RATIONALE, AIMS AND OBJECTIVES Clinical leadership and organizational culture are important contextual factors for quality improvement (QI) but the relationship between these and with organizational change is complex and poorly understood. We aimed to explore the relationship between clinical leadership, culture of innovation and clinical engagement in QI within a national ambulance QI Collabor...

We present empirically determined ionization conditions for the winds of 106 luminous B0 to B5 stars observed by IUE. The UV wind lines are modelled to extract products of mass-loss rates times ionization fractions (Ṁ qi(w), where w = v/v∞) for N , C , Si , Si , Al  and C . We describe the general behaviour of the Ṁ qi(w) and their ratios, demonstrating that the wind ionization inc...

The fields of quality improvement and patient safety (QI/PS) continue to grow with greater attention and awareness, increased mandates and incentives, and more research. Academic medical centers and their academic departments have a long-standing tradition for innovation and scholarship within a multifaceted mission to provide patient care, educate the next generation, and conduct research. Aca...

BACKGROUND Quality indicators (QI) are used in many health care areas to measure, compare, and improve the quality of care. Ideas of quality differ between health care providers and patients, yet patients are not regularly involved in QI development nor does a methodological standard for patient involvement in QI development exist. In this study we systematically reviewed the medical journal ar...

More than one-third of family physicians reported participating in a quality improvement (QI) activity in the past year. Continuous QI is vital to improving personal and population health outcomes and reducing costs. Support for QI activities, their evaluation, and the dissemination of successful efforts are sorely needed.

the newly found chah?r t?qi of mileh milehgeh is one of the fire-temples of the sassanian era that was built, like other fire-temples of that time, with pieces of rock and plaster. this chah?r t?qi which is the remaining core of a larger building consists of four stone walls of different sizes surrounded by a round corridor. inside this fire-temple there is a raised platform for setting up fire...

North Carolina has been a leader in the application of quality improvement (QI) to public health practice. Over the past decade, numerous developments have served to accelerate the adoption of QI in North Carolina's local health departments. The outstanding results from the widespread application of QI should help North Carolina to become a healthier state.

BACKGROUND De qi is a sensory response elicited by acupuncture stimulation. According to traditional Chinese medicine (TCM), de qi is essential for clinical efficacy. However, the understanding of the neurobiological basis of de qi is still limited. OBJECTIVE To investigate the relationship between brain activation and de qi by taking a single-photon emission computed tomography (SPECT) scan ...

CONTEXT Depression is a leading cause of disability worldwide, but treatment rates in primary care are low. OBJECTIVE To determine the cost-effectiveness from a societal perspective of 2 quality improvement (QI) interventions to improve treatment of depression in primary care and their effects on patient employment. DESIGN Group-level randomized controlled trial conducted June 1996 to July ...

CONTEXT The Closing the Quality Gap series from the Agency for Healthcare Research and Quality summarizes evidence for eight high-priority health care topics: outcomes used in disability research, bundled payment programs, public reporting initiatives, health care disparities, palliative care, the patient-centered medical home, prevention of health care-associated infections, and medication adh...