Australian clinical review最新文献

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A comparison of pathology usage in three New South Wales public hospitals. 新南威尔士州三所公立医院病理学用法的比较。
Australian clinical review Pub Date : 1993-01-01
R T Edwards, H M Lapsley
{"title":"A comparison of pathology usage in three New South Wales public hospitals.","authors":"R T Edwards,&nbsp;H M Lapsley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data on pathology testing in New South Wales public hospitals are extremely limited. Pathology laboratory billing files and hospital admissions and transfer files were used to obtain data on the pathology testing frequency and cost of testing at three New South Wales public hospitals. Data were also extracted that allowed a comparison of test ordering frequency and cost of testing for various groups of admitting specialists. A high degree of similarity was found in the test ordering patterns at each hospital with 16 common tests or test groups in the top 20 tests or test groups at each hospital. These 16 tests or test groups accounted for 78, 82 and 88% of the total pathology expenditure at each hospital. The total cost of pathology per occupied bed day was found to be A$26.23, A$34.63 and A$44.66 at each hospital and represented 5.5, 5.2 and 6.8% of the total cost per occupied bed day, respectively, at each hospital. Variation was found between hospitals in the cost per occupied bed day for surgery, medicine, obstetrics and gynaecology and paediatrics. Three major reasons for the variations in pathology costs were identified as variations in outpatient loads, variations in test ordering patterns among medical practitioners and casemix.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 4","pages":"165-73"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19297974","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
Acute laryngo-tracheo-bronchitis (croup): an audit of hospital practice. 急性喉-气管-支气管炎(组):医院实践审计。
Australian clinical review Pub Date : 1993-01-01
K P Dawson, N Capaldi
{"title":"Acute laryngo-tracheo-bronchitis (croup): an audit of hospital practice.","authors":"K P Dawson,&nbsp;N Capaldi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this study was to audit the management of acute laryngo-tracheo-bronchitis in a paediatric unit. This was achieved by retrospective case note audit and a review of the investigations and management of all admitted patients in light of the current literature. There was inappropriate use of radiography and outmoded therapies. There has been an increasing use of adrenaline and steroids in the past 4 years. Prescribing of adrenaline was lax and was associated with potential danger to the patient. For a common condition such as croup, an agreed protocol taking into account current published recommendations is warranted and has been introduced into this unit following this audit.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 2","pages":"63-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19305739","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
Understanding variation: the key to cost reduction and quality improvement. 理解变化:降低成本和提高质量的关键。
Australian clinical review Pub Date : 1993-01-01
G Hardes, R W Gibberd
{"title":"Understanding variation: the key to cost reduction and quality improvement.","authors":"G Hardes,&nbsp;R W Gibberd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Analyses of acute hospital services in Australia reveal geographic differences in the rates of utilization. In order to meet the important challenge of improving the quality of services it is necessary to understand the nature and causes of the variation in these utilization measures. This paper provides examples of the variation in admission rates and lengths of stay for selected procedures in Australian States and shows that the length of stay is related to the variation in admission rates. It concludes that a greater understanding of both the admission and discharge processes is necessary to improve quality and produce cost savings.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19139103","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
It is not widely appreciated that Australia and New Zealand owe their Anglo-Celtic heritage and language to an early clinical Quality Assurance project. 澳大利亚和新西兰将他们的盎格鲁-凯尔特传统和语言归功于早期的临床质量保证项目,这一点并没有得到广泛的认识。
Australian clinical review Pub Date : 1993-01-01
J M Duggan
{"title":"It is not widely appreciated that Australia and New Zealand owe their Anglo-Celtic heritage and language to an early clinical Quality Assurance project.","authors":"J M Duggan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 3","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19239497","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
Influences on the introduction and use of minimally invasive therapies in Australia. 对澳大利亚引进和使用微创疗法的影响。
Australian clinical review Pub Date : 1993-01-01
N A Hirsch, D M Hailey
{"title":"Influences on the introduction and use of minimally invasive therapies in Australia.","authors":"N A Hirsch,&nbsp;D M Hailey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Minimally invasive therapies (MIT), developed as alternatives to open surgery, offer the promise of reduction in morbidity and mortality, quicker return of patients to their normal activities and lower overall costs to society. However, minimally invasive therapies cause concern in that their comparative advantage over older methods may not always be well defined, their introduction may result in additional costs and reorganization for the institutions where they are used, and achieving adequate training of all who use them may not be easy. In this paper, the Australian experience in the introduction and assessment of some MIT is considered to illustrate a number of the issues facing those who use and fund such methods. Examples include both high capital cost technologies, such as shock wave lithotripsy and stereotactic radiosurgery, and less expensive techniques such as laparoscopic surgery.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"13 2","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19305658","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
