The Problem of Practice Variation in Newborn Medicine (Record no. 200457633)

MARC details
000 -LEADER
fixed length control field 05214nam a22004935i 4500
003 - CONTROL NUMBER IDENTIFIER
control field DE-He213
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20231109085823.0
007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION
fixed length control field cr nn 008mamaa
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220520s2022 sz | s |||| 0|eng d
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 9783030946555
024 7# - OTHER STANDARD IDENTIFIER
Standard number or code 10.1007/978-3-030-94655-5
Source of number or code doi
040 ## - CATALOGING SOURCE
Original cataloging agency TR-AnTOB
Language of cataloging eng
Transcribing agency TR-AnTOB
Description conventions rda
060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number WS 27.1
072 #7 - SUBJECT CATEGORY CODE
Subject category code MJW
Source bicssc
Subject category code MED069000
Source bisacsh
Subject category code MKD
Source thema
096 ## - LOCALLY ASSIGNED NLM-TYPE CALL NUMBER (OCLC)
Classification number WS27.1EBK
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title İngilizce
245 14 - TITLE STATEMENT
Title The Problem of Practice Variation in Newborn Medicine
Medium [electronic resource] :
Remainder of title Critical Insights for Evaluating and Improving Quality /
Statement of responsibility, etc. edited by Joseph Schulman.
250 ## - EDITION STATEMENT
Edition statement 1st ed. 2022.
264 #1 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE
Place of production, publication, distribution, manufacture Cham :
Name of producer, publisher, distributor, manufacturer Springer International Publishing :
-- Imprint: Springer,
Date of production, publication, distribution, manufacture, or copyright notice 2022.
300 ## - PHYSICAL DESCRIPTION
Extent 1 online resource
336 ## - CONTENT TYPE
Content type term text
Content type code txt
Source rdacontent
337 ## - MEDIA TYPE
Media type term computer
Media type code c
Source rdamedia
338 ## - CARRIER TYPE
Carrier type term online resource
Carrier type code cr
Source rdacarrier
347 ## - DIGITAL FILE CHARACTERISTICS
File type text file
Encoding format PDF
Source rda
505 0# - FORMATTED CONTENTS NOTE
Formatted contents note 1. What is practice variation and why should we care about it? -- 2. Clinical Care: Why do we do what we do? Exactly what are we trying to achieve? -- 3. How do practice variation and quality improvement efforts relate? -- 4. The ubiquity of practice variation -- 5. The Dartmouth Atlas of Neonatal Care. Author: David C. Goodman, MD, MS -- 6. The Norwegian Neonatal Healthcare Atlas. Author: Atle Moen, MD, PhD -- 7. NICU Antibiotic Practice Variation -- 8. Can Performance Feedback Affect NICU Antibiotic Practice Variation? -- 9. A Single Measure of Antibiotic Practice Variation is Insufficient – Hospital Diagnostic Efficiency for Early- and Late-onset Neonatal Sepsis -- 10. Association Between Inborn NICU Admission rates and Proportion With High Illness Acuity -- 11. Expanding Our Evaluative Focus -- 12. The NICU Electronic Medical Record and Performance Evaluation -- 13. How to Interpret Your Dot: What Does Your Risk-Adjusted Performance Measure Actually Tell You? -- 14. A Primer on Systems Thinking and Understanding Variation in Care Processes Results – Statistical Process Control Methods -- 15. Practice Variation and (Mis)Aligned Incentives -- 16. Eliminating Site of Care as an Independent Outcome Determinant -- 17.Which Rate is “Right”? .
520 ## - SUMMARY, ETC.
Summary, etc. Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pediatrics.
Topical term or geographic name entry element Pediatrics.
653 #0 - INDEX TERM--UNCONTROLLED
Uncontrolled term Intensive Care Units, Neonatal
Uncontrolled term Intensive Care, Neonatal
Uncontrolled term Neonatology -- methods
Uncontrolled term Value-Based Health Care
Uncontrolled term Practice Guidelines as Topic
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Schulman, Joseph.
Relator term editor.
Relator code edt
-- http://id.loc.gov/vocabulary/relators/edt
710 2# - ADDED ENTRY--CORPORATE NAME
Corporate name or jurisdiction name as entry element SpringerLink (Online service)
856 40 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1007/978-3-030-94655-5">https://doi.org/10.1007/978-3-030-94655-5</a>
Materials specified Springer eBooks
Public note Online access link to the resource
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type E-Book
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Not for loan Collection code Home library Current library Date acquired Source of acquisition Inventory number Total Checkouts Full call number Barcode Date last seen Copy number Date shelved Koha item type Public note
    National Library of Medicine Geçerli değil-e-Kitap / Not applicable-e-Book E-Kitap Koleksiyonu Tıp Fakültesi Medikal Kütüphane Tıp Fakültesi Medikal Kütüphane 11/10/2023 Satın Alma / Purchase TIP   WS 27.1EBK EBK01891 30/10/2023 1 30/10/2023 E-Book
Devinim Yazılım Eğitim Danışmanlık tarafından Koha'nın orjinal sürümü uyarlanarak geliştirilip kurulmuştur.