Australian clinical review最新文献_第2页

A pressure care survey in the operating theatres. 手术室压力护理调查。

Australian clinical review Pub Date : 1993-01-01

C I Webster

{"title":"A pressure care survey in the operating theatres.","authors":"C I Webster","doi":"","DOIUrl":"","url":null,"abstract":"During 1988 and 1989 several patients developed severe pressure areas post operation. The patients all underwent major surgery lasting a few hours and experienced haemodynamic complications as a result of their condition in the peri-operative period. Although these pressure areas did not develop while the patients were in the operating theatres it was thought that the duration of their surgery contributed to the problem. In order to determine the extent of pressure area development on patients undergoing surgery it was decided to undertake an extensive quality assurance audit over a 3 month period. The sample of 108 patients included patients from cardiothoracic, orthopaedic and plastic microvascular, ear, nose and throat, ophthalmology, vascular, urology and general surgery plus a control group of patients whose surgery was less than 1 h duration. The patients were visited pre-operatively to assess their skin integrity. Intra-operative pressure care management plus other relevant information was documented. A second visit at 24 h post operation determined whether any changes in skin integrity had developed. The results of the surgery were not significant when the whole sample was looked at. However, they did become statistically significant when broken down into specialty groups. The recommendations of the survey included research into the improvement of operating table mattresses and contoured positioning devices. An education programme of staff was to be undertaken to develop greater awareness of the problem.","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 1","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19139104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis related groups: the effect of input error. 诊断相关组:输入错误的影响。

Australian clinical review Pub Date : 1993-01-01

J B Westphalen

{"title":"Diagnosis related groups: the effect of input error.","authors":"J B Westphalen","doi":"","DOIUrl":"","url":null,"abstract":"American studies on Diagnosis Related Groups (DRG) coding errors have suggested large error rates. However, we are aware of no Australian data on the extent and significance of errors in completion and encoding of front sheet diagnosis/procedure information on DRG grouping of hospital separations. With the imminence of casemix funding in Australia, this topic takes on a greater significance. We therefore undertook a pilot research study to assess this. At each of three hospitals in the Hunter Area Health Service, NSW (one teaching, one acute general district hospital and one rural general practitioner hospital), we attempted to sample 150 records. A committee reviewed the charts and assessed coding, DRG and Major Diagnostic Category (MDC) error rates. These were 8.1-9.6% for DRG allocation and 3.4-5.2% in MDC allocation. Using current casemix funding data, one of the hospitals would have suffered a funding shortfall for inpatient services of nearly $2 million or 2.6% of total budget at that time. If these data, extracted after an exercise to reduce errors in DRG and front sheet coding, are representative, then there are major implications for hospital inpatient funding if casemix funding is introduced. Major educational exercises are called for the further in-depth research may prove useful.","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 3","pages":"127-31"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19239494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preparation for hospital accreditation: an efficient and practical approach. 医院认证的准备:一个有效和实用的方法。

Australian clinical review Pub Date : 1993-01-01

P T O'Connor, A M Wolff

引用次数: 0

A framework for quality assurance by professional organizations. 由专业机构提供的质量保证框架。

Australian clinical review Pub Date : 1993-01-01

R Griffiths

引用次数: 0

A quality partnership: closing the gaps between hospital and the community. 优质伙伴关系:缩小医院与社区之间的差距。

Australian clinical review Pub Date : 1993-01-01

J Mitchell, M Cuthbert, M Porter, M Abbot