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Our study had several limitations as it was a quality improvement effort aimed at improving the care delivery for severe sepsis patients, rather than a randomized examination of the effectiveness of the bundle and lactate clearance.
In conclusion, this randomized controlled trial demonstrates that a quality improvement effort including provider education and access to a CKD registry may improve some aspects of CKD care compared to education alone.
Future pilot studies need to pay attention to the criteria policy makers will use to decide about continuation or discontinuation of funding, before involving a whole region in a quality improvement effort.
Initiated as part of a quality improvement effort at our institution, this strategy follows a practical approach to identifying vulnerability within a hospitalized population that is broadly applicable [ 37].
QIO staff in the six pilot states that worked with nursing home providers on improving processes of care related to the Quality Measures found that nursing home teams were eager to begin a quality improvement effort in their facilities.
Our study was a quality improvement effort in the implementation of the SSC severe sepsis resuscitation bundle in Asia, with the additional aim to examine the effect of lactate clearance as a bundle item.
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Nicolucci, A. et al. Four-year impact of a continuous quality improvement effort implemented by a network of diabetes outpatient clinics: the AMD-Annals initiative.
This program was part of a larger quality improvement effort targeting the Ethiopian healthcare system, which began decentralization in 1994.
Project team leaders (two per RSC project) will be responsible for guiding a team of resident colleagues with the assistance of faculty members through an active quality improvement effort with the intention of achieving a sustainable improvement in outcomes.
Because the primary study was undertaken as an informal quality improvement effort, detailed demographic data (i.e., age, ethnicity, socioeconomic status, and medical history) were not collected.
In summary, creating and sustaining a broad based quality improvement effort in small practices looms as one of both the primary challenges and the primary opportunities in achieving the aims of the Institute of Medicine.
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