Relevant bibliographies by topics / Patient care delivery system

Academic literature on the topic 'Patient care delivery system'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Patient care delivery system"

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Lanigan, Megan, Theresa M. Lee, Lisa Torp, Beth Rudge, and Kit Yu Lu. "Using electronic medical records system to advance cancer survivorship programs." Journal of Clinical Oncology 36, no. 7_suppl (March 1, 2018): 65. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.65.

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65 Background: Survivorship care is now being increasingly recognized as an important part of cancer care. The Commission on Cancer (CoC) Standard 3.3 now recommends 100% compliance in the delivery of Survivorship Care Plans (SCP) by 2019 to eligible survivors. However, there are no systematic ways of ensuring compliance of Care Plan delivery and assessing patient eligibility. There are also no standardized methods for documentation or data collection to ensure appropriate consolidation of information from the electronic medical record (EMR) to a SCP, to assess for patient eligibility for survivorship follow up, or to appropriately report on timely delivery and follow-up with Survivorship Programs. Methods: Our survivorship team worked closely with the Cancer Registry Program, nurse navigators, and Information Technology team to optimize our institution owned EPIC electronic medical records system to populate and consolidate information automatically into patient specific care plans. By having electronic care plans, we are able to deliver plans to all members of the care team and to the patients. We also created discrete methods of flagging eligible survivors and automated data reporting and collection to ensure compliance and timeliness of care plan delivery. Results: By optimizing our electronic medical records system and our workflow process for Care Plan delivery, we were able to increase our delivery compliance rate to 100%. We are able to track patients through their care delivery and appropriately refer to our survivorship program and track care plan delivery. Conclusions: The CoC has implemented new standards to encourage appropriate survivorship care delivery and proper communication for ongoing survivorship care and follow up. With these new standards comes the challenge of developing and implementing a system for creating, delivering and evaluating the delivery of SCP. For our team to provide quality survivorship care that is measurable, we have developed data analysis and reports through our EMR with assistance from our IT department. These improvements utilizing our IT and EMR more efficiently has provided us with the ability to achieve 100% care plan delivery compliance.
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Mohammed, Khaled, Margaret B. Nolan, Tamim Rajjo, Nilay D. Shah, Larry J. Prokop, Prathibha Varkey, and Mohammad H. Murad. "Creating a Patient-Centered Health Care Delivery System." American Journal of Medical Quality 31, no. 1 (July 31, 2014): 12–21. http://dx.doi.org/10.1177/1062860614545124.

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Okazaki, Karen M. "The Development of a Patient Care Plan Delivery System." Nursing Management (Springhouse) 18, no. 12 (December 1987): 64B. http://dx.doi.org/10.1097/00006247-198712000-00017.

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Denberg, Thomas D., Stephen E. Ross, and John F. Steiner. "Patient acceptance of a novel preventive care delivery system." Preventive Medicine 44, no. 6 (June 2007): 543–46. http://dx.doi.org/10.1016/j.ypmed.2007.01.010.

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Rabrenovich, Violeta, Ronald Loo, and Kirk Tamaddon. "Improving quality of prostate cancer care in an integrated care delivery system." Journal of Clinical Oncology 32, no. 30_suppl (October 20, 2014): 147. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.147.

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147 Background: Kaiser Permanente (KP) is an integrated care delivery system that provides clinical services to over 9 million members in nine states and the District of Columbia with the goal of providing high-quality and affordable health care to our patients. Over the last decade, the rapid adoption of prostate cancer (Pca) screening practice and technology have resulted in increased detection of Pca and helped identify opportunities for care improvement. KP initiated improvements of continuum of services provided to Pca patients. Methods: Transforming the care provided to Pca patients evolved into the first population-based cancer program that manages the entire continuum of care by taking advantage of our integrated health delivery system. Major accomplishments include appropriate Pca screening to prevent over-diagnosis (Prostate Cancer Screening), improved patient safety and claims reduction to prevent missed abnormal cancer screening (PSA Safety Net), comparative effectiveness of cancer treatment choices to improve quality, and benchmark outcomes in efficiency and clinical quality utilizing a new technology (Robotic Surgery). In addition, the program has achieved superior outcomes and value through innovative chemotherapy management for advanced disease (Lupron Management). Evidence-based medicine, research, analytics and continuous quality improvementare cornerstones of the program, while the pinnacle is our patients, who receive informed, shared decision making and equitable unbiased care. Results: We strongly believe that measures of how well our patients are living with Pca are as important as the cancer-specific survival measures; because of this, we established a prospective registry to measure quality of life for every newly diagnosed patient and stratified by all treatment types. This practice is being disseminated across the Program. Conclusions: By systematically stratifying this diverse population, we have been able to achieve efficient reliable care, and spread each successful process to other regions through collaboration with KP’s Interregional Chiefs of Urology.
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Beiranvand, Samira, Maryam Rassouli, Maryam Hazrati, Shahram Molavynejad, Suzanne Hojjat, Hanna Tuvesson, and Kourosh Zarea. "Hospice care delivery system requirements." International Journal of Palliative Nursing 28, no. 12 (December 2, 2022): 562–74. http://dx.doi.org/10.12968/ijpn.2022.28.12.562.

