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Related Concept Videos

Quality Assurance01:19

Quality Assurance

275
Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Introduction to Statistical Process Control01:15

Introduction to Statistical Process Control

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Statistical Process Control (SPC) is a method used to monitor and control quality within processes, particularly in manufacturing and service delivery, by employing statistical methods. SPC aims to distinguish between natural (common cause) variation and variation due to specific changes or events (special cause), allowing for timely improvements and sustained quality. The control chart, a pivotal tool in SPC, visually displays data over time alongside a central line of upper and lower control...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Quality Control01:05

Quality Control

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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
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Related Experiment Video

Updated: Oct 14, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Interpreting Quality Improvement When Introducing New Technology: A Collaborative Experience in ASD Device Closures.

Mary J Yeh1, Lauren Shirley1, David T Balzer2

  • 1Department of Cardiology, Boston Children's Hospital, Bader 2, Attn: Lisa Bergersen, 300 Longwood Avenue, Boston, MA, 02115, USA.

Pediatric Cardiology
|November 7, 2021
PubMed
Summary
This summary is machine-generated.

Introducing new atrial septal defect (ASD) closure devices temporarily increased radiation exposure during a quality improvement initiative. However, overall patient radiation exposure significantly decreased over the study period.

Keywords:
Congenital heart diseaseOutcome metricsPediatric interventionQuality improvementRadiation risk

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Area of Science:

  • Cardiology
  • Medical Technology
  • Radiation Safety

Background:

  • Interventional cardiac catheterization involves radiation exposure.
  • Quality improvement (QI) initiatives aim to reduce this exposure.
  • New device technologies can impact procedure efficiency and safety.

Purpose of the Study:

  • To evaluate the impact of new atrial septal defect (ASD) closure devices on radiation exposure during a multi-center QI initiative.
  • To assess radiation dose changes in ASD device closure procedures.
  • To understand the interplay between technological innovation and radiation reduction efforts.

Main Methods:

  • Prospective data collection from 8 institutions (2014-2017) for 602 ASD device closures.
  • Radiation exposure measured as dose area product per body weight (DAP/kg).
  • Assessed practice changes and correlated radiation exposure with device type.

Main Results:

  • Median radiation exposure decreased from 37 DAP/kg to 14 DAP/kg (2014-2017).
  • All centers reduced overall median DAP/kg.
  • Novel ASD closure devices were associated with temporary increases in radiation exposure and fluoroscopy time.

Conclusions:

  • While overall radiation exposure decreased, the introduction of new ASD closure devices temporarily increased it.
  • Outcome assessment in QI projects must consider variations during technological innovation.
  • Contextualizing results is crucial for hospital evaluation and public reporting of novel therapies.