Zeitschrift fur arztliche Fortbildung und Qualitatssicherung最新文献

{"title":"Etablierung eines Qualitätsmanagementsystems für Forschung und Lehre in einem epidemiologischen Universitätsinstitut","authors":"Anne Berghöfer,&nbsp;Maximilian de Bucourt,&nbsp;Stefan N. Willich","doi":"10.1016/j.zgesun.2007.11.001","DOIUrl":"10.1016/j.zgesun.2007.11.001","url":null,"abstract":"<div><p>Die vorliegende Arbeit analysiert die Entwicklung und Etablierung eines Qualitätsmanagementsystems in einem klinisch-theoretischen Forschungsinstitut am Beispiel des Instituts für Sozialmedizin, Epidemiologie und Gesundheitsökonomie der Charité – Universitätsmedizin Berlin. Das Institut etablierte das Qualitätsmanagementsystem eigenständig, ohne externe Berater, nach definitiven Aspekten der Norm innerhalb etwa eines Jahres. Das Institut wurde im Oktober 2005 nach DIN EN ISO 9001:2000 erfolgreich von einer extern autorisierten DIN-akkreditierten Prüfstelle zertifiziert und ein Jahr später rezertifiziert. Das Qualitätsmanagementsystem umfasst die Bereiche Forschung, Lehre und institutsinterne Verwaltung. Die Inhalte und der zugrundeliegende Zeitplan mögen exemplarisch für akademische Organisationen ähnlicher Ausrichtung und Größe dienen, die eine professionelle externe Zertifizierung anstreben.</p></div><div><p>The present article analyses the development and implementation of quality management systems at institutes for clinical and theoretical research as exemplified by the Charité University Medical Centre's Institute for Social Medicine, Epidemiology, and Health Economics in Berlin. The Institute established its quality management system independently (i.e. without external consultants) and was able to fulfil the standard requirements within one year. The quality management system was successfully certified under European Standard DIN EN ISO 9001:2000 by an authorized external DIN-accredited inspection authority in October 2005 and recertified one year later. The certification covered the areas of research, teaching, and supporting administration. Our description of the individual steps involved and the corresponding timeline may be useful to organizations of a similar type and size seeking professional external certification.</p></div>","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Pages 675-679"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27294155","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}

{"title":"News from Guidelines International Network","authors":"","doi":"10.1016/j.zgesun.2007.11.022","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.022","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Pages 691-692"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904314","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}

{"title":"Kongressbericht: Dokumentation der Fachtagung zur Einfuehrung der Kosten-Nutzenbewertung für Arzneimittel in Deutschland","authors":"","doi":"10.1016/j.zgesun.2007.11.012","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.012","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 659"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904318","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}