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Background: Hospice care is a perceived need in the Iranian health system. Aim: This qualitative study is explaining the stakeholders’ perception of what is required to develop a hospice care system for patients living with cancer in Iran. Methods: A total of 21 participants (specialists, policymakers, healthcare providers, cancer patients and family caregivers) were selected through purposeful sampling and interviewed in-depth in 2020. Interviews were analysed through directed content analysis. Findings: A total of 1054 codes, 7 categories and 21 subcategories were extracted. The requirements include the need to provide: multiple settings and diverse services; participatory decision making; integration into the health system; specialised human resources; an organised system of accountability; the preparation of the existing health system; and wider capacity-building in existing Iranian society. Conclusion: It is essential that Iranian services create a participatory comprehensive care plan, utilise expert manpower, integrate hospice care into the existing health system and organise a system of accountability. Policymakers should focus on the preparation of the health system and capacity building in society.
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Black, Lesley-Ann, Conor Mcmeel, Michael Mctear, Norman Black, Roy Harper, and Michelle Lemon. "Implementing autonomy in a diabetes management system." Journal of Telemedicine and Telecare 11, no. 1_suppl (July 2005): 6–8. http://dx.doi.org/10.1258/1357633054461886.

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We have developed a speech-based telemedicine system which enables patients with hypertension and type 2 diabetes mellitus to send frequent, home-monitored health data via the telephone to the point of care. The decision support module in the system was tested using data from a cohort of 10 patients generated over a two-year period. Results from the tests indicate that the system is effective in providing personalized feedback to the patient and in generating alerts for the clinical user. The work suggests that this method of care delivery is practical, informative, and may improve the efficiency of chronic health-care delivery by reducing costs and improving patient-physician communication between hospital visits.
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Cardin, Suzette, Sandra Kane, and Kathleen Koch. "Use of Patient Care Extenders in Critical Care Nursing." AACN Advanced Critical Care 3, no. 4 (November 1, 1992): 789–96. http://dx.doi.org/10.4037/15597768-1992-4007.

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This article explores the implementation and use of patient care extenders in two critical care units. Experimentation and diversity in changing the care-delivery system were the forces motivating the management team to redesign the existing nursing care-delivery system. The impetuses for the change process were the use of the role of the registered nurse and cost containment. Two case studies will illustrate from a practical perspective how the change occurred. Although the same nurse manager was responsible administratively for the two units, the patient care extender models were implemented differently. This was based on the conviction that each unit is unique with regard to patients and staff needs. The first case study occurred in an 18-bed cardiac telemetry unit in which the patient extender care model was integrated with direct patient care activities of the unit. In the second case study, which occurred in a ten-bed cardiac care unit, the patient care extender was integrated with indirect patient care activities. The approach to this article is practical, and it is intended for units that may be dealing with these issues in these changing times in health care
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Hibbard, Judith H. "Moving Toward A More Patient-Centered Health Care Delivery System." Health Affairs 23, Suppl2 (January 2004): VAR—133—VAR—135. http://dx.doi.org/10.1377/hlthaff.var.133.

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Schaffner, Julie W., Scott Alleman, Patti Ludwig-Beymer, Janice Muzynski, Donna J. King, and Lori J. Pacura. "Developing a Patient Care Model for an Integrated Delivery System." JONA: The Journal of Nursing Administration 29, no. 9 (September 1999): 43–50. http://dx.doi.org/10.1097/00005110-199909000-00010.

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Dissertations / Theses on the topic "Patient care delivery system"

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Peck, Jordan S. (Jordan Shefer). "Using prediction to facilitate patient flow in a health care delivery chain." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/79504.

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Thesis (Ph. D.)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 163-178).
A health care delivery chain is a series of treatment steps through which patients flow. The Emergency Department (ED)/Inpatient Unit (IU) chain is an example chain, common to many hospitals. Recent literature has suggested that predictions of IU admission, when patients enter the ED, could be used to initiate IU bed preparations before the patient has completed emergency treatment and improve flow through the chain. This dissertation explores the merit and implications of this suggestion. Using retrospective data collected at the ED of the Veterans Health Administration Boston Health Care System (VHA BHS), three methods are selected for making admission predictions: expert opinion, naive Bayes conditional probability and linear regression with a logit link function (logit-linear regression). The logit-linear regression is found to perform best. Databases of historic data are collected from four hospitals including VHA BHS. Logit-linear regression prediction models generated for each individual hospital perform well based on multiple measures. The prediction model generated for the VHA BHS hospital continues to perform well when predictive data are collected and coded prospectively by nurses. For two weeks, predictions are made on each patient that enters the VHA BHS ED. This data is then summarized and displayed on the VHA BHS internet homepage. No change was observed in key ED flow measures; however, interviews with hospital staff exposed ways in which the prediction information was valuable: planning individual patient admissions, personal scheduling, resource scheduling, resource alignment, and hospital network coordination. A discrete event simulation of the system shows that if IU staff emphasizes discharge before noon, flow measures improve as compared to a baseline scenario where discharge priority begins at 1pm. Sharing ED crowding or prediction information leads to best patient flow performance when using specific schedules dictating IU response to the information. This dissertation targets the practical and theoretical implications of using prediction to improve flow through the ED/IU health care delivery chain. It is suggested that the results will have impact on many other levels of health care delivery that share the delivery chain structure.
by Jordan Shefer Peck.
Ph.D.
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Heslop, Liza. "An ethnography of patient and health care delivery systems : dialectics and (dis)continuity." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8764.

