Journal of quality in clinical practice最新文献_第7页

Towards system-wide strategies for reducing adverse drug events 制定减少药物不良事件的全系统战略

Journal of quality in clinical practice Pub Date : 2002-02-28 DOI: 10.1046/j.1440-1762.1999.00299.x

RB Clark BSc, MPH, JD Graham AM, JA Williamson AM, BSc, MBBS, FANZCA

引用次数: 4

Adverse events in health care: Setting priorities based on economic evaluation 卫生保健中的不良事件:根据经济评估确定优先事项

Journal of quality in clinical practice Pub Date : 2002-02-28 DOI: 10.1046/j.1440-1762.1999.00301.x

K Rigby RN, BEc, MSc(Med), MSc(Hlth Econ), RB Clark BSc, MPH, WB Runciman MBBCh, FANZCA, FFICANZCA, FRCA, FHKCA, PhD

引用次数: 79

Quality assessment in private practice: The clinician as service provider 私人执业质量评价:临床医生作为服务提供者

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00424.x

Grant Phelps BMBS FRACP

引用次数: 2

The application of statistical process control charts to the detection and monitoring of hospital-acquired infections 统计过程控制图在医院获得性感染检测与监测中的应用

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00423.x

Anthony P Morton MSc(Appl), MD, Michael Whitby MPH, FRACP, Mary-Louise McLaws MPH, PhD, Annette Dobson MSc, PhD, Sean McElwain BSc(Hons), PhD, David Looke MClinEpidemiol, FRACP, Jenny Stackelroth RN, GradDipInfControl, Anna Sartor BSc(Hons), PhD

{"title":"The application of statistical process control charts to the detection and monitoring of hospital-acquired infections","authors":"Anthony P Morton MSc(Appl), MD, Michael Whitby MPH, FRACP, Mary-Louise McLaws MPH, PhD, Annette Dobson MSc, PhD, Sean McElwain BSc(Hons), PhD, David Looke MClinEpidemiol, FRACP, Jenny Stackelroth RN, GradDipInfControl, Anna Sartor BSc(Hons), PhD","doi":"10.1046/j.1440-1762.2001.00423.x","DOIUrl":"10.1046/j.1440-1762.2001.00423.x","url":null,"abstract":" Abstract The monitoring of infection control indicators including hospital-acquired infections is an established part of quality maintenance programmes in many health-care facilities. However, surveillance data use can be frustrated by the infrequent nature of many infections. Traditional methods of analysis often provide delayed identification of increasing infection occurrence, placing patients at preventable risk. The application of Shewhart, Cumulative Sum (CUSUM) and Exponentially Weighted Moving Average (EWMA) statistical process control charts to the monitoring of indicator infections allows continuous real-time assessment. The Shewhart chart will detect large changes, while CUSUM and EWMA methods are more suited to recognition of small to moderate sustained change. When used together, Shewhart and EWMA methods are ideal for monitoring bacteraemia and multiresistant organism rates. Shewhart and CUSUM charts are suitable for surgical infection surveillance.","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 4","pages":"112-117"},"PeriodicalIF":0.0,"publicationDate":"2002-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1440-1762.2001.00423.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57636598","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: 127

Quality of health services and early postpartum discharge: Results from a sample of non-English-speaking women 保健服务质量与产后早期出院:来自非英语妇女样本的结果

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00431.x

Mai Tran MD, MPH, PhD, Lis Young FAFPHM, RCAP, Hai Phung MD, MPH, Ken Hillman MBBS, FRCAnaes(Eng), FFICANZCA, Karen Willcocks RN

{"title":"Quality of health services and early postpartum discharge: Results from a sample of non-English-speaking women","authors":"Mai Tran MD, MPH, PhD, Lis Young FAFPHM, RCAP, Hai Phung MD, MPH, Ken Hillman MBBS, FRCAnaes(Eng), FFICANZCA, Karen Willcocks RN","doi":"10.1046/j.1440-1762.2001.00431.x","DOIUrl":"10.1046/j.1440-1762.2001.00431.x","url":null,"abstract":" Abstract Few studies have explored the knowledge, perceptions and satisfaction of ethnic women in relation to early obstetric discharge. The aim of this study was to form a profile of Vietnamese mothers who opt for early postpartum discharge, and to identify factors associated with those decisions. Focus group discussions, in-depth interviews and survey questionnaires were utilized to collect information from a sample of 160 mothers. Sixty mothers (38%) opted for early discharge (< 48 h). Factors strongly associated with early discharge were poor comprehension of English (OR = 6.58, 95% CI = 1.81, 24.02), very low level of education (OR = 3.10, 95% CI = 1.55, 6.20) and first time mother (OR = 2.70, 95% CI = 1.15, 4.27). The in-depth interviews identified further factors driving early discharge, including fear and anxiety when having to approach staff for assistance, and perceptions of disempowerment within culturally unfamiliar hospital surroundings. The findings in this study ought to alert administrators and clinicians to possible negative drivers for the choice of early postpartum discharge by Vietnamese mothers.","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 4","pages":"135-143"},"PeriodicalIF":0.0,"publicationDate":"2002-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1440-1762.2001.00431.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57636761","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

