Eliminating Undesirable Variation in Neonatal Practice: Balancing Standardization and Customization.

Clin Perinatol

Division of Neonatology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, W6104, Houston, TX 77030, USA. Electronic address:

Published: September 2017

Consistency of care and elimination of unnecessary and harmful variation are underemphasized aspects of health care quality. This article describes the prevalence and patterns of practice variation in health care and neonatology; discusses the potential role of standardization as a solution to eliminating wasteful and harmful practice variation, particularly when it is founded on principles of evidence-based medicine; and proposes ways to balance standardization and customization of practice to ultimately improve the quality of neonatal care.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clp.2017.04.002DOI Listing

Publication Analysis

Top Keywords

standardization customization
8
health care
8
practice variation
8
eliminating undesirable
4
variation
4
undesirable variation
4
variation neonatal
4
practice
4
neonatal practice
4
practice balancing
4

Similar Publications

Design: The study is a prospective, double-blinded randomised control trial that compares the mineral trioxide aggregate (MTA) and Biodentine as the pulp space barrier material after induction of a periapical blood clot by over-instrumentation for endodontic regeneration in single-rooted mature permanent anterior tooth (closed apex) with apical periodontitis (periapical pathology of more than 3 mm) and having necrosed pulp. A total of 36 patients were included in the study and after randomisation were allocated equally to both the groups out of which 31 patients returned for follow-up over an 18-month period. The treatment protocol consisted of two separate appointments.

View Article and Find Full Text PDF

Lung progenitor (LP) cells identified by the expression of transcription factor NK2 homeobox 1 (NKX2.1) are essential for development of all lung epithelial cell types and hold tremendous potential for pulmonary research and translational regenerative medicine applications. Here we present engineered hydrogels as a promising alternative to the naturally derived materials that are often used to differentiate human induced pluripotent stem cells (iPSCs) into LP cells.

View Article and Find Full Text PDF

Microalgae are a valuable source of renewable biomass that contains lipids, proteins, and bioactive compounds. It is a promising sustainable candidate for green synthesis of nanomaterials (NMs). The present work announces a novel biogenic approach for synthesis of platinum nanoparticles (Pt NPs) employing Tetradesmus obliquus (green microalgae) as a green reducer and surfactant.

View Article and Find Full Text PDF

Developing and validating a HEalthCare NAvigation Competency (HECNAC) Scale for refugees in the United States.

PLoS One

January 2025

Health Promotion Sciences Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States of America.

The complex healthcare system in the United States (US) poses significant challenges for people, particularly minorities such as refugees. Refugees often encounter additional layers of challenges to healthcare navigation due to unfamiliarity with the system, limited health literacy, and language barriers. Despite their challenges, it is difficult to identify the gaps as few tools exist to measure navigation competency among this population and many conventional tools assume English proficiency, making them inadequate for refugees and other immigrants.

View Article and Find Full Text PDF

Background: Ankle sprain is a common clinical disease, which has the highest incidence rate among joint and ligament injuries. And acute ankle sprains can easily develop into chronic ankle instability, thereby increasing the difficulty of treatment. The current clinical guidelines for post-acute ankle sprains are still controversial.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!