scholarly journals Audit in psychiatry: “failed discharges”

1991 ◽  
Vol 15 (1) ◽  
pp. 26-27 ◽  
Author(s):  
E. Jones
Keyword(s):  
Critical Analysis ◽  
Medical Profession ◽  
Psychosocial Care ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Problems ◽  
Medical Specialities

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989). Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities.

scholarly journals Psychiatric audit

1991 ◽  
Vol 15 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Paul Hatton ◽  
Edward B. Renvoize
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Patient Department

Medical audit has been defined “as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient” (Department of Health, 1989).

scholarly journals Audit in psychiatry

1989 ◽  
Vol 13 (6) ◽  
pp. 278-281 ◽  
Author(s):  
Gillian Garden ◽  
Femi Oyebode ◽  
Stuart Cumella
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
White Paper ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
The Government

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient (DOH, 1989). The White Paper Working for Patients states that the Government proposes that every consultant should participate in a form of medical audit agreed between management and the profession locally. It also states that management should be able to initiate an independent professional audit.

scholarly journals Audit in two acute psychiatric units

1991 ◽  
Vol 15 (6) ◽  
pp. 351-352 ◽  
Author(s):  
A. Dutta ◽  
R. R. Parker ◽  
T. W. Fleet
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Royal College ◽  
Critical Analysis ◽  
Preliminary Report ◽  
Medical Audit ◽  
Use Of Resources ◽  
Psychiatric Units ◽  
Quality Of Medical Care

The Royal College of Psychiatrists (1989) has recently produced its own preliminary report on medical audit. It defines medical audit as: “The systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patients.” This definition is in essence similar to that of the Royal College of Physicians.

scholarly journals The quality of computerised tomography use in two psychogeriatric services

1993 ◽  
Vol 17 (9) ◽  
pp. 536-537 ◽  
Author(s):  
Jon Spear
Keyword(s):  
Medical Care ◽  
Medical Audit ◽  
Computerised Tomography ◽  
Catchment Population ◽  
Care Department ◽  
Department Of Health ◽  
Cerebral Tumours ◽  
Quality Of Medical Care

The aim of medical audit is to improve the quality of medical care (Department of Health, 1989). There was concern that patients referred to a psychogeriatric service (Service X) did not have adequate access to computerised tomography. The nearest computerised tomography scanner was located in a neighbouring district and direct referrals were not accepted. Computerised tomography scans could be obtained indirectly by referral to neurosurgeons. Because of these difficulties “potentially treatable structural lesions” (such as cerebral tumours and subdural haematomas) may have been missed. We decided to compare the use of computerised tomography scans with a nearby service (Service Y) which had a computerised tomography scanner on site. Service X had a catchment population of 33,000 aged over 65 and Service Y a catchment population of 23,420 aged over 65.

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

scholarly journals Problems of formalization of the mentoring institute in healthcare and ways of solving them

2021 ◽  
Vol 65 (5) ◽  
pp. 461-466
Author(s):  
Yulia V. Burdastova
Keyword(s):  
Healthcare Sector ◽  
Highly Qualified ◽  
Structured Interviews ◽  
Sociological Study ◽  
Department Of Health ◽  
Medical Institutions ◽  
Long Time ◽  
Quality Of Medical Care ◽  
Mentoring System

Introduction. This study focuses on the formalization of the institution of mentoring in health care. The mentoring system in Russia has existed for a long time. Still, there is a particular interest in this topic since the requirements for the quality of medical care are changing, new challenges arise in the healthcare sector, and reducing staff turnover and retaining highly qualified specialists in the workplace arises. Targets and goals. The aim of the study is to clarify the need for institutional consolidation of the institution of mentoring. The tasks of the work included identifying factors motivating or demotivating medical workers to participate in the mentoring system, as well as the search for problems of formalizing the institution of mentoring. Material and methods. The author conducted a sociological study in Moscow: a mass questionnaire survey among doctors and nurses in 6 medical institutions subordinated to the Department of Health of the city of Moscow and a series of in-depth structured interviews with representatives of medical organizations in charge of mentoring in their organizations (17). Analysis of quantitative data was carried out using the construction of classification trees using the CHAID method. Results. The main issue that experts propose to spell out when formalizing mentoring is the skills and abilities. Employee willingness to become mentors varies. The study found that physicians over the age of 27 are most likely to become mentors convinced of the need to introduce and expand mentoring in the workplace. Young doctors under the age of 27 are less likely to take on the mentoring function due to a lack of confidence in their qualifications, as well as older colleagues who are dissatisfied with the working conditions in the workplace and do not consider it necessary to introduce or expand a mentoring system in their organization. Conclusion. The study showed that experts have a positive attitude to formalizing the institute of mentoring, noting that there should be a single document of a recommendatory nature.

