Clinical performance and quality health care最新文献_第2页

Case study of an inter-professional and inter-organisational programme to adapt, implement and evaluate clinical guidelines in secondary care. 一个跨专业和跨组织项目的案例研究，以适应、实施和评估二级医疗的临床指南。

Clinical performance and quality health care Pub Date : 2000-06-01 DOI: 10.1108/14664100010343863

L. Hall, M. Eccles

引用次数: 16

Consent and clinical governance: improving standards and skills. 同意和临床治理:提高标准和技能。

Clinical performance and quality health care Pub Date : 2000-06-01 DOI: 10.1108/14664100010344042

J. Cowan

引用次数: 13

Information requirements for clinical governance. 临床治理的信息需求。

Clinical performance and quality health care Pub Date : 2000-03-01 DOI: 10.1108/14664100010333035

H. Sanderson

引用次数: 9

Patient education and emergency room visits. 患者教育和急诊室访问。

Clinical performance and quality health care Pub Date : 2000-03-01 DOI: 10.1108/14664100010333017

A. Desalvo, S. Rest, M. Nettleman, S. Freer, T. Knight

引用次数: 23

Is clinical pathology accreditation worth it? A survey of CPA-accredited laboratories. 临床病理学认证值得吗?对注册会计师认证实验室的调查。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010361746

L. Gough, T. Reynolds

{"title":"Is clinical pathology accreditation worth it? A survey of CPA-accredited laboratories.","authors":"L. Gough, T. Reynolds","doi":"10.1108/14664100010361746","DOIUrl":"https://doi.org/10.1108/14664100010361746","url":null,"abstract":"Following two pilot studies, Clinical Pathology Accreditation (CPA) accreditation was introduced to UK pathology laboratories in 1992. Since then, significant numbers of laboratories have undergone accreditation but many have never applied. We carried out a postal survey of 145 accredited laboratories in the UK to independently determine the opinions of laboratory managers/clinicians about CPA and whether accreditation had produced any significant benefits to pathology services. Ninety-three replies were received (64 per cent) a good response to an unsolicited questionnaire. Most laboratories felt accreditation by CPA had resulted in better laboratory performance with more documentation and better health and safety and training procedures. CPA accreditation was believed to provide useful information by approximately 50 per cent of laboratories but was also felt by a significant proportion of laboratories to be over-bureaucratic, inefficient and expensive (46 of 93 respondents). Many complaints were voiced about the excessive paperwork that CPA generated and there was also a significant body of opinion that felt that CPA assessed areas were the domain of other regulatory bodies such as the CPSM, IBMS and HSE.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"55 1","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84484087","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: 38

Introducing ropivacaine into a department's epidural analgesic practice. Improving acute pain service practice. 将罗哌卡因引入科室硬膜外镇痛实践。改善急性疼痛服务实践。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010361836

T. Towell, S. Maric, M. Jones, R. Wyatt, D. Duthie

{"title":"Introducing ropivacaine into a department's epidural analgesic practice. Improving acute pain service practice.","authors":"T. Towell, S. Maric, M. Jones, R. Wyatt, D. Duthie","doi":"10.1108/14664100010361836","DOIUrl":"https://doi.org/10.1108/14664100010361836","url":null,"abstract":"The results of introducing a new licensed local anaesthetic drug, ropivacaine, into routine practice were evaluated by measuring the efficacy and adverse effects of patient controlled epidural analgesia (PCEA), using ropivacaine 2 mg/ml (R), or the mixtures in current use: fentanyl 5 (micrograms/ml with bupivacaine 1 mg/ml (BF5) and fentanyl 10 (micrograms/ml) with bupivacaine 1 mg/ml (BF10). All patients were nursed on general wards after surgery. For two months, 102 consecutive patients were studied. Pain scores at rest were significantly better in the fentanyl and bupivacaine groups, (mean rank R: 35.5, BF5: 22.7, BF10: 26.9, P < 0.05). There was a significant correlation between patient controlled boluses and pain at rest and (p < 0.001), and pain on moving (p < 0.001). Nausea and vomiting was worse in the BF10 (p < 0.05). Older patients demanded less analgesia (p < 0.001). Postoperatively BF5 provided better pain relief with trends demonstrating fewer side-effects and complications than BF10 or R. We now use fentanyl 5 (micrograms/ml and bupivacaine 1 mg/ml as our standard epidural infusion mixture.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"2013 1","pages":"217-21"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87917999","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

