A hospital collects patient satisfaction data by mailing surveys to patients discharged home and analyzes the responses they receive.
What is the most significant limitation of this sampling methodology?
Either an increase or decrease in rate could be a signal of improvement. In other words, there is no clear direction of
improvement for these measures. In this case an observed rate either above or below the expected range is an
unfavourable outliner.
The initial step in clinical pathway development is review of
There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California.
Dominican, a 379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system.
"We used to replace ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that:
