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Contextualizing learning to improve care using collaborative communities of practices.
BMC Health Serv Res
September 2016
The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Background: The use of interorganizational, collaborative approaches to build capacity in quality improvement (QI) in health care is showing promise as a useful model for scaling up and accelerating the implementation of interventions that bridge the "know-do" gap to improve clinical care and provider outcomes. Fundamental to a collaborative approach is interorganizational learning whereby organizations acquire, share, and combine knowledge with other organizations and have the opportunity to learn from their respective successes and challenges in improvement areas. This learning approach aims to create the conditions for collaborative, reflective, and innovative experiential systems that enable collective discussions regarding daily practice issues and finding solutions for improvement.
View Article and Find Full Text PDFThe Case for Standardized Data in Nursing.
Nurs Leadersh (Tor Ont)
April 2018
Project Director, C-HOBIC, President, Canadian Nursing Informatics Association, Toronto, ON.
With the increased focus on quality and safety within the healthcare system, the collection, reporting and use of standardized data are essential to understanding the impact of clinicians practice on patient care. This article examines how the Canadian Health Outcomes for Better Information and Care (C-HOBIC) dataset can support clinical decision-making and facilitate improved sharing of information as patients transition between sectors of the healthcare system. If the benefits of electronic health records are to be fully realized, it is vital that information is collected in a standardized format to support point-of-care clinicians in decision-making, as well as for health system use.
View Article and Find Full Text PDFMeasuring outcomes of nursing care, improving the health of Canadians: NNQR (C), C-HOBIC and NQuiRE.
Nurs Leadersh (Tor Ont)
June 2012
Academy of Canadian Executive Nurses, Canada.
The purpose of this paper is to inform the nursing community of the extraordinary progress that the Canadian National Nursing Quality Report (NNQR(C)), the Canadian Health Outcomes for Better Information and Care (C-HOBIC) and the Nursing Quality Indicators for Reporting and Evaluation (NQuiRE) have made to date, and to share our commitment to continue working together to build a strong nursing profession that, armed with evidence, will contribute to healthier Canadians.
View Article and Find Full Text PDFC-HOBIC: standardized clinical outcomes to support evidence-informed nursing care.
Nurs Leadersh (Tor Ont)
March 2012
Canadian Nurses Association Calgary, AB, Canada.
C-HOBIC - Standardized Information to Support Clinical Practice and Quality Patient Care across Canada.
NI 2012 (2012)
November 2013
C-HOBIC, Ottawa, Ontario, Canada;
Canadian Health Outcomes for Better Information and Care (C-HOBIC) is leading the collection of standardized clinical outcomes reflective of nursing practice. C-HOBIC introduces a systematic structured language for patient assessments across the health care system enabling abstraction of information into jurisdictional EHRs Thus the information is available to clinicians across the health care system. This paper provides the background to C-HOBIC with an overview of the evidence supporting the clinical outcomes; the methodology for the electronic collection and abstraction of outcomes including the implications of including nursing information on databases; and describes the approach to coding information for interoperability and comparability of clinical information across the health care system.
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