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Evaluation of a critical pathway for pneumonia.

Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1997年第5期19卷 22-29,36页

作者： Ross, G. Johnson, D. Kobernick, M. Pokriefka, R. Macomb Hospital Center Warren MI United States

Pneumonia is the third most frequent admission diagnosis at Macomb Hospital Center. The average length of stay for this diagnosis (DRGs 89 and 90) was 9.07 days. After the initiation of a critical pathway that begins in the emergency department, the average length of stay decreased to 7.11 days. Quality of care also improved in two areas: the time elapsed before delivery of antibiotics and availability of X-ray reports. This article reviews the implementation and results of the critical pathway for pneumonia.

关键词：临床路径效率组织急诊室医院/标准表格和记录管理住院时间/统计学和数值数据病案密执安肺炎/经济学肺炎/治疗质量保证卫生保健/方法利用情况审核人类

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METHODS USED TO STUDY HOUSEHOLD COPING STRATEGIES IN RURAL SOUTH-WEST UGANDA

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HEALTH POLICY AND PLANNING 1995年第1期10卷 79-88页

作者： SEELEY, JA KAJURA, EB MULDER, DW UGANDA VIRUS RES INST MRCRES PROGRAMME AIDSENTEBBEUGANDA MRC ODA PROGRAMMELONDON W1N 4ALENGLAND

This paper describes the data collection methods used in a longitudinal study of the coping strategies of 27 households in three villages in the study area of the MRC/ODA Research Programme on AIDS in Uganda. After pre-testing and piloting, 9 local interviewers made regular visits to the 27 study households over a period of just over one year. The households were purposively selected to represent different household types and socioeconomic status categories. Data were obtained through participant observation using a checklist to ensure systematic collection of data on household activities. Debriefing sessions with the interviewers after the visits provided opportunities for the discussion of the findings and exploration of themes for further study. On the basis of the study findings, and data from the Programme's general study population survey rounds, broad indicators of household 'vulnerability' were identified. A participatory appraisal technique, 'well-being ranking', was used at the end of the study in order to test the viability of the chosen indicators. It is proposed that the example of the research method, which relied on local people not only as interviewers but also as co-investigators in the research, be used to guide future research approaches. The participation of the study community at every stage of research and design, as well as monitoring and evaluation of supportive interventions, is strongly encouraged.

关键词：获得性免疫缺陷综合征/心理学适应心理学队列研究数据收集家庭卫生表格和记录管理卫生服务研究/方法纵向研究研究设计农村人口社会经济因素乌干达人类

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Promoting patient safety through preoperative patient verification.

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AORN journal 2001年第5期74卷 690-694页

作者： Brown, B. Riippa, M. Shaneberger, K. Outpatient Services Spectrum Health Grand Rapids Mich. USA.

At Spectrum Health, Grand Rapids, Mich, a process to verify patient identification, procedure, and procedure side and site was developed and implemented to improve the current process. Focusing on risk-reduction strategies, an interdisciplinary task force revised the facility's surgical site identification policy and improved the surgical scheduling form to highlight information for sided procedures. Task force members also designed a verification checklist to require the comparison of any procedure data to the physician's order. This article describes these improvements and other methods that were established to ensure patient safety and reduce risk. Ongoing data collection verifies that the process remains in place and that team members are compliant. The improved process maximizes patient safety because it allows for early intervention when any discrepancies are identified.

关键词：表格和记录管理医院乡村密执安组织方针病人识别系统围手术期护理/组织和管理手术前护理/标准规划制订安全管理/组织和管理安全管理/发展趋势外科手术/护理人类

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Simple statistical measures for analyzing categorical data.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1994年第5期16卷 30-36页

作者： Humble, C.G. Department of Veterans Affairs Medical Center Durham NC United States

The proportions of patients undergoing a given procedure or experiencing a specific health outcome often are important in studies of healthcare quality. Run charts are a nonstatistical method for evaluating changes in these proportions or rates over time. Simple epidemiological methods for comparing rates between two groups allow statistical comparison of rates between two time periods. The chi-square test measures the statistical significance of differences in rates between two groups. Practical aspects of the use of these statistics and interpretation of their results are discussed and illustrated in this article, with realistic examples originally prepared by the author for a drug usage evaluation study. Readers with appropriate software and hardware may request a simple spreadsheet from the author to calculate many of the analyses described in the article.

关键词：卡方分布数据说明统计药物利用评审/方法表格和记录管理医院退伍军人北卡罗来纳结果评价(卫生保健)/统计学和数值数据茶碱/治疗应用人类

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Pastoral counseling and the informed relationship.

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Journal of pastoral care 1991年第4期45卷 389-398页

作者： Rodgerson, T.E. Baltimore Baptist Couseling Service 21214. MD United States

Discusses the legal, ethical, and therapeutic advantages of the informed relationship. Guidelines for obtaining informed consent and a sample consent document are suggested.

