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"a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Aspects of the structure, processes, and outcomes of care are selected and systematically evaluated against explicit criteria.
The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: "structure", "process", and "outcomes". [2]
The Donabedian model is a common framework for assessing health care quality and identifies three domains in which health care quality can be assessed: structure, process, and outcomes. [14] All three domains are tightly linked and build on each other. Improvements in structure and process are often observed in outcomes.
Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin , exposed the high mortality ...
Quality Improvement in healthcare is when health care professionals familiar with these processes and pathways use a systematic approach to address specific problems in their field, thereby improving the process or pathway with a measurable effect. Traditionally this measurable effect may be improved clinical outcomes, time saved or money saved.
As stated in a 2006 Institute of Medicine (IOM) report, "HEDIS measures focus largely on processes of care"; [14] the strengths of process measures include the facts that they "reflect care that patients actually receive," thereby leading to "buy-in from providers," and that they are "directly actionable for quality improvement activities" [14 ...
Center for Improvement in Healthcare Quality (CIHQ) -based in the United States; The different accreditation schemes vary in quality, size, intent and the skill of their marketing. They also vary considerably in terms of the cost incurred by hospitals and healthcare institutions.
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).