Quality Improvement in Healthcare
Nearly all healthcare organizations today are aware of the Quality Improvement (QI) movement and seek to actively instill their businesses with such elements. In fact, the past few decades have shown the QI movement to be the main approach for healthcare organizations to measure performance and engage in lasting changes (Colton, 2000). The foundations of QI reside with its origins which come from multiple arenas: "in systems engineering, as a way of defining production processes; in quantitative analysis, as a methodological approach for collecting and analyzing data; and in organizational behavior, as a way of understanding how QI fits with an organization's structure and management philosophy" (Colton, 2000). QI fundamentally stands as a mode for a healthcare organization to better itself through enhancing the way in which it delivers service and by improving patient outcomes (Colton, 2000). "The U.S. Agency for Healthcare esearch and Quality defines quality…...

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References

Colton, D. (2000). Quality improvement in health care. Conceptual and historical foundations. Eval Health Prof., 7-42.

Familydoctor.org. (n.d.). Medical Errors: Tips to Help Prevent Them. Retrieved from Familydoctor.org:  http://familydoctor.org/familydoctor/en/healthcare-management/self-care/medical-errors-tips-to-help-prevent-them.html 

Varkey, P., Reller, K., & Resar, R. (2007). Basics of Quality Improvement in Health Care. Mayo Clin Proc., 735-739.

In terms of communication within the hospice setting, this might occur by means of communicating with patients and their families to determine whether they experience their care setting in an optimal manner. If this is not the case, strategies are implemented to address the commonly experienced difficulties.
CONCLUSION

In conclusion, communication is a vitally important part of any care setting. Patients and their families must feel that they are the recipients of patient-centered care, and that they receive sufficient information to help them through difficult times. It is suggested that the PDSA model will be an effective way to accomplish this, along with process mapping. A logical sequence of steps must first address the underlying reasons behind the lack of effective communication among staff and patients. This can relate to the stress factors and harsh work schedules that practitioners often face. To work in such an emotionally eroding environment makes it…...

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References

IHI.org. (2011). Improvement Methods. Retrieved from:  http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/ 

Leavitt, M.O. (2009). Report to Congress on the Evaluation of the Quality Improvement Organization (QIO) Program for Medicare Beneficiaries for Fiscal Year 2006. Retrieved from:  http://www.cms.gov/QualityImprovementOrgs/downloads/2006RtCQIO.pdf 

Melinkovich, P. (2011). Adoption of Rapid Cycle Improvement Process From Toyota Increases Efficiency and Productivity at Community Health Clinics. AHRQ. Retrieved from  http://www.innovations.ahrq.gov/content.aspx?id=1807 

Victorian Quality Council. (2007, June.) Process Mapping. Retrieved from:  http://www.health.vic.gov.au/qualitycouncil/downloads/process_mapping.pdf

Quality Improvement: "Chick-n-Gravy Dinner Line"
The case study at hand deals with complaints being lodged against a product line, "Chick-n-Gravy Dinners" that are sold within a specific chain of restaurants. Upon initial investigation into the complaints, the firm was able to pinpoint that many of the complaints centered upon five product defects: under-filled packages, a missing item, spills/mixed items, unacceptable taste, and improperly sealed packages. In order to begin to remedy the problem, a selection of dinners was pulled at random and opened, and the results showed that nearly all of the 800 dinners pulled included one or more of the aforementioned quality issues.

In a situation such as this, it becomes apparent that the quality of the product line is not, and has likely never been, the biggest priority for the firm. Instead, quantity, not quality appears to have been the focus. In this case, as nearly the entire batch of…...

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References

Hurst, W., Reynolds, E. Schueler, G., and Tybor, P. (2010). Quality control: a model program for the food industry. University of Georgia Colleges of Agricultural and Environmental Sciences & Family Consumer Sciences. Web. Retrieved from:   [Accessed on 7 March 2012].http://athenaeum.libs.uga.edu/bitstream/handle/10724/12251/B997.pdf?sequence=1 

Johnson, M. (2001). Learning from toys: lessons in managing supply chain risk from the toy industry. California Management Review, 43.3: pp. 106-124. Web. Retrieved from: LexisNexis Database. [Accessed on 7 March 2012].

