Balancing quality improvement and unintended effects: The impact of implementing admission order sets for chronic obstructive pulmonary disease and heart failure at two teaching hospitals.
Bryn LanderEllen BalkaPublished in: Journal of evaluation in clinical practice (2018)
It is unclear whether, for these two hospitals, the gains brought by implementation of chronic obstructive pulmonary disease and heart failure admission order sets were worth their associated organisational shortcomings. Problems with order set implementation appeared to stem from poor integration with pre-existing complex organisational systems. Health administrators and clinicians interested in implementing order sets within their own hospitals need to remain cognizant of how these tools will fit into existing systems and practices.
Keyphrases
- quality improvement
- healthcare
- heart failure
- chronic obstructive pulmonary disease
- primary care
- patient safety
- mental health
- emergency department
- left ventricular
- atrial fibrillation
- acute heart failure
- cardiac resynchronization therapy
- lung function
- health information
- medical students
- climate change
- cystic fibrosis