Microsystems in Health Care: Part 1. Learning from High-Performing Front-Line Clinical Units

Nelson, Eugene C.; Batalden, Paul B.; Huber, Thomas P.; Mohr, Julie J.; Godfrey, Marjorie M.; Headrick, Linda A.; Wasson, John H.

doi:10.1016/s1070-3241(02)28051-7

Cited by 315 publications

(273 citation statements)

References 4 publications

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“…The opioid prescribing initiative combined design and prototyping into an intensive week-long workshop where representatives from across the organization refined new care processes, developed standardized patient education materials, and identified specialty care consultants to help manage complex cases. This intensive effort, based on east available evidence, allowed all stakeholders iteratively develop and refine the tools and resources needed to improve prescribing safety (Roberts et al, 2001;Nelson et al, 2002). The highest quality, most affordable care provided for just about anything where the main factor is to satisfy the customers.…”

Section: Clinical Information System (Cis)mentioning

confidence: 99%

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

Haque¹,

Kayadibi²,

Rafsanjani³

et al. 2013

ASS

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The empirical data is used in organizations all over the world which require the integration of some informational systems like Electronic Medical Record (EMR) and Clinical Information System (CIS); these concepts will discover with new form of Bangladeshi public hospital's improvement in Information Technology (IT) sector. The objective of this conceptual paper is to review critically and identify the gaps in current literature aligning with Hospital Information System (HIS) and Electronic Medical Record (EMR), building relationship between EMR and CIS in terms of Bangladeshi public hospital; towards hospital's effectiveness of service operator when public hospital plays an important role to keep the patients data. The proposed conceptual framework assists HIS providers to understand how EMR and CIS can contribute to improve the hospitals patient database. More over the paper presents an analysis in various aspects of EMR and CIS complying with a conceptual framework which can attract the researchers in Hospital information System field and public hospital management field for the better presences of information technology for the patients. Hospital Information System (HIS) is essential in hospitals especially which deals with high-quality healthcare treatments. HIS helps to improve patients care services. Thus, the Bangladesh Government has not introduced any kind of HIS for public hospitals of Bangladesh. Moreover, there is no study on HIS implementation in Bangladeshi public hospital.

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Section: Clinical Information System (Cis)mentioning

confidence: 99%

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

Haque¹,

Kayadibi²,

Rafsanjani³

et al. 2013

ASS

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“…Examples of good practice are beginning to emerge. One is a clinical dashboard updated on outcome measures of patient care 15 which has been applied in several specialities at Salisbury NHS Foundation Trust. Other examples of integrated care are described where there has been improved health care with significant cost savings.…”

Section: Feedbackmentioning

confidence: 99%

Follow the yellow brick road: integrated care – can we do better?

Rickenbach

Wedderburn²

2012

Br J Gen Pract

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“…Microsystems are "units of people-including the patient-and processes that deliver care at the front line, such as the pediatric unit, the physician's office, or nursing provided in the patient's home." 22 Macrosystems "provide the microsystems with the resources, support processes, and structure to deliver care." 23 Finally, judicious use of consultants and referrals must be incorporated.…”

Section: Reflectionsmentioning

confidence: 99%

Report of Colloquium II: The Theory and Practice of Graduate Medical Education—How Do We Know When We Have Made a “Good Doctor”?

Carraccio

Sectish

2009

Pediatrics

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Participants of the second colloquium of the Residency Review and Redesign in Pediatrics (R 3 P) Project considered 3 primary questions: What is a "good doctor"? How do we make one? and How do we know when we have made one? Experts from other countries and other medical specialties helped participants wrestle with these most basic questions. Participants emerged with a better feeling of the utility of different types of evaluations needed to determine resident competence. It was clear that the complexity of the task requires faculty education and development. Most important, it requires the ongoing commitment of all of pediatrics as we seek to link education directly to better health outcomes for children, adolescents, and young adults. Pediatrics 2009;123:S17-S21 U NCERTAINTIES SURROUNDING EVOLVING health care needs of children, pediatric workforce, and financial structure that permeated the first colloquium of the Residency Review and Redesign in Pediatrics (R 3 P) Project carried over into the second colloquium, entitled "The Theory and Practice of GME and Certification." 1 In addition, the transformation in medical education that began with the Accreditation Council of Graduate Medical Education (ACGME) Outcome Project 2 heralded another uncertainty: "Will this transformation create better doctors?" The ACGME has begun to redefine the "good doctor" by expanding the requirements for learning and assessment from traditional focus on patient care and medical knowledge to include application of knowledge and 4 additional competencies: interpersonal and communication skills; professionalism; practice-based learning and improvement; and systems-based practice. The latter two competencies embrace, respectively, concepts of reflection on practice with the intent of improvement and on ability to function within the context of the larger health care-delivery system. This transformation, along with evolving and emerging health needs of children and adolescents, has called current models of training and assessment into question. The pediatric community is not alone in this self-study; the American Board of Internal Medicine and the American Board of Family Medicine are raising similar questions. [3][4][5][6] In this article, we report on the theory and practice of graduate medical education (GME) by guiding the reader through the activities and content of the second R 3 P Project colloquium.The goals of the colloquium were articulated by Dr Helena Davies from the United Kingdom, the keynote speaker and an expert in workplace-based assessments. She challenged the group with 3 questions:1. What is a good doctor? Does the definition change with time and context? Will the good doctor of today have the same attributes and skills as the good doctor of tomorrow?2. How do we make a good doctor? Do current training paradigms prepare pediatricians to meet the challenges of our patients? Will we be able to adapt them to meet the emerging needs of tomorrow's children? Is training designed with the end in mind, that is, are ...

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Microsystems in Health Care: Part 1. Learning from High-Performing Front-Line Clinical Units

Cited by 315 publications

References 4 publications

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

A Conceptual Study on Hospital Information System in Public Hospital of Bangladesh: Electronic Medical Record and Clinical Information System Perspective

Follow the yellow brick road: integrated care – can we do better?

Report of Colloquium II: The Theory and Practice of Graduate Medical Education—How Do We Know When We Have Made a “Good Doctor”?

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