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Intro
Foreword
Book Abstract
Preface
About the Book
Contents
About the Editors
Contributors
Chapter 1: Introduction
References
Chapter 2: Basics of Quality Improvement
Executive Summary
Learning Objectives
The History of the Healthcare Quality Management Movement: Past to Present
The Purpose and Philosophy of Quality Management
Implementing a Quality Improvement Project
Tools for Quality Improvement
Process Mapping
Flow Charts
Cause-and-Effect (Fishbone) Diagram
Brainstorming and Affinity Diagrams
Pareto Chart
Histogram

Bar Chart
Scatter Diagram
Statistical Control Chart
Methods for Quality Improvement
Plan, Do, Study, Act Methodology
Six Sigma
Lean
Commonly Used Quality Improvement Strategies
Academic Detailing
Opinion Leaders
Audit and Feedback
Reminder Systems
Patient Education
Case Management
Reengineering
Incentives
Quality Improvement Research
Challenges to Successful Quality Improvement
Technology
Structure
Psychological Climate
Leadership
Culture
Legal Issues
Future Trends
Alternative Payment Models

Accountable Care Organizations
Final Thoughts
References
Additional Resources-Further Reading
Chapter 3: Quality Measurement
Executive Summary
Learning Objectives
Introduction
Quality Measurement Framework
Desirable Characteristics of Quality Measurement
History
Types of Quality Measures
Structural Measures
Process Measures
Outcome Measures
Bundled Measures
Balancing Measures
Benchmarking
Constructing a Measurement
Proportion
Ratio
Mean and Median
Count
Timing of Measurements
Baseline Measurement
Trending Measurements

Run Chart
Control Chart
Interpreting Quality Measures
Appropriateness Model
The 70% Standard Model
Opportunity Model
Program Evaluation
Formative Evaluations
Summative Evaluations
Quality Measurement in the Digital Age
Big Data
Dark Data
Deep Data
Future Trends
References
Chapter 4: Patient Safety
Executive Summary
Learning Objectives
History
Error as a Systems Issue
Latent Conditions
Active Failures
Skill-Based Activity
Rule-Based Activity
Knowledge-Based Activity
Human Factors as a Cause of Errors
Fatigue
Alarms

Medication Errors
Specific High-Profile Medication Errors
Strategies to Prevent Medication Errors
Common Risks to Patient Safety
Invasive Procedures
Perioperative Complications and Iatrogenic Injuries
Infections
Site-Specific Infection Prevention
Ventilator-Associated Events
Patient Falls
Pressure (Decubitus) Ulcers
Patient Safety Tools
Tools for Data Acquisition
Safety Surveys
Error Reporting
Self-Reporting Systems
Record Review
Situation Monitoring
Analytic Tools
Retrospective Event Analysis
Prospective Event Analysis

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