Calculates various metrics for projects, packages and compilation units. Includes both simple counts like lines of code as well as more complex metrics such as the McCabe cyclomatic complexity.
We must optimize stent deployment & maintain a registry of how well (or poorly) we use drug-eluting stents. Instead of asking “Which stent?” or “How much anti-platelet therapy?” we must ask “How effectively are we deploying our stents?”
Design of Clinical Trials for Treatment of Pain, Development of Clinical Trials, Selected Qualitative Methods, Within-Patient Studies: Cross-over Trials & n-of-1 Studies, Clinical Economics, etc.
SONAR is a code quality management platform, dedicated to continuously analyze and measure technical quality, from the projects portfolio to the class method.
Die Qualitätsinitiative E-Learning in Deutschland (Q.E.D.) befasst sich mit der Qualität der Aus- und Weiterbildung unter besonderer Berücksichtigung von E-Learning. Durch die Förderung von Standards sowie deren Integration in die bestehenden Bildungs
Open access. Lack of resources is often cited as a reason for long waiting times and queues in health services. However, recent research indicates these problems are related to factors such as uncoordinated variation of demand and capacity, planning horizons, and lower capacity than the potential of actual resources.
This study aimed to demonstrate that long waiting times and wait lists are not necessarily associated with increasing demand or changes in resources. We report how substantial reductions in waiting times/wait lists across a range of specialties was obtained by improvements of basic problems identified through value-stream mapping and unsophisticated analyses.
Following improved access and optimisation of the website, the NICE guidance app will no longer be available for download with plans to phase it out by January 2019.
Open access. International guidance on models of care stress the importance of good quality, continuous patient-provider relationships to support high quality and efficient care and hospital avoidance. However, assessing the quality of patient-provider relationships is challenging due to its experiential nature. The aim of this study was to undertake a systematic review to identify questionnaires previously developed or used to assess the quality of continuous relationships between patients and their provider in primary care.
Open access. To explore how the South-West Foundation Doctor Quality Improvement programme affected foundation year 1 (F1) doctors’ attitudes and ability to implement change in healthcare.
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Free access. All healthcare systems show variation in the quality of care provided, whether that means access to primary care services,1 ambulance response times,2 Accident & Emergency waiting times3 or treatment processes and outcomes.4–6 Monitoring this variation in quality can serve multiple purposes: informing patients about where best to seek care;7 allowing clinicians to compare their performance with that of their peers and thus identify targets for local-level quality improvement efforts, and supporting the development of national policy. Though, what all these have in common is a trust in the reliability of the data to adequately reflect healthcare quality—sometimes a questionable assumption.
In BMJ Quality and Safety, Hofstede et al 8 have addressed a common situation where providers (such as hospitals, general practices or community teams) are ranked according to their performance on a quality indicator.
As part of its work to improve staff engagement scores on the NHS Staff Survey, Lincolnshire Community Health NHS Trust has taken inspiration from the London Underground to develop a staff engagement tube map.
The case study looks at how the trust aimed to improve its Care Quality Commission rating and NHS Staff Survey score by focused on getting three areas right.
Open access. The growing interest in hospital users’ complaints appears to be consistent with recent changes in health care, which considers the patient’s voice a valuable information source to improve health care. Based on the assumption that the clinicians’ lived experience is an essential element of health care and to neglect it may have serious consequences, this study aimed to explore how physicians experience hospital users’ complaints and the associated mediation process.
Health inspectors say there has been a “significant improvement” in how public sector organisations work together to provide services for older people who need care in Stoke-on-Trent.
The Care Quality Commission (CQC) has revisited the city to look at how well older people – and specifically those over 65 – can move through the health and social care system following an initial inspection in September 2017.
This guideline covers diagnosing and managing chronic obstructive pulmonary disease (COPD) in people aged 16 and older, which includes emphysema and chronic bronchitis. It aims to help people with COPD to receive a diagnosis earlier so that they can benefit from treatments to reduce symptoms, improve quality of life and keep them healthy for longer.
Open access. South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.
England’s Chief Inspector of Hospitals has found that Devon Partnership NHS Trust has maintained a high standard in the quality of services for patients.
The Care Quality Commission has told Kent and Medway NHS and Social Care Partnership Trust that it must make significant improvements to its community-based mental health services for adults of working age, following its latest inspection by the Care Quality Commission.
Patient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the incidence and nature of patient-reported safety concerns in hospital.. To read the full article, log in using your NHS OpenAthens details.
A team of CQC inspectors visited Southern Health in June and July 2018 to check 10 mental health services and five of its community services. Inspectors also looked specifically at management and leadership to answer the key question: Is the trust well led?
As a result of this inspection the trust remains rated as Requires Improvement overall. However, Inspectors rated the trust as Good for the key questions: Are services caring and responsive and Requires Improvement for safety and effectiveness. Inspectors also rated the trust Requires Improvement for the key question: Is the trust well-led.
This guideline covers decision-making in people 16 years and over who may lack capacity now or in the future. It aims to help health and social care practitioners support people to make their own decisions where they have the capacity to do so. It also helps practitioners to keep people who lack capacity at the centre of the decision-making process.
The trust was rated as Good following an inspection in January 2017 but on CQC’s return inspectors found a number of improvements had been made resulting in it receiving an Outstanding rating.
Free. Editorial. All healthcare systems show variation in the quality of care provided, whether that means access to primary care services,1 ambulance response times,2 Accident & Emergency waiting times3 or treatment processes and outcomes.4–6 Monitoring this variation in quality can serve multiple purposes: informing patients about where best to seek care;7 allowing clinicians to compare their performance with that of their peers and thus identify targets for local-level quality improvement efforts, and supporting the development of national policy. Though, what all these have in common is a trust in the reliability of the data to adequately reflect healthcare quality—sometimes a questionable assumption.
In BMJ Quality and Safety, Hofstede et al 8 have addressed a common situation where providers (such as hospitals, general practices or community teams) are ranked according to their performance on a quality indicator.
The Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project included a cluster-randomised, stepped wedge, controlled study to evaluate multiple strategies to prevent catheter-related bloodstream infection. We report an in-depth investigation of the main barriers, facilitators and contextual factors relevant to successfully implementing these strategies in European acute care hospitals.
. To read the full article, log in using your NHS OpenAthens details.
Open access. Editorial. An enduring challenge for the improvement of healthcare quality is variation in the success of quality improvement (QI) interventions when implemented across settings.1 This is particularly true in the field of healthcare-associated infection (HAI) prevention. Some of the brightest success stories in QI have emerged from large-scale efforts to reduce HAIs such as central venous catheter-related bloodstream infections (CRBSIs)2 or catheter-associated urinary tract infections.3 The light dims, however, when efforts to export these interventions to other settings fail to meaningfully improve outcomes.4 5