Audit on prescription of long-term oxygen treatment. 长期氧疗处方审核。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010351134

P. Shankar, M. Muthiah

引用次数: 8

Access, satisfaction, and utilization in two forms of Medicaid managed care. 两种形式的医疗补助管理医疗的访问、满意度和利用率。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010351297

W. R. Smith, J. Cotter, D. McClish, V. Bovbjerg, L. Rossiter

{"title":"Access, satisfaction, and utilization in two forms of Medicaid managed care.","authors":"W. R. Smith, J. Cotter, D. McClish, V. Bovbjerg, L. Rossiter","doi":"10.1108/14664100010351297","DOIUrl":"https://doi.org/10.1108/14664100010351297","url":null,"abstract":"We determined access and satisfaction of 2,598 recipients of Virginia's Medicaid program, comparing its health maintenance organizations (HMOs) to its primary care case management (PCCM) program. Positive responses were summed as sub-domains either of access, satisfaction, or of utilization, and adjusted odds ratios were calculated for HMO (vs. PCCM) sub-domain scores. The response rate was 47 per cent. We found few significant differences in perceived access, satisfaction, and utilization. Both HMO adults and children more often perceived good geographic access (adults, OR, [CI] = 1.50, [1.04-2.16]; children, OR, [CI] = 1.773 [1.158, 2.716]). But HMO patients less often reported good after-hours access (adults, OR, [CI] = 0.527 [0.335, 0.830]; children, OR, [CI] = 0.583 [0.380, 0.894]). Among all patients reporting poorer function, HMO patients more often reported good general and preventive care (OR, [CI] = 2.735 [1.138, 6.575]). We found some differences between Medicaid HMO versus PCCM recipients' reported access, satisfaction, and utilization, but were unable to validate concerns about access and quality under more restrictive forms of Medicaid managed care.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"145 1","pages":"150-7"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75602396","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

Clinical risk--minimising harm in practical procedures and use of equipment. 临床风险-在实际操作和设备使用中尽量减少危害。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010362006

J. Cowan

{"title":"Clinical risk--minimising harm in practical procedures and use of equipment.","authors":"J. Cowan","doi":"10.1108/14664100010362006","DOIUrl":"https://doi.org/10.1108/14664100010362006","url":null,"abstract":"The article discusses some of the clinical negligence problems and risk management issues arising from training of health professionals (predominantly junior hospital doctors) in practical procedures. There continue to be incidents, claims and complaints in the NHS arising from the clinical practice of doctors or other health professionals who are not perceived to be competent in some of the practical skills they are undertaking. This article addresses some aspects of this training, where it should best be started and who should have responsibility for ensuring that doctors, in particular, continue to work under appropriate supervision. Also acknowledges the current problems facing NHS trusts in trying to ensure that risk management standards are met for training health professionals in the use of medical equipment--a task that has not previously needed to be documented or accounted for on a formal basis. There are considerable resource implications attached to the introduction of systems that can assess and monitor the training provided in the use of medical equipment but the introduction of a baseline assessment is an essential part of sound clinical governance and risk management. It is suggested that risk management exercises of this nature are worthwhile in reducing the potential for harm to patients.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"04 1","pages":"245-9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81621924","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

Benchmarking in rehabilitation: comparing physiotherapy services. 康复标杆:比较物理治疗服务。

Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010343890

P. Enderby, A. John, A. Hughes, B. Petheram

引用次数: 8