Furthermore, the VA hospitals are devoted to new research on Parkinson's disease in the development of surgical treatment for late-stage patients for whom medical therapy is no longer effective and development of new medications, which are more effective and have fewer side effects (Department of Veterans Affairs, 2001). In this way the VA's rehabilitation services structure assists in the transition of patients from one level to another level of care.
alanced Scorecard of the VA's Rehabilitation Services

The creation of a balanced scorecard for the rehabilitation services offered by the VA consists of developing metrics, collecting data and analyzing the data in relation to: 1) the learning and growth perspective, 2) the business process perspective, 3) the customer perspective, and 4) the financial perspective. The learning and growth perspective includes employee training and corporate cultural attitudes related to both individual and corporate self-improvement. In the current climate of rapid technological change,…...

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Bibliography

Department of Veterans Affairs. (2001, February). Parkinson's disease: VA Benefits and Programs. Office of Public Affairs Media Relations, p. 1.

Mitchell, S.L., Kiely, D.K., Kiel, D.P., & Lipsitz, L.A. (1996). The epidemiology, clinical characteristics, and natural history of older nursing home residents with a diagnosis of Parkinson's disease. J Am Geriatr Soc 44, 394-9.

Wilson, N. & Kizer, K. (1997). The VA Health Care System: An Unrecognized National

Safety Net. Health Affairs 16(4), 200-4.

org 2010). These tools were selected for their simplicity and ease of use/interpretation, as well as for their established usefulness in similar situations (ihi.org 2010). The FOCUS PDCA method for implement quality improvement changes in the organization will be carried out in the manner that defines the methodology itself, with distinct stages being performed in a cyclical manner that identifies needed changes, makes those changes, evaluates the outcome, and identifies additional changes and refinements to processes as needed (ansom et al. 2008).
Comparisons and Performance Measures

There are a variety of methods that can be utilized to analyze the performance of the implemented changes, and several of them will be specifically implemented to ensure adequate performance by the proposed changes. Comparisons between the yearly annual reports available form the University of Kansas Hospital as well as other less long-term internal measures will be used to determine improvements in efficiency and the quality…...

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References

The Institute for Healthcare Improvement. (2010). Tools. Accessed 25 October 2010.  http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/Tools/ 

The National Coordinating Council for Medication Error Reporting and Prevention. (2010). About Medication Error. Accessed 25 October 2010.  http://www.nccmerp.org/aboutMedErrors.html 

Ransom, E. R, Joshi, M.S., Nash, D.B., & Ransom, S.B. (2008). The healthcare quality book: Vision, strategy, and tools. (2nd ed.). Health Administration Press: Chicago, IL.

The University of Kansas Hospital (2009). The Center for Advanced Heart Care Outcomes Report. Accessed 25 October 2010.  http://www.kumed.com/default.aspx?id=4937

Hartman Industries LLC is a leader in the plastic injection molding industry. Many of the products we produce require precision manufacturing and are used in the medical industry. Hartman offers state-of-the-art innovative design capabilities, best-of-breed quality control systems, and exceptional shipping and handling processes. We manufacture to International Organization for Standardization (ISO) 9000 standards and have Six Sigma black belt capability through all stages of the manufacturing process. Our quality management challenge is an artifact of running operations in six domestic and one international location.
Seven distinct programs. Each plant at the seven different locations operates under an extensive quality improvement plan. There is only one type of weak link in the infrastructure, and it is a weakness of omission. There is not an overarching plan that addresses coordination of the quality control programs from plant to plant. Although the quality control programs have developed at the separate sites in response…...

Nursing Quality Improvement Activities
Providing quality nursing care is the foundation of professional ethics for nurses. Nurses have a moral obligation to not only provide quality care, but to also to constantly strive for excellence in the quality of the care they furnish.

Non-medical prescribing is increasingly being seen as a cost-effective option, quality improvement option by both the U.S. government and professional nursing societies. The employment of potentially dangerous preparations in an array of clinical settings is not without risks, however.

There are other considerations for quality improvement in nursing -- including:

Nursing considerations for prescribed drugs.

Review of practice and practice outcomes.

New nursing standards, and guidelines.

