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Search results for "Legal and Policy Approaches"
Simmons-Ritchie D. Penn Live. November 15, 2018.
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing levels, lack of regulation enforcement, and misaligned financial incentives. This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing homes and discusses strategies for improvement, such as enhancing investigation processes.
Princeton, NJ: Robert Wood Johnson Foundation; November 2010.
Part I of this three-part series examines the quality improvement experience of four health care organizations and one state government. Part II examines how nursing intersects with health information technology implementation efforts. Part III examines how the design of the care environment affects patient outcomes.
Journal Article > Commentary
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.
Kennedy P, Pronovost P. Crit Care Med. 2006;34(suppl 3):S1-S6.
This commentary discusses broad mechanisms and a model to promote change through improved understanding of market forces, provider improvements, and policy change. Using the story of Josie King, the Josie King Pediatric Patient Safety Program, and the related legislative act as background, the authors provide a detailed account of provider change initiatives, drawing on the experience of a comprehensive unit-based safety program. In emphasizing the importance of translating such "local" change to more systemwide efforts, the authors call upon public policy requirements to address several issues. These include a national commitment to financially supporting the science of health care delivery and legislation to both build information technology infrastructure and better align financial incentives.
Cases & Commentaries
- Web M&M
Arpana Vidyarthi, MD; March 2004
Due to a series of incomplete signouts, information about a patient's post-operative leg pain and chest discomfort is not conveyed to the primary team. A PE is discovered post-mortem.