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Clinical performance and quality health care最新文献

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Reduction in episodes of self harm/harm to others in severely mentally ill population through assertive outreach. 通过自信的外展，减少严重精神病患者自我伤害/伤害他人的事件。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010332612
M. Turner, A. Douglas, J. O’Sullivan, M. Nicol
{"title":"Reduction in episodes of self harm/harm to others in severely mentally ill population through assertive outreach.","authors":"M. Turner, A. Douglas, J. O’Sullivan, M. Nicol","doi":"10.1108/14664100010332612","DOIUrl":"https://doi.org/10.1108/14664100010332612","url":null,"abstract":"This article aims to apply the process of clinical governance to the management of patients with a major mental illness, living in the community, with a history of self harm and/or harm to others; and to design an early warning system to drive rapid intervention if patients miss a clinic appointment. This follows the recommendations of good clinical practice for this vulnerable group.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"5 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75330073","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
Assessment of health status at two years of very low birthweight infants--clinical governance. 极低出生体重婴儿两岁时健康状况评估——临床治理。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010332748
P. Stutchfield, S. Nicklin, P. Minchom, T. Powell, A. Kelly, V. Klimach, R. Davies, S. Horrocks
{"title":"Assessment of health status at two years of very low birthweight infants--clinical governance.","authors":"P. Stutchfield, S. Nicklin, P. Minchom, T. Powell, A. Kelly, V. Klimach, R. Davies, S. Horrocks","doi":"10.1108/14664100010332748","DOIUrl":"https://doi.org/10.1108/14664100010332748","url":null,"abstract":"Aims to establish a mechanism to determine prospectively the health status at two years of babies who weighed less than 1.5 kg at birth, born and receiving neonatal intensive care in North Wales. Maternal and neonatal data on all babies discharged from each of the three units in North Wales meeting this criteria were collated by the study coordinator. A mechanism for review of the health status at two years, corrected for gestational age, was established using the data set recommended by a working group convened by the National Perinatal Epidemiology Unit and Oxford Regional Health Authority. The procedures developed and the outcome data, for a two year cohort of babies born in 1995 and 1996, are reported. Concludes that prevalence of severe disability was similar to that found in other studies, with a considerable number exhibiting impaired growth and delay in speech development.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"16 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74054809","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: 1
Achieving plasma HIV RNA below the level of detection in clinical practice. 在临床实践中实现血浆HIV RNA低于检测水平。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010343971
J. Ena, C. Benito
{"title":"Achieving plasma HIV RNA below the level of detection in clinical practice.","authors":"J. Ena, C. Benito","doi":"10.1108/14664100010343971","DOIUrl":"https://doi.org/10.1108/14664100010343971","url":null,"abstract":"Clinical trials have shown that highly active antiretroviral therapy (HAART) reduces plasma HIV RNA below the detection level in up to 90 per cent of patients. To assess the independent predictors that are associated with achieving undetectable plasma HIV RNA in the daily clinical practice, we carried out a retrospective study. Among 106 HIV-infected patients treated with HAART, 63 (59 per cent) achieved undetectable plasma HIV RNA (less than 400 copies/ml) at their last visit. Adherence with HAART (greater than 80 per cent of prescribed dose) was self-reported by 81 patients (76 per cent). Independent predictors of achieving undetectable plasma HIV RNA were: self-reported adherence to therapy (Odds ratio [OR] 11.79, 95 per cent Confidence intervals [CI]: 3.55-33.17, p = 0.0001) and lack of previous antiretroviral therapy (OR: 3.12, 95 per cent CI: 1.09-8.96, p = 0.03). The efficacy of antiretroviral therapy observed in the daily clinical practice was noticeably lower than that reported in clinical trials. Patient adherence with prescribed HAART and lack of previous antiretroviral therapy are important factors related to successful therapy in the real world.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"55 1","pages":"100-4"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78312064","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
Anaesthetists' records of pre-operative assessment. 麻醉师术前评估记录。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010332964
M. Simmonds, J. Petterson
{"title":"Anaesthetists' records of pre-operative assessment.","authors":"M. Simmonds, J. Petterson","doi":"10.1108/14664100010332964","DOIUrl":"https://doi.org/10.1108/14664100010332964","url":null,"abstract":"The pre-operative anaesthetic records of 195 patients were analysed for the presence of 12 agreed core items of pre-operative assessment. This study showed that anaesthetists recorded 26.8 per cent of this information. In up to one-third of patients the following were recorded: smoking history, family history, gastro-oesophageal reflux, airway assessment, dental assessment, chest examination, heart-sounds and blood pressure. Previous anaesthesia, drug history and allergies were recorded in one to two-thirds of patients. Past medical history was recorded in over two-thirds of patients. With a view to improving the level of record-keeping, a formatted, pre-printed pre-operative assessment record was introduced into practice and two months later the audit was repeated. A small but non-significant improvement in record keeping was observed. An argument is made for the introduction of an interdisciplinary, unified anaesthetic pre-operative record.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"11 1","pages":"22-7"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89229017","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: 21
A national audit to monitor and promote the uptake of clinical guidelines on the management of diabetes in pregnancy. 进行国家审计，以监测和促进对妊娠糖尿病管理临床指南的采用。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14664100010332991
G. Penney, D. Pearson
