The new edition of the bestselling text on quality improvement in health care, providing powerful theoretical frameworks and principles, valuable tools and techniques, and a proven action-learning program Clinical microsystems such as nursing units and primary care clinics are the essential building blocks of larger organizations and the wider health care system. Developing reliable, efficient, and responsive frontline units that meet the individual needs of one patient, continually improve care for the next patient, and create an exceptional working environment for all staff is…mehr
The new edition of the bestselling text on quality improvement in health care, providing powerful theoretical frameworks and principles, valuable tools and techniques, and a proven action-learning program Clinical microsystems such as nursing units and primary care clinics are the essential building blocks of larger organizations and the wider health care system. Developing reliable, efficient, and responsive frontline units that meet the individual needs of one patient, continually improve care for the next patient, and create an exceptional working environment for all staff is critical for achieving the best patient outcomes. Quality By Design: A Clinical Microsystems Approach presents an evidence-based strategy for teaching the fundamentals of quality improvement across all levels of health care leadership. Written by a team of international experts in health care improvement, this innovative volume provides research results on high-performing clinical microsystems, real-world case studies of individual clinical programs, effective tools and techniques that can be adapted by diverse clinical practices and teams, and much more. The fully revised second edition further advances clinical microsystem theory and practice by providing new material on leadership development, discussing the vital role of data and information technology in clinical environments, and addressing the organizational levels of macrosystems and mesosystems in greater depth. Expanded coverage of designing, implementing, and measuring improvement strategies is complimented by additional illustrative case studies and value-based care models. Reflecting the research and applied training conducted at Dartmouth Medical School, the new edition of Quality By Design: Provides a core curriculum that can build microsystems' capability to provide excellent care and make positive contributions to the larger organization Guides readers on actively engaging interdisciplinary teams in learning and applying improvement science to develop high-performing clinical microsystems Outlines the design and redesign of services and planning care to match patient needs with services offered Contains new student-friendly features such as learning objectives, case examples, activities, exercises, and additional discussion topics in each chapter Includes PowerPoint slides, a test bank, and a sample syllabus for instructors Quality By Design: A Clinical Microsystems Approach, Second Edition is an indispensable resource for all leaders working in health care, and the ideal textbook for students in health care administration, nursing, and medicine.
Marjorie M. Godfrey, PhD, MS, BSN, FAAN, Co-Director and Founder, Dartmouth Institute Microsystem Academy, and Instructor, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College. Tina C. Foster MD, MPH, MSc, Associate Professor of Obstetrics and Gynecology and Community and Family Medicine, Dartmouth-Hitchcock Medical Center. Julie K. Johnson, MSPH, PhD, Professor, Department of Surgery and Center for Healthcare Studies, Northwestern University. Eugene C. Nelson, DSc, MPH, Director of Population Health and Measurement, Dartmouth-Hitchcock Medical Center, and Professor of Community and Family Medicine, Dartmouth Medical School and The Dartmouth Institute for Health Policy and Clinical Practice. Paul Batalden, MD, Professor Emeritus, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College.
Inhaltsangabe
