Quality of Care and Information Technology, An Issue of Pediatric Clinics of North America

Srinivasan Suresh

Description

The Guest Editor of this issue is a pediatric emergency medicine specialist and the Chief Medical Officer at Children’s Hospital of Pittsburgh. He is very involved in the medical record and other electronic devices as safety measures. He brings his expertise and breadth of knowledge to the Pediatric Clinics of North America to assemble a stand out list of authors who have contributed articles on Pediatric Safety, Quality & Informatics. In this issue, articles are devoted to Big Data and the role of Predictive Analytics in Pediatrics; Research in Pediatric IT- the present and the future; Quality Care and Patient Safety in the pediatric emergency department; Safety & Quality metrics for Pediatric Hospital Medicine; Clinical Effectiveness Guidelines- Easy to Create but Hard to Implement; Advanced Technology in the pediatric ICUs; Measurement, Standards and Peer Benchmarking in Pediatric Safety & Quality: One hospital’s journey; Clinical Informatics and its role in the care of children; Pediatric Safety & Quality: A nursing perspective; Pediatric Telehealth: opportunities and challenges; and Fundamentals of Quality Improvement: How to do pediatric QI research.

Sujets

• Médecine
• Médecine Générale
• Medical
• Pediatrics

Informations

• Publié par: Elsevier
• Date de parution: 20 avril 2016
• Nombre de lectures: 0
• EAN13: 9780323417662
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Quality of Care and Information Technology
Pediatric Clinics of North America
Editor
Srinivasan Suresh, MD, MBA, FAAP
University of Pittsburgh School of Medicine, Children s Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
Consulting Editor
Bonita F. Stanton

