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A Quality Improvement Project On Diagnosis And Management Of Asthma In A Private Pediatric Setting
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Book Synopsis A Quality Improvement Project on Diagnosis and Management of Asthma in a Private Pediatric Setting by : Sosamma Ashley
Download or read book A Quality Improvement Project on Diagnosis and Management of Asthma in a Private Pediatric Setting written by Sosamma Ashley and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Background: Although national guidelines exist for the diagnosis and management of asthma, general practice differs significantly from recommendations. Quality improvement methodology when implemented can narrow quality gaps. Objective: The objective of the project was to create and implement a plan of action to address identified gaps in key clinical activities of asthma care among pediatric population in a private pediatric setting in Northern California Methods: The project was centered on the use of Education in Quality Improvement for Pediatric Practice (EQIPP), a program of the American Academy of the Pediatrics. Both the pediatrician and the DNP student took this course and employed its methods to improve asthma management. EQIPP supports providers in improving their practice with didactic materials that help participants develop quality improvement project and tools to evaluate the outcomes of that project. Results: Based on the asthmatic patient data analysis the quality improvement team identified that the clinic lacks compliance in the following areas of national guidelines. a) Diagnosis of asthma, b) Asthma action plan and c) Asthma control and follow up. The team then developed and implemented an improvement plan based on EQIPP. Conclusion: The quality improvement project enriched the pediatric practice management of asthma patients and similar projects could be implemented in other settings too. Keywords: Asthma, EQIPP, guidelines, pediatric practice, diagnosis, asthma action plan, control
Book Synopsis A Quality Improvement Investigation of Pediatric Asthma Services for Patients and Their Families by : Tina DiMartino
Download or read book A Quality Improvement Investigation of Pediatric Asthma Services for Patients and Their Families written by Tina DiMartino and published by . This book was released on 2013 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quality improvement project sought to identify attributes of pediatric patients with asthma and their caregivers at a hospital serving pediatric patients and families in Bronx, NY. Anonymous, self-report surveys focused on rates of asthma inpatient admission and emergency department visits, general understanding of asthma, current services utilized in the hospital and interest in the potential expansion of existing services. Additionally, the project explored the prospective development of the current educational healthcare video system within the hospital.
Author :National Heart, Lung, and Blood Institute. National Asthma Education Program. Expert Panel on the Management of Asthma Publisher : ISBN 13 : Total Pages :56 pages Book Rating :4.F/5 ( download)
Book Synopsis Executive Summary by : National Heart, Lung, and Blood Institute. National Asthma Education Program. Expert Panel on the Management of Asthma
Download or read book Executive Summary written by National Heart, Lung, and Blood Institute. National Asthma Education Program. Expert Panel on the Management of Asthma and published by . This book was released on 1991 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Asthma Management in Minority Children by :
Download or read book Asthma Management in Minority Children written by and published by . This book was released on 1995 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving Health Care in Low- and Middle-Income Countries by : Lani Rice Marquez
Download or read book Improving Health Care in Low- and Middle-Income Countries written by Lani Rice Marquez and published by Springer Nature. This book was released on 2020-05-26 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^
Book Synopsis Improving Childhood Asthma Outcomes in the United States by : Will Nicholas
Download or read book Improving Childhood Asthma Outcomes in the United States written by Will Nicholas and published by RAND Corporation. This book was released on 2002 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the course of 2000, RAND Health engaged an interdisciplinarycommittee of nationally recognized leaders in childhood asthma in a structured group process to arrive at the policy recommendations proposed in Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action, by M. Lara, W. Nicholas, S. Morton, M. Vaiana, B. Genovese, and G. Rachelefsky, RAND, MR-1330, 2001.That report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation, to 1) Identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide, 2) Select a subset of policies to create a blueprint for national policy in this area, 3) Outline alternatives to implement these policies that build on prior efforts.This effort is part of the Robert Wood Johnson Foundation's Pediatric Asthma Initiative. The purpose of this initiative is to address current gaps in national childhood asthma care through clinical and nonclinical approaches to improve the management of childhood asthma. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels.
