Improving Quality and Patient Safety by Minimizing Unnecessary Variation

Jacobs, Benjamin; Duncan, James R.

doi:10.1016/j.jvir.2008.10.031

Cited by 13 publications

(10 citation statements)

References 13 publications

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“…Some stress that the key to improving the quality of care is reducing variability [12]. In the literature on reliability, the main method for diminishing the error of measurement seems to be improving the instrumental reliability [1].…”

Section: Introductionmentioning

confidence: 99%

Reducing interrater variability and improving health care: a meta‐analytical review

Tuijn

Janssens

Robben

et al. 2011

Evaluation Clinical Practice

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On average, although all types of interventions are effective, improving the diagnostic instrument seems to be the most effective. Especially when highly technical instruments were concerned, improvement proved to be very effective (β = 0.52). Because instrumental variables constitute a major source of error, improving the instrument is an important approach. However, this review offers solid arguments that can complement the literature and practice, with a focus on training the user of the instrument.

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Section: Introductionmentioning

confidence: 99%

Reducing interrater variability and improving health care: a meta‐analytical review

Tuijn

Janssens

Robben

et al. 2011

Evaluation Clinical Practice

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“…Standardization of the process of care, often through efforts to consistently use evidence‐based practice guidelines, is the foundation for efforts to reduce variation, improve efficiency and reliability, and allow for rapid innovation . Investigators have documented that decreasing variability in patient care not only improves health outcomes but also reduces errors and waste, and can provide data to determine whether a process change is responsible for an improved outcome . It is thought that by controlling variation through evidence‐based medicine guideline development, iterative refinement, and feedback to physicians, reasonable decisions can be made, and patient outcomes will improve .…”

Section: Variation and Standardizationmentioning

confidence: 99%

“…Quality‐based principles that have evolved in other businesses, including standardization, meaningful measurement, and reporting, have been difficult to adapt to the medical field. High‐reliability manufacturers and service providers utilize six Sigma principles and “lean production” tools to continually assess their processes and focus on employing standardized processes to decrease variation, long‐term defects, and waste .…”

Section: Continuous Interpretation and Improvements In Carementioning

confidence: 99%

Can Assessing Chronic Pain Outcomes Data Improve Outcomes?

2013

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Patient outcomes can be improved with standardization of the process of patient care, as well as through other quality improvement efforts. The cornerstone to any effort to improve patient outcomes starts with the integration of valid outcomes data collection into ongoing patient care. Outcome measurement tools should provide information on several key domains, yet the process of data collection should not pose a significant burden on either the patient or health care team. Efforts to improve patient outcomes are ongoing, and should be a high priority for every health care team.

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“…Quality was more difficult to define but conformance to expectation is a useful attribute of quality [25]. High-quality processes produce products that reliably meet stringent specifications [26].…”

Section: Efficiency and Quality Scoresmentioning

confidence: 99%

“…Conversely, low-quality processes are unable to reproducibly meet even minimal expectations. As a result, quality is typically expressed as the inverse of process variation [25,26]. In the current work, we expressed quality by measuring deviation from the planned path.…”

Section: Efficiency and Quality Scoresmentioning

confidence: 99%