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

来源：

FRONTIERS IN PUBLIC HEALTH | 2021年 / 9卷

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

页数：7

共 23 条

[21] Vanhaecht Kris, 2006, J Nurs Manag, V14, P529, DOI 10.1111/j.1365-2934.2006.00705.x
[22] Wall DK., 1998, CRITICAL PATHWAY DEV
[23] PRACTICE GUIDELINES - A NEW REALITY IN MEDICINE .1. RECENT DEVELOPMENTS
WOOLF, SH
[J]. ARCHIVES OF INTERNAL MEDICINE, 1990, 150 (09) : 1811 - 1818

← 1 2 3 →