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The Use of a Conceptual Model and Related Indicators to Evaluate Quality of Health Care in Intensive Care Units (97 visite)

Clemente F, D'Arco M, D'Avino E

Quality Engineering (ISSN: 0898-2112), 2014 Apr 3; 26(2): 196-205.



Tipo di articolo: Journal Article,

Impact factor: 0.553, Impact factor a 5 anni: 0.807

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84898931628&partnerID=40&md5=c773c55d7fdc4169747df0713d474392

Parole chiave: Dmaic Strategy, Organizational Model, Performance Indicators, Quality Of Health Care, Statistical Process Control, Benchmarking, Intensive Care Units, Health-Care System, Measurement Methods, Organizational Modeling, System Diagnostics, Techniques And Tools, Quality Control,

Affiliazioni:

*** IBB - CNR ***
Istituto di Ingegneria Biomedica, Consiglio Nazionale delle Ricerche, Monterotondo S., Rom, Italy
Department of Electrical Engineering and Information Technologies, University of Naples Federico II, Via Claudio 21, 80125 Napoli, Italy
Azienda Ospedaliera S. Maria, Terni, Italy



Riferimenti:

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Berenholtz, S.M., Dorman, T., Koni, N., Pronovost, P.J., Qualitativereview of intensive care unit quality indicators (2002) Journal of Clinical Care, 17, pp. 1-12

Collins, D.H., Anderson-Cook, C.M., Huzurbazar, A.V., Systemhealth assessment (2011) Quality Engineering, 23 (2), pp. 142-151

Dasta, J.F., McLaughlin, T., Mody, S.H., Piech, C.T., Daily cost ofan intensive care unit day: The contribution of mechanical ventilation (2005) Critical Care Medicine, 33 (6), pp. 1266-1271

Davies, U., (2006) Measuring and Reporting the Quality of Healthcare: Issues and Evidence from the International Research Literature, , Edinburgh, Scotland, UK: NHS Quality Improvement

De Vos, M., Graafmans, W., Keesman, E., Westert, G., Van Dervoort, P.H.J., Quality measurement at intensive care units: Which indicators should we use? (2007) Journal of Critical Care, 22, pp. 267-274

Dey, P.K., Seetharaman, H., Clegg, B.T., Measuring the operationalperformance of intensive care units using the analytic hierarchyprocess approach (2006) International Journal of Oparations & ProductionManagement, 26 (8), pp. 849-865

Dhillon, B.S., (2008) Reliability Technology, Human Error, and Quality InHealth Care, , Taylor & Francis Group

Donabedian, A., The quality of care: How can it be assessed? (1988) Journal of the American Medical Association, 260, pp. 1743-1748

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Marino, P.L., (1998) The ICU Book, , Baltimore, MD: William and Wilkins

McGlyn, E.A., (2008) Identifying, Categorizing, and Evaluating HealthCare Efficiency Measures, , Rockville, MD: Agency for HealthcareResearch and Quality

Montgomery, D.C., (2009) Statistical Quality Control: A ModernIntroduction, , 6th ed. Hoboken, NJ: Wiley

Rapoport, J., Teres, D., Zhao, Y., Lemeshow, S., Length of stay dataas a guide to hospital economic performance for ICU patients (2003) MedicalCare, 21 (3), pp. 386-397

Straney, L., Clements, A., Alexander, J., Quantifying variationof paediatric length of stay among intensive care units inAustralia and New Zealand (2010) Quality & Safety in Health Care, 19, pp. 1-5

Van Leeuwen, K.C., Does, R.J.M.M., Quality quandaries: Leannursing (2011) Quality Engineering, 23 (1), pp. 94-99

Winkel, P., Zhang, N.F., (2007) Statistical Development of Quality InMedicine, , Chichester, England: Wiley

Berenholtz, S. M., Dorman, T., Koni, N., Pronovost, P. J., Qualitativereview of intensive care unit quality indicators (2002) Journal of Clinical Care, 17, pp. 1-12

Collins, D. H., Anderson-Cook, C. M., Huzurbazar, A. V., Systemhealth assessment (2011) Quality Engineering, 23 (2), pp. 142-151

Dasta, J. F., McLaughlin, T., Mody, S. H., Piech, C. T., Daily cost ofan intensive care unit day: The contribution of mechanical ventilation (2005) Critical Care Medicine, 33 (6), pp. 1266-1271

Dey, P. K., Seetharaman, H., Clegg, B. T., Measuring the operationalperformance of intensive care units using the analytic hierarchyprocess approach (2006) International Journal of Oparations & ProductionManagement, 26 (8), pp. 849-865

Dhillon, B. S., (2008) Reliability Technology, Human Error, and Quality InHealth Care, , Taylor & Francis Group

(2010) Intoduction to Margherita Project, , http: //www. giviti. marionegri. it, GiViTi

(2008) ISO9000 Family of Standards, , International Organization for Standardization (ISO) Geneva, CH, Switzerland: InternationalOrganization for Standardization

Marino, P. L., (1998) The ICU Book, , Baltimore, MD: William and Wilkins

McGlyn, E. A., (2008) Identifying, Categorizing, and Evaluating HealthCare Efficiency Measures, , Rockville, MD: Agency for HealthcareResearch and Quality

Montgomery, D. C., (2009) Statistical Quality Control: A ModernIntroduction, , 6th ed. Hoboken, NJ: Wiley

Van Leeuwen, K. C., Does, R. J. M. M., Quality quandaries: Leannursing (2011) Quality Engineering, 23 (1), pp. 94-99



The present study illustrates an approach aimed at evaluating the performance of postoperative intensive care units (ICUs) in terms of quality of health care. The starting point is the recognition of a conceptual model suitable to describe the multifaceted healthcare system. The model plays a fundamental role in the identification of suitable performance indicators, which are intended to both evaluate quality of health care and assist system diagnostics and troubleshooting tasks. The evaluation is then accomplished by means of a measurement method that involves the collection and processing of data related to the structure, process, and clinical outcomes. The method is inspired by the define-measure-analyze-improve-control (DMAIC) strategy that is largely employed in the industry; in fact, it adopts techniques and tools that are usually utilized to perform statistical process controls. A case study shows the effectiveness of the proposed approach at evaluating ICUs and its capability of recognizing the causes of inefficiencies within the organizational model of the same ICU.
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24 Records (21 escludendo Abstract e Conferenze).
Impact factor totale: 72.257 (68.216 escludendo Abstract e Conferenze).
Impact factor a 5 anni totale: 80.806 (76.078 escludendo Abstract e Conferenze).







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