Clinical audits.

Quality improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used.

Main Body

Providing quality nursing care is the foundation of professional ethics for nurses. Nurses have a moral obligation to not only provide quality care, but to…...

ECMO
Extracorporeal Membrane Oxygenation is a procedure that allows for the oxygenation of a patient through the use of an external machine. Oxygen is required in order to keep a body healthy and alive. The definition of oxygenation is the amount of oxygen in the bloodstream of a patient. If the oxygen level drops below 90% a condition called hypoxemia occurs. Hypoxemia can be very serious and if not addressed within a short period of time can be fatal. Hypoxemia is diagnosed through cyanosis (the skin turning blue). Patients being treated with the EMCO procedure are usually longer-term patients (3-10 days) as compared to the short-term patients who receive a standard cadriopulmonary bypass which is a support that usually only lasts for a number of hours (not days).

Purpose

According to odriguez-Cruz et al. The purpose of the ECMO is "to allow time for intrinsic recovery of the lungs and heart; a standards…...

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References

Adhikari, N.K.; Burns, K.E.; Friedrich, J.O.; Granton, J.O.; Cook, D.J.; Meade, M.O.; (2007). Effect of nitric oxide on oxygenation and mortality in acute lung injury: systemic review and meta analysis, BMJ; Vol. 334, pp. 779.

Bastin, A.J. & Firmin, R.; (2011) Extracorporeal membrane oxygenation for severe acute respiratory for failure in adults: NICE guideance, Heart, Vol. 97, Issue 20, pp. 1701-1703

Berryman, S.; (2010) Extracorporeal membrane oxygenation in a Scottish intensive care unit, Nursing in Critical Care, Vol. 15, Issue 5, pp 262 -- 268

Brower, R.G. & Krishnan, J.A.; (2000) High frequency ventilation for acute lung injury or acute respiratory distress syndrome, Chest; Vol. 118, pp. 795 -- 807.

Quality Improvement Presentation Poster: Interprofessional Collaboration Practice ProgramAbstractThis poster describes an intervention applying interprofessional collaboration originally developed to address suboptimal Type II diabetes patient outcomes in a tertiary care facility but with wider clinical improvement applications. Implementation will model prior successful integrative staff training driving coordinated physician, nurse, and pharmacist participation in diabetic patient case management. Practices include joint daily patient visits and care huddles promoting team decision-making and preventing medication/diagnostic issues through enhanced communication. Benchmarking after introduction is expected to replicate published findings showing statistically significant improvements in controlling patient A1C, glucose, cholesterol and triglycerides. The research to date confirms that clinical improvements will likely parallel heightened staff job satisfaction and patient perceptions of holistic wellbeing support. Theoretically, uniting diverse expertise creates optimized interventions harnessing the problem-solving strengths of different health professions. Mutual understanding counteracts isolated perspectives. Together with better health indicators, interprofessional collaboration inherently improves the care experience…...

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References

Bogossian, F., & Craven, D. (2021). A review of the requirements for interprofessional education and interprofessional collaboration in accreditation and practice standards for health professionals in Australia. Journal of Interprofessional Care, 35(5), 691–700.

Fleming, R., & Willgerodt, M. A. (2017). Interprofessional Collaborative Practice and School Nursing: A Model for Improved Health Outcomes. Online Journal of Issues in Nursing, 22(3), 1.

Janes, T. L., Rees, J.-L., & Zupan, B. (2022). Is interprofessional education a valued contributor to interprofessional practice and collaboration within allied health in Australia and New Zealand: A scoping review. Journal of Interprofessional Care, 36(5), 750–760.

Quality Improvements in Emergency Services
Consumers in the form of patients and other stakeholders are increasingly demanding for proof that the care being delivered or rendered to them is of high quality. In general, the public is cognizant of, demand quality from the medical sector or industry, and anticipates action and improvements to be undertaken when quality is not existent. There are very clear expectations and anticipations for improved health, improved efficiency and in overall improved quality. It is important for an Emergency Medical Services agency or organization to have programs and agendas in place that not only analyze, evaluate and assess the manner in which the organization and its employees are operating. The purpose of this paper is to analyze the aspect of quality improvement in Emergency Medical Services. The paper will take a look into the background of quality improvement and advancement in the emergency medical services sector. The…...