Introducing a quality of service programme to hospital orderly staff. 向医院有秩序的员工推行优质服务方案。
Australian clinical review Pub Date : 1992-01-01
J L Lilly
{"title":"Introducing a quality of service programme to hospital orderly staff.","authors":"J L Lilly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent reshaping of health provision throughout New Zealand has brought many changes to virtually every area of the service. In some instances this has required a totally fresh approach with a different way of thinking. In others, it has meant the adaptation and remodelling of existing structures and approaches. This paper gives a brief overview of the West Auckland Health District Quality of Service Programme and, in particular, its introduction to the orderly service at Waitakere Hospital.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"12 3","pages":"131-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12616745","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
Marketing and quality assurance: the two faces of Janus. 营销和质量保证:骏纳斯的两面。
Australian clinical review Pub Date : 1992-01-01
K A Grimmer, M Dibden
{"title":"Marketing and quality assurance: the two faces of Janus.","authors":"K A Grimmer,&nbsp;M Dibden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The relationship between quality assurance and marketing has been explored in workshops for physiotherapists. Quality assurance and marketing represent two sides of the same coin in health care. Quality assurance offers formal strategies with which to review performance, while marketing tools enable health professionals to assess the needs of the community within which they operate. Inherent in the concept of the interrelationship of marketing and quality assurance is that quality health care must reflect the changing demands of the consumers. Quality assurance and marketing techniques, performed interdependently, enable health professionals to provide quality, appropriate health care.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"12 1","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12753653","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
Patterns of use of chest physiotherapy. 胸部物理治疗的使用模式。
Australian clinical review Pub Date : 1992-01-01
S Newell, M Lennon, L Maertin, J Williams
{"title":"Patterns of use of chest physiotherapy.","authors":"S Newell,&nbsp;M Lennon,&nbsp;L Maertin,&nbsp;J Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"12 3","pages":"143-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12468138","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
The effect of an educational intervention on the use of peri-operative antimicrobial agents. 教育干预对围手术期抗菌药物使用的影响。
Australian clinical review Pub Date : 1992-01-01
J Johnston, J Harris, J C Hall
{"title":"The effect of an educational intervention on the use of peri-operative antimicrobial agents.","authors":"J Johnston,&nbsp;J Harris,&nbsp;J C Hall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this study was to evaluate the effect of an educational intervention on the prescribing behaviour of doctors who order antimicrobial therapy for patients undergoing abdominal surgery. Two confidential criterion audits were separated by the intervention which involved completion of a 10-item questionnaire followed by a fully referenced answer sheet. The results showed a significant improvement in the prescribing habits of the junior surgical staff after the educational intervention. The overall error rate decreased from 50% to 20% (P = 0.003).</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"12 2","pages":"53-6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12788668","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
The application of continuous quality improvement tools in reducing the length of stay for hip replacement patients: a base hospital's experience. 持续质量改进工具在减少髋关节置换术患者住院时间中的应用:一家基础医院的经验。
Australian clinical review Pub Date : 1992-01-01
R Turner, B Whitten
{"title":"The application of continuous quality improvement tools in reducing the length of stay for hip replacement patients: a base hospital's experience.","authors":"R Turner,&nbsp;B Whitten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The quality assurance (QA) initiative has been slow to show results. Quality assurance tools have been underdeveloped, and quality by inspection unacceptable to clinicians. A base hospital's experience with continuous quality improvement (CQI) as a means to more effective quality assurance is described. Discharge data grouped into diagnosis related groups (DRG) and analysed for inter-hospital comparison provided reliable statistical data with which to monitor the hospital's performance. The CQI tools were used to analyse the nature of the problem, and correct the deficiency. The new methodology would seem to indicate greater promise for successful quality assurance programmes in the future.</p>","PeriodicalId":77019,"journal":{"name":"Australian clinical review","volume":"12 2","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12788670","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
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