic. The article also makes reference to several resources which may be of use to those keen to advance their knowledge.
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TL;DR: The new economics for industry government education by is one of the most effective vendor books worldwide as mentioned in this paper. But have you had it? Not at all? Foolish of you. Currently, you could get this fantastic book just here.
Abstract: the new economics for industry government education by is one of the most effective vendor books worldwide? Have you had it? Not at all? Foolish of you. Currently, you could get this fantastic book just here. Locate them is format of ppt, kindle, pdf, word, txt, rar, and also zip. Exactly how? Merely download and install and even check out online in this website. Currently, never ever late to read this the new economics for industry government education.
990 citations
Craig M. Coopersmith1, Massimo Antonelli2, Seth R. Bauer3, Clifford S. Deutschman4, Laura Evans5, Ricard Ferrer6, Judith Hellman7, Sameer Jog, Jozef Kesecioglu8, Niranjan Kissoon9, Ignacio Martin-Loeches10, Mark E. Nunnally11, Hallie C. Prescott12, Andrew Rhodes13, Daniel Talmor14, Pierre Tissieres15, Daniel De Backer16 •
Emory University1, Catholic University of the Sacred Heart2, Cleveland Clinic3, The Feinstein Institute for Medical Research4, University of Washington5, Hebron University6, University of California, San Francisco7, Utrecht University8, University of British Columbia9, St James's University Hospital10, New York University11, University of Michigan12, St George’s University Hospitals NHS Foundation Trust13, Beth Israel Deaconess Medical Center14, Centre national de la recherche scientifique15, Université libre de Bruxelles16
TL;DR: The Surviving Sepsis Research Committee as mentioned in this paper identified 13 research priorities in the management, pathophysiology, and host response of coronavirus disease 2019 in critically ill patients, including the following: 1) Should the approach to ventilator management differ from the standard approach in patients with acute hypoxic respiratory failure? 2) Can the host response be modulated for therapeutic benefit? 3) What specific cells are directly targeted by severe acute respiratory syndrome coronavirus 2, and how do these cells respond? 4) Can early data be used to predict outcomes of coronaval
Abstract: Objectives To identify research priorities in the management, pathophysiology, and host response of coronavirus disease 2019 in critically ill patients. Design The Surviving Sepsis Research Committee, a multiprofessional group of 17 international experts representing the European Society of Intensive Care Medicine and Society of Critical Care Medicine, was virtually convened during the coronavirus disease 2019 pandemic. The committee iteratively developed the recommendations and subsequent document. Methods Each committee member submitted a list of what they believed were the most important priorities for coronavirus disease 2019 research. The entire committee voted on 58 submitted questions to determine top priorities for coronavirus disease 2019 research. Results The Surviving Sepsis Research Committee provides 13 priorities for coronavirus disease 2019. Of these, the top six priorities were identified and include the following questions: 1) Should the approach to ventilator management differ from the standard approach in patients with acute hypoxic respiratory failure?, 2) Can the host response be modulated for therapeutic benefit?, 3) What specific cells are directly targeted by severe acute respiratory syndrome coronavirus 2, and how do these cells respond?, 4) Can early data be used to predict outcomes of coronavirus disease 2019 and, by extension, to guide therapies?, 5) What is the role of prone positioning and noninvasive ventilation in nonventilated patients with coronavirus disease?, and 6) Which interventions are best to use for viral load modulation and when should they be given? Conclusions Although knowledge of both biology and treatment has increased exponentially in the first year of the coronavirus disease 2019 pandemic, significant knowledge gaps remain. The research priorities identified represent a roadmap for investigation in coronavirus disease 2019.
49 citations
TL;DR: Virtual QI and training of healthcare professionals and students is a viable, efficient, and effective alternative to traditional QI education that will play a vital role in building their competence and confidence to improve the healthcare system in post-COVID environment.
