Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第4页

An investigation of awareness of antenatal protocols. 产前协议意识的调查。

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/5.2.119

A Yoong, N Simpson, C Hudson, T Chard

引用次数: 0

Registration of adverse patient occurrences in a university hospital: relations between adverse patient occurrences and characteristics of hospitalized patients. 某高校医院患者不良事件登记:患者不良事件与住院患者特征的关系

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/5.2.167

J Bomhof, F H Nieman, E Reerink

引用次数: 3

Quality assurance: an Australian lawyer's perspective. 质量保证:澳大利亚律师的视角。

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/5.2.103

M A Hartley, A Rassaby

引用次数: 2

Emergency treatment of bronchospastic attacks in an emergency medicine department: effects of a quality improvement project. 急诊内科支气管痉挛发作的急诊治疗:质量改进项目的效果。

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/5.2.123

E Barboni, C Liva, P Rossi, M Sacher, F Perraro

{"title":"Emergency treatment of bronchospastic attacks in an emergency medicine department: effects of a quality improvement project.","authors":"E Barboni, C Liva, P Rossi, M Sacher, F Perraro","doi":"10.1093/intqhc/5.2.123","DOIUrl":"https://doi.org/10.1093/intqhc/5.2.123","url":null,"abstract":"New insights have recently changed the therapeutical approach to bronchospastic attack (BA). In this paper we present the results of a quality assurance study devised to: (1) verify the extent to which these new insights are put into practice in our Emergency Medicine Department (EMD); (2) evaluate changes in EMD medical staff behaviour faced with BA after discussion and distribution of medical practice guidelines on the treatment of BA (a document produced by a group of experts in pulmonary medicine working in the EMD on the basis of current literature and personal experiences); (3) assess the impact of such guidelines on quality care. A retrospective analysis demonstrated an incorrect treatment of BA in the EMD. After the introduction of the guidelines we observed: (1) an improvement in physician behaviour that completely agreed with guidelines in 56% of instances after discussion and distribution of the document, in 8% before; (2) an improvement in the outcome of patients treated for BA in the EMD (13 versus 36% relapses for patients treated in the EMD and discharged).","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":"123-6"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.2.123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19350104","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: 5

Adverse patient occurrences in a university hospital: a comparison of screening results registered by specialists and by external review. 一所大学医院的病人不良事件:由专家和外部审查登记的筛选结果的比较。

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/5.2.157

J Bomhof, J W Arends, J van der Beek

{"title":"Adverse patient occurrences in a university hospital: a comparison of screening results registered by specialists and by external review.","authors":"J Bomhof, J W Arends, J van der Beek","doi":"10.1093/intqhc/5.2.157","DOIUrl":"https://doi.org/10.1093/intqhc/5.2.157","url":null,"abstract":"A quality assurance system for generic screening of patient care has been developed in a university hospital in The Netherlands. This system is based on the Medical Management Analysis System, developed in the United States. Patient care is systematically screened for adverse patient occurrences (APOs). Screening criteria have been developed and some adjustments have been made to the original system, because of structural differences in health care between the United States and The Netherlands. The results of a study comparing two screening strategies are presented: screening by a medically trained, outside reviewer and screening by the Ear, Nose and Throat specialists themselves. The reviewer screened almost all admissions to the department as opposed to the specialist, who filled in screening forms of only 77.5% of the admissions. Specialists are found to register more APOs in their own domain (42%) as compared to the screener (28%). Issues concerning the nursing process receive less attention by the specialists (14%) than by the screener (22%). Because the personnel delivering direct patient care are more familiar with and informed about this process of care, the importance is stressed of getting specialists as well as nurses involved in the evaluation of the care they deliver to patients.","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":"157-65"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.2.157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19349385","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 care in eastern Europe: the diagnosis is clear, the therapy not. 东欧的医疗质量:诊断明确，治疗不明确。

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/5.2.99

H Vuori

引用次数: 3

Major differences in trauma care between hospitals in Sweden: a preliminary report. 瑞典医院间创伤护理的主要差异:初步报告。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-03-01 DOI: 10.1093/intqhc/5.1.13

K A Alberts, B Brismar, A Nygren

{"title":"Major differences in trauma care between hospitals in Sweden: a preliminary report.","authors":"K A Alberts, B Brismar, A Nygren","doi":"10.1093/intqhc/5.1.13","DOIUrl":"https://doi.org/10.1093/intqhc/5.1.13","url":null,"abstract":"The quality of trauma care has been studied at five different Swedish hospitals. The results suggest that improvements in the quality of medical care for patients with severe road traffic injuries can be achieved by reorganizing the highly decentralized trauma care system in Sweden. Above all there is a need for a better structure and organization of the on-call system and of the cooperation of physicians of different specialties within the hospital. The medical care of patients with severe injuries was delayed in 30% and was inappropriate in 7% of cases. Assessment of the quality showed great variation between the hospitals. The medical care was in fact not best at the university hospital but at one well-functioning small hospital. It was an effect of an on-call system at the small hospital, which guarantees rapid participation of senior staff in both general surgery and orthopaedic surgery. The greatest problems arose in early diagnosis and treatment of bleeding in abdominal injuries. This was caused by inexperience in the first on-call team in combination with late assessment by second on-call consultants. Fractures of the femoral shaft in almost half of the cases did not get definitive surgery until several days after the accident.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"5 1","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.1.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19439925","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

Do doctors need Deming? 医生需要戴明吗?

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-03-01 DOI: 10.1093/intqhc/5.1.3

B T Collopy

引用次数: 4

Quality comparisons between privately and publicly managed health care centres in a suburban area of Stockholm, Sweden. 瑞典斯德哥尔摩郊区私营和公共管理卫生保健中心的质量比较。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-03-01 DOI: 10.1093/intqhc/5.1.33

H Hansagi, J Calltorp, S Andréasson

引用次数: 4

The appropriateness of human albumin use in the hospital of Padova, Italy. 意大利帕多瓦医院使用人白蛋白的适宜性。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-03-01 DOI: 10.1093/intqhc/5.1.49

C Favaretti, V Selle, A Marcolongo, A Orsini

引用次数: 7