Use of Microcomputer for Self-Evaluation in Pediatric Practice

J. B. GOUYON; M. ALISON; J. L. NIVELON; L. DUSSERRE

doi:10.1542/peds.72.4.577

Use of Microcomputer for Self-Evaluation in Pediatric Practice

PEDIATRICS ◽

10.1542/peds.72.4.577 ◽

1983 ◽

Vol 72 (4) ◽

pp. 577-577

Author(s):

J. B. GOUYON ◽

M. ALISON ◽

J. L. NIVELON ◽

L. DUSSERRE

Keyword(s):

Quality Of Care ◽

Neonatal Unit ◽

Pediatric Practice ◽

Hewlett Packard ◽

Self Evaluation ◽

Care Treatment

To the Editor.— We have been very interested in the various uses of microcomputers in pediatric units as proposed by Schwartz and Hammer.1 Following our experience in a neonatal unit, we have found another utilization.2 Microcomputers can be used for self-evaluation of the quality of care treatment in a pediatric unit. According to the number of variables studied, a microcomputer or minicomputer could be used. For example, using a minicomputer (Hewlett-Packard 9045 B), we store 400 variables for each newborn.

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Appendicitis

PEDIATRICS ◽

10.1542/peds.70.3.414 ◽

1982 ◽

Vol 70 (3) ◽

pp. 414-419

Author(s):

Mark M. Ravitch

Keyword(s):

Quality Of Care ◽

Acute Appendicitis ◽

Pediatric Practice ◽

Sharp Difference ◽

Frequent Use

The mortality from acute appendicitis has been reduced, but the sharp difference in the morbidity and complications associated with perforation demands a policy that will minimize the possibility of delay in operation or failure to diagnose acute appendicitis. The decrease in mortality is largely due to the quality of care within the hospital, and possibly to the less frequent use of cathartics, but not to a decreased incidence of perforation. The suggestion is made that the failure to decrease the incidence of perforation of the appendix may be related to the nature of pediatric practice.

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The SIEP-DIRECT's Project on the discrepancy between routine practice and evidence in the treatment of schizophrenia. The design, the indicators, and the methodology of the study

Epidemiology and Psychiatric Sciences ◽

10.1017/s1121189x00000099 ◽

2008 ◽

Vol 17 (4) ◽

pp. 278-290 ◽

Cited By ~ 14

Author(s):

Domenico Semisa ◽

Antonio Lora ◽

Pierluigi Morosini ◽

Mirella Ruggeri

Keyword(s):

Mental Health ◽

Quality Of Care ◽

Mental Health Services ◽

Health Services ◽

The Self ◽

Routine Practice ◽

Local Health ◽

Self Evaluation ◽

Clinical Records

SUMMARYAims– The aims of the SIEP-DIRECT'S Project (DIscrepancy betweenRoutine practice andEvidence in psychiatricCommunityTreatments onSchizophrenia) are: 1) To evaluate the appropriateness of the NICE guidelines for schizophrenia in Italian Departments of Mental Health; 2) to develop and to test a set of SIEP indicators, based on the NICE recommendations, useful to evaluate their real application in mental health services.Methods– Based on the NICE recommendations, 103 indicators have been developed, some of them qualitative and the rest quantitative. These indicators investigate five different areas: 14 indicators concern the common elements in all phases of mental health care; 11 the treatment of first episode; 24 the crisis treatment; 41 the recovery promotion; 13 the urgency, including management of violent behaviours and fast soothing. After a pilot study conducted in 2 community mental health services, the indicators were tested in 19 Italian Departments of Mental Health, to obtain a self-evaluation of the quality of care and to verify the application of NICE recommendations in the clinical routine of these Services. Data for the self-evaluation have been obtained from the DSM'ls psychiatric informative system and from the Direction of the local health authorities or of the DSM. Moreover, for some indicators, information has been gathered from the clinical records, and by means of questionnaires administered to a sample of patients and relatives. Finally, “multidisciplinary” (i.e. involving different types of professionals) or “specialized” (i.e. involving only psychiatrists) focus groups have assessed the degree of similarity between practice and recommendation for 33 indicators. Finally, the focus group methodology has been applied in all services with the aim to judge the appropriateness of each NICE recommendation in the context of the Italian Departments of Mental Health.Results and Conclusions– Most NICE recommendations have been considered useful and appropriated to measure quality of care in the context of the Italian services. The SIEP indicators have been easily used by the services participating in the DIRECT's Project. The self-evaluation process has provided several data of great relevance to improve the quality of care for schizophrenia and implement clinical guidelines in Italy.Declaration of Interest: None.

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PECULIARITIES OF MEDICAL CARE FOR PATIENTS IN DEPARTMENT OF NURSING CARE

Medical Journal of the Russian Federation ◽

10.18821/0869-2106-2019-25-1-11-15 ◽

2019 ◽

Vol 25 (1) ◽

pp. 11-15

Author(s):

S. E Teptin

Keyword(s):

Quality Of Care ◽

Medical Care ◽

Treatment Outcomes ◽

Nursing Care ◽

Case Histories ◽

Diagnostic Studies ◽

Care Treatment ◽

Organization Of Care ◽

Nursing Department

The purpose of the study is to study the peculiarities of organization of care for patients in the nursing Office. An analysis of case histories of 504 patients treated in the Nursing Department and 200 questionnaires of patients and their relatives about the quality of care and assistance. Considered the composition of the patients, the availability of diagnostic studies and consultation expertise, especially providing diagnostic assistance offices, nursing care, treatment outcomes, consumer opinion medical services.

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