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References

Angelini, K., Klein, S. (1989). The QA guarantee. Emergency, 20-23.

Bingaman, D. (1994). Continuous quality improvement in emergency service: what and why. Dallas: American College of Emergency Physicians.

El Sayed, M. J. (2011). Measuring quality in emergency medical services: a review of clinical performance indicators. Emergency medicine international.

Estepp, M., Crabtree, S. (1988). Quality assurance in EMS. Fire Command, 20-23.

Social Determinants of Health
Quality Improvement and isk Management in Health Care

A health care system is an institution or organization of people using resources to deliver health care services to meet the target population's health needs. There are many health systems worldwide with many organizational structures and histories. Different countries have various systems that support their health system planning such as trade unions, governments, market participants, charities and religious co-ordinate bodies who deliver health care services that are planned and evolutionary. isk management entails the proper strategies that reduce possibilities of specific losses in health organizations (Spath, 2009).

The systematic utilization and gathering of data are very important to the practice and concept. The programs of risk management consist of both reactive and proactive components. The reactive components include the actions, which are in response to adverse occurrences while proactive components include those activities done to prevent adverse occurrences such as losses.…...

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References

Barry, R. (2002). The six sigma book for healthcare: Improving outcomes by reducing errors. Chicago: Health Administration Publisher

Cook, R. (2006). Awareness and influence in health and social care: How you can really make a difference. San Diego, C.A: Radcliffe Publishing

Kavaler, F. (2003). Risk management in health care institutions: A strategic approach. Sudbury, U.S.A: Jones and Bartlett Publishers

Marco, W. (2011). Performance-Based medicine: Creating the high performance network to optimize managed care relationships. New York: Productivity Press

Module 3 Assignment: Exploring EBP Quality ImprovementThere are various kinds of healthcare settings that mental health patients can chose for treatment depending on their financial ability and severity of their mental illness. The first healthcare setting that I would explore in my project is a psychiatric hospital. I work in the said setting. The other two healthcare settings that I would explore in my EBP quality improvement project will be in a private practice and an assisted living health facility or a residential health facility. A psychiatric hospital is an in-patient facility that happens to be a good option for patients in need of both long and short-term services. Essentially, the mission of a psychiatric hospital is to provide care for patients with severe mental health illnesses (Dye, n. d). The structures in a psychiatric hospital happen to be similar as those of a regular hospital. In addition to treatment…...

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References

Dye, F. (n. d). What are the Different Types of Mental Health Facility?  https://www.wise-geek.com/what-are-the-different-types-of-mental-health-facility.htm 

Fishbein, M. & Ajzen, I. (2010). Predicting and Changing Behavior: The Reasoned Action Approach. Taylor and Francis Group, LLC

Logsdon, R. G., McCurry, S. M. & Teri, L. (2007). Evidence-Based Interventions to Improve Quality of Life for Individuals with Dementia. Alzheimers Care Today, 8(4), 309-318.

Quality Improvement
There are several key quality improvement activities in which my hospital participates. The first is the use of bedside shift reports. One of the reasons this improves quality is that it means that the nurse coming into a shift receives this report from the previous shift, and learns about the different things that happened. So there is more information that is being transferred between nurses, and that allows them to make better decisions, more accurate decisions and overall decisions that are better for the patient. This enhanced knowledge transfer has proven to be effective in a number of different studies.

Additionally, administrators measure outcomes, and relate those to the actions that people take. What this means is when a procedure has changed, the outcomes are measured and then evaluated against the past performance. If the new technique delivers better results, they keep it and if the new technique is not…...

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References

Gregory, S., Tan, D., Tirico, M. & Gamm, L. (2015) Bedside shift reports: A systematic literature review. Retrieved November 9, 2016 from  https://www.researchgate.net/publication/273060117_Detailed_Report_on_Bedside_Shift_Report 

Mardis, T., Mardis, M., Davis, J., Justice, E., Holdinsky, S., Donnelly, J., Ragozine, H. & Riesenberg, L. (2016) Bedside shift-to-shift handoffs: A systematic review of the literature. Journal of Nursing Care Quality. Vol. 31 (1) 54-60.