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Recame, Michelle Ashley. "Exploring Women's Lived Experiences and Expectations with In-Patient Maternity Care within the U.S. Military Healthcare System." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2755.

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Satisfaction with in-patient maternity care within the Military Healthcare System (MHS) continues to score significantly below national benchmarks when compared to civilian hospitals and doctors. Lack of independent, qualitative research in this area has left the MHS with few answers as to why patients are satisfied, but still unhappy, with specific aspects of care. Discrepancy theory was used in conjunction with grounded theory as the foundation and framework for understanding the expectations and experiences of women who have given birth in the MHS within the past year. Using grounded theory and a hermeneutical approach to interview participants, qualitative data were collected to understand these women's expectations, experiences, and satisfaction. Participants were active duty dependents who had given birth within the last year at a local hospital and used TRICARE as their only insurance. They were recruited through the base's local community online network and 12 women total participated. Data were carefully analyzed using transcriptions and were subsequently grouped into common patterns, and then into themes. Findings revealed 3 key themes: (a) participants had one or more complaints or complications with their maternity care; (b) previous experiences on standard care were mostly negative, and (c) differences in satisfaction may be seen when a patient's personal experiences and beliefs about an occurrence are met or excused. This study contributes to social change by adding previously unexplored qualitative data to the military healthcare community in a population that had not been investigated in this manner and has the potential to increase understanding about the population, as well as how experiences, expectations, and satisfaction coexist.
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Kuperstein, Janice M. "TIKKUN OLAM A FAITH-BASED APPROACH FOR ASSISTING OLDER ADULTS IN HEALTH SYSTEM NAVIGATION." Lexington, Ky. : [University of Kentucky Libraries], 2008. http://hdl.handle.net/10225/799.

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Thesis (Ph. D.)--University of Kentucky, 2008.
Title from document title page (viewed on August 25, 2008). Document formatted into pages; contains: viii, 152 p. : ill. (some col.). Includes abstract and vita. Includes bibliographical references (p. 140-149).
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Coovadia, Mohamed Yusuf. "Identification and evaluation of patient satisfaction determinants in medical service delivery systems within the South African private healthcare industry." Diss., University of Pretoria, 2008. http://hdl.handle.net/2263/23094.

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The aim of the study was to identify, evaluate and compare the determinants of patient satisfaction in fee-for-service, and health maintenance organisation (HMO), medical service delivery centres. Staff at both centres, who were also patients, were surveyed to determine the congruence with patients’ quality improvement priorities. The survey was conducted using a questionnaire consisting of closed questions given to patients as they departed from the medical centres. The questionnaire was tested for convergent and divergent validity, content analysis and reliability. A rating scale was then applied to yield the scores for each determinant. The unique Patient Satisfaction Priority Index was determined using determinants that were rated low on satisfaction but high on importance. The results revealed that patients at the fee- for- service medical centre were significantly more satisfied than patients at the HMO. The priority index for patients were found to be different to that of the staff at both medical centres, proving that staff and patient priorities were incongruent. Accordingly, the recommendations were that patient satisfaction be continuously evaluated at medical service delivery centres, in order to achieve a competitive advantage, sustainability and growth in South Africa’s highly competitive private healthcare industry. Copyright
Dissertation (MBA)--University of Pretoria, 2010.
Gordon Institute of Business Science (GIBS)
unrestricted
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Micski, Erik. "CO2 Flow Estimation using Sidestream Capnography and Patient Flow in Anaesthesia Delivery Systems." Thesis, KTH, Skolan för kemi, bioteknologi och hälsa (CBH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-261664.

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Volumetric CO2 data from patients in anaesthesia delivery systems are sought after by physicians. The CO2 data obtained with the commonly used sidestream sampling technique are not considered adequate for volumetric CO2 estimation due to distortion and desynchrony with patient flow. The purpose of this thesis was to explore the possibility of using signal enhancing methods to the sidestream data to accurately estimate CO2 flow using a Flow-i anaesthesia delivery system. To evaluate sidestream performance, experimental data was acquired using a mainstream and a sidestream capnograph connected in series to a FRC test lung with known CO2 content, ventilated by a Flow-i anaesthesia machine. The data was then enhanced and analysed using signal processing methods including sigmoid modelling and neural networks. A Feed Forward Neural Network achieved results closest resembling the mainstream capnogram of the evaluated signal processing methods. The mainstream capnogram, considered the benchmark, produced large internal scattering and approximately 25 % offset from actual CO2 flow while using the inherent patient flow data produced by the Flow-i anaesthesia system. When using patient flow data from a Servo-i ventilator, the resulting CO2 flow estimates were drastically improved, producing estimates within 10 % error. This thesis concludes that there are several potential processing methods of the sidestream data to approximate the mainstream signal, however the patient flow of the Flow-i system are a suspected source of error in the CO2 flow estimation.
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Cloud-Buckner, Jennifer M. "Managing Patient Test Data in Primary Care: Developing and Evaluating a System for Test Tracking to Enhance Processes, Safety, and Understanding of Performance." Wright State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=wright1348258363.