关键词：咨询/标准表格和记录管理知情同意牧师心理治疗/标准职业病人关系真相揭露美国

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DATA-COLLECTION - ARE SOCIAL-WORKERS RELIABLE

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ADMINISTRATION IN SOCIAL WORK 1992年第2期16卷 89-99页

作者： OBRIEN, N MCCLELLAN, T ALFS, D VET ADM MED CTR DEPT SOCIAL WORK1 VET DRMINNEAPOLISMN 55417 USA

Social workers are required to collect a considerable amount of personal information about clients and their families which may be unrelated to direct clinical work. Administrators often use this for the purpose of payment, service documentation, agency planning, and accountability. The worker's concern about the appropriateness of collecting this data may result in poor compliance or even falsification of information. In a survey of Minnesota social workers, noncompliance with data collection requirements was substantial. The authors also found a significant degree of conflict about privacy and confidentiality issues. These findings suggest a basis of concern for those who must rely on accurate data for administrative planning.

关键词：医务工作者的态度机密数据收集/标准数据收集/统计学和数值数据评价研究表格和记录管理健康知识态度实践卫生服务研究信息系统/标准病史记录病案/标准明尼苏达职业病人关系问卷调查社会工作/标准社会工作/统计学和数值数据

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电子病历与质量监控

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中国病案 2001年第z1期2卷 116-117页

作者：赵淑舫陈哲杨盛芳第三军区大学第一附属医院质量控制管理科病案室重庆400038 第三军区大学第一附属医院质量控制管理科病案室重庆400038 第三军区大学第一附属医院质量控制管理科病案室重庆400038

近年在一些有条件的医院逐渐开展起来用电子病历代替传统的手工病历,它无疑是的时代发展的产物,是电子技术在医疗文书领域的具体应用.我们第三军医大学第一附属医院(重庆西南医院)按照总后卫生部"军字一号工程"的要求,于1999... 详细信息

近年在一些有条件的医院逐渐开展起来用电子病历代替传统的手工病历,它无疑是的时代发展的产物,是电子技术在医疗文书领域的具体应用.我们第三军医大学第一附属医院(重庆西南医院)按照总后卫生部"军字一号工程"的要求,于1999年下半年在医护工作站全面采用了微机输入和打印病历、医嘱.通过近两年的摸索和磨合,现已基本走人正轨.有关电子病历的质量监控我们质控室有如下体会:……

关键词：表格和记录管理病史记录医院信息系统

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Monitoring and evaluation: the Joint Commission's 9-step model.

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Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals 1988年第1期10卷 18-23页

作者： Wildman, G. Downey Community Hospital Downey CA

In essence, the nine step model is a macro-description of the content of the program's structure and provides a brief description of the process. What it does not provide is a methodology for conducting the data-gathering and evaluation process (#6 and #7). Here is where the creativity of the QA coordinator is put to test. This methodology has not been formally prescribed by the Joint Commission, as QA is a rather new science which entails defining the concept in addition to determining consistent methodologies. We are thus left to explore other established disciplines, such as research and evaluation methodologies of education, for example, for the procedures and instrumentation to be employed in the data-gathering and analysis process. The application of the nine-step model is a helpful means of conceptualizing how each department's program should appear, including what to monitor, how to conduct the activity, who is to participate, and the frequency of activities. Hospitals are bastions of procedure manuals for everything from surgical draping to foley cath insertion. The establishment of a procedure manual for QA that is consistent with this model, however, is a necessary and effective means of taking a facility one step closer to compliance with established requirements.

关键词：聘任鉴定中心供应室医院/标准信息交流数据收集表格和记录管理卫生保健组织鉴定联合委员会模型理论质量保证卫生保健/方法美国

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Competency assessment and performance improvement for healthcare providers.

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Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1994年第4期16卷 14-19,38页

作者： Sullivan, C.A. Naval Medical College San Diego CA United States

This article discusses the implications of designing a comprehensive competency assessment program for healthcare providers. Increased liability for providers, institutions, and liability carriers is providing the impetus for change. Current methods to evaluate competency are limited;most methods include requirements that simply validate licensure and credentials. This article discusses the literature that supports methods for evaluating competency by assessing skills and proctoring. The author proposes a three-part model to ensure that competency assessment and performance improvement is the mainstay of an organization's quality management program. The model includes (a) a skills assessment inventory, (b) a standards review to promote compliance, and (c) a peer review program. Included are samples from two comprehensive skills inventories designed for orientations for physicians and nurses.

关键词：临床工作能力/标准雇员能力评定/方法表格和记录管理医学审核/方法医务人员医院/教育医务人员医院/标准护理人员医院/教育护理人员医院/标准同行评议卫生保健/方法规划技术人员开发/方法人员开发/标准美国

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Reporting on QA activities at the time of reappointment.

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Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals 1991年第1期13卷 16-19,41页

作者： Hale, N.T. Cypress Fairbanks Medical Center Hospital Houston TX United States

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