r2r Newsletter 3 Final

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R2RVolume 2 Issue 3 2011

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R2R Newsletter 3 R2R R2R R2R R2R () R2R Newsletter R2R . R2R R2R Newsletter R2R R2R Newsletter e-mail: r2r.hsri@gmail.com

Con Content tent2 3-4 5-7 8-11 12 13 14 15 16

(Editors Nest) (Editorial Staff) R2R (Hawk Eye View) (Fly Together) (I Can Fly) (Prize of Hawk) -R2R (Q&A) R2R (R2R Relax Zone) R2R (R2Rs Update) R2R (R2R Network)

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HA R2R () R2R HA R2R HA R2R R2R above average R2R HA core values HA MBNQA/TQA Evidence-based practice: R2R evidence HA evidence Management by Fact: R2R Learning: R2R Empowerment: R2R Continuous Improvement: R2R Patient & Customer Focus: R2R health services research R2R CQI R2R CQI PDCA CQI R2R CQI R2R HA

R2R professional service knowledge service 1 R2R R2R R2R R2R (..) directing R2R 3

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R2R R2R pattern of service, structure of service how to service 1) (better service) 2) (more effiffi icience) 3) (new initiative new innovative)

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10 5 R2R . 13 15 R2R 13 . 7 R2R 7 . R2R 2 Biostatistics

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round ward CCU

American College of Cardiology Foundation (ACC)/ American Heart Association (AHA) Guideline (secondary prevention) aspirin, clopidogreal, ACE-I, beta-blocker statin care team round 3-5 24 admit

round ward beta-blocker 60% 100% beta-blocker (60%) sample size 85% sample size 160 80 80 proposal 2 CCU 8 3-4 (SIRB)

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1 6 6 checklist 3 admit 24 6 PCI clinic 80 80 checklist checklist p < 0.001 beta-blocker 60% 100% readmission

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Statistical process Statistical process control chart (SPC):

Statistical process control chart (SPC) Newsletter 2 (Variation) 2 (Common causes Variation) (Special cause variation) (SPC)

Plot special cause Stable Process 2 special causes (Unstable Process) special cause special cause

Special causes Variation1. (UCL) (LCL) 2. 9 3. 6 4. 14 5. 2 3 Zone A 6. 4 5 Zone A B 7. 14 Zone C

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control chart (SPC)

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R2R R2R Newsletters 3 R2R R2R update 16-17 2554 (R2R) (.) . . R2R R2R R2R R2R . 4 8 2 R2R R2R 4 2: R2R 3-4 2554 R2R 20-22 . 2554 R2R R2R R2R R2R ( R2R 30 2554) update R2R http://r2r.hsri.or.th Update R2R Newsletter R2R 4 4

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