General practitioner–hospital communications: A review of discharge summaries 全科医生-医院通信:出院摘要综述

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00430.x

Stephen Wilson MBBS, FRACGP, FAFRM, Warwick Ruscoe MBBS, FRACMA, FAMA, Margaret Chapman BSocStud, MPH, Rhona Miller RN, BHlthSc(Nurs)

{"title":"General practitioner–hospital communications: A review of discharge summaries","authors":"Stephen Wilson MBBS, FRACGP, FAFRM, Warwick Ruscoe MBBS, FRACMA, FAMA, Margaret Chapman BSocStud, MPH, Rhona Miller RN, BHlthSc(Nurs)","doi":"10.1046/j.1440-1762.2001.00430.x","DOIUrl":"10.1046/j.1440-1762.2001.00430.x","url":null,"abstract":" Abstract The objective of this study was to examine the reliability, effectiveness, accuracy and timeliness of hospital to general practitioner (GP) information transfer by discharge summaries produced in a general public hospital in New South Wales, Australia. A retrospective audit of 569 patient discharge summaries and related medical records with a targeted GP interview was performed to determine receipt and clinical value of the recorded information. The main outcome measure was the number and quality of discharge summaries received by patient-nominated GPs. Summaries written for patients discharged from hospital were estimated to be received by the patient-nominated GP in 27.1% of cases. Discharge summaries audited were rated as being 63.6% accurate, with errors occurring in all facets of production. The current method of discharge summary production and distribution is unacceptable. The high number of errors (36.4%) and the low rate of receipt (27.1%), indicates that resources invested in the production of the discharge summary could be better utilized to improve information transfer.","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 4","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2002-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1440-1762.2001.00430.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57636749","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: 180

Recovery after stroke: A qualitative perspective 中风后的恢复:一个定性的视角

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00426.x

Bev O’Connell RN, PhD, FRCNA, Barbara Hanna RN, PhD, Wendy Penney RN, MN, Julian Pearce RN, MN, FRCNA, Martin Owen RN, BN(Hons), Phil Warelow RN, MN

引用次数: 99

An evidence-based medicine fellowship in a children’s teaching hospital 儿童教学医院的循证医学奖学金

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00427.x

Mark G Coulthard MB, BS, FRACP, Leisha A Callaghan MB, BS, FRACP

{"title":"An evidence-based medicine fellowship in a children’s teaching hospital","authors":"Mark G Coulthard MB, BS, FRACP, Leisha A Callaghan MB, BS, FRACP","doi":"10.1046/j.1440-1762.2001.00427.x","DOIUrl":"10.1046/j.1440-1762.2001.00427.x","url":null,"abstract":" Abstract This paper reports the introduction of an evidence-based medicine fellowship in a children’s teaching hospital. The results are presented of a self-reported ‘evidence-based medicine’ questionnaire, the clinical questions requested through the information retrieval service are outlined and the results of an information retrieval service user questionnaire are reported. It was confirmed that clinicians have frequent clinical questions that mostly remain unanswered. The responses to four questions with ‘good quality’ evidence-based answers were reviewed and suggest that at least one-quarter of doctors were not aware of the current best available evidence. There was a high level of satisfaction with the information retrieval service; 19% of users indicated that the information changed their clinical practice and 73% indicated that the information confirmed their clinical practice. The introduction of an evidence-based medicine fellowship is one method of disseminating the practice of evidence-based medicine in a tertiary children’s hospital.","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 4","pages":"126-130"},"PeriodicalIF":0.0,"publicationDate":"2002-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1440-1762.2001.00427.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57636673","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

A review of clinical risk management 临床风险管理综述

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00421.x

Julie Carol Misson BAppSc(Nursing)

引用次数: 24

Prioritising quality 优先考虑质量

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI: 10.1046/j.1440-1762.2001.00425.x

Joseph E Ibrahim PhD, FRACP

引用次数: 3