List of Tables Figures and Exhibits. Foreword by Donald M. Berwick. Preface. Acknowledgments. Introduction. The Editors. The Contributors. PART ONE: CASES AND PRINCIPLES. 1. Success Characteristics of High-Performing Microsystems: Learning from the Best (Eugene C. Nelson Paul B. Batalden Thomas P. Huber Julie K. Johnson Marjorie M. Godfrey Linda A. Headrick and John H. Wasson). 2. Developing High-Performing Microsystems (Eugene C. Nelson Paul B. Batalden William H. Edwards Marjorie M. Godfrey and Julie K. Johnson). 3. Leading Microsystems (Paul B. Batalden Eugene C. Nelson Julie K. Johnson Marjorie M. Godfrey Thomas P. Huber Linda Kosnik and Kerri Ashling). 4. Leading Macrosystems and Mesosystems for Microsystem Peak Performance (Paul B. Batalden Eugene C. Nelson Paul B. Gardent and Marjorie M. Godfrey). 5. Developing Professionals and Improving Worklife (Thomas P. Huber Marjorie M. Godfrey Eugene C. Nelson Julie K. Johnson Christine Campbell and Paul B. Batalden). 6. Planning Patient-Centered Services (Marjorie M. Godfrey Eugene C. Nelson John H. Wasson Julie K. Johnson and Paul B. Batalden). 7. Planning Patient-Centered Care (John H. Wasson Marjorie M. Godfrey Eugene C. Nelson Julie K. Johnson and Paul B. Batalden). 8. Improving Patient Safety (Julie K. Johnson Paul Barach Joseph P. Cravero George T. Blike Marjorie M. Godfrey Paul B. Batalden and Eugene C. Nelson). 9. Creating a Rich Information Environment (Eugene C. Nelson Paul B. Batalden Karen Homa Marjorie M. Godfrey Christine Campbell Linda A. Headrick Thomas P. Huber Julie K. Johnson and John H. Wasson). PART TWO: ACTIVATING THE ORGANIZATION AND THE DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM. 10. Overview of Path Forward and Introduction to Part Two. 11. Introduction to Microsystem Thinking. 12. Effective Meeting Skills I. 13. Assessing Your Microsystem with the 5 P's. 14. The Model for Improvement: PDSA!!. 15. Selecting Themes for Improvement. 16. Improvement Global Aim. 17. Process Mapping. 18. Specific Aim. 19. Cause and Effect Diagrams. 20. Effective Meeting Skills II: Brainstorming and Multi-Voting. 21. Change Concepts. 22. Measurement and Monitoring. 23. Action Plans and Gantt Charts. 24. Follow Through on Improvement: Storyboards Data Walls and Playbooks. 25. Conclusion: Continuing on the Path to Excellence. Appendix A: Primary Care Workbook. Name Index. Subject Index.
List of Tables Figures and Exhibits. Foreword by Donald M. Berwick. Preface. Acknowledgments. Introduction. The Editors. The Contributors. PART ONE: CASES AND PRINCIPLES. 1. Success Characteristics of High-Performing Microsystems: Learning from the Best (Eugene C. Nelson Paul B. Batalden Thomas P. Huber Julie K. Johnson Marjorie M. Godfrey Linda A. Headrick and John H. Wasson). 2. Developing High-Performing Microsystems (Eugene C. Nelson Paul B. Batalden William H. Edwards Marjorie M. Godfrey and Julie K. Johnson). 3. Leading Microsystems (Paul B. Batalden Eugene C. Nelson Julie K. Johnson Marjorie M. Godfrey Thomas P. Huber Linda Kosnik and Kerri Ashling). 4. Leading Macrosystems and Mesosystems for Microsystem Peak Performance (Paul B. Batalden Eugene C. Nelson Paul B. Gardent and Marjorie M. Godfrey). 5. Developing Professionals and Improving Worklife (Thomas P. Huber Marjorie M. Godfrey Eugene C. Nelson Julie K. Johnson Christine Campbell and Paul B. Batalden). 6. Planning Patient-Centered Services (Marjorie M. Godfrey Eugene C. Nelson John H. Wasson Julie K. Johnson and Paul B. Batalden). 7. Planning Patient-Centered Care (John H. Wasson Marjorie M. Godfrey Eugene C. Nelson Julie K. Johnson and Paul B. Batalden). 8. Improving Patient Safety (Julie K. Johnson Paul Barach Joseph P. Cravero George T. Blike Marjorie M. Godfrey Paul B. Batalden and Eugene C. Nelson). 9. Creating a Rich Information Environment (Eugene C. Nelson Paul B. Batalden Karen Homa Marjorie M. Godfrey Christine Campbell Linda A. Headrick Thomas P. Huber Julie K. Johnson and John H. Wasson). PART TWO: ACTIVATING THE ORGANIZATION AND THE DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM. 10. Overview of Path Forward and Introduction to Part Two. 11. Introduction to Microsystem Thinking. 12. Effective Meeting Skills I. 13. Assessing Your Microsystem with the 5 P's. 14. The Model for Improvement: PDSA!!. 15. Selecting Themes for Improvement. 16. Improvement Global Aim. 17. Process Mapping. 18. Specific Aim. 19. Cause and Effect Diagrams. 20. Effective Meeting Skills II: Brainstorming and Multi-Voting. 21. Change Concepts. 22. Measurement and Monitoring. 23. Action Plans and Gantt Charts. 24. Follow Through on Improvement: Storyboards Data Walls and Playbooks. 25. Conclusion: Continuing on the Path to Excellence. Appendix A: Primary Care Workbook. Name Index. Subject Index.
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