Clinics Review Articles

www.pediatric.theclinics.com

April 2016 Volume 63 Number 2
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword. Pediatric Safety, Quality, and Informatics
Preface. The Intersection of Safety, Quality, and Informatics: Solving Problems in Pediatrics
References
Population Health and Pediatric Informatics
Key points
Introduction
What is population health?
The digital divide
Alignment of pediatric practice with population health
How has pediatric care and population health been supported by health information technology?
Challenges in using health IT to promote population health
Future directions
References
Measurement, Standards, and Peer Benchmarking: One Hospital's Journey
Key points
Introduction
History of measurement, standards, and benchmarking in pediatrics
Solutions for Patient Safety
Groundwork for success with Solutions for Patients Safety
Risk/benefit for participating hospitals
Children s Hospital of Pittsburgh of University of Pittsburgh Medical Center s experience with Solutions for Patient Safety
Summary
References
Electronic Health Record-Enabled Research in Children Using the Electronic Health Record for Clinical Discovery
Key points
Introduction
The electronic health record data set
Electronic health record-enabled research methodologies and examples of analytical approaches
Limitations surrounding electronic health record-enabled research
Summary
References
Quality Care and Patient Safety in the Pediatric Emergency Department
Key points
The Institute of Medicine s call for improvement
Quality improvement frameworks
Quality improvement methods and tools
Specific tools for quality improvement
Evidence-based guidelines and their role in quality care
Measuring quality in pediatric emergency medicine
Local examples of quality improvement work in a pediatric emergency department
Collaborative development of safety for children at risk for septic shock
Summary
Acknowledgments
References
Patient Safety and Quality Metrics in Pediatric Hospital Medicine
Key points
Introduction
The quality assurance movement
Pediatric hospital medicine and inpatient health care
Quantification
Medication errors in hospitalized children
Multidisciplinary approach to reduce errors
Prospective metrics for pediatric hospital medicine
Children s Hospital of Michigan s safety culture
Inpatient safety rounding tool
Improving inpatient asthma care and preventing asthma readmissions
Hand hygiene measures
Other metrics
Summary
References
Advanced Technology in Pediatric Intensive Care Units: Have They Improved Outcomes?
Key points
Introduction
Electronic medical records
Computerized provider order entry and clinical decision support
Telemedicine and remote intensive care unit monitoring
Data trending and review
Big data and predictive analytics
Outcomes
Summary
References
ABCs of Safety and Quality for the Pediatric Resident and Fellow
Key points
Introduction
Patient safety and quality improvement as part of graduate medical education
The clinical learning environment: the foundation of quality improvement in medical education
Curricular approaches to teaching quality improvement and patient safety
Experiences in teaching quality improvement and safety to pediatric trainees
State of quality improvement and patient safety education in pediatric graduate medical education
Summary
References
Clinical Pathways: Driving High-Reliability and High-Value Care
Key points
Introduction
Interdisciplinary and multidisciplinary
Across the continuum of care
Channeling guidelines and evidence
Measurement beyond the outcomes
Strategic alignment
Getting to the future state: clinical pathways mapping the way to high-value care
Patient safety, effectiveness, and equitability
Efficient and timely
Patient-centered
Pathways as a strategic tool
High-impact with viable stakeholders
Summary: successful clinical pathway implementation and sustainability
References
Pediatric Quality and Safety: A Nursing Perspective
Key points
Introduction
What does it mean to provide safe and quality nursing care?
Safety and quality are at the core of nursing practice
High cost does not equate to high quality
Poor quality of care may perpetuate costs
Nurses navigating an evolving economic and regulatory landscape
Importance of nurse leaders driving the culture of a high-reliability organization
Solutions for patient safety: a unique opportunity for pediatrics
Frontline nurses and physicians driving safety and quality to reach outcomes
Summary
References
Pediatric Quality Improvement: Practical and Scholarly Considerations
Key points
What is health-care quality?
Quality improvement, research, and quality improvement research
Models for understanding quality
The science of quality improvement
Statistical methods in quality improvement research and a primer in statistical process control
Summary
References
Big Data and Predictive Analytics: Applications in the Care of Children
Key points
Definition of analytics and its impact on health care
Analytics in the form of decision support and monitoring systems
Architectural framework
Data scientists
Analytics in hospital operations
Advanced analytics/clinical decision support
Genomics and big data
The Personalized Medicine Coalition
Impact on diagnostic imaging
Challenges and future of analytics in health care
The specialty of clinical informatics and board certification
Impact on quality of life
References
Pediatric Telehealth: Opportunities and Challenges
Key points
Introduction
Defining telehealth
Classifying telehealth services
Opportunities to improve quality of care and patient safety
Challenges to the adoption of telehealth
Summary
References
Index
Copyright
ELSEVIER
1600 John F. Kennedy Boulevard Suite 1800 Philadelphia, Pennsylvania, 19103-2899
http://www.theclinics.com
THE PEDIATRIC CLINICS OF NORTH AMERICA Volume 63, Number 2
April 2016 ISSN 0031-3955, ISBN-13: 978-0-323-41765-5
Editor: Kerry Holland
Developmental Editor: Casey Jackson
2016 Elsevier Inc. All rights reserved.
This periodical and the individual contributions contained in it are protected under copyright by Elsevier, and the following terms and conditions apply to their use:
Photocopying
Single photocopies of single articles may be made for personal use as allowed by national copyright laws. Permission of the Publisher and payment of a fee is required for all other photocopying, including multiple or systematic copying, copying for advertising or promotional purposes, resale, and all forms of document delivery. Special rates are available for educational institutions that wish to make photocopies for non-profit educational classroom use. For information on how to seek permission visit www.elsevier.com/permissions or call: ([phone] (UK)/([phone] (USA).
Derivative Works
Subscribers may reproduce tables of contents or prepare lists of articles including abstracts for internal circulation within their institutions. Permission of the Publisher is required for resale or distribution outside the institution. Permission of the Publisher is required for all other derivative works, including compilations and translations (please consult www.elsevier.com/permissions ).
Electronic Storage or Usage
Permission of the Publisher is required to store or use electronically any material contained in this periodical, including any article or part of an article (please consult www.elsevier.com/permissions ). Except as outlined above, no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission of the Publisher.
Notice
No responsibility is assumed by the Publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made.
Although all advertising material is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guarantee or endorsement of the quality or value of such product or of the claims made of it by its manufacturer.
The Pediatric Clinics of North America (ISSN 0031-3955) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Months of issue are February, April, June, August, October, and December. Periodicals postage paid at New York, NY and additional mailing offices. Subscription prices are $200.00 per year (US individuals), $556.00 per year (US institutions), $270.00 per year (Canadian individuals), $740.00 per year (Canadian institutions), $325.00 per year (international individuals), $740.00 per year (international institutions), $100.00 per year (US students and residents), and $165.00 per year (international and Canadian residents and students). To receive students/resident rare, orders must be accompanied by name of affiliated institution, date of term, and the signature of program/residency coordinator on institution letterhead. Orders will be billed at individu