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Full-Text Articles in Medicine and Health Sciences
Guiding Inpatient Quality Improvement: A Systematic Review Of Lean And Six Sigma, Justin Glasgow, Jill Scott-Caziewell, Peter Kaboli
Guiding Inpatient Quality Improvement: A Systematic Review Of Lean And Six Sigma, Justin Glasgow, Jill Scott-Caziewell, Peter Kaboli
Jill Scott-Cawiezell
Background: Two popular quality improvement (QI) approaches in health care are Lean and Six Sigma. Hospitals continue to adopt these QI approaches -- or the hybrid Lean Sigma approach -- with little knowledge on how well they produce sustainable improvements. A systematic literature review was conducted to determine whether Lean, Six Sigma, or Lean Sigma have been effectively used to create and sustain improvements in the acute care setting. Methods: Databases were searched for articles published in the health care, business, and engineering literatures. Study inclusion criteria required identification of a Six Sigma, Lean, or Lean Sigma project; QI efforts …
Technology Innovations. Barriers To Safe Medication Administration In The Nursing Home: Exploring Staff Perceptions And Concerns About The Medication Use Process, A. Vogelsmeier, Jill Scott-Cawiezell, D. Zellmer
Technology Innovations. Barriers To Safe Medication Administration In The Nursing Home: Exploring Staff Perceptions And Concerns About The Medication Use Process, A. Vogelsmeier, Jill Scott-Cawiezell, D. Zellmer
Jill Scott-Cawiezell
The purpose of this study was to explore staff perceptions and concerns about the medication use process in the nursing home setting. A total of 76 staff members from 5 nursing homes in 3 Midwestern states participated in key informant interviews and focus groups. Common themes included issues related to communication, competing demands, and the challenges of a paper-based medication administration record. Concerns frequently were associated with the timeliness and accuracy of the medication administration process. Recognition of staff concerns are an important first step in improving the nursing home medication use process. Staff insight provided clarification related to impediments …