Evaluating the processes of neonatal intensive care : thinking upstream to understand downstream processes / Joseph Schulman.

Format:

Book

Author/Creator:

Schulman, Joseph D.

Language:

English

Subjects (All):

Neonatal intensive care.

Intensive Care, Neonatal--organization & administration.

Medical Subjects:

Intensive Care, Neonatal--organization & administration.

Physical Description:

ix, 150 pages : illustrations ; 22 cm

Place of Publication:

London : BMJ Books, 2004.

Summary:

Although many excellent texts on best practice exist, until this book there has been very little published in evaluating processes in the neonatal intensive care unit. Yet measurement, evaluation and improvement are requirements in any clinical setting today. As Joseph Schulman writes in his preface, "Daily, we must justify - explicitly, objectively - what we do in the neonatal intensive care unit (NICU). And increasingly we must demonstrate that these activities provide value for those we serve." This book provides the means of fulfilling those requirements in clear, concise steps. With his experience of working in the NICU in a major US hospital, Joseph Schulman has produced an easy to follow, comprehensive guide to acquiring the skills of evaluation. NICU staff will find it invaluable in interpreting daily processes on their ward.

Contents:

Part 1 Systems 11

1 Systems and our work 13

2 The work of the NICU 23

3 Working with process mapping: an example 33

4 Activity without value: muda 38

5 Diagnostic testing and muda 44

6 Needless complexity in our care processes 54

7 More tools for "drilling down" 57

Part 2 Data 69

8 Measuring outcomes: What? How? 71

9 Characterizing variation in our measurements 84

10 Understanding variation in our measurements 95

Part 3 Action 105

11 Benchmarks and benchmarking 107

12 Keeping track of what you decided to measure 115

13 Change and people 125

14 The gap is never closed completely 136.

Notes:

Includes bibliographical references and index.

ISBN:

0727918338

OCLC:

56446127