Professional health of medical workers as a factor of the quality of medical service in public health

2016 ◽  
Vol 5 (2) ◽  
pp. 81-89
Author(s):  
Игнатова ◽  
Tatyana Ignatova ◽  
Еремин ◽  
O. Eremin
Keyword(s):  
Social Relations ◽  
Health Workers ◽  
Medical Profession ◽  
Health Indicators ◽  
The Social ◽  
Quantitative Characteristics ◽  
Professional Health ◽  
Quality Of Medical Care ◽  
Qualitative And Quantitative Characteristics

The article deals with the concept of quality of medical care, basic health indicators of professional health of medical workers. The current results of diagnostics of job satisfaction by health workers according to qualitative and quantitative characteristics are presented. Some objective and subjective factors influencing the formation of professional health of medical workers are revealed. The article determines the social status of the person engaged in the field of medicine and the place of medical profession in the system of social relations in modern conditions, when the profession of medical worker is characterized by versatility.

scholarly journals Setting up district audit meetings in psychiatry

1991 ◽  
Vol 15 (7) ◽  
pp. 417-418 ◽  
Author(s):  
David Roy
Keyword(s):  
Quality Of Care ◽  
Length Of Stay ◽  
Adverse Events ◽  
Medical Profession ◽  
Medical Audit ◽  
Day Hospital ◽  
Process Of Care ◽  
Face To Face ◽  
Record Review

Charles Shaw, in a number of articles and his Hospital Handbook (Shaw, 1989, 1990) has played a key role in outlining the principles of medical audit. He arbitrarily divides the process of medical audit into four phases. The philosophical phase which seems to have been negotiated, is whether the medical profession should be involved; the organisational phase; who should lead the process, and the resources required; the practical phase, what should be audited and the methods used; and the invasive phase, how the general concepts and the details of audit are communicated through publication. He goes on to describe a variety of methods of audit including the review of adverse events and general statistics, the assessment of randomly selected records, and finally the review of a topic (which includes medical record review). Another approach in planning audit is through understanding of the organisation itself (Donabedian, 1966) and evaluating quality of care in terms of the structure of the organisation (bricks and mortar, staffing, beds, technology etc.), the process of care, and this may include length of stay, broad out-patients statistics, and perhaps more controversially, face to face contact, group interaction, home visits, day hospital attendance and so on. Finally, and most complex, is outcome.

scholarly journals Measuring patient satisfaction in children

1993 ◽  
Vol 17 (11) ◽  
pp. 661-662
Author(s):  
Elizabeth Walters
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Medical Care ◽  
Child Mental Health ◽  
Early Stage ◽  
Child Mental Health Services ◽  
Department Of Health ◽  
Medical Advisory Committee ◽  
Quality Of Medical Care

The report of the Standing Medical Advisory Committee to the Department of Health, The Quality of Medical Care (1990), states that outcome is the most relevant indicator of quality of medical care. In addition to providing information about the appropriateness of treatments, there are important ethical and resource implications if activities are found to be unjustified. However, measuring outcome is difficult if there is no quantifiable change in symptoms or function following treatment. In child psychiatry this is a relatively common dilemma and outcome studies, while agreed to be essential, are frequently abandoned at an early stage or fail to get off the ground because of the complexity of the problems they generate. In a review of the ways in which child mental health services attempt to measure outcome (Pound & Cottrell, 1989) the authors acknowledge these difficulties and conclude that a start should be made by “Asking the customer's opinion” about the treatment they have received. In other words, “Are they satisfied?”.

Quality Assurance and Clinical Pharmacy: Lessons from Medicine

1981 ◽  
Vol 15 (10) ◽  
pp. 758-765 ◽  
Author(s):  
Dev S. Pathak ◽  
Kathleen N. Lohr ◽  
Robert H. Brook
Keyword(s):  
Quality Assurance ◽  
Clinical Pharmacy ◽  
Medical Profession ◽  
Empirical Work ◽  
Reliability And Validity ◽  
Cost Benefit ◽  
Quarter Century ◽  
Pharmacy Profession ◽  
Quality Of Medical Care

A quarter-century of empirical work in measuring the quality of medical care has both documented serious inadequacies in care and advanced the state of the art of quality assessment. Experience with quality assurance programs at institutional, local, and national levels emphasizes that early, careful attention must be given to: specifying the purposes of a study or program, choosing the dimensions of care to be evaluated, understanding the reliability and validity of data sources and methods, and compiling appropriate evaluative criteria before projects are implemented. Superimposed on these concerns are cost/benefit and cost/quality tradeoff issues. To the degree that the pharmacy profession has dealt with such conceptual and methodologic problems, it has much to offer the medical profession. To the degree that clinical pharmacy has not yet encountered them, lessons drawn from the medical experience may be helpful in implementing evaluation efforts in the future.

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