{"title":"A national audit to monitor and promote the uptake of clinical guidelines on the management of diabetes in pregnancy.","authors":"G. Penney, D. Pearson","doi":"10.1108/14664100010332991","DOIUrl":"https://doi.org/10.1108/14664100010332991","url":null,"abstract":"Seeks to assess maternity care for women with Type 1 diabetes in relation to recommendations in a national clinical guideline using a criterion-based clinical audit. The audit covered all 22 consultant-led maternity units in Scotland, focusing on 268 completed pregnancies in women with Type 1 diabetes. Results are presented and discussed. Concludes that a national audit to monitor the impact of clinical guidelines proved feasible. Antenatal care is organised in line with guideline recommendations but there is lower provision of formal prepregnancy care. Pregnancy planning and periconceptual care fall short of recommendations but care during pregnancy is meticulous. Adverse pregnancy outcomes remain commoner than in non-diabetic pregnancies.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"25 1","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87659743","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: 18
Clinical governance: its origins and its foundations. 临床治理:起源和基础。
Clinical performance and quality health care Pub Date : 2000-01-01
S Nicholls, R Cullen, S O'Neill, A Halligan
{"title":"Clinical governance: its origins and its foundations.","authors":"S Nicholls,&nbsp;R Cullen,&nbsp;S O'Neill,&nbsp;A Halligan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article from the NHS Clinical Governance Support Team (NCGST) outlines the development of quality concerns since the NHS was founded in 1948. It traces the development of clinical governance as a means of achieving continuous quality improvement and describes what the implementation of clinical governance means for patients and professionals. It analyses features of the cultural shift necessary to underpin quality improvement initiatives and describes with practical examples the constituents of the culture necessary for successful clinical governance. Future articles in this series will address other issues around clinical governance and will explain the model being followed by delegates to the NCGST's Clinical Governance Development Programme as they implement clinical governance \"on the ground\".</p>","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"8 3","pages":"172-8"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21964458","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
Reviewing a service--discovering the unwritten rules. 审查服务——发现不成文的规则。
Clinical performance and quality health care Pub Date : 2000-01-01 DOI: 10.1108/14777270010734073
R. Cullen, S. Nicholls, A. Halligan
{"title":"Reviewing a service--discovering the unwritten rules.","authors":"R. Cullen, S. Nicholls, A. Halligan","doi":"10.1108/14777270010734073","DOIUrl":"https://doi.org/10.1108/14777270010734073","url":null,"abstract":"In our previous article we looked at the history of quality development and discussed how the implementation of clinical governance provides the opportunity to begin the cultural shift necessary to underpin quality in the modern NHS. This article begins an explanation of the model of quality improvement followed by delegates to the Clinical Governance Development Programme by looking at the service review process delegate teams undertake.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"194 1","pages":"233-9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73501067","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: 10
Outcome-directed clinical practice in lumbar spine surgery. 结果导向的腰椎外科临床实践。
Clinical performance and quality health care Pub Date : 1999-10-01 DOI: 10.1108/14664109910315587
L M Clapham, J Buckley
{"title":"Outcome-directed clinical practice in lumbar spine surgery.","authors":"L M Clapham,&nbsp;J Buckley","doi":"10.1108/14664109910315587","DOIUrl":"https://doi.org/10.1108/14664109910315587","url":null,"abstract":"<p><p>Outcome audits describe the current level of clinical performance and direct change in clinical practice. The outcome measures used should be not only relevant and easily understood but also available to all interested parties, e.g. patients, clinicians and commissioners of health. The results of audits can be used to set the standard from which clinical practice can be monitored and improved. An expectation of likely outcome also gives the patient the opportunity of being able to make a fully informed choice. This audit using prospective data examines and compares the outcome of surgery for degenerative lumbar spine disease over a two-year period. The results allow more accurate information to be given to patients, areas of service development to be identified and changes in clinical practice to be made.</p>","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"7 4","pages":"167-71"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/14664109910315587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21785793","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: 7
Quality of health and medical information on the Internet. 因特网上健康和医疗信息的质量。
Clinical performance and quality health care Pub Date : 1999-10-01 DOI: 10.1108/14664109910315604
A. Cooke
{"title":"Quality of health and medical information on the Internet.","authors":"A. Cooke","doi":"10.1108/14664109910315604","DOIUrl":"https://doi.org/10.1108/14664109910315604","url":null,"abstract":"This article examines some of the problems associated with health and medical information available via the Internet. An overview is provided of gateway services that seek to provide access to high quality materials. Quality principles for health and medical Internet-based materials are highlighted and suggestions are offered for evaluating sources of information retrieved via the Internet. The article concludes that, although there is undeniably a vast quantity of useful material available via the Internet, the principles of basing health care on the best available evidence still apply and potential users need to critically appraise any information they wish to use.","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"36 1","pages":"178-85"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86753908","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
Quality of health and medical information on the Internet. 因特网上健康和医疗信息的质量。
Clinical performance and quality health care Pub Date : 1999-10-01
A Cooke
{"title":"Quality of health and medical information on the Internet.","authors":"A Cooke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article examines some of the problems associated with health and medical information available via the Internet. An overview is provided of gateway services that seek to provide access to high quality materials. Quality principles for health and medical Internet-based materials are highlighted and suggestions are offered for evaluating sources of information retrieved via the Internet. The article concludes that, although there is undeniably a vast quantity of useful material available via the Internet, the principles of basing health care on the best available evidence still apply and potential users need to critically appraise any information they wish to use.</p>","PeriodicalId":79831,"journal":{"name":"Clinical performance and quality health care","volume":"7 4","pages":"178-85"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21785795","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
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