Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第6页

Why do cardiology out-patient appointments fail in Saudi Arabia? 为什么沙特阿拉伯的心脏病门诊预约失败?

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.a036730

A al-Khadra, G Magbool, L Wosornu, S al-Awdah, H Qutub, R al-Khatib

{"title":"Why do cardiology out-patient appointments fail in Saudi Arabia?","authors":"A al-Khadra, G Magbool, L Wosornu, S al-Awdah, H Qutub, R al-Khatib","doi":"10.1093/oxfordjournals.intqhc.a036730","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036730","url":null,"abstract":"In a retrospective study, 534 appointments for a cardiology clinic were analysed to determine the frequency of no-show and to identify contributory factors. The overall rate of no-show was 30.1%, which is higher than the 18% and 20% reported from other teaching hospitals. Variables with the strongest univariate association with no-show were nationality (Saudi 35%, non-Saudi 22%; p = 0.0015), gender (males 34%, females 25%; p = 0.03), heart failure (present 44%, absent 27.9%; p = 0.005) and valvular heart disease (present 23.4%, absent 32.6%; p = 0.04). Turning to a stepwise logistic regression to predict no-show behaviour, we found that nationality, gender and heart failure were significant, while valvular heart disease was not. We conclude by recommending that physicians and mass media should share in the responsibility of stressing the importance of keeping out-patient department (OPD) appointments to all patients especially those who are more prone to no-show behaviour, namely male nationals. Telephone and mailed reminders have been used successfully to improve attendance at the OPD, and can be evaluated in our community.","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":"305-10"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12659669","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

Outcomes of care for anesthesia services: a pilot study. 麻醉服务的护理结果:一项初步研究。

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.a036729

S T Fleming

引用次数: 5

Comparison of information: a way to improve the quality of health care. 信息比较:提高卫生保健质量的一种途径。

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.a036733

K Staehr Johansen

{"title":"Comparison of information: a way to improve the quality of health care.","authors":"K Staehr Johansen","doi":"10.1093/oxfordjournals.intqhc.a036733","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036733","url":null,"abstract":"Quality of care is a growing concern of health care providers, financers and consumers, as regards both the cost and the outcome. Uncertainty about what is appropriate health care has triggered interest in comparing the outcomes of different health care practices. This paper addresses the necessity to compare information on variations in practice, utilization and cost of health care delivery. However, for general improvements in the outcome of health care, a variety of partners, such as ministries of health, non-governmental organizations, professional societies, third party financers and consumer groups, must be actively involved. The Regional Office for Europe of the World Health Organization (WHO/EURO) regularly collects data from member states. Such data collection is part of the monitoring of the European regional strategy for Health for All by the year 2000. These data can and actually are being used for the purpose of comparison of achievements in accordance with the European Health for All policy in member states. In addition, other indicators, information systems and longitudinal databases are being developed in collaboration with different professions, and provider and community groups to serve as instruments for quality assurance in the European region primarily at the level of health care services. However, this approach, which has been promoted over the past decade by the Quality of Care and Technologies programme of the WHO/EURO, is gradually gaining momentum at all levels of health care as a useful tool for quality assessment and development.","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":"329-36"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12659672","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

Quality in alternative medicine. 替代医学的质量。

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.a036734

P Tovey

引用次数: 0

The reform of the National Health Service. 国民保健制度的改革。

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.a036727

B Abel-Smith

引用次数: 5

An evaluation of the mathematical skills of beginner Swedish nursing students. 初学瑞典护理学生数学技能的评估。

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.a036731

I D Kapborg

{"title":"An evaluation of the mathematical skills of beginner Swedish nursing students.","authors":"I D Kapborg","doi":"10.1093/oxfordjournals.intqhc.a036731","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036731","url":null,"abstract":"During the autumn of 1989 a mathematical test was given to 997 students attending a 2-year program of nursing education and 188 students on a 3-year program of nursing education. The test consisted of 65 items. Apart from the four fundamental rules of arithmetics, the test included calculations concerning fractions, scales, transformation of units and percentages. The level of the test was comparable to the 9-year compulsory school curriculum. The main purpose of the present study was to investigate whether nursing students had adequate knowledge and skills in mathematics when they started their studies. The result showed that approximately 50% of the items were solved correctly. The nursing students attending a 3-year nursing education program had higher average scores than the group attending a 2-year education program. The result is discussed in connection with medical errors. The Swedish Medical Responsibility Board supervises nurses' professional work and penalizes those who give wrong doses of drugs 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":"4 4","pages":"311-7"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12659670","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: 11

