ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

A major effect of today's emphasis on cost-cutting in health care has been reductions in the numbers and mix of registered nurses (RNs). RNs have increased concerns over patient and practitioner safety and patient care quality. The American Nurses Association (ANA) has a major, multi-phase project addressing these concerns, called Nursing's Safety and Quality Intitiative. This initiative encompasses: nursing-sensitive quality indicators, educating staff nurses, researching the impact of skill mix on patient outcomes, political activities, a national database of nursing quality indicators, and liaisons and coalitions. These activities reflects ANA's committment to patient and nurse safety and the quality of patient care.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Assessing performance in today's complex health care environment presents a challenge to the nursing profession. In order to effectively evaluate performance within this complex and evolving health care environment, evaluation from multiple sources is required. This article describes a multidimensional performance measurement model that has patient care delivery at the center. This model may be used to evaluate performance of an individual provider or of an entire health care system.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Professional standards are key to the success of nurses as health care evolves, new roles are created, and new practice settings established. They are the infrastructure beneath the development of institutional standards of care, competency-based education programs, and quality assurance programs. Using them to link these key components provides for consistency across practice settings and among practicing nurses within integrated delivery systems. They also serve as the foundation for consensus building for partnerships and interdisciplinary initiatives.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Nurse-midwives are one category of advanced practice nurse increasingly seeking hospital privileges to admit patients on their own recognizance. This article provides a framework for those health care institutions and insurers who are credentialing nurse-midwives. Nurse-midwifery educational preparation, licensure, scope of practice, relationships with collaborative physicians, and professional liability are discussed. Standards of the Joint Commission on Accreditation of Healthcare Organizations that pertain to credentialing and privileging nonphysician providers are reviewed. Various privileging routes are explored and directions recommended.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

A health care organization's thoughtful and rigorous credentialing and privileging process is not only required by state and federal regulations but is essential for building a quality professional staff. The addition of nonphysician providers has challenged organizations to articulate the appropriate credentialing process for these providers. Further, the credentialing process has been burdened by the redundancy created when providers require credentialing and privileging by multiple health care settings and managed care organizations. This paper describes a multidisciplinary credentialing and privileging system of the highest standard that minimizes effort and expense for both the provider and the organization.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Changes in the health care industry have created great challenges for leaders of acute care organizations. One of the greatest challenges is ensuring a competent nursing staff to care for patients within this changing environment. This article will describe how our organization uses Joint Commission standards to assess, maintain, and improve the competency of nursing staff.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Today quality care is not driven solely by the professional integrity of health care providers. Quality is demanded and defined by health care consumers. To survive within the competitive health care market, quality is a priority initiative for most health care organizations. The Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) requires interdisciplinary performance improvement activities to ensure continuous quality improvement. Johns Hopkins Bayview Medical Center has a Quality Management Structure that ensures performance improvement initiatives are interdisciplinary and directed toward the organizational mission and vision. The Clinical Value Compass and FOCUS-PDCA provide clear direction for performance improvement initiatives and foster agreement on the clinical outcomes, functional needs, satisfaction, and cost.

ISSN:1057-3631    

出版商:OVID    

年代:1998

数据来源: OVID