Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第3页

Evaluation of the appropriateness of plain chest film in chronic diseases. 慢性疾病胸片的适宜性评价。

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/5.3.213

R Marquet i Palomer, J Davins i Miralles

{"title":"Evaluation of the appropriateness of plain chest film in chronic diseases.","authors":"R Marquet i Palomer, J Davins i Miralles","doi":"10.1093/intqhc/5.3.213","DOIUrl":"https://doi.org/10.1093/intqhc/5.3.213","url":null,"abstract":"Objective: To improve continuity of care and appropriateness of plain chest film orders in patients suffering from chronic diseases (hypertension, chronic obstructive pulmonary disease (COPD) and lung tuberculosis.Design: Retrospective evaluation study using explicit and normative consensued criteria.Setting: Urban health center.Results: Compliance with the continuity criteria was 48%, 65% and 76% in three successive evaluations. Compliance with the appropriateness criteria was 52% and 62%. Orders from patients with COPD were responsible for most of the lack of compliance. Causes of non-compliance with the continuity criteria were attitude and organizational problems; with regard to appropriateness, the main cause was external to the Health Center.Conclusions: (1) Difficulty in improving registers, reflecting a defect in the continuity of care. (2) Usefulness of evaluation in discovering the causes of the problems, in these cases an external one. (3) Difficulty of improvement when the cause of the problem is external to our own setting. (4) Partial effectiveness of continuing education measures because of professional changes in the Health Center.","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":"213-7"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.3.213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19249592","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

Radiation oncology: quality assurance and cost-effectiveness in Australia. 放射肿瘤学:澳大利亚的质量保证和成本效益。

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/5.3.219

J Best, G Cantwell, R Wilson

引用次数: 5

Assessing quality of life in leukemia: presentation of an instrument for assessing quality of life in patients with blood malignancies. 评估白血病患者的生活质量:介绍一种评估血液恶性肿瘤患者生活质量的仪器。

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/5.3.201

A M Stalfelt, B Wadman

引用次数: 14

Preceptorship in clinical nursing education in Sweden: aspects of quality assurance. 瑞典临床护理教育中的见习制:质量保证方面。

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/5.3.227

I Thorell-Ekstrand, H Björvell, L Blanchard-Caesar

{"title":"Preceptorship in clinical nursing education in Sweden: aspects of quality assurance.","authors":"I Thorell-Ekstrand, H Björvell, L Blanchard-Caesar","doi":"10.1093/intqhc/5.3.227","DOIUrl":"https://doi.org/10.1093/intqhc/5.3.227","url":null,"abstract":"Nursing education in Sweden is in a changing phase and the aim of this study is to describe a group of nurse preceptors and explore some of the factors that are believed to be of importance to clinical teaching according to the current model. Staff nurses (N = 86) who served as preceptors to students during their main clinical training in the areas of surgical, medical and long-term care participated in the study. Data were collected by means of a questionnaire designed for the study and the Nurse Self Description Form (NSDF). The results revealed that 39% of the preceptors had less than two years experience as Registered Nurses and 30% were less than 26 years old. These less experienced preceptors evaluated the amount of education they had received concerning the nursing process and related subjects as significantly higher when compared to the more experienced nurses. Approximately one fourth of the preceptors (N = 23) were using care planning in their ordinary work and another 29 had prior experience, but many preceptors (N = 34, 39%) had no direct experience of individualized care planning. Although there was a great deal of variance, the preceptors' estimation of their own professionalism such as in teaching, leadership and knowledge mastery as measured by the NSDF did not reveal any significant differences from ordinary nurses in a reference group. It is concluded that the quality of the important clinical part of nurse education may vary according to individual experience and knowledge of the preceptors.","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":"227-36"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.3.227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19249594","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: 4

Quality of rehabilitation care in two inpatient geriatric settings. 两所老年住院医院的康复护理质量。

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/5.3.237

N Bentur, R Eldar

引用次数: 10

Data comparability issues in international research and quality assurance. 国际研究和质量保证中的数据可比性问题。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-06-01 DOI: 10.1093/intqhc/5.2.143

J L Dreachslin, M Zernott, S Mendenhall, E R Nieuwenjuijsen

引用次数: 3

Quality assurance in the United Kingdom. 质量保证在英国。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-06-01 DOI: 10.1093/intqhc/5.2.107

C D Shaw

引用次数: 24

Delivery of primary care in hospital and community settings in Australia. 在澳大利亚的医院和社区提供初级保健。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-06-01 DOI: 10.1093/intqhc/5.2.131

A R Keith, J E Pirkis, R C Viney, C M Katz, R M Lagaida, H Britt, L Baden

引用次数: 8

Improving quality in emergency services to reduce hospital admission. 提高急诊服务质量，减少住院人数。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-06-01 DOI: 10.1093/intqhc/5.2.127

P Rossi, F Tosato, P Franceschinis, M Barberi, M Zuddas, E Barboni, F Perraro

{"title":"Improving quality in emergency services to reduce hospital admission.","authors":"P Rossi, F Tosato, P Franceschinis, M Barberi, M Zuddas, E Barboni, F Perraro","doi":"10.1093/intqhc/5.2.127","DOIUrl":"https://doi.org/10.1093/intqhc/5.2.127","url":null,"abstract":"At the Emergency Department of Udine General Hospital (Italy) a programme to reduce admissions to the Internal Medicine Department was introduced in 1991. The majority of these admissions come from the Emergency Department, where many people, often without acute conditions, claim medical care. The programme consisted in organizational, professional and economic changes. At the end of 1991, the overall number of admissions to Udine General Hospital, as compared to 1990, decreased by 7.1%, but admissions to the Internal Medicine Department showed an 11.2% reduction. Finally, examinations for internal medical complaints in the emergency ward, not followed by hospitalization, increased by 15.5%. These results showed a reduction in admissions to the Internal Medicine Department greater than previously planned, with an increase in the number of outpatient examinations in the emergency room not followed by admission. Further targets were planned for 1992 to increase the quality of the service.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 2","pages":"127-9"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.2.127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19349382","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: 3

Quality in alternative care. 替代护理的质量。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-06-01 DOI: 10.1093/intqhc/5.2.175

J Bohm

引用次数: 0