{"title":"Die Qualität von CME-Fragen in der ärztlichen Fortbildung – eine empirische Studie","authors":"Thomas Rotthoff ,&nbsp;Urte Fahron ,&nbsp;Thomas Baehring ,&nbsp;Werner A. Scherbaum","doi":"10.1016/j.zgesun.2007.11.005","DOIUrl":"10.1016/j.zgesun.2007.11.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Einleitung&lt;/h3&gt;&lt;p&gt;Mit der Änderung der ärztlichen Fortbildungsverpflichtungen ist ein deutlicher Anstieg an zertifizierten Fortbildungsangeboten (CME) zu verzeichnen. Eine Möglichkeit, Fortbildungspunkte zu erlangen, ist die strukturierte Fortbildung über Printmedien mit Erfolgskontrolle. International wird CME zunehmend auf den messbaren Nutzen für den Patienten ausgerichtet. Eine vergleichende Bewertung der Qualität und Praxisorientierung von Fortbildungsangeboten ist notwendig.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methode&lt;/h3&gt;&lt;p&gt;Für eine vergleichende Bewertung wurden 200 Items von 20 Fortbildungseinheiten aus vier deutschen renommierten Fachzeitschriften begutachtet. Kriterien waren die Lernziele sowie die Itemkonstruktion, Autorenvorgaben und Fragenqualität. Die Begutachtung der Items erfolgte unabhängig durch zwei in Itemerstellung und Review geschulten und geübten Personen. Die Analysen der beiden Gutachter wurden verglichen und eventuelle Abweichungen gemeinsam diskutiert.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Ergebnisse&lt;/h3&gt;&lt;p&gt;In allen Fortbildungseinheiten fanden sich Schwächen in der Fragenformulierung. Bei 52% der Items fehlte eine klare Fragestellung und alle Fortbildungseinheiten enthielten Items mit versteckten Lösungshinweisen. Nur bei 10% der Fragen war eine Fallvignette mit einem klinischen Szenario vorangestellt und nur 14,5% der Items fragten nach einer konkreten klinischen Entscheidung.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Schlussfolgerung&lt;/h3&gt;&lt;p&gt;Die CME-Fragen der ausgewählten Fachzeitschriften zeigen Schwächen in der Formulierung und prüfen überwiegend Faktenwissen. Verlagsabhängige Unterschiede sind erkennbar und lassen Rückschlüsse auf die Vorgaben an die Autoren zu. Der bisherige Prozess von Fragenerstellung und Review ist unzureichend. Die Berücksichtigung internationaler Standards bei der Fragenerstellung könnte zu einer Qualitätsverbesserung führen, die zugleich eine Übertragung der gelernten Inhalte auf eine konkrete klinische Behandlungssituation impliziert und damit den Anwendungsbezug der Fortbildung erhöht.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Changes in physician-training requirements have led to a significant increase in continuing medical education (CME) courses. Structured CME courses based on print media in combination with outcome evaluation offers one opportunity for earning credit points. On the international stage, CME courses are increasingly directed towards measurable patient benefit. Comparative assessment of quality and practical orientation in training courses is required.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;p&gt;Two hundred items in twenty training units from four established German medical journals were analysed for comparison-based evaluation. The criteria applied were training goals, as well as item construction, authors’ requirements and question quality. The items were analyzed independently by two persons trained and experienced in preparing and reviewing items. The analyses from the two assessors were then compared, and any deviations were subjec","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Pages 667-673"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27294154","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}

{"title":"Die Arzneimittelkommission der deutschen Aerzteschaft informiert: Zunahme der Meldungen von schwerwiegenden unerwuenschten Arzneimittelereignissen in den USA","authors":"","doi":"10.1016/j.zgesun.2007.11.013","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.013","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 660"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904327","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}

{"title":"Deutsche Krankenhaeuser werden immer besser - G-BA und BQS legen Ergebnisse zur stationaeren Versorgungsqualitaet vor","authors":"","doi":"10.1016/j.zgesun.2007.11.018","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.018","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 682"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904316","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}

{"title":"Ankuendigung: 3. Workshop \"Grading Evidence and Recommendations - Von der Evidenz zur Empfehlung\"","authors":"","doi":"10.1016/j.zgesun.2007.11.019","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.019","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 666"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904326","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}

{"title":"Ankuendigung: Dachkongress Patientensicherheit und Medizintechnik: APS und MEK 2008, 6. - 7. Maerz 2008, Muenster","authors":"","doi":"10.1016/j.zgesun.2007.11.016","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.016","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 644"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136521991","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}

{"title":"Vor hundert Jahren: IV. Aerztliches Fortbildungswesen","authors":"","doi":"10.1016/j.zgesun.2007.11.009","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.009","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Pages 689-690"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904312","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}

{"title":"Neuer Bericht vergleicht Europas Gesundheitssysteme","authors":"","doi":"10.1016/j.zgesun.2007.11.014","DOIUrl":"https://doi.org/10.1016/j.zgesun.2007.11.014","url":null,"abstract":"","PeriodicalId":79544,"journal":{"name":"Zeitschrift fur arztliche Fortbildung und Qualitatssicherung","volume":"101 10","pages":"Page 690"},"PeriodicalIF":0.0,"publicationDate":"2008-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.zgesun.2007.11.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136904313","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}