A Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage

Sather, John; Littauer, Ross; Finn, Emily B.; Matouk, Charles; Sheth, Kevin N; Parwani, Vivek; Pham, Laura; Ulrich, Andrew; Rothenberg, Craig; Venkatesh, Arjun K.

doi:10.1016/j.jcjq.2020.10.003

Cited by 3 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The application of scripted quality improvement interventions as part of the IHT process was feasible and effective at improving the timeliness of care and communication of critical information in patients with nontraumatic intracerebral and subarachnoid hemorrhage in the US. 66 Esteban et al, who studied the application of the telemonitoring system in Spain, reported no differences between the intervention group with telemonitoring and the control group (with standard care) in terms of cost-effectiveness, however the intervention program was less expensive than routine clinical practice. 67 In line with the reviewed care transformations, these redesign initiatives were typically associated with increased efficiency and/or workflow improvements.…”

Section: Dovepressmentioning

confidence: 99%

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Jakovljevic,

Timofeyev,

Zhuravleva

2024

RMHP

View full text Add to dashboard Cite

This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations. Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar. Results: Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved. Conclusion:The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.

show abstract

Section: Dovepressmentioning

confidence: 99%

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Jakovljevic,

Timofeyev,

Zhuravleva

2024

RMHP

View full text Add to dashboard Cite

show abstract

Quality Improvement in the Management of Subarachnoid Hemorrhage: Current State and Future Directions

Kaplan

Kaleem

Huynh

2023

Curr Pain Headache Rep

View full text Add to dashboard Cite

Quality Improvement in Neurocritical Care: a Review of the Current Landscape and Best Practices

Karanjia

Dugyala

Olm-Shipman

et al. 2022

Curr Treat Options Neurol

View full text Add to dashboard Cite

Purpose of Review The field of neurocritical care (NCC) has grown such that there is now a substantial body of literature on quality improvement specific to NCC. This review will discuss the development of this literature over time and highlight current best practices with practical tips for providers. Recent Findings There is tremendous variability in patient care models for NCC patients, despite evidence showing that certain structural elements are associated with better outcomes. There now also exist evidence-based recommendations for neurocritical care unit (NCCU) structure and processes, as well as NCC-specific performance measure (PM) sets; however, awareness of these is variable among care providers. The evidence-based literature on NCC structure, staffing, training, standardized order sets and bundles, transitions of care including handoff, prevention of bounce backs, bed flow optimization, and inter-hospital transfers is growing and offers many examples of successful performance improvement initiatives in NCCUs. Summary NCC providers care for patients with life-threatening conditions like intracerebral and subarachnoid hemorrhages, ischemic stroke, and traumatic brain injury, which are associated with high morbidity, complexity of treatment, and cost. Quality improvement initiatives have been successful in improving many aspects of NCC patient care, and NCC providers should continue to update and standardize their practices with consideration of this data. More research is needed to continue to identify high-risk and high-cost NCCU structures and processes and strategies to optimize them, validate current NCC PMs, and encourage clinical adoption of those that prove to be associated with improved outcomes.

show abstract

A Multimodal Intervention to Improve the Quality and Safety of Interhospital Care Transitions for Nontraumatic Intracerebral and Subarachnoid Hemorrhage

Cited by 3 publications

References 31 publications

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency

Quality Improvement in the Management of Subarachnoid Hemorrhage: Current State and Future Directions

Quality Improvement in Neurocritical Care: a Review of the Current Landscape and Best Practices

Contact Info

Product

Resources

About