What are the organizational structures and patient outcomes?

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Last updated: February 26, 2025View editorial policy

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From the Guidelines

Healthcare organizations should implement a team-based care approach to improve patient outcomes, as it has been shown to increase the proportion of individuals with controlled blood pressure and reduce both systolic and diastolic blood pressure. This approach is patient-centered and is frequently implemented as part of a multifaceted approach, with systems support for clinical decision making, collaboration, adherence to prescribed regimen, blood pressure monitoring, and patient self-management 1. The team-based care approach includes the patient, the patient’s primary care provider, and other professionals, such as cardiologists, nurses, pharmacists, physician assistants, dietitians, social workers, and community health workers.

Key components of team-based care include:

  • Clear leadership roles and effective communication channels
  • Integrated care teams with a multidisciplinary approach
  • Regular quality improvement meetings and standardized protocols for common conditions
  • Electronic health records that facilitate coordination and monitoring of performance
  • Systems-level support, such as use of electronic health records, clinical decision support, technology-based remote monitoring, self-management support tools, and monitoring of performance

The benefits of team-based care have been demonstrated in various studies, including a reduction in blood pressure and improvement in patient outcomes 1. Additionally, studies have shown that organized inpatient stroke unit care can improve survival, functional ability, and quality of life for patients with stroke 1. The use of a multidisciplinary team approach has also been shown to be effective in improving outcomes for patients with stroke 1.

In terms of specific outcomes, team-based care has been shown to:

  • Increase the proportion of individuals with controlled blood pressure
  • Reduce both systolic and diastolic blood pressure
  • Improve survival and functional ability for patients with stroke
  • Improve quality of life for patients with stroke
  • Reduce morbidity and mortality rates

Overall, the implementation of a team-based care approach is a key strategy for improving patient outcomes and reducing morbidity and mortality rates. By prioritizing team-based care, healthcare organizations can improve the quality of care and outcomes for their patients.

From the FDA Drug Label

The FDA drug label does not answer the question.

From the Research

Organizational Structures

  • Health care organizations strive to deliver care that is both evidence-based and patient-centered, but tensions may arise between these goals 2
  • Organizations that excel in providing both evidence-based practice (EBP) and patient-centered care (PCC) exhibit unique characteristics, such as cultures of empowerment and multidisciplinary approaches to care and communication 2
  • Organizational interventions, such as revision of professional roles and computer systems for knowledge management, can improve professional performance 3
  • Multidisciplinary teams, integrated care services, and computer systems can improve patient outcomes 3

Patient Outcomes

  • Patient outcomes can be improved through the implementation of evidence-based practice and patient-centered care 2, 3
  • Organizational structures and processes, such as those that support nurse-led, evidence-based practice projects, can lead to measurable outcomes 4
  • Standardized nursing practice based on evidence-based practice can lead to high-quality patient care and optimal outcomes 5
  • Aligning organizational culture and infrastructure to support evidence-based practice can help to implement it at the system level and improve patient outcomes 5

Evidence-Based Practice

  • Evidence-based practice is an important aspect of health care, but its implementation can be challenging 6, 5
  • Organizational research can play a crucial role in advancing the implementation of evidence-based practice into routine care settings 6
  • Understanding the organizational context of delivering evidence-based practice is critical to efforts to systematically improve quality 6
  • Health care organizations can support the implementation of evidence-based practice by identifying and addressing barriers, developing standardized practices, and educating staff 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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