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An evidence-based, multidisciplinary process for implementation of potentially better practices using a computerized medical record.

Overview
Title:
An evidence-based, multidisciplinary process for implementation of potentially better practices using a computerized medical record.
Authors:
Pantoja AF, Britton JR
Journal:
Int J Qual Health Care
Publication date:
2011
Volume:
23
Issue:
3
First page:
309
Last page:
16
ISSN:
1464-3677
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/21504957
Publication type:
Journal
Free text

Although the Institute of Medicine of the USA has recommended elements for healthcare reform, the optimal means for incorporation of these elements into a healthcare setting remain undefined. A process for the implementation of potentially better practices is described that incorporates a computerized medical record into an evidence-based, multidisciplinary continuous quality improvement effort. Steps in the process include the following: fostering a culture change that incorporates key habits for improvement; identification of a potentially better practice; review of existing evidence and analysis of local experience; delineation of proposed outcomes and potential confounders; guideline formulation and implementation; monitoring of change effectiveness; ongoing multivariate data analyses; and policy formulation. Trainee education and family participation characterize all steps in the process. Consequently, the process incorporates all of the elements recommended by the Institute of Medicine of the USA for healthcare reform and may be adapted to any healthcare setting.

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An evidence-based, multidisciplinary process for implementation of potentially better practices using a computerized medical record. Pantoja AF, Britton JR. Int J Qual Health Care 2011; 23(3):309-16.

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