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Improving healthcare by perinatal mortality audit and feedback

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TROPICAL DOCTOR 2000年第2期30卷 94-97页

作者： Byaruhanga, RN St Francis Hosp Nsambya Kampala Uganda

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Identification of patients to include in trauma audit: a modification of the pre-chart

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 1999年第10期30卷 677-679页

作者： Coats, TJ MacDonald, A Royal London & St Bartholomews Coll Med & Dent Accident & Emergency Pre Hosp Care London E1 1BB England

Trauma audit is commonly focused using a Pre-Chart to illustrate calculations made using the TRISS model. A line is drawn at Ps = 0.5 to divide expected survivors and nonsurvivors. The use of this cut-off in a severely injured population was examined. The 'M statistic' for a group of injured patients selectively triaged to a Trauma Centre was calculated. The ideal cut-off point between predicted outcomes when using the TRISS model to focus trauma audit in this population was determined using a Receiver Operating Characteristic (ROC) curve. For this population the TRISS 'M statistic' was 0.71 (indicating a significantly different case mix from the reference database) and the best cut-off point was at Ps = 0.76. Trauma audit in populations with a case mix of injury severity different from the reference database should use a different Ps line to define unexpected outcomes. (C) 1999 Elsevier Science Ltd. All rights reserved.

关键词：数学计算医学审核/组织和管理结果评价(卫生保健) 病人遴选 ROC曲线疾病严重程度指数创伤学/标准伤病员分拣/统计学和数值数据人类

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Arrogance born of indifference?

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CARDIOLOGY IN THE YOUNG 2000年第4期10卷 297-298页

作者： Anderson, RH [a1 ]Editor-in-Chief Cardiology in the Young

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Medical audit and libraries--an opportunity for progress.

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Health libraries review 1990年第4期7卷 190-195页

作者： Padden, S.C. North Western Regional Health Authority Manchester United Kingdom

Working for patients has necessitated the use of medical audit as a quality assurance tool. This paper presents an overview of the form and content of audit, and examines the supporting role of the library. It notes the failure of many Regional Medical Audit Implementation Plans to recognize the value of library services, and proposes a strategy to enable librarians to play an active part in the process, and by doing so to increase awareness of library services and improve decision making.

关键词：决策大不列颠图书馆医学/组织和管理医学审核/组织和管理角色公费医疗

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Clinical governance and the potential implications for tissue viability.

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Journal of tissue viability 1999年第3期9卷 95-98页

作者： Wilson, J. Healthcare Risk Resources International Limited Newcastle upon Tyne.

This article explores how clinical governance can and will impact on tissue viability specialists. It highlights the principles of governance and what it means for healthcare organizations, and the different processes of application, including responsibilities, that will be adopted. The dimensions of clinical governance have been applied to the quality of care expected and given by staff as well as ways of assessing performance and ensuring that quality is everybody's business. It is up to us all as healthcare practitioners to ensure that we keep professionally up-to-date, enhance our education, research and development, and have a mechanism for monitoring and safeguarding our performance. The paper should promote discussion and provide food for thought regarding the application and full utilization of clinical governance.

关键词：决策组织大不列颠医学审核/组织和管理质量保证卫生保健/组织和管理危险处理/组织和管理公费医疗/组织和管理创伤和损伤/治疗人类

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Maintaining good medical practice - Clinical governance and self regulation for physicians - A report of the Royal College of Physicians

JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON

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JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON 1999年第3期33卷 241-245页

A high standard of medical practice is a prerequisite of good medical care and clinical governance is the means for ensuring that a high standard is maintained. In February of this year the College issued the following report to its Fellows and Members. The report states unequivocally the College's position on clinical governance and self-regulation and what it expects of individual physicians and their employers in implementing them. Some of the proposals have already been acted upon and are set in train;others will require additional resources and the commitment of the Department of Health and the Trusts.

关键词：聘任鉴定临床医学/标准大不列颠医院公立/标准医学审核/组织和管理质量保证卫生保健公费医疗/标准人类

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