[Show abstract][Hide abstract] ABSTRACT: BACKGROUND: Cincinnati Children's Hospital Medical Center pursues its vision to be the leader in improving child health through the creation of new knowledge, education of professionals and the community, and transformation of our health care delivery system. OVERALL APPROACH TO QUALITY AND SAFETY: The strategic plan focuses on achieving the best medical and quality of life outcomes, patient and family experience of care, and value through horizontal integration of research and delivery system design, thereby accelerating the transfer of new knowledge to the bedside. CREATING QUALITY FROM THE FAMILY PERSPECTIVE: Family members and patients participate at all levels of the organization, from the organizationwide family advisory council, to unit-based inpatient teams, to serving as family faculty who teach pediatric residents and orient new employees. Family members ensure that children's and parents' voices are heard. DISCUSSION: Key factors contributing to ongoing transformation include senior leaders' drive for change, focus on perfection or near-perfection goals, vertical alignment in measures, accountability, improvement capability, commitment to internal and external transparency, and focus on measurement and constancy of purpose.
No preview · Article · Nov 2006 · Joint Commission journal on quality and patient safety / Joint Commission Resources
[Show abstract][Hide abstract] ABSTRACT: This article describes the effects of an individualized patient schedule on satisfaction and clinical outcomes for patients with cystic fibrosis admitted to an adolescent unit.
Data on airway clearance treatments, physical therapy attendance, and school attendance were collected for patients who used the individualized schedule and for historic controls. Patients who were admitted following implementation of the schedule were asked to complete a brief survey about their inpatient care shortly before or after hospital discharge.
Patients who used the schedule were more likely to report that their care was often or always delivered exactly as they expected and to believe that they were involved in care decisions as much as they wanted to be. Eighty-seven percent believed that using the individualized schedule made their stay a little or much better compared to past hospitalizations. There was no change in physical therapy, airway clearance, and school attendance.
Engaging hospitalized adolescents with cystic fibrosis in the design of their individualized daily schedule is a win-win proposition, resulting in improved satisfaction while maintaining clinical outcomes.
No preview · Article · Nov 2003 · Journal of Pediatric Health Care