A Novel Approach to Gathering and Acting on Relevant Clinical Information: SCAMPs

被引：69

作者：

Rathod, Rahul H. ^{[1
,2
]}

Farias, Michael

Friedman, Kevin G. ^{[1
,2
]}

Graham, Dionne ^{[1
,2
]}

Fulton, David R. ^{[1
,2
]}

Newburger, Jane W. ^{[1
,2
]}

Colan, Steven ^{[1
,2
]}

Jenkins, Kathy ^{[1
,2
]}

Lock, James E. ^{[1
,2
]}

机构：

[1] Childrens Hosp, Dept Cardiol, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA

来源：

CONGENITAL HEART DISEASE | 2010年 / 5卷 / 04期

关键词：

Congenital Heart Disease; Practice Guidelines; Resource Utilization; Health Policy and Outcomes; CARE; QUALITY; GUIDELINES;

D O I：

10.1111/j.1747-0803.2010.00438.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The current tools to adequately inform the process of improving health-care delivery consist primarily of retrospective studies, prospective trials, and clinical practice guidelines. We propose a novel and systematic approach that bridges the gap of our current tools to affect change, provides an infrastructure to improve healthcare delivery, and identifies unnecessary resource utilization. The objective of this special article is to introduce the rationale and methods for this endeavor entitled "Standardized Clinical Assessment and Management Plans" (SCAMPs). SCAMPs take a relatively heterogeneous patient population and through a process of iterative analysis and modification of standardized assessment and management algorithms, SCAMPs allow the intrinsic biologic variability in a patient population to emerge and be understood. SCAMPs can be used to complement our currently available tools in order to result in incremental and sustained improvement in health-care delivery.

引用

页码：343 / 353

页数：11

共 15 条

[1]

BOHMER R, 2009, 609103 HARV BUS SCH

[2]

Bohmer R.M., 2009, Designing care: Aligning the nature and management of health care

[3]

Carlile P., 2006, CYCLES THEORY BUILDI

[4] The perfect storm of overutilization [J].

Emanuel, Ezekiel J. ;

Fuchs, Victor R. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 299 (23) :2789-2791

[5] DIAGNOSIS AND MANAGEMENT OF RIGHT VENTRICLE-DEPENDENT CORONARY CIRCULATION IN PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM [J].

GIGLIA, TM ;

MANDELL, VS ;

CONNOR, AR ;

MAYER, JE ;

LOCK, JE .

CIRCULATION, 1992, 86 (05) :1516-1528

[6] Is the methodological quality of guidelines declining in the US? Comparison of the quality of US Agency for Health Care Policy and Research (AHCPR) guidelines with those published subsequently [J].

Hasenfeld, R ;

Shekelle, PG .

QUALITY & SAFETY IN HEALTH CARE, 2003, 12 (06) :428-434

[7] Needles in Hay: Chest Pain as the Presenting Symptom in Children with Serious Underlying Cardiac Pathology [J].

Kane, David A. ;

Fulton, David R. ;

Saleeb, Susan ;

Zhou, Jing ;

Lock, James E. ;

Geggel, Robert L. .

CONGENITAL HEART DISEASE, 2010, 5 (04) :366-373

[8]

Lazar JS., 2007, Practice-based learning and improvement: a clinical improvement action guide, P95

[9] Predictors of Technical Success and Postnatal Biventricular Outcome After In Utero Aortic Valvuloplasty for Aortic Stenosis With Evolving Hypoplastic Left Heart Syndrome [J].

McElhinney, Doff B. ;

Marshall, Audrey C. ;

Wilkins-Haug, Louise E. ;

Brown, David W. ;

Benson, Carol B. ;

Silva, Virginia ;

Marx, Gerald R. ;

Mizrahi-Arnaud, Arielle ;

Lock, James E. ;

Tworetzky, Wayne .

CIRCULATION, 2009, 120 (15) :1482-U48

[10] Shattuck lecture - Hidden barriers to improvement in the quality of care [J].

McNeil, BJ .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (22) :1612-1620

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