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Pinkoane, Martha Gelemete. "Incorporation of the traditional healers into the national health care delivery system / Martha Gelemete Pinkoane." Thesis, North-West University, 2005. http://hdl.handle.net/10394/1725.

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Myers, Robert A. "Engineering Healthcare Delivery: A Systems Engineering Approach to Improving Trauma Center Nursing Efficacy." Wright State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=wright1482419145222356.

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Gilliam, Patricia. "Transitional Care for Adolescents with HIV: Characteristics and Current Practices of the Adolescent Trials Network Systems of Care." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002840.

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Books on the topic "Patient care delivery system"

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B, Nash David, ed. Demand better!: Revive our broken healthcare system. Bozeman, MT: Second River Healthcare Press, 2011.

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Patient compliance: New light on health delivery systems in medicine and psychotherapy. Toronto: Huber, 1988.

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Margaret, Gerteis, and Picker/Commonwealth Program for Patient-Centered Care., eds. Through the patient's eyes: Understanding and promoting patient-centered care. San Francisco: Jossey-Bass, 1993.

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S, Dick Richard, Steen Elaine B, and Detmer Don E, eds. The computer-based patient record: An essential technology for health care. Washington, D.C: National Academy Press, 1997.

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Institute of Medicine (U.S.). Committee on Improving the Patient Record. The computer-based patient record: An essential technology for health care. Edited by Dick Richard S and Steen Elaine B. Washington, D.C: National Academy Press, 1991.

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Hodge, Alice. Taking charge of your health: Understanding the system could save your life. Wilsonville, Or: BookPartners, 1999.

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A brief guide to the U.S. health care delivery system: Facts, definitions, and statistics. 2nd ed. Chicago: AHA Press/Health Forum, 2010.

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Sick and tired: How America's health care system fails its patients. Sausalito, CA: PoliPoint Press, 2010.

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M, Rosenthal Marilynn, and Frenkel Marcel, eds. Health care systems and their patients: An international perspective. Boulder, Colo: Westview Press, 1992.

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McGuire, Michael R. A preliminary design for a universal patient medical record: Re-engineering health care. Boca Raton, Fla: Universal-Publishers, 2010.

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Book chapters on the topic "Patient care delivery system"

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Shaukat, Muhammad Nadeem, Stephen Vaughan, and Nilmini Wickramasinghe. "Determining Missing Key Elements in Oncology Information System to Improve Patient Experience and Clinical Care." In Healthcare Delivery in the Information Age, 567–86. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-17347-0_28.

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Marinkovic, Valentina, Marina Odalovic, Ivana Tadic, Dusanka Krajnovic, Irina Mandic, and Heather L. Rogers. "Person-Centred Care Interventions in Pharmaceutical Care." In Intelligent Systems for Sustainable Person-Centered Healthcare, 53–68. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79353-1_4.

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AbstractThis chapter is divided into four sections. The first section introduces the concept of person-centred care within pharmaceutical care delivery and provides a historical context. The second section focuses on the professionals and explores the role of person-centred pharmaceutical care as part of multi-disciplinary health services delivery teams. The third section focuses on the patient and describes the role of health literacy in the implementation of person-centred pharmaceutical care. The last section examines E-pharmacy services and the implementation of telepharmacy with implications for person-centred care.
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Beleffi, Elena, Paola Mosconi, and Susan Sheridan. "The Patient Journey." In Textbook of Patient Safety and Clinical Risk Management, 117–27. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_10.

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AbstractThe wide implementation of patient safety improvement efforts continues to face many barriers including insufficient involvement of all stakeholders in healthcare, lack of individual and organizational learning when medical errors occur and scarce investments in patient safety. The promotion of systems-based approaches offers methods and tools to improve the safety of care. A multidisciplinary perspective must include the involvement of patients and citizens as fundamental contributors to the design, implementation, and delivery of health services.The patient journey is a challenging example of using a systems approach. The inclusion of the patient’s viewpoint and experience about their health journey throughout the time of care and across all the care settings represents a key factor in improving patient safety. Patient engagement ensures that the design of healthcare services are aligned with the values, the preferences, and needs of the patient community and integrates the real-life experience and the skills of the people to enhance patient safety in the patient journey.The utmost priority to implement patient engagement is the training of patients. Therefore, training for both patients/families/advocates and health professionals is the foundation on which to build active engagement of patients and consequently an effective and efficient patient journey.The chapter offers examples of successful training courses designed to foster strategic alliances among healthcare professionals and researchers with patients and their organizations. Training of patients constitutes the first step to develop shared knowledge, co-produced projects, and the achievement of active multilevel participation of patients for the implementation of patient safety in the patient journey.
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Leung, Tiffany I., and G. G. van Merode. "Value-Based Health Care Supported by Data Science." In Fundamentals of Clinical Data Science, 193–212. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-99713-1_14.

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AbstractThe value agenda involves measuring outcomes that matter and costs of care to optimize patient outcomes per dollar spent. Outcome and cost measurement in the value-based health care framework, centered around a patient condition or segment of the population, depends on data in every step towards healthcare system redesign. Technological and service delivery innovations are key components of driving transformation towards high-value health care. The learning health system and network-based thinking are complementary frameworks to the value agenda. Health care and medicine exist in a data-rich environment, and learning about how data can be used to measure and improve value of care for patients is and increasingly essential skill for current and future clinicians.
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Braithwaite, Jeffrey, Louise A. Ellis, Kate Churruca, Janet C. Long, Peter Hibbert, and Robyn Clay-Williams. "Complexity Science as a Frame for Understanding the Management and Delivery of High Quality and Safer Care." In Textbook of Patient Safety and Clinical Risk Management, 375–91. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_27.

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AbstractOver the past two decades, prominent researchers such as Greenhalgh [1], Plsek [2], Leykum [3], Lanham [4], Petticrew [5] and Hawe [6, 7] and their colleagues and teams have promoted using complexity theory to describe and analyse the various dimensions of healthcare organisation [8–12]. Internationally, in parallel, governments have recognised the need to ‘think differently’ about healthcare policy and service delivery, but without much traction on how that might be done and what it might mean. Nevertheless, it has now become more common—but by no means universal—to apply a complexity lens to understanding healthcare services and to improving them. This involves greater appreciation of elaborate, intricate, multi-faceted care networks, healthcare ecosystems, layered parts in composite settings, contextual differences across care settings, clinical cultures, multi-agent environments, and the convoluted, challenging, wicked problems [13] these systems throw up. However, with some relatively limited exceptions, the quality and safety fields’ interest in complexity has, to date, been largely superficial, both theoretically and empirically [1].
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2015–Date: Focus on Integration." In Community Nursing Services in England, 83–91. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_8.

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AbstractThis chapter centres on the publishing of the NHS Long Term Plan in 2019 and subsequent revised Health and Social Care Act (2022), both of which focus on integrated, out-of-hospital approaches to health service delivery. The creation of a layered system across geographical levels is advocated, with nested levels of ‘place’ and ‘neighbourhood’ intended to be the building blocks of Integrated Care Systems (ICS), which replaced CCGs in July 2022. We introduce the concept of newly created, ‘neighbourhood level’, Primary Care Networks (PCNs) of general practices and how district nurses fit into them, especially with regard to their organisation around geographical versus GP registered lists. Whilst not explicitly mentioned in the H&SC Act, it is clear that the Act situates community-based services as essential in the context of the desire to reduce the amount of hospital care, which has implications for district nursing services in particular. This mode of care delivery will require multi-disciplinary team working across all levels of the new system whereby community nurses will be required to liaise and co-ordinate with primary and social care to deliver services. Continuance of case management approaches for patients with complex needs and lack of funding in the social care system, means that we discuss in this chapter, the further strain on already pressured community nursing teams.
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Wright, Eric R. "Enter Health Information Technology: Expanding Theories of the Doctor–Patient Relationship for the Twenty-First Century Health Care Delivery System." In Handbook of the Sociology of Health, Illness, and Healing, 343–59. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-7261-3_18.

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Bakliwal, Akshada, Swati Gokul Talele, Shweta Shaileshkumar Gedam, Vijay Sharadkumar Chudiwal, and Swapnil Sharadkumar Jain. "Nanoparticulate Drug Delivery System." In Advances in Medical Diagnosis, Treatment, and Care, 173–85. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-4453-2.ch007.

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The herbal medicines have been extensively used worldwide since ancient times and have been accepted by physicians and patients for their improved therapeutic value as they have less adverse effects in contrast with modern medicines. Phytotherapeutics requires a scientific approach to carry the components in a sustained manner to increase patient compliance and to reduce the frequency of administration. This can be accomplished by designing novel drug delivery systems (NDDS) for herbal constituents. NDDSs not only reduce the frequency of drug administration to improve patient compliance but also help to enhance the therapeutic value by dropping toxicity and enhancing the drug bioavailability. A nanotechnology is a new approach in which nano-sized drug delivery systems of herbal drugs have a prospective future for enhancing the therapeutic activity and conquer problems associated with plant medicines. Hence, the addition of the nanotechnology as an NDDS in traditional medication is essential for the treatment of more chronic diseases like cancer, diabetes, asthma, and others.
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Pandey, Preeti Madhuri, Suraj Kumar Nayak, Biswajeet Champaty, Indranil Banerjee, D. N. Tibarewala, and Kunal Pal. "Development of a Wireless Controlled Iontophoretic Drug Delivery System." In Biomedical Signal and Image Processing in Patient Care, 237–59. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-2829-6.ch012.

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The current study describes the development of a wireless controlled iontophoretic drug delivery system. The control system was made using ZigBee communication protocol. The performance analysis of the current injecting circuit was performed to ascertain minimal error combined with high efficiency. Finally, the developed controlled system was used to manipulate the functioning of the two independent iontophoretic drug delivery systems. In gist, a wireless controlled drug delivery system based on ZigBee communication protocol was developed and tested successfully.
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Chohan, M. Omar, Martina Stippler, Susy Salvo Wendt, and Howard Yonas. "Role of Telemedicine in Guiding Rural Emergent Neurosurgical Care." In A Practical Guide to Emergency Telehealth, edited by Hartmut Gross, 120–29. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190066475.003.0010.

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Teleneurosurgery can play a vital role in the care of patients in hospitals and community health settings where neurosurgical expertise is not available. The combination of audiovisual interaction of a neurosurgeon with the emergency physician, the patient and the patient’s family, combined with an intense education program delivered to the originating site care team, has greatly enhanced the appropriate triage of patients in community hospitals. The result is better patient care, improved patient and family satisfaction, cost savings, and the retention of patients within the local community care system, as well as the improved sustainability of the wider health delivery system. To succeed, start-up financial support is often needed to provide the required technical elements and 24/7 neurosurgical availability.
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Conference papers on the topic "Patient care delivery system"

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Dube, Sibusisiwe, Siqabukile Sihwa, Thambo Nyathi, and Khulekani Sibanda. "QR Code Based Patient Medical Health Records Transmission: Zimbabwean Case." In InSITE 2015: Informing Science + IT Education Conferences: USA. Informing Science Institute, 2015. http://dx.doi.org/10.28945/2233.

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In Zimbabwe the health care delivery system is hierarchical and patient transfer from the lower level to the next higher level health care facility involves patients carrying their physical medical record card. A medical record card holds information pertaining to the patient’s medical history, pre-existing allergies, medical health conditions, prescribed medication the patient is currently taking among other details. Recording such patient information on a medical health card renders it susceptible to tempering, loss, and misinterpretation as well as susceptible to breaches in confidentiality. In this paper, we propose the application of Quick Response (QR) codes to secure and transmit this sensitive patient information from one level of the health care delivery system to another. Other security methods such as steganography could be used, but in this paper we propose the use of QR codes owing to the high proliferation of mobile phones in the country, high storage capacity, flexibility, ease of use and their capability to maintain data integrity as well as storage of data in any format.
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Zehler, Andrew M. "APREP: the automated patient record evolutionary process; reduce costs and improve productivity in today's health care delivery system." In Health Care Technology Policy II: The Role of Technology in the Cost of Health Care: Providing the Solutions, edited by Warren S. Grundfest. SPIE, 1995. http://dx.doi.org/10.1117/12.225305.

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Elkefi, Safa, Onur Asan, and Tina W F Yen. "Using Human factors approach to evaluate patient-centered cancer care." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002186.

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Patient-centered care (PCC) approaches are critical for the delivery of high-quality care in cancer care where the therapeutic alliance between patients and the oncologists is frequent over extended periods of time. The concept of patient-centered care has received increased attention since the publication of the 2001 Institute of Medicine (IOM) report Crossing the Quality Chasm. In this study, we create and evaluate a new framework for patient-centered care in cancer using human factors approaches. Many initiatives focused on developing technologies that help foster PCC by increasing patients’ access to information and facilitating self-monitoring and patient convenience. This paper makes an important contribution to the literature by historically examining the evolution of the definitions of care approaches from disease-centered care focusing on curing the diseases to patient-centered care satisfying patients’ needs to person-centered care. Instead of treating people like victims of diseases, this model recognizes their need for more than one professional to support them emphasizing their capabilities and potential to improve their own health by themselves. It also provides a different and complementary way to the visit-oriented approach furnishing more accessible and continuous care over time, Our contribution also covers summarizing the existing measures adopted to measure its components and finally suggests a socio-technical framework based on the human factors approach to measuring PCC effectiveness. Our approach to measuring PCC is grounded in the conceptual framework we are suggesting that evaluates the effectiveness of patient-centered care based on a socio-technical perspective. We link the cognitive perception of patients towards PCC (Cognitive Sensory Input) to their exposure to external factors (Exposure) that may affect their (Cognition) behavior. A holistic approach recognizing health care as a dynamic socio-technical system in which sub-elements interact with each other remains necessary to better understand the system and its constraints in cancer care. We use a case study to emphasize the importance and need of such a human factors-based framework in providing a better quality of care and improving health outcomes. Achieving high-quality care is a complex pursuit in any setting especially for cancer care and improving the patient journey requires an integrated system of care and productive interactions among many system levels. By understanding the work system components, the design and integration of tasks, technology, and clinical processes can be reviewed to better support the respective needs of individuals while optimizing system performance. A supportive work environment and a highly engaged workforce are highly correlated with improved quality of patient-centered care and hospital performance. At the population level, case managers, navigators, quality officers, and administrators may track outcomes across patients.This framework can help organize clinical interventions that aim to control cancer patients’ behavior from a patient-centered perspective. It can also help technology designers by giving them insight into how patient-centeredness in the design of health informatics can impact cancer patients’ behavior. In addition, patient-centered designs can enhance technology acceptance among cancer patients making it easier to adopt technology for follow-up reasons by involving human factors and ergonomics principles in order to ensure successful results.
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Camacho, Lea, Eliana Penedos-Santiago, and Elga Ferreira. "Health and Design at Service of a Refugee Camp in Iraq." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001412.

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This project emerges from the need to counteract a scenario of risk and unpredictability in the care provided to patients in illness situations, which stems from a poor or non-existent health record system (HRS). The direct contact in the year of 2017 with an emergency medical Non-Governmental Organization (NGO), working in context of humanitarian crises, demonstrated the precarious and yet scarce presence of such a system. The lack of practicality, easy understanding and access to other health partners proved to compromise the quality of care.Since a functional HRS (via paper or electronic means) is a core component for the management, delivery, and safety of quality in healthcare, the identification of a simple and yet effective system, capable of maintaining a history of care provided, is imperative. This need increases exponentially when the focus is on a humanitarian crisis context, in which populations have been forced into displacement and the health system is disrupted, of which the Internal Displaced Persons in Iraq are an example (commonly referred as refugees). The constraint of resources and the clash of different cultures and experiences between professionals, can hinder or even compromise the provision and quality of care, as well as the experience and perception of patients themselves regarding the services provided.With this study I propose the mapping of a HRS within an emergency medical field hospital, in a refugee camp in Iraq, to ensure the quality of emergency management and delivery of care, in a scenario of instability and political uncertainty. This system, which functions as a systematically collected database, presents specific health characteristics of a given patient when receiving differentiated care essential to guarantee high standards of care.A service design methodology to test the hypothesis will be used through a service blueprint development, capable of mapping the activities, processes and systems involved in a patient's health experience. Design research methods such as service safari and user shadowing with informal ethnographic interviews will be implemented, as well as workshops with national and international health professionals involved with NGO work.Thus, it is expected to re-design a robust monitoring and patient track, with faster access of the patient’s history to health professionals, a better prevention of medication errors and duplication, and a greater transparency in the management and delivery of care. The easy implementation of the system will also allow an easier communication of patient’s needs and care, between different health stakeholders.
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Kalra, Jay, Daniel Markewich, Zoher Rafid-Hamed, and Patrick Seitzinger. "Enhancing the Quality and Delivery of Healthcare: A Decade Review of Autopsy Data." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002103.

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Quality management is of the utmost importance for providing the best patient care in our healthcare system. Patients rightfully expect the care that they receive to be of sound quality. The medical autopsy has been used as the gold standard of diagnostic medicine and continues to provide insights into strategies for healthcare quality improvement. The discordance and concordance rates between autopsy and clinical diagnoses have been used to identify areas of improvement and provide education opportunities to healthcare professionals. Discordance between autopsy and clinical diagnoses has revealed several areas in which clinicians need to improve their diagnostic skills and implement systemic changes to detect and mitigate diagnostic errors. Unfortunately, the rate of hospital autopsies has declined over the past several decades. The purpose of this study was to expand our previous work and combine the analyses of discordance and concordance between autopsy and clinical diagnoses across a 10-year period from 2002 to 2011 and to assess the role of the medical autopsy as a quality improvement tool in modern healthcare systems. Within our study, the autopsy rate of all in-patient deaths was approximately 6%. Our study indicates that the concordance rate between clinical and autopsy diagnoses was 77.5%, the discordance rate was 19.4%, and 3.1% were inconclusive. The discordance rate varied from as low as 9.7% in 2007 to as high as 27.1% in 2002. These findings suggest that overall, approximately 1 in 5 autopsies revealed discordance between autopsy and clinical diagnoses. This is a significant number of cases for which there exists both quality improvement and educational opportunities, thus, supporting the continued use of autopsy. We suggest these data should be used to encourage residents and physicians to continue using autopsy as an important quality tool to extend our understanding of disease processes. Hospital autopsies are closely associated with quality improvement and better patient care.
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Sun, Feng, Robert Anderson, and Guillermo Aguilar. "An Experimental Study of In Vitro Transdermal Drug Delivery Assisted by Cryopneumatic Technology." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-204240.

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Transdermal drug delivery (TDD) is a promising alternative to conventional drug delivery approaches, such as oral or injectable routes. In comparison, the primary benefits of TDD include [1]: 1) avoidance of first pass metabolism and other variables associated with the GI tract such as pH changes and gastric emptying time. 2) sustained and controlled delivery over a prolonged period of time. 3) reduction in side effects associated with systemic toxicity. 4) improved patient acceptance and compliance. 5) direct access to targeted or diseased site, e.g. treatment of skin disorders. 6) ease of dose termination in the event of any adverse reactions either systemic or local; 7) convenient and painless administration; 8) ease of use and reduction of overall health care treatment costs; 9) viable alternative in circumstances where oral dosing is not possible (in unconscious or nauseated patients).
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Litster, Shawn, Byunghang Ha, Daejoong Kim, and Juan G. Santiago. "A Two-Liquid Electroosmotic Pump for Portable Drug Delivery Systems." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-42583.

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Portable drug delivery systems present an opportunity to improve patient mobility and reduce drug dosage. Infusion pumps for drug delivery are heavily used in hospital and home care settings to administer a variety of therapies such as chemotherapy, antimicrobials, analgesia, anesthesia, and post-operative and chronic pain management. We are developing electroosmotic (EO) pumps for drug delivery applications. EO pumps offer active dosage control, are compact, use low power, and have no moving parts. We here explore a two-liquid EO pump that decouples the drug from the working electrolyte with a series of collapsible membranes and enables EO pumping of a wide variety of medications.
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Iribarren, Carlos, Irina Tolstykh, Mary K. Miller, and Mark D. Eisner. "Risk Of Circulatory Disorders Among Patients With Asthma In A Large Integrated Health Care Delivery System." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3131.

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Khayal, Inas S. "Designing Technology and Healthcare Delivery Systems to Support Clinician and Patient Care Experiences: A Multi-Stakeholder Systems Engineering Co-Design Methodology." In 2019 IEEE International Symposium on Technology and Society (ISTAS). IEEE, 2019. http://dx.doi.org/10.1109/istas48451.2019.8937932.

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Vigneshwari, N., V. Saranraj, A. Mohamed Ibrahim, and K. Girivasan. "Low cost, On-Demand and Intermittent Drug Delivery System through Syringe Infusion for Improving the Health of Critical Care Patients." In 2019 IEEE International Conference on Intelligent Techniques in Control, Optimization and Signal Processing (INCOS). IEEE, 2019. http://dx.doi.org/10.1109/incos45849.2019.8951410.

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Reports on the topic "Patient care delivery system"

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Hatef, Elham, Renee F. Wilson, Susan M. Hannum, Allen Zhang, Hadi Kharrazi, Jonathan P. Weiner, Stacey A. Davis, and Karen A. Robinson. Use of Telehealth During the COVID-19 Era. Agency for Healthcare Research and Quality (AHRQ), January 2023. http://dx.doi.org/10.23970/ahrqepcsrcovidtelehealth.

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Objectives. To assess how to provide telehealth care by identifying characteristics of telehealth delivery, patient populations, settings, benefits and harms, and implementation strategies during the COVID-19 era. Data sources. PubMed®, CINAHL®, PsycINFO®, and the Cochrane Central Register of Controlled Trials were searched from March 2020 to May 2022. Additional studies were identified from reference lists and experts. Review methods. We included studies that reported characteristics of telehealth use; benefits and harms of telehealth; factors impacting the success of telehealth, including satisfaction/dissatisfaction and barriers/facilitators; and implementation outcomes. We conducted a mixed-methods review, synthesizing quantitative and qualitative studies. Two reviewers independently screened search results for eligibility, serially extracted data, and independently assessed risk of bias of included studies. Results. We included 764 studies; 310 studies were included in our syntheses. Patients using telehealth were more likely to be people who are young to middle-aged, female, White, of higher socioeconomic status, and living in urban settings. Visits for mental and behavioral health conditions were more frequent than visits for other conditions, and mental or behavioral care was also more likely to be delivered via telehealth than care for other conditions. Across a variety of conditions, telehealth produced similar clinical outcomes as compared with in-person care. Telehealth care is appropriate for some patients, but more information is necessary to determine the suitability of telehealth for specific patient populations; patients and providers felt that telehealth may be less suitable and less desirable for patients with complex clinical conditions; and some patients perceive telehealth as a barrier to improved health outcomes owing to the absence of a physical exam and challenges in developing rapport and communicating with their care team. There was a lack of evidence addressing implementation cost, penetration, and sustainability of telehealth, and about telehealth implementation at the health system level. Conclusions. Whereas telehealth use spiked after the beginning of the pandemic, the characteristics of patients using telehealth follow a pattern similar to that for other healthcare and digital health services. We found that the use of telehealth may be comparable to in-person care across different clinical and process outcomes. Telehealth implementation has addressed the needs of both patients and providers to some extent, even as clinical conditions, patient and provider characteristics, and type of assessment varied. Telehealth has provided a viable alternative mode of care delivery during the pandemic and holds promise for the future.
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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Joseph, Michael A., Timothy J. Tonkovic, Robert J. Hanlon, Anna P. Martin, Danny O. Hatten, Mary A. Hubbell, Tamika S. Ali, and Monica L. Noell. Health Care: Report on the DoD Patient Movement System. Fort Belvoir, VA: Defense Technical Information Center, July 2005. http://dx.doi.org/10.21236/ada436187.

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Worthington, Francine M. Patient Telephone Appointment System for High Volume Primary Care Sites. Fort Belvoir, VA: Defense Technical Information Center, August 2000. http://dx.doi.org/10.21236/ada408315.

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Hoadley, Jack Hoadley, and Laura Summer Summer. The Role of Medicaid Managed Care In Delivery System Innovation. New York, NY United States: Commonwealth Fund, April 2014. http://dx.doi.org/10.15868/socialsector.25072.

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Rada, Gabriel, and Simon Lewin. Does collaboration among health and social care professionals improve practice or patient outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/1705172.

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Interprofessional collaboration is the process by which two or more health or social care professionals work together to improve the delivery of health and social care and health outcomes. Practice based interventions to promote interprofessional collaboration (i.e. better work interactions and teamworking among providers) in healthcare delivery are intended to respond to the needs of restructuring, reorganisation, and cost containment, and to the increasing complexity of healthcare knowledge and work.
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Bachrach, Deborah Bachrach, Mindy Lipson Lipson, and Lammot du Pont Pont. Arkansas: A Leading Laboratory for Health Care Payment and Delivery System Reform. New York, NY United States: Commonwealth Fund, August 2014. http://dx.doi.org/10.15868/socialsector.25009.

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Nemeth, Christopher, and Shilo Anders. A Cooperative Communication System for the Advancement of Safe, Effective, and Efficient Patient Care. Fort Belvoir, VA: Defense Technical Information Center, September 2013. http://dx.doi.org/10.21236/ada613785.

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Nemeth, Christopher, and Shilo Anders. A Cooperative Communication System for the Advancement of Safe, Effective, and Efficient Patient Care. Fort Belvoir, VA: Defense Technical Information Center, September 2014. http://dx.doi.org/10.21236/ada613786.

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