Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第5页

Quality nursing care survey, 1988-1990. 1988-1990年护理质量调查。

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/5.1.57

R Ron, Y Bar-Tal

{"title":"Quality nursing care survey, 1988-1990.","authors":"R Ron, Y Bar-Tal","doi":"10.1093/intqhc/5.1.57","DOIUrl":"https://doi.org/10.1093/intqhc/5.1.57","url":null,"abstract":"In a quality nursing care survey conducted in Israel, 1988-1990, the four nursing process components were examined. The survey covered 13 hospitals with 119 medical and surgical wards, in which the nursing care quality for a sample of 2065 patients was assessed. Instruments used were (a) the Patient Classification Form, to assess patient dependency level, and (b) Monitor--an index of the quality of nursing care for acute medical and surgical wards [Goldstone et al., Polytechnic Products, Newcastle upon Tyne, 1982], a British adaptation of the Rush Medicus methodology [Jelinek et al., US Dept of Health, Education and Welfare, 1974]. The survey process involved orientation of the hospitals' senior staff, and training of participants in the administration of patient classification and of Monitor. The highest quality nursing care was found in \"Meeting the patient's physical needs\"; the lowest in \"Assessment and planning of patient care\". Factors chosen for possible influence on quality of nursing care were: patient dependency category, type of ward (medical, surgical), ward size and hospital size. The most influential factor was found to be the patient dependency category.","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":"57-65"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.1.57","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19439931","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: 10

An instrument to assess acute respiratory infection case management in Egypt. 评估埃及急性呼吸道感染病例管理的工具。

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/5.1.67

L H Harrison, N Khallaf, M el Mougi, H Koura, I Shobair, N Terreri

{"title":"An instrument to assess acute respiratory infection case management in Egypt.","authors":"L H Harrison, N Khallaf, M el Mougi, H Koura, I Shobair, N Terreri","doi":"10.1093/intqhc/5.1.67","DOIUrl":"https://doi.org/10.1093/intqhc/5.1.67","url":null,"abstract":"Unlabelled: To develop an instrument to measure the quality of acute respiratory infection (ARI) case management among Egyptian children.Methods: A baseline survey of all health facilities in a single district, using a multi-data source instrument. Data sources included providers, caretakers, patient records and observation of patient care.Main results: Physicians did not count the respiratory rate and check for subcostal retraction. Eighty-seven per cent of children who did not require antibiotics received them. Of five children who required antibiotics, four (80%) were prescribed an oral regimen. Three of these should have been admitted to a hospital but were not. Antibiotics were available at the facilities an estimated 7.9 months per year. Oxygen for inpatient treatment was available in one of two hospitals.Conclusions: This instrument was useful for comprehensively evaluating facility capability to provide quality case management. Deficiencies were identified but were not unexpected in a baseline survey. The Egypt ARI program has the potential to have a substantial impact on how children with ARI are diagnosed and treated in health facilities.","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":"67-73"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.1.67","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19439932","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

Patient satisfaction surveys subsequent to hospital care: problems of sampling, non-response and other losses. 住院治疗后患者满意度调查:抽样、无反应和其他损失的问题。

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/5.1.19

M Ehnfors, B Smedby

引用次数: 61

Effect of total hip replacement on quality of life. 全髋关节置换术对生活质量的影响。

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/5.1.9

I Goldie

引用次数: 2

Quality assurance of medical research? 医学研究的质量保证?

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/5.1.1

P Reizenstein

引用次数: 0

Indications for cholecystectomy: the results of a consensus panel approach. 胆囊切除术的适应症:共识小组方法的结果。

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/5.1.75

G M Fraser, D Pilpel, S Hollis, J Kosecoff, R H Brook

{"title":"Indications for cholecystectomy: the results of a consensus panel approach.","authors":"G M Fraser, D Pilpel, S Hollis, J Kosecoff, R H Brook","doi":"10.1093/intqhc/5.1.75","DOIUrl":"https://doi.org/10.1093/intqhc/5.1.75","url":null,"abstract":"A consensus panel approach was used in Israel to develop a list of clinical indications for which there was agreement that cholecystectomy should be performed. Nine physicians from different disciplines were asked to score a list of 266 clinical indications for cholecystectomy. Each indication was scored on a scale of 1 (inappropriate, i.e. health risks exceed health benefits) to 9 (appropriate, i.e. benefits exceed risks). Each indication also included one of four comorbidity levels (none to high). Agreement and disagreement were defined and panelists met to discuss, modify and rescore the list. The composition of the panel and definitions of agreement had a considerable impact on the preparation of a list of agreed, appropriate indications for cholecystectomy. Gastroenterologists in the panel were less likely to recommend surgery than either surgeons or general internists both before and after the panel discussion. Following the discussion the level of agreement (defined as after discarding the highest and lowest score all of the remaining seven panelists were in a 3-point range) increased from 39% to 46% (p < 0.08) and disagreement decreased from 27% to 18% (p < 0.01). Fifty-nine of the 266 indications were considered appropriate with agreement.","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":"75-80"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.1.75","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19440509","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: 20

