Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第2页

The role of autopsies in medical audit: examples from a department of medicine. 验尸在医疗审计中的作用:来自医学系的例子。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-12-01 DOI: 10.1093/intqhc/5.4.287

M Britton

引用次数: 9

The role of autopsy findings in multicenter treatment evaluations as exemplified by two aspirin trials. 尸检结果在多中心治疗评估中的作用，以两项阿司匹林试验为例。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-12-01 DOI: 10.1093/intqhc/5.4.299

M Britton

引用次数: 3

The reliability of autopsy diagnostics: inter-observer variation between pathologists, a preliminary report. 尸检诊断的可靠性:病理学家之间的观察者差异，初步报告。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-12-01 DOI: 10.1093/intqhc/5.4.333

B Veress, V Gadaleanu, I Nennesmo, B M Wikström

{"title":"The reliability of autopsy diagnostics: inter-observer variation between pathologists, a preliminary report.","authors":"B Veress, V Gadaleanu, I Nennesmo, B M Wikström","doi":"10.1093/intqhc/5.4.333","DOIUrl":"https://doi.org/10.1093/intqhc/5.4.333","url":null,"abstract":"The aim of the study was to analyse the agreement between pathologists regarding macroscopic autopsy diagnostics. Four pathologists examined 35 autopsies and determined the principal disease and its complications, the immediate cause of death, other major diseases and their complications, and minor diseases. The participants were paired and their diagnoses were analysed by using kappa statistics for interobserver variation. The agreement on the principal disease was almost perfect between the participants (kappa values between 0.83 and 0.97), whereas that on the immediate cause of death was moderate/substantial (kappa values between 0.43-0.75). The list of all other major diseases and their complications was almost complete for each observer, but that of the minor diseases showed a more considerable variation. In spite of the high level of agreement it is recommended that the autopsy findings be discussed among pathologists if the clinical picture cannot be explained satisfactorily, and that the cause of death be determined by the clinicians after the demonstration of the autopsy.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 4","pages":"333-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.4.333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19012471","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: 14

The role of autopsy in cancer registration in Sweden, with special reference to findings in Malmö. 尸检在瑞典癌症登记中的作用，特别参考Malmö的发现。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-12-01 DOI: 10.1093/intqhc/5.4.291

N H Sternby

引用次数: 1

Autopsy and cause of death in randomized mammography studies. 随机乳腺x线摄影研究的尸检和死因

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-12-01 DOI: 10.1093/intqhc/5.4.303

A Lindgren

{"title":"Autopsy and cause of death in randomized mammography studies.","authors":"A Lindgren","doi":"10.1093/intqhc/5.4.303","DOIUrl":"https://doi.org/10.1093/intqhc/5.4.303","url":null,"abstract":"Four randomized Swedish studies on the usefulness of mammography in screening for breast cancer have been published. The results have shown a variable but positive effect of screening in women more than 50 years of age but the effect is questionable before this age. The protocol and end points however differ between the studies and in order to summarize the results of the present studies, an unbiased, blinded end-point committee was created. The results of this study have been published recently. The present communication only concerns the role of autopsy in this study. The deaths of 1367 patients with a diagnosis of breast cancer have been studied. The percentage of autopsy varied from 21 to 74% between the four studies. When autopsy was performed, 58% were found to have died from breast cancer, 13% from other malignancies and the rest from other diseases. In cases with no autopsy, 73% were considered to have died of breast cancer and 9% of other malignancies. Deaths due to other cancers included a surprising number of cancers of the stomach, gallbladder and pancreas, two to three times higher than expected.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 4","pages":"303-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.4.303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19013258","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: 6

Quality requirements in nursing departments: development and use of a general framework. 护理部门的质量要求:总体框架的制定和使用。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-09-01 DOI: 10.1093/intqhc/5.3.255

G Visser, J de Bekker

引用次数: 0

Design and results of the nursing quality assurance program in Hospital de la Santa Creu i Sant Pau: an integrated effort. 圣保罗圣克鲁医院护理质量保证项目的设计和结果:综合努力。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-09-01 DOI: 10.1093/intqhc/5.3.267

C Sanz, R Suñol, C Abelló, A Blanc

{"title":"Design and results of the nursing quality assurance program in Hospital de la Santa Creu i Sant Pau: an integrated effort.","authors":"C Sanz, R Suñol, C Abelló, A Blanc","doi":"10.1093/intqhc/5.3.267","DOIUrl":"https://doi.org/10.1093/intqhc/5.3.267","url":null,"abstract":"This paper aims to describe and evaluate the results of the Nursing Quality Assurance (QA) Program in the Hospital de la Santa Creu i Sant Pau. The program was designed in 1987 as part of a global QA program involving all aspects of patients' care. The QA Program was organized at three levels: hospital, ward and joint medical-nursing. During the first 3 years of the study the following activities were carried out: (A) nursing process and results; (B) risk management; (C) patients' opinion; (D) utilization review; (E) ward nursing QA programs. Among other significant results, the program has detected that only 55.6% patients manifest that they sleep well at hospital, hygiene of dependent males (51%) is significantly worse than dependent females (81%) and patients' falls are more prevalent among oriented patients (73%) than disoriented patients (27%). Also a significative improvement has been demonstrated after implementing corrective measures in patients' information (7.5/10-8.1/10) and patients without supervision in emergency areas became from 35% to 0.02%. New nursing records were designed as a result of the QA assessment. The most important conclusion is that the Nursing QA Program is a valid instrument to evaluate general problems in the hospital and concrete problems in each ward.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 3","pages":"267-73"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.3.267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19248858","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: 1

Acute myocardial infarction: difference in the treatment between men and women. 急性心肌梗死:男女治疗差异。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-09-01 DOI: 10.1093/intqhc/5.3.261

M Dellborg, K Swedberg

引用次数: 41

Perceived needs and patient satisfaction in relation to care provided in individuals with rheumatoid arthritis. 类风湿性关节炎患者对护理的感知需求和患者满意度。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-09-01 DOI: 10.1093/intqhc/5.3.243

P Bendtsen, P Bjurulf

{"title":"Perceived needs and patient satisfaction in relation to care provided in individuals with rheumatoid arthritis.","authors":"P Bendtsen, P Bjurulf","doi":"10.1093/intqhc/5.3.243","DOIUrl":"https://doi.org/10.1093/intqhc/5.3.243","url":null,"abstract":"A cross-sectional study was performed upon a group of patients (N = 222) with rheumatoid arthritis (RA), from a Swedish health care district. The aim was to elucidate expectations and satisfaction with health care workers. The participants indicated that a good reception is more important than professional knowledge followed by the ability to inform about RA and the ability to show empathy. There was a trend towards increasing satisfaction with information about medical problems with severity of RA. This stands in contrast to the lack of such a systematic relation with regard to increasing functional disability as measured by the Stanford Health Assessment Questionnaire. Reasons for this could be that the physicians tend to respond more to clinical signs than to daily living restrictions. A relatively high percentage (around 80%) of the patients were satisfied with the surgical procedures offered to them. Only one third of the individuals felt that they had been involved in planning of treatment and discharge although a majority expressed this as very important. The importance of a continuous dialogue between patient and physician with regard to fulfillment of patient expectations is emphasized.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 3","pages":"243-53"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.3.243","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19248856","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: 37

Complaint and disciplinary systems in dentistry in Sweden: a presentation and discussion of their efficacy in preventing malpractice. 投诉和纪律制度在牙科在瑞典:介绍和讨论他们的功效在防止医疗事故。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-09-01 DOI: 10.1093/intqhc/5.3.187

N René, P L Westesson, B Owall

引用次数: 1