Each of these companies have significantly different cultures, processes and approaches to managing the research, development, manufacturing and service of their products yet both found value in TQM strategies over time. This is because the unifying aspect of TQM being able to make more efficient use of resources, production and plant assets, and also reduce time and cost all make immediate contributions to the financial health of these firms and others like them who adopt these practices.
eferences

Akdere, M. (2009). The ole of Knowledge Management in Quality Management Practices: Achieving Performance Excellence in Organizations. Advances in Developing Human esources, 11(3), 349.

Charles . Emery. (2009). A cause-effect-cause model for sustaining cross-functional integration. Business Process Management Journal, 15(1), 93-108.

Josh Hammond. (2000). The naked truth about business excellence. Total Quality Management, 11(4-6), S666-S673

Jim Walden. (2003). Performance excellence: A QFD approach. The International Journal of Quality & eliability Management, 20(1), 123-133.

Appendices

Table 1: The Boeing…...

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References

Akdere, M. (2009). The Role of Knowledge Management in Quality Management Practices: Achieving Performance Excellence in Organizations. Advances in Developing Human Resources, 11(3), 349.

Charles R. Emery. (2009). A cause-effect-cause model for sustaining cross-functional integration. Business Process Management Journal, 15(1), 93-108.

Josh Hammond. (2000). The naked truth about business excellence. Total Quality Management, 11(4-6), S666-S673

Jim Walden. (2003). Performance excellence: A QFD approach. The International Journal of Quality & Reliability Management, 20(1), 123-133.

NUSING AbstractHealthcare-Associated Infections (HAI) are the ones that are caught by the patient when they are at the hospital for the treatment of another medical condition. One of the common infections is urinary tract infection, which majorly affects the urinary tract system and causes pain and distress for the patients for the rest of their lives. If no proper precautions are taken during catheter insertion, which is considered one of the leading causes of UTI, and no timely treatment is given to the patient, consequences could be severe.The current project seeks to employ a quality improvement project by studying a similar retrospective project from literature. With the deployment of a PDSA cycle, need identification is made, and running a literature review and exploring the evidence-based practices for supporting the change. Further, the paper discusses the application of change theory and its various stages, selecting an inter-professional team for reviewing the…...

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ReferencesAgency for Healthcare Research and Quality. (2017, March). Guide to implementing a program to reduce catheter-associated urinary tract infections in long-term care.   T., Eliakim-Raz, N., Turjeman, A., Pujol, M., Carratala, J., Shaw, E., Grange, A.G., Vuong, C., Addy, I., Wiegand, I., Grier, S., MacGowan, A., Vank, C., Heuvel, L., & Leibovici, L. (2021). Risk factors for hospital re-admission following complicated urinary tract infection. Scientific Reports, 11.  https://doi.org/10.1038/s41598-021-86246-7 Center for Disease Control and Prevention. (2015, October 16). Healthcare-associated infections: Catheter-associated urinary tract infection. https://www.cdc.gov/hai/ca_uti/uti.htmlGoldfield, N.I., McCullough, E.C., Hughes, J.S., Tang, A.M., Eastman, B., Rawlins, L.K. & Averill, R.F. (2008). Identifying potentially preventable re-admissions. Healthcare Financing Review, 30(1), 75-91. Hines, S.C. (2014). Strengthening national efforts to reduce healthcare-associated infections. Agency for Healthcare Research and Quality.  https://www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article2.html  Huston, K. (2018, April 16). Blame your anatomy: Women are more prone to UTI than men. Norton Healthcare.  https://nortonhealthcare.com/news/uti-ecare/ Magers, T.L. (n.a.). Using evidence-based practice to reduce catheter-associated urinary tract infections. Lippincott Nursing Center.  https://www.nursingcenter.com/ce_articleprint?an=00000446-201306000-00027 Manchester, J., Gray-Miceli, D.L., Metcalf, J.A., Paolini, C.A., Napier, A.H., Coogle, C.L. & Owens, M.G. (2014). Facilitating Lewin’s change model with collaborative evaluation in promoting evidence-based practices of health professionals. Available at: Scholars Compass,  http://scholarscompass.vcu.edu/vcoa_pubs/3  Manojlovich, M., Martin, S. & Carraway, S. (2017). Breaking down barriers to aseptic catheter insertion [PowerPoint slides]. Agency for Healthcare Research and Quality, AHRQ.  https://www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html Medinngs, J., Rogers, M.A.M., Krein, S.L., Fakih, M.G., Olmsted, R.N. & Saint, S. (2014). Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: An integrative view. BMJ Quality and Safety Journal, 23(4), 277-289.  https://doi.org/10.1136/bmjqs-2012-001774 Montalvo, I. (2007). The national database of nursing quality indicators (NDNQI). OJIN: The Online Journal of Issues in Nursing, 12(3).  https://doi.org/10.3912/OJIN.Vol12No03Man02 Nicastri, E. & Leone, S. (2021). Guide to infection control in the healthcare setting: healthcare-associated urinary tract infections. International Society for Infectious Diseases.  https://isid.org/guide/hospital/urinary-tract-infections/  Nicolle, L.E. (2008). Healthcare-acquired urinary tract infection: The problem and solutions. Patient Safety Network (PS Net).  https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions Pandey, D., Mehta, S., Grover, A., & Goel, N. (2015). Indwelling Catheterization in Caesarean Section: Time To Retire It! Journal of Clinical and Diagnostic Research: JCDR, 9(9), QC01–QC4.  https://doi.org/10.7860/JCDR/2015/13495.6415 Raynaldo, M. (2020). Implementing hospital-acquired pressure injury (HAPI) prevention program [Doctoral dissertation, University St. Augustine for Health Sciences]. SOAR.  https://doi.org/10.46409/sr.RIDN4317https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html#core Babich,