Abstract: Information and communication technology are playing a major role in ensuring continuity of healthcare services during the COVID-19 pandemic. The pandemic has also disrupted healthcare quality improvement (QI) training and education for healthcare professionals and there is a need to rethink the way QI training and education is delivered. The purpose of this rapid evidence review is to quickly, but comprehensively collate studies to identify what works and what does not in delivering QI training and education using distance learning modalities. Three healthcare databases were searched along with grey literature sources for studies published between 2015 and 2020. Studies with QI training programmes or courses targeting healthcare professionals and students with at least one component of the programme being delivered online were included. A total of 19 studies were included in the review. Most studies had a mixed methods design and used blended learning methods, combining online and in-person delivery modes. Most of the included studies reported achieving desired outcomes, including improved QI knowledge, skills and attitudes of participants and improved clinical outcomes for patients. Some benefits of online QI training delivery include fewer required resources, reduced need for on-site instructors, increased programme reach, and more control and flexibility over learning time for participants. Some limitations of online delivery modes include limited learning and networking opportunities, functional and technical problems and long lead time for content adaptation and customisation. The review highlights that distance learning approaches to QI help in overcoming barriers to traditional QI training. Some important considerations for those looking to adapt traditional programmes to virtual environments include balancing virtual and non-virtual methods, using suitable technological solutions, customising coaching support, and using multiple criteria for programme evaluation. Virtual QI and training of healthcare professionals and students is a viable, efficient, and effective alternative to traditional QI education that will play a vital role in building their competence and confidence to improve the healthcare system in post-COVID environment.
31 citations
TL;DR: In this article, Amar Shah and colleagues argue that making rapid change during covid-19 has lessons for how to improve healthcare, argue Amar Shah et al., and argue that improving healthcare can be improved through rapid change.
Abstract: Making rapid change during covid-19 has lessons for how to improve healthcare, argue Amar Shah and colleagues
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References
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13 Nov 1996TL;DR: The slogan for quality improvement is, simply, “all improvements involve changes but not all changes are improvements,” and ENM employs this model and method to teach providers in SBHCs to identify practice changes that will lead to improved patient care and help reduce health care costs.
2,544 citations
TL;DR: The new economics for industry government education by is one of the most effective vendor books worldwide as mentioned in this paper. But have you had it? Not at all? Foolish of you. Currently, you could get this fantastic book just here.
Abstract: the new economics for industry government education by is one of the most effective vendor books worldwide? Have you had it? Not at all? Foolish of you. Currently, you could get this fantastic book just here. Locate them is format of ppt, kindle, pdf, word, txt, rar, and also zip. Exactly how? Merely download and install and even check out online in this website. Currently, never ever late to read this the new economics for industry government education.
990 citations
TL;DR: A new edition of a book that details the system of transformation underlying the 14 Points for Management presented in Deming's Out of the Crisis is presented in this article, with a new chapter written by business consultant and Deming expert Kelly L. Allan.
Abstract: A new edition of a book that details the system of transformation underlying the 14 Points for Management presented in Deming's Out of the Crisis.
It would be better if everyone would work together as a system, with the aim for everybody to win. What we need is cooperation and transformation to a new style of management.?
?from The New Economics for Industry, Government, Education
In this book, W. Edwards Deming details the system of transformation that underlies the 14 Points for Management presented in Out of the Crisis. The Deming System of Profound Knowledge, as it is called, consists of four parts: appreciation for a system, knowledge about variation, theory of knowledge, and psychology. Describing the prevailing management style as a prison, Deming shows applying the System of Profound Knowledge increases productivity, quality, and people's joy in work and joy in learning. Another outcome is short-term and long-term success in the market. Indicative of Deming's philosophy is his advice to abolish performance reviews on the job, to look deeper than spreadsheets for opportunities, and even to rethink how we teach and manage our schools. Moreover, Deming's method enables organizations to make accurate predictions, which is a valuable tool in today's uncertain economic climate.
This third edition features a new chapter (written by business consultant and Deming expert Kelly L. Allan) that explains the relevance of Deming's management method, and case studies from organizations that have adopted Deming's System of Profound Knowledge, and offers guidance on how organizations can effectively ?do Deming.?
425 citations
01 Jan 2014
360 citations
29 Mar 2020
TL;DR: In this paper, a rapid, narrative review summarizes useful evidence from behavioral science for fighting the COVID-19 outbreak, including handwashing, face touching, self-isolation, public-spirited behavior, and responses to crisis communication.
Abstract: This rapid, narrative review summarizes useful evidence from behavioral science for fighting the COVID-19 outbreak. We undertook an extensive, multi-disciplinary literature search covering five issues: handwashing, face touching, self-isolation, public-spirited behavior, and responses to crisis communication. The search identified more than 100 relevant papers. We find effective behavioral interventions to increase handwashing, but not to reduce face touching. Social supports and behavioral plans can reduce the negative psychological effects of isolation, potentially reducing the disincentive to isolate. Public-spirited behavior is more likely with frequent communication of what is “best for all”, strong group identity, and social disapproval of noncompliance. Effective crisis communication involves speed, honesty, credibility, empathy, and promoting useful individual actions. Risks are probably best communicated through numbers, with ranges to describe uncertainty – simply stating a maximum may bias public perception. The findings aim to be useful not only for government and public health authorities, but for organizations and communities.
225 citations
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