Book Synopsis An Evidence-based Pediatric Asthma Toolkit for the Primary Care Provider by : Amy Lynn Davis
Download or read book An Evidence-based Pediatric Asthma Toolkit for the Primary Care Provider written by Amy Lynn Davis and published by . This book was released on 2014 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uncontrolled asthma has costly health and economic consequences. There is a clear clinical need for better asthma management programs in the pediatric primary care setting (Akinbami et al., 2011; Sleath et al., 2011). The current system for asthma management in primary care offices is not improving outcomes for pediatric asthma patients in the United States or the state of Montana. Barriers to providing comprehensive evidence-based pediatric asthma care exist in the primary care setting nationwide (US DHHS, 2010; & Meyer, 2011). The creation of an evidence-based pediatric asthma toolkit for the primary care provider based on the EPR-3 Asthma Diagnosis and Management Guidelines (NIH, NHLBI, 2007) is an attempt to alleviate prevalent barriers primary care providers face in pediatric asthma care. A toolkit was assembled based on literature reviewed, interviews with experts in the field, and suggestions from primary care providers after reviewing the tool. The toolkit was found to be evidence-based, appropriate for use in the primary care setting, efficient for use in a busy primary care setting, and desired for use by primary care providers in the state based on informal interviews and reviews. It is suggested that the Pediatric Asthma Toolkit for the Primary Care Provider be tested using a formal research study for its' effectiveness in improving pediatric asthma care in the primary care setting as well as improving asthma outcomes in the state of Montana. More research needs to be done in the U.S. to evaluate the effectiveness and use of asthma toolkits by primary care providers. The toolkit will need to be updated when new research is published on asthma care as well as when new national asthma guidelines are issued. The toolkit will also need to be updated with current available pharmaceuticals and devices for asthma. This professional project is in alignment with the national Asthma Control Goals for Healthy People 2020 as well as the National Asthma Education and Prevention Program recommendations for implementation of the EPR-3 Guidelines. It is also in alignment with the Montana Asthma Control Program's goals to create partnerships throughout the state and improve asthma outcomes for Montana.
Author :American Academy of Pediatrics. Provisional Committee on Quality Improvement Publisher : ISBN 13 : Total Pages :30 pages Book Rating :4.3/5 (91 download)
Book Synopsis Practice Parameter by : American Academy of Pediatrics. Provisional Committee on Quality Improvement
Download or read book Practice Parameter written by American Academy of Pediatrics. Provisional Committee on Quality Improvement and published by . This book was released on 1994 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Process Change for the Treatment of Asthma in the Pediatric Emergency Department by : Kathy Karlberg
Download or read book Process Change for the Treatment of Asthma in the Pediatric Emergency Department written by Kathy Karlberg and published by . This book was released on 2018 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children presenting to Emergency Departments with difficulty breathing related to asthma should be assessed and treated quickly to prevent deterioration of their condition. The purpose of this Direct Practice Improvement project is to determine if the initiation of a standardized asthma scoring tool to identify the need for a nebulized short acting B2 agonist (SABA) treatment, will decrease the time a patient with an asthma exacerbation arrives in the ED, to treatment time. Because no standardized system exists in the Pediatric ED to assess and categorize symptoms of asthma such as wheezing, retractions, respiratory rate, oxygen saturation and level of dyspnea, care is fragmented and inconsistent. Approaching care using Betty Neumann's health care systems model to reduce stress of the parent and child can be helpful in situations of those suffering breathing difficulties. Nursing staff were educated on a specific asthma severity scoring tool for assessing children with breathing difficulties to allow consistency and judicious treatments. This quantitative project measured time to treatment pre and post process improvement with children ages 2-17 presenting with difficulty breathing due to asthma. Data analysis using a bar chart showed an increase in the goal of 20 minutes to nebulizer post process implementation by 33%. A Ï72 test using age categories was executed that showed children ages 2-10 experienced longer time to nebulizer as compared to ages 10-17. Finally, a two-tailed t test performed showed a decrease to nebulizer mean time by 24.92 minutes post process execution as well as a p-value of 0.0043. The data analysis shows a significance in improvement of time to nebulized albuterol treatment overall with the process change therefore this asthma severity scoring tool is now a part of the respiratory assessment in the new EHR. Going forward, monthly chart audits are performed accessing time to nebulizer and ongoing education as needed.
Book Synopsis Fundamentals of Clinical Data Science by : Pieter Kubben
Download or read book Fundamentals of Clinical Data Science written by Pieter Kubben and published by Springer. This book was released on 2018-12-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.