I. Introduction
A. Definition of community-based services
B. Importance of registration and inspection in ensuring quality and safety

II. Types of community-based services subject to UK registration and inspection
A. Healthcare services
1. Home care agencies
2. Community nursing services
B. Social care services
1. Day care centers
2. Supported living accommodations
C. Education and training services
1. Adult education centers
2. After-school programs

III. Registration process for community-based services in the UK
A. Requirements for registration
1. Evidence of qualifications and experience
2. Criminal background checks
B. Application process
1. Submission of application form
2. Site visit and assessment by regulatory body

IV. Inspection process for community-based services in the UK
A. Role of regulatory bodies in conducting inspections
1.....

1. The role of health informatics in improving patient outcomes and reducing healthcare costs
2. The impact of electronic health records on patient care and safety
3. The use of telehealth and remote monitoring in healthcare delivery
4. The ethical considerations of data sharing and privacy in health informatics
5. The challenges and opportunities of implementing health informatics systems in developing countries
6. The role of artificial intelligence and machine learning in health informatics
7. The future trends of health informatics and the potential impact on healthcare delivery
8. The importance of interoperability and data standardization in health informatics
9. The benefits of using predictive analytics and data-driven....

I. Introduction

Define New Public Management (NPM) and its key principles
Thesis statement: The influence of NPM has significantly altered Canadian governments in various aspects.

II. NPM's Impact on Government Structures

Decentralization and devolution of authority
Creation of quasi-market mechanisms within government
Introduction of performance-based budgeting and management systems

III. NPM's Influence on Government Services

Shift towards contracting out and outsourcing of services
Focus on customer satisfaction and service quality improvement
Emphasis on cost-effectiveness and efficiency

IV. NPM and the Role of Citizens

Reduced emphasis on public participation and civic engagement
Increased use of citizen surveys and performance indicators as measures of accountability
....

1. The role of electronic handoff tools in improving patient safety and care coordination in the post-anesthesia care unit
2. The benefits and challenges of implementing a PACU electronic handoff tool in a healthcare setting
3. Comparing the effectiveness of electronic handoff tools versus traditional paper-based handoff methods in the PACU
4. The impact of electronic handoff tools on communication and information exchange between healthcare professionals in the PACU
5. Strategies for successful adoption and utilization of a PACU electronic handoff tool in a healthcare organization
6. The potential for integrating electronic handoff tools with other healthcare technologies to enhance patient outcomes in the PACU
7.....