Developing a Data-Driven Approach in Order to Improve the Safety and Quality of Patient Care

被引:25
作者
Cascini, Fidelia [1 ]
Santaroni, Federico [2 ]
Lanzetti, Riccardo [3 ]
Failla, Giovanna [4 ]
Gentili, Andrea [1 ]
Ricciardi, Walter [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Dept Life Sci & Publ Hlth, Sect Hyg & Publ Hlth, Rome, Italy
[2] Sapienza Univ Roma, Dept Stat Sci, Rome, Italy
[3] San Camillo Forlanini Hosp, Dept Emergency & Acceptance, Orthopaed & Traumatol Unit, Rome, Italy
[4] Univ Verona, Dept Publ Hlth, Verona, Italy
关键词
clinical governance; patient safety; guidelines; quality of care; best practices; CLINICAL PATHWAY; PRACTICE GUIDELINES;
D O I
10.3389/fpubh.2021.667819
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To improve the safety and quality of patient care in hospitals by shaping clinical pathways throughout the patient journey. Study Setting: A risk model designed for healthcare organizations in the context of the challenges arising from comorbidity and other treatment-related complexities. Study Design: The core of the model is the patient and his intra-hospital journey, which is analyzed using a data-driven approach. The structure of a predictive model to support organizational and clinical decision-making activities is explained. Data relating to each step of the intra-hospital journey (from hospital admission to discharge) are extracted from clinical records. Principal Findings: The proposed approach is feasible and can be used effectively to improve safety and quality. It enables the evaluation of clinical risks at each step of the patient journey. Conclusion: Based on data from real cases, the model can record and calculate, over time, variables and behaviors that affect the safety and quality of healthcare organizations. This provides a greater understanding of healthcare processes and their complexity which can, in turn, advance research relating to clinical pathways and improve strategies adopted by organizations.
引用
收藏
页数:7
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