Author :National Asthma Education and Prevention Program (National Heart, Lung, and Blood Institute). Third Expert Panel on the Management of Asthma Publisher : ISBN 13 : Total Pages :360 pages Book Rating :4.:/5 (9 download)
Book Synopsis Expert Panel Report 3 by : National Asthma Education and Prevention Program (National Heart, Lung, and Blood Institute). Third Expert Panel on the Management of Asthma
Download or read book Expert Panel Report 3 written by National Asthma Education and Prevention Program (National Heart, Lung, and Blood Institute). Third Expert Panel on the Management of Asthma and published by . This book was released on 2007 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Guidelines for the Diagnosis and Management of Asthma by : U. S. DEPT OF HEALTH AND HUMAN SERVICES
Download or read book Guidelines for the Diagnosis and Management of Asthma written by U. S. DEPT OF HEALTH AND HUMAN SERVICES and published by . This book was released on 2018-07-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 22 million Americans have asthma, and it is one of the most common chronic diseases of childhood, affecting an estimated 6 million children. The burden of asthma affects the patients, their families, and society in terms of lost work and school, lessened quality of life, and avoidable emergency department (ED) visits, hospitalizations, and deaths. Improved scientific understanding of asthma has led to significant improvements in asthma care, and the National Asthma Education and Prevention Program (NAEPP) has been dedicated to translating these research findings into clinical practice through publication and dissemination of clinical practice guidelines. The first NAEPP guidelines were published in 1991, and updates were made in 1997, 2002, and now with the current report. Important gains have been made in reducing morbidity and mortality rates due to asthma; however, challenges remain.
Book Synopsis A Process Improvement Project for Optimal Pediatric Asthma Care by : Deborah Hickman
Download or read book A Process Improvement Project for Optimal Pediatric Asthma Care written by Deborah Hickman and published by . This book was released on 2012 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Priority Areas for National Action by : Institute of Medicine
Download or read book Priority Areas for National Action written by Institute of Medicine and published by National Academies Press. This book was released on 2003-04-10 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.
Book Synopsis Evaluation of a School-based Program Targeting Pediatric Asthma Self-management Skills in an Urban Population by : Dawn J. Dore-Stites
Download or read book Evaluation of a School-based Program Targeting Pediatric Asthma Self-management Skills in an Urban Population written by Dawn J. Dore-Stites and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is the most commonly diagnosed chronic disorder in childhood and is linked with several problematic outcomes including frequent school absences, increased hospitalizations and decreased quality of life. Further, urban populations struggling with low socioeconomic status are disproportionately represented in prevalence statistics and suffer from increased functional morbidity relative to other children with asthma. These findings exist in the midst of largely effective pharmacological interventions. Asthma self-management programs (SMPs) target several behaviors linked to improved outcomes and are often used as an adjunct to medication management. SMPs have been employed using a variety of techniques and treatment targets in a wide range of settings. Data suggests that SMPs have a mild to moderate impact on functional morbidity outcomes and merit further research. In order to facilitate efficacious interventions to those at highest risk of problematic outcomes, common barriers impinging on program attendance must be alleviated. The school setting proves to be an ideal location to deliver SMPs due to their accessibility and available resources. The current project evaluates a school-based asthma SMP delivered in an urban setting. Results reveal statistically significant increases in quality of life and child reported knowledge as well as decreased utilization of urgent care outpatient treatment. Trends towards decreased agreement between children and caregivers on allocation of asthma management tasks reflect challenges with implementation of programs in the absence of frequent parental contact. School-based asthma SMPs afford several benefits to high-risk populations but also must reflect the need for family involvement in successful asthma management.
Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Book Synopsis Handbook of Pediatric Psychology by : Michael C. Roberts
Download or read book Handbook of Pediatric Psychology written by Michael C. Roberts and published by Guilford Publications. This book was released on 2017-03-24 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thousands of practitioners and students have relied on this handbook, now thoroughly revised, for authoritative information on the links between psychological and medical issues from infancy through adolescence. Sponsored by the Society of Pediatric Psychology, the volume explores psychosocial aspects of specific medical problems, as well as issues in managing developmental and behavioral concerns that are frequently seen in pediatric settings. The book describes best practices in training and service delivery and presents evidence-based approaches to intervention with children and families. All chapters have been rigorously peer reviewed by experts in the field. New to This Edition: *Chapters on rural health, the transition to adult medical care, prevention, and disorders of sex development. *Expanded coverage of epigenetics, eHealth applications, cultural and ethnic diversity, spina bifida, and epilepsy. *Many new authors; extensively revised with the latest information on clinical populations, research methods, and interventions. *Chapters on training and professional competencies, quality improvement and cost-effectiveness, and international collaborations. See also Clinical Practice of Pediatric Psychology, edited by Michael C. Roberts, Brandon S. Aylward, and Yelena P. Wu, which uses rich case material to illustrate intervention techniques.