Validation of a patient satisfaction system in the United Kingdom. 英国患者满意度系统的验证。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-09-01 DOI: 10.1093/oxfordjournals.intqhc.a036716

C Smith

引用次数: 40

Continuous improvement of nursing practice: experience in Québec. 护理实践的持续改进:曲海的经验。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-09-01 DOI: 10.1093/oxfordjournals.intqhc.a036717

M Chagnon

{"title":"Continuous improvement of nursing practice: experience in Québec.","authors":"M Chagnon","doi":"10.1093/oxfordjournals.intqhc.a036717","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036717","url":null,"abstract":"Health care professionals must be accountable for the quality of their practice and self-regulating professional organizations have the responsibility to ensure that the public receives the best possible care to which it is entitled. Québec's legislation mandates professional corporations to supervise the practice of their members. The nursing profession comes under that legislation and, at l'Ordre des infirmières et infirmiers du Québec, a program of professional inspection has existed since 1976. The philosophy of this program is based on individual and collective responsibility of nurses towards the continuous improvement of their practice and the enhancement of the quality of care they provide. Standards and criteria of competence were elaborated with the participation of groups of nurses, validated by large samples of the population and distributed to all nurses. Evaluation tools were devised and have progressed over the years. The concepts of self-evaluation (Bandura, Am Psychol 33: 344, 1978; Bandura, Prentice Hall, 1986; Knox and MacKay, Nurs Papers/Perspect Nurs 4: 17, 1982) and of self-managed collective development (Payette, Rev québécoise Psychol 5: 104, 1984) have inspired the program, allowing nurses to identify their needs, set priorities and determine their plan of action. A study to evaluate the impact of the program is now in progress. This article will describe the conceptual framework, the method of evaluation, its application, the reactions of nurses as well as some of the results observed concerning the improvement of practice and of quality of care.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"4 3","pages":"179-86"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12564437","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: 2

Preoperative evaluation in non-cardiac surgery: cardiac risk assessment. 非心脏手术的术前评估:心脏风险评估。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-09-01 DOI: 10.1093/oxfordjournals.intqhc.a036722

C Maggio, A Bonzano, E Conte, D Libertucci, M Panarelli, M Bobbio, P P Pintor

{"title":"Preoperative evaluation in non-cardiac surgery: cardiac risk assessment.","authors":"C Maggio, A Bonzano, E Conte, D Libertucci, M Panarelli, M Bobbio, P P Pintor","doi":"10.1093/oxfordjournals.intqhc.a036722","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036722","url":null,"abstract":"Nine hundred and ninety patients, ages 20 years or older, undergoing non-cardiac elective surgery were prospectively studied to identify high cardiac risk preoperative factors in a case-mix population and to assess cardiological risk. The prevalence of major cardiac complications was 2.3%, including 0.8% mortality. Univariate analysis showed that: age; history of chest pain; dyspnea; hypertension; presence of systolic murmur and third sound; diastolic pressure greater than 95 mmHg; electrocardiogram left ventricular hypertrophy; cardiothoracic ratio greater than 0.5 and valvular calcifications are associated with cardiac complications (p = 0.001-0.02), with low sensitivity (range: 14-38%) and high specificity (range: 85-98%). Cardiological referral was required for 169 patients (17%) that showed a higher prevalence of cardiovascular diseases (85%) and of cardiac complications (5.3%). Cardiologists required further tests for 13 patients (7.7%) and modified therapy for 93 (55%). High cardiac risk patients are identified preoperatively in current practice and cardiological referral is frequent; further studies are mandatory to evaluate the most effective and efficacious procedures.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"4 3","pages":"217-24"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12563729","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: 11

Specifying quality in health and social care. 规定保健和社会保健的质量。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-09-01 DOI: 10.1093/oxfordjournals.intqhc.a036719

K Hurst

引用次数: 3