Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes

Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes

Athina Lazakidou (University of Peloponnese, Greece) and Andriani Daskalaki (Max Planck Institute for Molecular Genetics, Germany)
Release Date: September, 2011|Copyright: © 2012 |Pages: 302
DOI: 10.4018/978-1-61350-120-7
ISBN13: 9781613501207|ISBN10: 161350120X|EISBN13: 9781613501214
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Description & Coverage
Description:

Quality of life is difficult to define and even more difficult to measure; as such, outcomes from nursing in continuing care are not easily articulated.

Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes offers a framework for measuring quality of service in the healthcare industry as it pertains to nursing, with insight into how new technologies and the design of personalized medicine have improved quality of care and quality of life. Assessment and feedback are a vital part of developing and designing personalized medicine, and this book details case studies and the latest research in the field of healthcare service delivery assessment. In addition to describing assessment methodology, the book is also a compendium of the latest research into new medical technologies.

Coverage:

The many academic areas covered in this publication include, but are not limited to:

  • Bioethics
  • Medical Informatics
  • Patient and Nurse Assessment
  • Personalized Medicine
  • Quality Assessment and Assurance
  • Quality of Care
  • Risk Management
  • Service Delivery
  • Systems biology
  • Telemedicine Services
Reviews and Testimonials

T[his] new book will be an excellent source of comprehensive knowledge and literature on the topic of quality assurance in healthcare service delivery, nursing and personalized medicine.

– Dr. Athina Lazakidou, University of Peloponnese, Greece and Dr. Andriani Daskalaki, Max Planck Institute for Molecular Genetics, Germany
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Editor Biographies
Athina Lazakidou, Ph.D, currently works at the University of Peloponnese, Department of Nursing in Greece as Lecturer in Health Informatics, and at the Hellenic Naval Academy as a Visiting Lecturer in Informatics. She worked as a Visiting Lecturer at the Department of Computer Science at the University of Cyprus (2000-2002) and at the Department of Nursing at the University of Athens (2002-2007). She did her undergraduate studies at the Athens University of Economics and Business (Greece) and received her BSc in Computer Science in 1996. In 2000, she received her Ph.D. in Medical Informatics from the Department of Medical Informatics, University Hospital Benjamin Franklin at the Free University of Berlin, Germany. She is also an internationally known expert in the field of computer applications in health care and biomedicine, with six books and numerous papers to her credit. She was also Editor of the “Handbook of Research on Informatics in Healthcare and Biomedicine” and “Handbook of Research on Distributed Medical Informatics and E-Health”, the best authoritative reference sources for information on the newest trends and breakthroughs in computer applications applied to health care and biomedicine. Her research interests include health informatics, e-Learning in medicine, software engineering, graphical user interfaces, (bio)medical databases, clinical decision support systems, hospital and clinical information systems, electronic medical record systems, telematics, and other web-based applications in health care and biomedicine.
Andriani Daskalaki presently works in the field of molecular medicine and bioinformatics at the Max Planck Institute for Molecular Genetics in Berlin. She completed her PhD in 2002 on working in the applications of photodynamic therapy in the area of oral medicine from the Free University of Berlin. She received a two-year DAAD scholarship (1996-1998) for her research in the field of PDT. Dr. Daskalaki received a MS in Medical Informatics from TFH Berlin with her work in “Development of a documentation software for robot-assisted intraoral operations” and a MS degree in bioinformatics with her work in “Variance analysis of multifactor models in gene expression experiments with application to the identification of genetic markers for hypertension.” She received a poster prize for her participation in the International Photodynamic Association Meeting in Nantes. She is the editor of the “Handbook of Research on Systems Biology Applications in Medicine” and has presented many oral presentations at national and international meetings. She is a founding member and committee member of the Greek Dental Laser Association. Her research interest areas include systems biology, PDT, and laser applications in dentistry.
Editorial Review Board
  • Dr. Sia Barzela, Radboud University Nijmegen Medical Centre, The Netherlands
  • Dr. Amit Chattopadhyay, National Institutes of Health (NIH), USA
  • Dr. Cathrin Dressler, Laser- und Medizin-Technologie GmbH,, Germany
  • Dr. Penny Emmanouil, Penteli's Children Hospital, Greece
  • Dr. Anastasia Kastania, Athens University of Economics and Business, Greece
  • Dr. Melpomeni Lazakidou, Institute of Occupational Medicine, Austria
  • Assoc. Prof. Valko Petrov, Bulgarian Academy of Sciences, Bulgaria
  • Dr. Konstantinos Siassiakos, University of Piraeus, Greece
  • Dr. Christoph Wierling, Max-Planck-Institute for Molecular Genetics, Germany
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Preface

In general, outcome measurement has focused on a health gain or health maintenance score, or an overall wellbeing result. However, because quality of life is difficult to define and even more difficult to measure - particularly with physically and mentally vulnerable people - outcomes from nursing in continuing care are not easily articulated. The focus of the nursing assessment tool is therefore on increasing quality of life, rather than perceiving health gain simply as increased longevity.    

Assessment is considered to be the first step in the process of individualized nursing care. It provides information that is critical to the development of a plan of action that enhances personal health status. It also decreases the potential for, or the severity of, chronic conditions and helps the individual to gain control over their health through self-care.

One of the great challenges in medicine is to deliver effective therapies tailored to each patient based on his molecular signatures. The so-called "personalized medicine" would involve tools of patient evaluation that would tell clinicians the correct drug and doses for the patient. Patient outcomes of a drug intervention are the result of conditional probabilistic interactions between complexes of drug-metabolizing enzyme genes, a range of metabolic regulatory genes, and environmental factors. Systems biology tools and concepts that integrate modelling of signalling pathways and regulatory networks at many levels of biological organization in the whole organism provide a help to personalized medicine.

