Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care最新文献_第7页

A pilot project on quality assurance in nursing care in the state of Schleswig-Holstein, Federal Republic of Germany. 德意志联邦共和国石勒苏益格-荷尔斯泰因州护理质量保证试点项目。

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.a036718

F Beske, P Heinrichs, F Short, I Thoben

引用次数: 0

Quality of care in residential homes: a comparison between Israel and Florida. 住宅护理质量:以色列和佛罗里达州的比较。

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.a036723

R Fleishman, N Ross, A Feierstein

{"title":"Quality of care in residential homes: a comparison between Israel and Florida.","authors":"R Fleishman, N Ross, A Feierstein","doi":"10.1093/oxfordjournals.intqhc.a036723","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036723","url":null,"abstract":"This paper reports on two studies of the quality of care in long-term care institutions for the elderly, one in Israel and one in Florida, which used the tracer methodology developed by the JDC-Brookdale Institute of Gerontology for examining quality of care in such institutions. A tracer is a well-defined and frequently occurring problem which has a known treatment. Tracers from the medical, nursing and psychosocial areas of care were used in the studies. Data were collected by multidisciplinary teams of medical and paramedical personnel who examined and interviewed elderly residents, interviewed staff members, conducted observations, and reviewed records. Differences inherent in the two study groups--such as in cultural norms and organizational systems--were taken into consideration, and the instruments were adjusted accordingly. The tracer method proved to be a feasible method for assessing quality of care in both locales. Findings regarding 12 tracers show that for units previously assessed as either good or poor/mediocre by surveyors, good units consistently scored higher than poor/mediocre units in quality of care. Florida scored higher for quality of care in the medical area, and Israel in the nursing and psychosocial areas.","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":"225-44"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12563730","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: 0

A nationwide quality assurance program can describe standards for the practice of pathology and laboratory medicine. 一个全国性的质量保证计划可以描述病理和检验医学实践的标准。

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.a036724

P J Howanitz, G G Hoffman, R B Schifman, R J Zarbo, S J Steindel, K Walker

{"title":"A nationwide quality assurance program can describe standards for the practice of pathology and laboratory medicine.","authors":"P J Howanitz, G G Hoffman, R B Schifman, R J Zarbo, S J Steindel, K Walker","doi":"10.1093/oxfordjournals.intqhc.a036724","DOIUrl":"https://doi.org/10.1093/oxfordjournals.intqhc.a036724","url":null,"abstract":"An important component of quality assessment is the analysis of peer group comparisons, although little data are available for evaluation. We developed and tested six interinstitutional quality indicators related to Pathology and Laboratory Medicine among 36 institutions. Results showed that the mean frequency of intraoperative frozen section consultations (6.0%), sensitivity of fine needle aspiration cytology diagnosis (87%), nosocomial infections (5.0%) and average cross-match to transfusion ratio (2.1%) was comparable with previous studies, but the range of values was large. The median stat laboratory turnaround time of approximately 1 hr for CSF cell count, glucose, protein and gram smear was considerably longer than expected from previous investigations, and was longer for larger institutions. Analysis of serious laboratory reporting errors showed the lowest number detected by individuals working in transfusion medicine, and highest numbers among hematology workers. We conclude that interinstitutional comparison of data from quality assurance programs can be used to describe performance standards related to the quality and effectiveness 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":"245-56"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.intqhc.a036724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12563731","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

Is blood pressure measurement with a standard cuff reliable? 用标准袖带测量血压可靠吗?

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.a036720

M Stolt, G Sjönell, H Aström, L Hansson

引用次数: 0

Effectiveness of the daily record review at the medical emergency room department in a French teaching children's hospital. 某法语教学儿童医院急诊部每日记录审查的有效性。

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.a036721

P Lombrail, A Leroyer, C Vitoux-Brot, C Dolfuss, A Bourrillon, F Beaufils, M Hassan, M Brodin

引用次数: 3

The quality improvement system in the hospitals of Padua (Italy). 帕多瓦(意大利)医院的质量改进体系。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-06-01

C Favaretti, A Mariotto

引用次数: 0

Quality assurance in urine analysis. 尿液分析的质量保证。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-06-01

L Larsson, S Ohman

引用次数: 0

Group judgments of appropriateness: the effect of panel composition. 适当性的群体判断:小组组成的影响。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-06-01

L L Leape, R E Park, J P Kahan, R H Brook

{"title":"Group judgments of appropriateness: the effect of panel composition.","authors":"L L Leape, R E Park, J P Kahan, R H Brook","doi":"","DOIUrl":"","url":null,"abstract":"The current interest in the development of practice guidelines raises an important question about the effect of expert panel composition on the outcome of the guideline development process. We compared the ratings of appropriateness of indications for carotid endarterectomy produced by two panels: an all-surgical panel and a \"balanced\" panel composed of four surgeons, two neurologists, and one specialist each from family practice, internal medicine, and radiology. We then compared the effect of the two sets of ratings when used to evaluate 1302 patients who had undergone carotid endarterectomy. The all-surgical panel found more indications \"appropriate\" (24 versus 14%) and fewer indications \"inappropriate\" (61 versus 70%) than the balanced panel (p less than 0.01). The all-surgical panel also more often reached agreement. When ratings were applied to patients, 70% were appropriate by the all-surgical criteria versus 38% by the balanced panel, while 19% of the operations were inappropriate by all-surgical criteria, versus 31% by the balanced panel ratings. However, the percentage of procedures judged \"inappropriate with agreement\" was 15% for all-surgical and 16% for the balanced panel. We conclude that the all-surgical panel was more likely to favor operative treatment for carotid disease than the multispecialty panel, but that concensus judgments of inappropriateness by the two panels were very similar.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"4 2","pages":"151-9"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12680308","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: 0

Need for and influence of feedback from the Finnish birth register to data providers. 芬兰出生登记处对数据提供者反馈的需求和影响。

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-06-01

E Hemminki, J Teperi, K Tuominen

{"title":"Need for and influence of feedback from the Finnish birth register to data providers.","authors":"E Hemminki, J Teperi, K Tuominen","doi":"","DOIUrl":"","url":null,"abstract":"Data for the Finnish medical birth register (established 1987) are collected by local hospital personnel as a part of their routine work. The purpose of this study was to study the need of personnel for feedback and the impact of feedback on later data quality. Furthermore, we studied whether such feedback tends to modify extreme cesarean section rates. Data on attitudes towards the birth register and on the need for feedback of data providers were collected through interviews and observations. In March 1988, an information package describing births, birth procedures and infant outcomes in each hospital compared with other hospitals was sent to a random stratified sample of 26 hospitals out of a total of 53. Opinions of the package were obtained by questionnaire from 104 physicians and nurses (82% response rate). Most hospital personnel, especially physicians, had negative attitudes towards the birth register. Comparison of the hospitals which had received feedback with other hospitals in terms of quality of data furnished in 1987 and 1988 suggested that feedback may improve the technical quality of data. There was no evidence, however, that feedback caused hospitals to change their practices in regard to cesarean sections.","PeriodicalId":77341,"journal":{"name":"Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care","volume":"4 2","pages":"133-9"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12680306","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: 0

What makes outpatient attendance worthwhile for patients? 是什么让门诊对病人来说是有价值的?

Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care Pub Date : 1992-06-01

J Smith, C Sanderson

引用次数: 0