The agreed indications and contra-indications for cholecystectomy. 胆囊切除术的适应症和禁忌症。

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/5.1.81

G M Fraser, D Pilpel, S Hollis, J Kosecoff, R H Brook

引用次数: 2

What is important in psychiatric inpatient care? Quality of care from the patient's perspective. 在精神科住院病人护理中，什么是重要的?从病人的角度看护理质量。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1993-03-01 DOI: 10.1093/intqhc/5.1.41

L Hansson, T Björkman, I Berglund

{"title":"What is important in psychiatric inpatient care? Quality of care from the patient's perspective.","authors":"L Hansson, T Björkman, I Berglund","doi":"10.1093/intqhc/5.1.41","DOIUrl":"https://doi.org/10.1093/intqhc/5.1.41","url":null,"abstract":"The development of quality assurance programs for psychiatric care has increased the interest in quality of care and accountability from the patient's perspective. However, most investigations of patient satisfaction use instruments which rate aspects of care defined and held to be important by professionals and care givers. The aims of this study were 2-fold. To map descriptive characteristics of ideal inpatient psychiatric care through open patient interviews, using a sample of 78 hospitalized patients and, secondly, based on a content analysis of these interviews, to have another sample of 77 hospitalized patients rank the importance of 48 treatment characteristics extracted from the qualitative analysis. Results of the content analysis showed that characteristics of ideal inpatient treatment could be classified in six categories: staff-patient relationship, patient co-influence, treatment content, activities, ward atmosphere and staff competence. Results from the patients' rating of the importance of treatment characteristics showed that patients put the highest emphasis on staff empathic qualities: being caring, interested and understanding, respecting patients, devoting time to patients, and creating a safe treatment environment. The least importance was ascribed to characteristics of the physical environment and daily routines on the ward. It is concluded that in order to secure content validity of investigations of the quality of psychiatric inpatient care from the patient's perspective, effort should be put into including the areas of staff-patient relationships and patient information and co-influence.","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":"41-7"},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/intqhc/5.1.41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19439929","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: 108

Absenteeism as a symptom of occupational ill-health in hospitals and its repercussion on quality assurance. 旷工作为医院职业病的一种症状及其对质量保证的影响。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-12-01 DOI: 10.1093/oxfordjournals.intqhc.a036728

J J Mira, J Vitaller, J A Buil, J M Aranaz, J F Herrero

{"title":"Absenteeism as a symptom of occupational ill-health in hospitals and its repercussion on quality assurance.","authors":"J J Mira, J Vitaller, J A Buil, J M Aranaz, J F Herrero","doi":"10.1093/oxfordjournals.intqhc.a036728","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036728","url":null,"abstract":"The purpose of the present study was to evaluate the importance of absenteeism due to illness in the hospital organization. A measurement of absenteeism due to illness among hospital professionals of the National Health System in the Alicante province (Spain) during the years 1988, 1989 and 1990 was carried out, as well as its repercussion on quality assurance in health care. The absenteeism index (frequency) was 5.39, 6.38 and 6.79 in 1988, 1989 and 1990, respectively. The extent of absenteeism (duration) in 1988 was 19.7 days per worker, and was 24.23 in 1989 and 26.45 in 1990. Hospitals with more than 400 beds presented during these periods poor absenteeism self-control. Maintenance personnel, nurses, administrative personnel and graduates had, in this order, the highest scores of days lost. We show that the dimension of Intrinsic Job Satisfaction, Extrinsic Job Satisfaction and Job Monotony are interrelated with absenteeism.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"4 4","pages":"273-87"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12659667","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

"Avoidable" causes of death in Sweden 1974-85. 1974- 1985年瑞典"可避免"的死亡原因。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-12-01 DOI: 10.1093/oxfordjournals.intqhc.a036732

R Westerling

引用次数: 27