The main goal of this new book is to provide innovative and creative ideas for improving the quality of care and to explore all new technologies in medical informatics and health care delivery systems as well as technological advances in personalized medicine.

The topics of this book cover useful areas of general knowledge including concepts of quality, quality assessment and quality assurance, risk management and quality of care, patient and nurse assessment in personalized medicine, role of information technology in healthcare quality assessment, quality in telemedicine services, tools and techniques in systems biology, ethical guidelines for the quality assessment of healthcare, health system policies, and service delivery.
The book covers basic concepts, best practices, techniques, investigative challenges in clinic and research.

Organization of the book

The book is divided into four sections:

Section One: “Clinical Diagnostic methods” introduces innovative concepts in medical diagnostics. Chapter 1 presents patient specific cardiovascular diagnosis. The novel method described in this chapter produces a distribution of physiologically interpretable models that allow the identification of disease specific patterns that corresponded to clinical diagnoses, enabling a probabilistic assessment of human health condition. In this work a technique is presented to identify arterial stenosis and aneurisms from anomalous patterns in signal and parameter space. Chapter 2 introduces experience sharing of Cai’s gynecology in Traditional Chinese Medicine. A novel system named TCM-PMES is demonstrated. This system preserves the diagnostic processes in a personalized way.

Section Two, “Basic research-a bridge to modern medicine,” serves as a comprehensive introduction to methods supporting basic research. The emphasis of chapter 3 is on new therapeutic approaches using functional cells derived from stem cells.  This chapter provides a general overview on technologies applied on stem cell research. Chapter 4 gives an extended analytical consideration of mathematical modelling to the analysis of biological pathways perturbated in disease. Chapter 5 discusses the development of novel universal strategies for exogenous control of gene expression based on designer riboswitches that can function in the cell.

Section Three is titled “Medical treatment and research – Ethics and Applications.”
Chapter 6, entitled “Ethical Guidelines for the Quality Assessment of Healthcare,” describes how ethical principles can be used as guidelines for the quality assessment of healthcare provision. In chapter 7, the authors present the computational workflow to investigate the process of tumor progression, and present this approach through an example of childhood neoplasias.

Section Four, “Healthcare Quality Assessment,” is dedicated to methods applied in the healthcare service delivery. In chapter 8, the authors define ethical requirements in educational practice for healthcare quality. In chapter 9, the author describes the social role of technology in healthcare quality improvement. Chapter 10 presents a novel solution to improve quality assurance, in drugs delivery; i.e. reduce clinical errors caused by drug interaction and dose. Telemedicine services should meet the international quality requirements in order to accomplish quality assurance in healthcare provision. Technology advances have brought forward new and evolved services and technical infrastructure that promote and enhance quality healthcare services, such as telepresence and wearable technology. Nevertheless, there are several obstacles in telemedicine performance that need to be resolved. In chapter 11 the authors try to define quality issues in Telemedicine Services.

The main purpose of the chapter 12 is to represent an alternative effective model for measuring the quality of healthcare (SERVQUAL) considering the geographical location of the under examination healthcare sectors. Geographical Information Systems (GIS) play a major role in all areas of health research, especially for the understanding of spatial variations concerning disease monitoring. Chapter 13 describes the methodological approach for the development of a real time electronic health record, for the statistical analysis of geographic information and graphical representation for disease monitoring.

The purpose of the chapter 14 is to provide innovative knowledge and creative ideas of improving quality of care and to explore how risk management and Knowledge transfer and quality assurance can improve health care. Under careful consideration, our purpose is to summarize which factors improve and promote the quality of care and which factors diminish quality. There are forms of ongoing effort to make performance better. Quality improvement must be a long- term continuous effort, reducing errors and providing a safe trust environment for health professionals and patients. After reading this chapter, the reader should know the answer to these questions: What role can risk management and knowledge transfer play in quality of care? How risk management and knowledge transfer can work together? What are the factors that improve risk management and quality assurance in health care? How does knowledge transfer support inform and improves care?  

Quantifying and improving the quality of health care is an increasingly important goal in medicine. Because quality of life is difficult to define and even more difficult to measure - particularly with physically and mentally vulnerable people - outcomes from nursing in continuing care are not easily articulated. The focus of the nursing assessment tool is therefore on increasing quality of life, rather than perceiving health gain simply as increased longevity.

Assessment is considered to be the first step in the process of individualized nursing care. It provides information that is critical to the development of a plan of action that enhances personal health status. It also decreases the potential for, or the severity of, chronic conditions and helps the individual to gain control over their health through self-care. In the chapter 15 the authors try to describe how important is the role of Information and especially of the Information Technology in Healthcare Quality Assessment.

The book, “Quality Assurance in Healthcare Service Delivery, Nursing and Personalized Medicine: Technologies and Processes,” contains text information, but also a glossary of terms and definitions, contributions from international experts, in-depth analysis of issues, concepts, new trends, and advanced technologies in Healthcare Service Delivery, in modern clinical diagnostics, and in advanced medical research.

The new book will be an excellent source of comprehensive knowledge and literature on the topic of quality assurance in healthcare service delivery, nursing and personalized medicine.

All of us who worked on the book hope that readers will find it useful.

Editors:
Athina Lazakidou, Ph.D,
Andriani Daskalaki, Ph.D