Navigation Links
Health care outcome boost needs better studies
Date:6/25/2009

change in practice going on in an organisation. These often do not allow sufficient time for careful design or even selection of adequate control groups: fully 30% of the QI studies reviewed contained no comparison group, making it hard to tell whether outcomes associated with the QI change may have occurred anyway. Many studies did not take place over a sufficient time period, which means that they infer a correlation between the change and the outcome rather than causation. The lack of longer-term results also does not tell researchers whether the quality of outcomes for patients reverts to 'normal' after the dust of change has settled.

Researchers in only 14 of the 185 studies assessed how well their intervention was implemented. Without a formal assessment of intervention implementation, it is unclear whether an intervention failed to yield results because it was ineffective or just because it was poorly carried out. Cost benefit analysis was also lacking.

"The impact of QI changes may be overstated," says Alexander. "Our review highlights issues of inadequate study duration, potential selection bias of study participants, and difficulty making generalizations to other organizations due to unique study contexts or variation in intervention characteristics."

Short-term studies simply do not provide enough information to ascertain whether changes are going to have long-term effects on quality in these organizational settings. Also, many complex QI interventions, such as those requiring simultaneous, multiple changes in organizational process and structure, may need extended periods to actually demonstrate intended results.

The authors suggest that QI research needs to make use of theoretical and conceptual frameworks relevant to group relationships, organizational change, organizational learning, or innovation adoption and implementation to get on track. They recommend applying systems theory to QI research, and say that stu
'/>"/>

Contact: Mithu Mukherjee
mithu.mukherjee@sagepub.co.uk
44-207-324-2223
SAGE Publications UK
Source:Eurekalert

