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Utilization of health information technology systems in Quality Improvement Methodologies at healthcare organizations in the United States: A retrospective study.

机译:健康信息技术系统在美国医疗机构的质量改进方法中的使用:一项回顾性研究。

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摘要

Quality improvement in healthcare has been one of the key challenges in the United States for decades now. To overcome those challenge, healthcare organizations have employed many of the common Quality Improvement Methodologies (QIMs). Those methodologies and others have been some of the most effective tools for quality improvement in many other industries, including manufacturing and supply chain. However, it is unclear as to how QIMs are utilized in healthcare settings and if the QIM implementations can benefit from the commonly implemented Health Information Technologies (HITs). This study evaluates the hypothesis of whether or not QIMs are implemented using HIT systems in hospitals and practices in the United States. This involves evaluating the types of implemented QIMs as well as investigating the outcomes of the employed methodologies in terms of efficiency, throughput and financial impact. Moreover, the study forms an understanding on how the different HITs that exist in many healthcare settings are used as part of QIMs. The study also assesses the obstacles that prevent hospitals and practices from utilizing HITs in QIMs. To conduct the study, two datasets have been obtained, which are the Dorenfest Institute dataset and the Healthcare Information and Management Systems Society (HIMSS) Analytics data source. In addition, a survey has been conducted to collect data about how healthcare settings in the United States have been utilizing QIMs in the last ten years. Finally, the allocated and collected data have been analyzed and the results have been presented and discussed.
机译:几十年来,提高医疗保健质量一直是美国的主要挑战之一。为了克服这些挑战,医疗保健组织采用了许多常见的质量改进方法(QIM)。这些方法和其他方法已成为许多其他行业(包括制造和供应链)中提高质量的最有效工具。但是,不清楚在医疗机构中如何使用QIM,以及QIM的实施是否可以从通常实施的健康信息技术(HIT)中受益。这项研究评估了是否在美国的医院和实践中使用HIT系统实施QIM的假设。这涉及评估已实施的QIM的类型,以及从效率,吞吐量和财务影响方面调查所采用方法的结果。此外,该研究形成了对如何将许多医疗机构中存在的不同HIT用作QIM的理解。该研究还评估了阻碍医院和实践在QIM中利用HIT的障碍。为了进行这项研究,已经获得了两个数据集,即Dorenfest研究所的数据集和医疗保健信息与管理系统协会(HIMSS)Analytics数据源。此外,已经进行了一项调查,以收集有关过去十年来美国医疗机构如何使用QIM的数据。最后,对分配和收集的数据进行了分析,并对结果进行了介绍和讨论。

著录项

  • 作者

    AlHazme, Raed H.;

  • 作者单位

    Rutgers The State University of New Jersey, School of Health Related Professions.;

  • 授予单位 Rutgers The State University of New Jersey, School of Health Related Professions.;
  • 学科 Health sciences.;Biomedical engineering.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 192 p.
  • 总页数 192
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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