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Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others
The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982803/ https://www.ncbi.nlm.nih.gov/pubmed/29881756 http://dx.doi.org/10.5334/egems.192 |
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author | Taenzer, Andreas Kinslow, Allison Gorman, Christine Sanders, Shelley Schoepflin Patel, Shilpa J Kraft, Sally Savitz, Lucy |
author_facet | Taenzer, Andreas Kinslow, Allison Gorman, Christine Sanders, Shelley Schoepflin Patel, Shilpa J Kraft, Sally Savitz, Lucy |
author_sort | Taenzer, Andreas |
collection | PubMed |
description | The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. Compliance with and adoption of sepsis bundle care elements comparing sites with mature vs non-mature care delivery processes were measured during the improvement effort for a cohort of 20,758 patients. Non-mature sites increased their bundle compliance from 71.0 to 86.7 percent (p < 0.005). This compliance increase was primarily based on increased compliance with the fluid element of the bundle that improved for non-mature locations from 76.4 to 94.0 percent (p < 0.005). |
format | Online Article Text |
id | pubmed-5982803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-59828032018-06-07 Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others Taenzer, Andreas Kinslow, Allison Gorman, Christine Sanders, Shelley Schoepflin Patel, Shilpa J Kraft, Sally Savitz, Lucy EGEMS (Wash DC) Empirical Research The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. Compliance with and adoption of sepsis bundle care elements comparing sites with mature vs non-mature care delivery processes were measured during the improvement effort for a cohort of 20,758 patients. Non-mature sites increased their bundle compliance from 71.0 to 86.7 percent (p < 0.005). This compliance increase was primarily based on increased compliance with the fluid element of the bundle that improved for non-mature locations from 76.4 to 94.0 percent (p < 0.005). Ubiquity Press 2017-12-15 /pmc/articles/PMC5982803/ /pubmed/29881756 http://dx.doi.org/10.5334/egems.192 Text en Copyright: © 2017 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Empirical Research Taenzer, Andreas Kinslow, Allison Gorman, Christine Sanders, Shelley Schoepflin Patel, Shilpa J Kraft, Sally Savitz, Lucy Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title | Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title_full | Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title_fullStr | Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title_full_unstemmed | Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title_short | Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others |
title_sort | dissemination and implementation of evidence based best practice across the high value healthcare collaborative (hvhc) using sepsis as a prototype – rapidly learning from others |
topic | Empirical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982803/ https://www.ncbi.nlm.nih.gov/pubmed/29881756 http://dx.doi.org/10.5334/egems.192 |
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