Page: 1 2 3 4

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. UCLA researchers identify markers that may predict diabetes in still-healthy people
3. Air pollution linked to cardiovascular risk indices in healthy young adults
4. More proof needed of safety and quality of electronic personal health records
5. Health care incentive model offers collaborative approach
6. Loneliness is bad for your health
7. Mailman School of Public Health study examines link between racial discrimination and substance use
8. Green Tea May Brew Up Healthier Skin
9. For Health Info, Women Often Turn to the Web
10. Record Number of Americans Lack Health Insurance
11. U.S. Research Funding Continues to Flatten as U.S. Health Costs Climb - in August 31 Science
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/30/2014)... Seattle, WA (PRWEB) September 30, 2014 ... Intelligence, proudly announced today that the Department of ... Office as its Enterprise End User Business ... to better support our nation’s veterans by enabling ... obtained through BI Office’s powerful enterprise analytics and ...
(Date:9/30/2014)... September 30, 2014 “Biology and ... Bryan W. Brickner, “and it’s about naming rights.” ... Science , new on the Bryan William Brickner ... the National Institutes of Health (PubMed). The post ... sleep disturbances, REM transitions, aging with THC, the ...
(Date:9/30/2014)... A trailblazer at heart, Dr. Scott Katzman stays ... breakthroughs in spine repairs. His newest appreciation has been ... in which he has implanted the Mobi-C Artificial Disc ... art and mimic normal human disc motion. Dr. Katzman goes ... to be an exceptional replacement device for failing fusions. Patients ...
(Date:9/30/2014)... 3M has added four new thin VHB products to ... 5906 , 3M 5907 , 3M 5908 , ... create the strongest bond possible to a wide range of ... difficult surfaces such as paints, low surface energy plastics, and ... are designed specifically for electronic device engineers and electronics manufacturers. ...
(Date:9/30/2014)... RI (PRWEB) September 30, 2014 Dogs are ... Oftentimes, this involves spending time in the car travelling from ... canines have free run of the vehicle; however, this is ... owner as well. Royal Flush Havanese shares with ... always be routine practice. , There are many ways a ...
Breaking Medicine News(10 mins):Health News:U.S. Department of Veterans Affairs Takes Its Analytic Capabilities to the Next Level with BI Office from Pyramid Analytics 2Health News:Homeostasis: Publius’ Sleep Political Cannabinoid Science ~ New on the Bryan William Brickner Blog 2Health News:3M Releases New VHB™ Thin Foam Tapes as the Ultimate Electronics Bonding Solution 2Health News:3M Releases New VHB™ Thin Foam Tapes as the Ultimate Electronics Bonding Solution 3Health News:Royal Flush Havanese Offers Tops On the Importance of Restraining Dogs In Cars 2Health News:Royal Flush Havanese Offers Tops On the Importance of Restraining Dogs In Cars 3
... , The 10th Annual Conference and Exposition of ... Society for Human Resource Management --HR: Building Bridges to Success" in ... July 23-24 , , ... that employee wellness programs that help workers lose weight or quit smoking, for instance, ...
... MUMBAI, July 23 , ... Activity by the Clinical Investigator Dr. A Bhattacharya Working,at the GG ... - Glenmark Not Only Acts as the Whistle-Blower but Also ... After receiving approval from the Drug Controller General of India(DCGI),for ...
... 23 /PRNewswire-Asia-FirstCall/ -- 3SBio Inc.,(Nasdaq: SSRX ), ... and marketing biopharmaceutical,products, today announced that it will release ... after the US market closes on Tuesday,August 11, 2009. ... 3SBio,s senior management will host a,conference call at 5:00 ...
... ... classes. As a special promotion eMindful is offering unlimited classes for the month of ... yoga practice, or has wanted to explore the health benefits of yoga, to participate at ... ...
... ... dentist Dr. Robert L. Williamson one of America,s Top Dentists. , ... Raleigh, North Carolina (PRWEB) July 23, 2009 -- For ... award for being one of the top dentists in the United States. The Consumer,s Research ...
... ... top Orthopedic Surgeons in the greater Atlanta metro area for the second consecutive time. ... skilled, exceptional, and ,most-trusted, sports medicine specialist. , ... Atlanta, GA (PRWEB) July 23, 2009 -- Spero G. Karas M.D. ...
Cached Medicine News:Health News:Employee Wellness Programs Demonstrate Positive Return on Investment for Businesses 2Health News:Employee Wellness Programs Demonstrate Positive Return on Investment for Businesses 3Health News:Glenmark Brings to the Notice of the Authorities Irregularities of the Clinical Investigator at its Jamnagar Site in Gujarat 2Health News:3SBio Inc. to Report 2009 Second Quarter Earnings on August 11, 2009 2Health News:3SBio Inc. to Report 2009 Second Quarter Earnings on August 11, 2009 3Health News:eMindful.com Launches Live, Interactive Online Yoga Classes 2Health News:eMindful.com Launches Live, Interactive Online Yoga Classes 3Health News:Dr. Robert L. Williamson III Once Again Selected As One of America's Top Dentists 2Health News:Atlanta Sports Medicine Doctor Spero Karas Wins 'Atlanta's Top Doctors' Honor Again 2Health News:Atlanta Sports Medicine Doctor Spero Karas Wins 'Atlanta's Top Doctors' Honor Again 3
(Date:9/29/2014)... , Sept. 29, 2014 EU5 Capsule Endoscopy ... GlobalData,s new report, "EU5 Capsule Endoscopy Systems ... the EU5 Capsule Endoscopy Systems market. The report provides ... and average prices (in US dollars) within market segments ... Endoscopy Workstations. The report also provides company ...
(Date:9/29/2014)... EU5 Sigmoidoscopes Market Outlook to 2020 ... Market Outlook to 2020", provides key market data ... value, in millions of US dollars, volume (in ... market segments - Flexible Video Sigmoidoscopes and Non-Video ... Sigmoidoscopes). The report also provides company ...
(Date:9/29/2014)... 2014  Following US and European approvals of Elekta,s ... and Drug Administration (CFDA) has cleared the radiation therapy ... According to the International Agency for Research on ... cancer every year in China ... colorectal, liver and esophageal cancers 2 . Versa HD ...
Breaking Medicine Technology:EU5 Capsule Endoscopy Systems Market Outlook to 2020 2EU5 Capsule Endoscopy Systems Market Outlook to 2020 3EU5 Sigmoidoscopes Market Outlook to 2020 2EU5 Sigmoidoscopes Market Outlook to 2020 3Chinese clinics and cancer patients to benefit from Elekta's Versa HD radiation therapy system 2Chinese clinics and cancer patients to benefit from Elekta's Versa HD radiation therapy system 3
... studied the treatment of pregnant women with hepatitis B virus ... study concluded that both the mothers benefited from treatment and ... weeks postbirth. The study presenter and co-investigator Calvin ... as hepatitis B is difficult to eradicate and currently there ...
... POINT, Calif., Nov. 1, 2010 The Global ... organization that aims to raise awareness about the ... 7,000 Bracelets for Hope™ campaign. The 7,000 Bracelets ... to an estimated 7,000 different chronic, life-threatening and ...
Cached Medicine Technology:Telbivudine Given to Mothers With Hepatitis B Reduces Infection Rate in Infants 2Telbivudine Given to Mothers With Hepatitis B Reduces Infection Rate in Infants 37,000 Bracelets For Hope™ - A Rare Disease Awareness Campaign 27,000 Bracelets For Hope™ - A Rare Disease Awareness Campaign 3
Every so often a new product comes along that isn't a small step but a giant leap ahead of everything that has preceeded it. Such is the impact of the Fidelity IAB....
... Allura Xper is the perfect partner for ... these systems are scalable to meet your ... come.,Flexibility means that your Allura Xper FD20 ... cardiac use. Openness to new technologies allows ...
... CFX series represents a breakthrough that makes ... Its revolutionary design integrates Quantum 64-row detector ... In fact, Aquilion CFX sets a ... has shown a sensitivity of 88% and ...
... 2000 represents a new non-invasive approach to ... rapidly induces mild hypothermia in those patients ... rapidly reduces temperature in febrile patients., The ... body temperature in a range of 33C ...
Medicine Products: