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Dissertations / Theses on the topic 'Clinical Improvement'

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1

Michael, Gary E. "Performance Improvement in the Clinical Setting." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6429.

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Gomis, Pastor Mar. "Improvement in clinical practice using mHealth technology." Doctoral thesis, Universitat Autònoma de Barcelona, 2020. http://hdl.handle.net/10803/670541.

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La multimorbiditat i complexitat terapèutica poden comprometre els resultats en salut en poblacions cròniques d'elevada complexitat. Baixes xifres d'adherència terapèutica podrien estar relacionades amb aquesta complexitat, i resulten ser una causa directa de pèrdua de l'empelt i mort després d'un trasplantament cardíac. Les creences negatives del pacient versus la seva pauta terapèutica poden estar al seu torn afectant l'experiència del pacient i a l'adherència a les recomanacions. Molt poc es sap sobre la magnitud real en el nostre entorn d'aquest problema, quins són els instruments per a me
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Michael, Gary E. "Running a Successful Clinical Quality Improvement Process." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6433.

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Sakuntabhai, Anavaj. "Improvement of psoralen photochemotherapy : photobiological, pharmacological and clinical studies." Thesis, University of Newcastle Upon Tyne, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309063.

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5

Hamilton, Allison R. "A Clinical Documentation Practice Improvement to Increase Insurance Reimbursement." NSUWorks, 2019. https://nsuworks.nova.edu/hpd_con_stuetd/58.

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Background: The National Institute Mental Health (2015) estimated there were about 44.7 million people diagnosed with a serious mental illness and 62.9% of those diagnosed were without mental health services. The loss of services was due to unemployment, reoccurring hospitalization, inabilities to care for themselves, and lack of participation in societal norms (World Health Organization [WHO], 2014). According to Insel (2011/2015), the U.S. cost of mental healthcare was an estimated $57.5 billion in 2006. This cost was not due to actual care but associated with the economic burden of job loss
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Stepp, Cara Elizabeth. "Characterization and Improvement of the Clinical Assessment of Vocal Hyperfunction." Thesis, Massachusetts Institute of Technology, 2009. http://hdl.handle.net/1721.1/54668.

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Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2009.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 165-180).<br>Vocal hyperfunction refers to "conditions of abuse and/or misuse of the vocal mechanism due to excessive and/or 'imbalanced' muscular forces" (Hillman, Holmberg, Perkell, Walsh, & Vaughan, 1989), characterized by excessive laryngeal and paralaryngeal tension (Aronson, 1980; M. D. Morrison, Rammage, Belisle, Pullan, & Nichol, 1983; N. Roy, Ford, & Bless, 1996). There is no widely accepted diagnostic measure of the presenc
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Salem, Yousef. "Clinical evaluation of shade improvement after in-office vital bleaching." University of the Western Cape, 2010. http://hdl.handle.net/11394/5383.

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Magister Scientiae Dentium - MSc(Dent)<br>Tooth discoloration has increased the demand by patients to pursue aesthetic treatment options. Bleaching is considered a conservative approach in performing an aesthetic treatment for discolored teeth; however colour rebound and post-operative sensitivity are among the adverse effects associated with vital bleaching. In-office bleaching systems employ the use of high hydrogen peroxide concentrations. The effects of in-office bleaching agents on the degree of colour change and the gender differences in relation to bleaching outcomes are questionable. P
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Sterrett, Emily C. M. D. "Are Quality Improvement Outcomes Sustainable within a Dynamic Clinical Environment?" University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1470752684.

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9

Manukyan, Narine. "Analysis and Modeling of Quality Improvement on Clinical Fitness Landscapes." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/253.

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Widespread unexplained variations in clinical practices and patient outcomes, together with rapidly growing availability of data, suggest major opportunities for improving the quality of medical care. One way that healthcare practitioners try to do that is by participating in organized healthcare quality improvement collaboratives (QICs). In QICs, teams of practitioners from different hospitals exchange information on clinical practices, with the aim of improving health outcomes at their own institutions. However, what works in one hospital may not work in others with different local contexts,
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Kreutzfeld, Oriana. "Pre-clinical evaluation and improvement of attenuated malaria sporozoite vaccine candidates." Doctoral thesis, Humboldt-Universität zu Berlin, 2020. http://dx.doi.org/10.18452/20968.

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Malaria Impfstoffkandidaten, welche Sicherheit und Wirksamkeit gegen prä-erythrozytische Stadien bieten, sind nach wie vor in der Entwicklung. Experimentelle Immunisierungsstudien mit genetisch attenuierten Parasiten (GAP), welche die Entwicklung über das klinisch asymptomatische Leberstadium hinaus verhindern, erwiesen sich als sicher und effizient. ΔSLARP GAP-Sporozoiten arretieren vollständig in der Leber, bieten jedoch keinen langanhaltenden Schutz. Hingegen zeigen Immunisierungen mit ΔP36p/P36 Sporozoiten einen langanhaltenden Schutz, führen jedoch während der Immunisierung gelegentlich z
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Castille, Karen. "Implementing change in the NHS : effects of clinical leadership on performance improvement." Thesis, Henley Business School, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.428339.

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Nigrin, Daniel J. (Daniel Joseph) 1965. "Improved access to large medical databases for clinical research and quality improvement." Thesis, Massachusetts Institute of Technology, 1999. http://hdl.handle.net/1721.1/9740.

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Thesis (S.M.)--Massachusetts Institute of Technology, Whitaker College of Health Sciences and Technology, 1999.<br>Includes bibliographical references (leaves 39-40).<br>Computerized medical databases are now commonplace in healthcare environments. Information is routinely stored for each clinical encounter, be it an inpatient, outpatient, telephone, or even computer-based interaction. In the past, the vast majority of this data concerned the demographic and financial details of the encounter; however, more and more clinically relevant content is now being collected. Along with this increased
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Brown, Bernadette. "Clinician-Led Improvement in Cancer Care (CLICC): Complementing Evidence-Based Medicine with Evidence-Based Implementation." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15660.

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This thesis explores whether a multifaceted intervention implemented through the NSW Agency for Clinical Innovation (ACI) Urology Clinical Network can improve the rates of referral of men with high-risk prostate cancer post-radical prostatectomy for consideration for adjuvant radiotherapy in line with clinical practice guideline recommended care. It comprises seven iterative studies that address urologists’ knowledge, attitudes and equipoise for the use of adjuvant radiotherapy for high-risk prostate cancer, the development of a clinical network embedded intervention and the evaluation of this
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Glasgow, Justin Mathew. "A critical evaluation of healthcare quality improvement and how organizational context drives performance." Diss., University of Iowa, 2013. https://ir.uiowa.edu/etd/2503.

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This thesis explored healthcare quality improvement, considering the general question of why the last decade's worth of quality improvement (QI) had not significantly improved quality and safety. The broad objective of the thesis was to explore how hospitals perform when completing QI projects and whether any organizational characteristics were associated with that performance. First the project evaluated a specific QI collaborative undertaken in the Veterans Affairs (VA) healthcare system. The goal of the collaborative was to improve
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Youssouf, Sajeda. "Outcomes of a programme of quality improvement to improve attainment of clinical indicators in a chronic dialysis population." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/outcomes-of-a-programme-of-quality-improvement-to-improve-attainment-of-clinical-indicators-in-a-chronic-dialysis-population(3c5f80f6-bc6d-417e-92d7-301c30a3772e).html.

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The management of people on dialysis is complex and requires a multi-disciplinary multi-professional approach. Observational studies in dialysis care have demonstrated a correlation between key clinical indicators and survival. However, achieving change in such a complex setting is difficult, with limited evidence from controlled studies of the effectiveness of interventions to improve these indicators. There is little evaluation of how best to implement and sustain known best practice into clinical care. UK renal registry data shows that whilst overall standards have improved, variation betwe
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Marshall, Thomas. "Investigating the biological effectiveness of clinical proton beams for the improvement of particle therapy." Thesis, Queen's University Belfast, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.707533.

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Proton radiotherapy represents a rapidly developing alternative to photon based treatment for specific types of cancer. The therapeutic use of protons is fundamentally motivated by an advantageous depth-dose profile characterised by the “Bragg peak". The limitation of damage to healthy tissues surrounding a treatment region using protons presents an inherent advantage over photons. However, even though there is extensive experience in the clinical use of protons, there remains much to be learned regarding the relative biological effectiveness (RBE) of protons in relation to photons. The shortc
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Ball, David. "anisms Underlying Improvement of Peripheral Visual Processing in Older Adults." TopSCHOLAR®, 1985. http://digitalcommons.wku.edu/theses/1919.

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The aim of this project was to examine the effects of perceptual learning, or practice, on the vision of older adults. Previous findings had indicated that older adults have restricted functional visual fields, but that practice in detecting peripheral targets can substantially improve their performance. Two possible explanations for poorer performance in the older age groups were examined: 1) slowed speed of central perceptual processing and 2) attentional deficit problems. Six observers in each of three age groups were tested and trained in performing a peripheral localization task while per
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Cruickshank, Gillian M. "Building the frameworks to implement the continuous quality improvement philosophy related to pharmaceutical care." Thesis, Robert Gordon University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325402.

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Godfrey, Marjorie M. "Improvement Capability at the Front Lines of Healthcare : Helping through Leading and Coaching." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-21751.

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SUMMARY This thesis addresses improvement capability at the front lines of healthcare with a focus on interprofessional health care improvement teams who provide care and improve care. The overall aim is to explore high performing clinical microsystems and evaluate interventions to cultivate health care improvement capabilities of frontline interprofessional teams. Methods Descriptive and evaluative study designs were employed in the five studies which comprise this thesis. A total of 495 interprofessional health care providers from a variety of health care contexts in the United States (Stu
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Sklar, Melanie. "Pediatric Bullying and Victimization: Quality Improvement Project in a Primary Care Setting." Antioch University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1608236609794294.

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Benson, Kari N. "Improvement in Parent Stress Through a School-Based Intervention for Middle School Students with ADHD." Ohio University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1512132410753494.

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Dunn, Paticia Laubach. "Steps to Reducing Heart Failure Hospital Readmissions Through Improvement in Outpatient Care." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/234.

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The outpatient care of the heart failure (HF) patient is fragmented due to the lack of evidence-based practice guidelines use. The primary goal of this project was to improve the care of the HF patient in the outpatient arena through use of clinical pathways using the logic model as the project framework. The intervention was carried out over a 4-week period on a convenience, random sample of patients (n = 80) attending a cardiology practice. The patients were recruited from 2 physicians' patient populations and were selected based on an adult diagnosis of HF, reduced ejection fraction of <40%
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Glöckner, Stephan. "Application of automated feedback for the improvement of data quality in web-based clinical collaborations." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7620/.

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Background: Clinical research registries are rarely driven by data quality assurance. However, quality of data can have a huge impact on the performance and outcome of any given trial using registry data. Therefore, data quality assurance procedures for cost reduction and data process improvements have to be implemented in research registries. Hypothesis: This research proposes that web-based data quality feedback can motivate registry users, increase their contributions and ultimately improve the quality of registry data and its (re-)use to support clinical trials; thereby reducing the costs
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Hernandez, John B. "Evaluating a multi-hospital quality improvement strategy to implement clinical guidelines for radiographic contrast agents." Santa Monica, CA : Rand, 1998. http://catalog.hathitrust.org/api/volumes/oclc/42204634.html.

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Amilcar, Sulotte Valcin. "Cancer-Related Fatigue Clinical Guideline and Protocol for Hospitalized Oncology Patients: A Quality Improvement Project." NSUWorks, 2017. https://nsuworks.nova.edu/hpd_con_stuetd/36.

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Background: Cancer-related fatigue is one of the most common symptom experienced by cancer patients throughout their cancer trajectory. However, very little effort has been made within many oncology practices to assess this clinical problem and to provide timely nursing interventions to reduce its impact. While there have been tremendous advancements in the treatments of the disease aspects of cancer in term of medicine and advanced technology, basic assessment of related physiological concerns, such as fatigue, have not seen the same progress. Purpose: The purpose of this quality improvement
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Smith, Ian Robert. "Development and use of risk adjusted statistical process control tools for the monitoring and improvement of clinical outcomes in interventional cardiology." Thesis, Queensland University of Technology, 2013. https://eprints.qut.edu.au/62332/2/Ian_Smith_Thesis.pdf.

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This thesis explored the development of statistical methods to support the monitoring and improvement in quality of treatment delivered to patients undergoing coronary angioplasty procedures. To achieve this goal, a suite of outcome measures was identified to characterise performance of the service, statistical tools were developed to monitor the various indicators and measures to strengthen governance processes were implemented and validated. Although this work focused on pursuit of these aims in the context of a an angioplasty service located at a single clinical site, development of the to
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Nichols, Sarah, Nathan Justice, Anjali Malkani, and David Wood. "The Path(way) to a Clean Colon: Improving the Management of Functional Constipation." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/42.

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Title: The path(way) to a clean colon: Improving the management of functional constipation Authors: Sarah Nichols, D.O. Pediatrics Resident, Nathan Justice, M.D. Pediatrics Hospital Medicine, Anjali Malkani, M.D. Pediatric Gastroenterology, David Wood, M.D., MPH General Pediatrics and Adolescent Medicine Purpose / Objectives: Hospitalization for the treatment of functional constipation is a leading cause among encounters that incur a financial loss at our institution. There are few resources that describe best practices or quality improvement efforts in the management of children who are hospi
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Skarstedt, Marita. "Reduced turnaround time for blood culture: : Experiences from an improvement process." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-19246.

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Background Customer satisfaction is important for clinical microbiology laboratories and the most important service aspect is the reliability of responses. One important indicator of the quality of care is turnaround time for a sample referred to a laboratory. Aim This study describes and evaluates an improvement of the blood culture process and evaluates the staff’s experiences of the changes brought by the improvement project. Methods The blood culture process during evenings and nights was re-designed in a cooperation project between the laboratories of clinical microbiology and clinical ch
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Yuen, Kam-tong. "How to promote evidence-based practice (EBP) in clinical oncology by the continuous quality improvement approach." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/b39724323.

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Yuen, Kam-tong, and 袁錦堂. "How to promote evidence-based practice (EBP) in clinical oncology by the continuous quality improvement approach." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B39724323.

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Raines, Diane Smith. "The Impact of the Clinical Nurse Leader/Navigator on Clinical Outcomes and Patient Satisfaction." UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/479.

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In an era of value based purchasing and healthcare reform, hospitals face the challenge of delivering high quality care in an environment of diminishing resources. This performance improvement project describes the use of master’s prepared nurses on medical surgical units to improve quality and patient satisfaction. The setting was five medical surgical units in a 200+ bed hospital in the southeastern United States. Declining resources necessitated an increase in the nurse to patient ratios on the units (from 5:1 to 6:1). The project involved the modification of the model of care through the c
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Sadraie, Maryam. "Implementation of clinical assisted reproduction technologies for the improvement of in vitro production of porcine embryos : from IVF clinic to pig farm." Thesis, University of Kent, 2017. https://kar.kent.ac.uk/61268/.

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The world population is predicted to rise from 7 to 9 billion in the next 30 years, and per capita, meat consumption is predicted to increase by 20% at this time. This places a demand on current food producers globally (particularly pork producers as 40% of global meat consumption is pig meat) that is not sustainable unless sufficient innovations are implemented. Livestock production also contributes 18% of the earth's global warming, and this is also set to increase. Solving these problems necessitates producing increased amounts of meat from fewer animals in a shorter amount of time. UK comp
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Curt, Haley E. "Integrated Care for Older Adults and Memory: A Quality Improvement Approach." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1576097762307565.

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Lappin, L. P. "Examining the key contextual influences on the sustainability of healthcare quality improvement at the clinical micro level." Thesis, University of Salford, 2014. http://usir.salford.ac.uk/34040/.

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Introduction Research into the implementation of healthcare quality improvement collaborative (QIC) programmes has steadily grown in recent years. However, there has been little research into quality improvement (QI) after the collaborative has ended, and only recently has the issue of QI sustainability been discussed within the existing literature. The long term sustainability of QI remains a significant issue for all improvement efforts in healthcare. Variations in sustainability are likely to be attributed to differences in a range of contextual factors, for example, the environment, the or
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Le, Souëf Anna. "Development and improvement of clinical tools for rehabilitating endangered black cockatoos (Calyptorhynchus spp.) back to the wild." Thesis, Le Souëf, Anna (2013) Development and improvement of clinical tools for rehabilitating endangered black cockatoos (Calyptorhynchus spp.) back to the wild. PhD thesis, Murdoch University, 2013. https://researchrepository.murdoch.edu.au/id/eprint/18825/.

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Black cockatoos (Calyptorhynchus spp.) in the ‘biodiversity hotspot’ of south-west Western Australia are in decline, due to multiple threatening processes that include habitat loss, poaching, competition with other species, vehicle strikes and shootings. The combined efforts of the Perth Zoo Veterinary Department (PZVD) and the Western Australian Department of Environment and Conservation (DEC) have led to a specialised rehabilitation program centred upon the return of injured and debilitated black cockatoos to the wild. This PhD project focused on improving the efficacy of this program and ex
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Wallin, Olof. "Preanalytical errors in hospitals : implications for quality improvement of blood sample collection." Doctoral thesis, Umeå universitet, Institutionen för medicinsk biovetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1672.

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Background: Most errors in the venous blood testing process are preanalytical, i.e. they occur before the sample reaches the laboratory. Unlike the laboratory analysis, the preanalytical phase involves several error-prone manual tasks not easily avoided with technological solutions. Despite the importance of the preanalytical phase for a correct test result, little is known about how blood samples are collected in hospitals. Aim: The aim of this thesis was to survey preanalytical procedures in hospitals to identify sources of error. Methods: The first part of this thesis was a questionnaire su
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MacRae, Eilidh. "The impact of a UK HIV-1 resistance database for the management and improvement of the clinical care of people living with HIV-1." Thesis, University of West London, 2015. https://repository.uwl.ac.uk/id/eprint/2859/.

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Background: The introduction of highly active antiretroviral therapies (HAART) in 1996 to treat patients living with the human immunodeficiency virus type 1 (HIV-1), led to dramatic improvements in their mortality and morbidity. However, high levels of adherence to HAART regimens are required and due to the very nature of HIV-1: its high replicative capacity and lack of a proof reading mechanism, drug resistance mutations emerge, which impact on the ability of the drugs to suppress the patient’s circulating viruses. Genotypic resistance testing can determine whether mutations have developed wh
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Carlisle, Heather Lynn. "Implementing a Clinical Practice Guideline on the Use of Capnography in Monitoring for Opioid-Induced Respiratory Depression on Medical-Surgical Units." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/293641.

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Background: Opioid-induced respiratory depression (OIRD) is a life-threatening complication of opioid analgesia. Failure to recognize and respond to OIRD may result in respiratory arrest, anoxic brain injury, and death. Measuring end-tidal carbon dioxide through the use of capnography has been shown to detect early signs of OIRD. Early detection of OIRD facilitates the timely rescue of patients on medical-surgical units where critical patient events are less likely to be witnessed. Purpose: The goal of this quality improvement project was to enhance patient safety by decreasing the incidence o
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Brown, Benjamin. "Harnessing opportunities for quality improvement from primary care electronic health records." Thesis, University of Manchester, 2018. https://www.research.manchester.ac.uk/portal/en/theses/harnessing-opportunities-for-quality-improvement-from-primary-care-electronic-health-records(eb5b7680-bd97-4a4b-9d5f-3b8a10ad5ae9).html.

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Background: UK primary care accounts for 90% of patient contacts in the NHS, and over 300 million consultations every year. Consequently, when primary is suboptimal it has important impacts on population health. At the same time, virtually all general practices use electronic health records (EHR) to capture patient data. Clinical Decision Support (CDS) systems use it to highlight when individual patients do not receive care consistent with clinical guidelines, though ignore the wider population. Electronic Audit and Feedback (e-A&F) systems address the wider population, but their results are d
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Carlhed, Rickard. "Quality Improvement in Acute Coronary Care : Combining the Use of an Interactive Quality Registry with a Quality Improvement Collaborative to Improve Clinical Outcome in Patients with Acute Myocardial Infarction." Doctoral thesis, Uppsala universitet, Kardiologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-180327.

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The quality of care for Swedish patients with acute myocardial infarction (AMI) is continuously increasing. Nevertheless, a great potential for improvement still exists. The aim of the present study was to design and implement a systematic quality improvement (QI) collaborative in the area of AMI care, and to validate its usefulness primarily by analyzing its effect on hospital adherence to national guidelines. Also, the impact on patient morbidity and mortality was to be evaluated. The intervention was based on proven QI methodologies, as well as interactive use of a web-based quality registr
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Morrison, Dennis P. "The relationship between clinical improvement and client perceived helpfulness in an acute partial hospitalization program : a canonical correlation analysis." Virtual Press, 1985. http://liblink.bsu.edu/uhtbin/catkey/458526.

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Specialized partial hospitalization programs have been used to treat a variety of mental health problems however, there has been little research done on the relationship between clinical improvement and perceived helpfulness in such programs. In this study, improvement and perceived helpfulness data collected on 923 clients who attended a partial hospitalization program for acutely disturbed improvement data set consisted of intake and discharge scores on eight scales. Three scales provided affective improvement data, three provided problem resolution information, one provided goal attainment
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Opusunju, Ellis Ehizele. "Quality Improvement Through Evidence-Based Education: Advancing Obesity Awareness and Clinical Management Strategies for People Living with Mental Disorders." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3407.

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People living with mental disorders (PLWMDs) are at an increased risk for developing obesity due to poor diet, physical inactivity, and antipsychotic medications. In the United States, the general-population obesity rate is 36% compared to more than 50% for PLWMDs. Mental health professionals (MHPs), focused on addressing psychiatric conditions, seldom recognize and clinically manage obesity. Furthermore, this population is socioeconomically disadvantaged with poor dietary habits while consuming psychiatric medications that stimulate hunger, further exacerbating the risk for obesity. The Promo
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Fasting, Sigurd. "Routine based recording of adverse eventsduring anaesthesia : application in quality improvement and safety." Doctoral thesis, Norwegian University of Science and Technology, Faculty of Medicine, 2003. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-327.

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Razifar, Pasha. "Novel Approaches for Application of Principal Component Analysis on Dynamic PET Images for Improvement of Image Quality and Clinical Diagnosis." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6053.

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Ivanovic, Jelena. "Quality and Patient Safety in Surgery: Clinical Applications and Critical Appraisal of a Prospective, Standardized, and Comprehensive System for Monitoring and Reporting Post-operative Adverse Events." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32742.

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Evaluation of quality of surgical care begins with the Donabedian triad focusing on structure, process, and outcomes. Outcomes, which are inherently patient-centered, are most easily and commonly measured, and are indeed fundamental to evaluating the quality of surgical care. Specifically, post-operative adverse events (AEs) remain the most frequently measured and reported outcomes, as they represent harm to the patient; and thus, are often used as a means for comparing institutional, as well as, individual surgeon performance. The importance of rigorous recording of clearly defined AEs, altho
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Pavelka, Sarah. "The Relationship Between Hospital Leadership Activities and Clinical Quality Outcomes in Iowa." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2996.

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The Centers for Medicare and Medicaid Services have been working with hospital networks across the United States to improve health care through education and training on clinical best practices and leadership frameworks. Some organizations have failed to reach the high-quality standards of care expected and have adverse patient care outcomes. The purpose of the study was to determine the relationship between leadership actions, funding type, and clinical care outcomes in participating Partners for Patients hospital programs in Iowa. The secondary variable data were provided from a Partnership
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Kreutzfeld, Oriana [Verfasser], Kai [Gutachter] Matuschewski, Christian [Gutachter] Schmitz-Linneweber, and Julius [Gutachter] Hafalla. "Pre-clinical evaluation and improvement of attenuated malaria sporozoite vaccine candidates / Oriana Kreutzfeld ; Gutachter: Kai Matuschewski, Christian Schmitz-Linneweber, Julius Hafalla." Berlin : Humboldt-Universität zu Berlin, 2020. http://d-nb.info/1203126921/34.

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48

Zelski, Robert F. "Use of the Client Oriented Scale of Improvement as a Clinical Outcome Measure in the Veterans Affairs National Hearing Aid Program." Scholar Commons, 2000. http://scholarcommons.usf.edu/etd/1550.

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In the present health care environment, there is an increased demand for audiologists to measure the outcomes of hearing aid intervention. In addition to the more traditional objective outcome measures, many subjective outcome measures have been developed in the last 20 years. Two such subjective outcome measures are the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Hearing Handicap Inventory for the Elderly (HHIE). These instruments consist of a series of pre-selected questions that may or may not be applicable to an individual. An alternative to the pre-selected question format
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49

Hall, Elizabeth. "The Effects of a Supermarket Tour on Improvement of Nutrition Knowledge and Eating Behavior." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3333.

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The purpose of this study was to determine if participation in a supermarket tour improves nutrition knowledge and eating behavior in adult participants. Participants were recruited in communities surrounding Food City stores, a local supermarket. Prior to completing a standardized tour, participants completed a survey to assess nutrition knowledge and eating behavior. This survey was given to participants again three months later. A program evaluation was given one time at the end of the tour. Data analysis revealed no significant findings, other than the behavior-based question: “How many me
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Ancheril, Alphonsa. "Evaluation of a program implemented to reduce surgical wound infection in an acute care hospital in India : a clinical practice improvement project /." Electronic version, 2004. http://adt.lib.uts.edu.au/public/adt-NTSM20040913.150110/index.html.

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