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Factors affecting adherence to a quality improvement checklist on an inpatient hepatology service
| Content Provider | Scilit |
|---|---|
| Author | Tapper, Elliot B. Lai, Michelle |
| Copyright Year | 2014 |
| Description | Given the increasing emphasis on measuring quality indicators such as adherence to practice guidelines, we sought to determine the factors and address the barriers affecting guideline adherence on an academic inpatient hepatology service. We performed a single-center, prospective observational study. Physicians were given a handheld checklist to complete daily. We first measured the adherence rate and studied factors affecting adherence by performing surveys. We then modified the program to address the factors affecting adherence and reassessed the adherence rate. There was a baseline 46% checklist adherence rate. Reasons given for nonadherence fell into two categories: ease of task and physician commitment from both attending physicians and housestaff. Specific reasons given were that the attending did not prompt (39%), the adherence sheet was not in the chart (35%), the individual forgot (12%), as well as lack of time, unclear protocol, “too difficult,” and “didn't pay attention” (4% each). Each of these factors was addressed with a multimodal approach. Thereafter, the adherence rate rose from 46% to 83% (P < 0.001). Maintaining checklist adherence is time intensive and requires commitment from the whole medical team. |
| Related Links | http://europepmc.org/articles/pmc3954656?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954656/pdf |
| Ending Page | 102 |
| Page Count | 3 |
| Starting Page | 100 |
| ISSN | 08998280 |
| e-ISSN | 15253252 |
| DOI | 10.1080/08998280.2014.11929069 |
| Journal | Baylor University Medical Center Proceedings |
| Issue Number | 2 |
| Volume Number | 27 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2014-04-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Baylor University Medical Center Proceedings Gastroenterology and Hepatology Guideline Surveys Physicians Inpatient Checklist Attending Hepatology Factors Affecting Affecting Adherence Factors and Address |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
