Relevant bibliographies by topics / Medical care Medical Audit

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Medical care Medical Audit'

Author: Grafiati
Published: 4 June 2021
Last updated: 5 February 2022

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Journal articles on the topic "Medical care Medical Audit"

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TOMLIN, P. J. "Intensive care-a medical audit." Anaesthesia 33, no. 8 (February 22, 2007): 710–15. http://dx.doi.org/10.1111/j.1365-2044.1978.tb08466.x.

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Glover, Gyles R. "Medical audit and mental health care." Psychiatric Bulletin 14, no. 6 (June 1990): 326–27. http://dx.doi.org/10.1192/pb.14.6.326.

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The recent prominence of medical audit in psychiatry is due in large measure to the place given to the subject in the government's White Paper Working for Patients (DoH, 1989a). However, medical audit existed before the White Paper and covers a broader scope than the White Paper proposes. Thus in considering the introduction of audit into the mental health services it is important not to allow the White Paper to narrow the field of view.
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Camacho, Luiz Antonio Bastos, and Haya Rahel Rubin. "Reliability of medical audit in quality assessment of medical care." Cadernos de Saúde Pública 12, suppl 2 (1996): S85—S93. http://dx.doi.org/10.1590/s0102-311x1996000600009.

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Medical audit of hospital records has been a major component of quality of care assessment, although physician judgment is known to have low reliability. We estimated interrater agreement of quality assessment in a sample of patients with cardiac conditions admitted to an American teaching hospital. Physician-reviewers used structured review methods designed to improve quality assessment based on judgment. Chance-corrected agreement for the items considered more relevant to process and outcome of care ranged from low to moderate (0.2 to 0.6), depending on the review item and the principal diagnoses and procedures the patients underwent. Results from several studies seem to converge on this point. Comparisons among different settings should be made with caution, given the sensitivity of agreement measurements to prevalence rates. Reliability of review methods in their current stage could be improved by combining the assessment of two or more reviewers, and by emphasizing outcome-oriented events.
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PALMER, R. HEATHER, and J. LEE HARGRAVES. "The Ambulatory Care Medical Audit Demonstration Project." Medical Care 34, Supplement (September 1996): 12–28. http://dx.doi.org/10.1097/00005650-199609002-00003.

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Bener, Abdulbari, Mariam Abdulmalik, Mohammed Al-Kazaz, Abdul-Ghani Mohammed, Rahima Sanya, Sara Buhmaid, Munjid Al-Harthy, and Mahmoud Zirie. "Medical Audit of the Quality of Diabetes Care." Journal of Primary Care & Community Health 3, no. 1 (October 14, 2011): 42–50. http://dx.doi.org/10.1177/2150131911414063.

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Objective: To assess the quality of diabetes care provided to patients attending primary care settings and hospitals in the State of Qatar. Design: Observational cohort study. Setting: The survey was carried out in primary health care centers and hospitals. Subjects and Methods: The study was conducted from January 2010 to August 2010 among diabetic patients attending primary health care centers and hospitals. Among the patients participating, 575 were from hospitals and 1103 from primary health care centers. Face-to-face interviews were conducted using a structured questionnaire including sociodemographic, clinical, and satisfaction score of the patients. Results: The mean age of the primary care diabetic patients was 46.1 ± 15.1 years and 44.5 ± 14.8 years for hospital patients ( P = .03). There was a significant difference observed in terms of age group, gender, marital status, occupation, and consanguinity of the diabetic patients in both medical settings ( P < .001). Overweight was less prevalent in primary care patients than in hospital diabetes mellitus patients (40.4% vs 46.4%). A significant variation was observed in the mean values of blood glucose (−0.76), HbA1C (−0.78), LDL (−0.01), albumin (−0.37), bilirubin (−0.76), and triglyceride (−0.01) in primary care patients compared to the mean values of the preceding year. Overall, complications were lower in primary care diabetic patients, and patients attending primary care were more satisfied with the diabetes care. Conclusion: The present study revealed that in general, primary health care provided a better quality of care to diabetic patients compared to that of hospitals. Also, primary care patients had a better satisfaction score towards diabetes care.
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Johnston, S. J. "Standards of care revisited – medical audit in practice." Psychiatric Bulletin 15, no. 5 (May 1991): 299–300. http://dx.doi.org/10.1192/pb.15.5.299-a.

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Crew, Suzanne. "Non-medical prescribing in secondary care: an audit." Nurse Prescribing 8, no. 10 (October 2010): 498–502. http://dx.doi.org/10.12968/npre.2010.8.10.78880.

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Guryel, E., K. Acton, and S. Patel. "Auditing Orthopaedic Audit." Annals of The Royal College of Surgeons of England 90, no. 8 (November 2008): 675–78. http://dx.doi.org/10.1308/003588408x318147.

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INTRODUCTION Clinical audit plays an important role in the drive to improve the quality of patient care and thus forms a cornerstone of clinical governance. Assurance that the quality of patient care has improved requires completion of the audit cycle. A considerable sum of money and time has been spent establishing audit activity in the UK. Failure to close the loop undermines the effectiveness of the audit process and wastes resources. PATIENTS AND METHODS We analysed the effectiveness of audit in trauma and orthopaedics at a local hospital by comparing audit projects completed over a 6-year period to criteria set out in the NHS National Audit and Governance report. RESULTS Of the 25 audits performed since 1999, half were presented to the relevant parties and only 20% completed the audit cycle. Only two of these were audits against national standards and 28% were not based on any standards at all. Only a third of the audits led by junior doctors resulted in implementation of their action plan compared to 75% implementation for consultant-led and 67% for nurse-led audits. CONCLUSIONS A remarkably large proportion of audits included in this analysis failed to meet accepted criteria for effective audit. Audits completed by junior doctors were found to be the least likely to complete the cycle. This may relate to the lack of continuity in modern medical training and little incentive to complete the cycle. Supervision by permanent medical staff, principally consultants, and involvement of the audit department may play the biggest role in improving implementation of change.
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Hatton, Paul, and Edward B. Renvoize. "Psychiatric audit." Psychiatric Bulletin 15, no. 9 (September 1991): 550–51. http://dx.doi.org/10.1192/pb.15.9.550.

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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).
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Earnshaw, Jonothan. "Medical audit gave a falsely reassuring impression of the quality of medical care." Evidence-based Healthcare 2, no. 1 (March 1998): 18. http://dx.doi.org/10.1016/s1462-9410(05)80018-x.

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Dissertations / Theses on the topic "Medical care Medical Audit"

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Humphrey, Charlotte Miranda. "Promoting audit in primary care : a qualitative evaluation of medical audit advisory groups." Thesis, University College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338849.

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King, Rebecca Jane. "Integration of audit into an outpatient asthma clinic : the transition from traditional to computerised medical notes." Thesis, Keele University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297318.

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Viljoen, Charle André. "Audit of the quality and cost of acute inpatient stroke care in the general medical wards at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21377.

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Introduction: Stroke is the leading cause of death and disability amongst South Africans older than 60 years. The majority of stroke patients in South Africa are managed in general medical wards where little is known about the quality and cost of care. The aim of this study was to determine the cost of stroke care and to identify factors associated with increased expense , as well as to evaluate the quality of stroke care in general medical wards in order to identify areas where quality of care could be improved. Methods: We conducted a retrospective folder review of all acute stroke admissions to the general medical wards at Groote Schuur Hospital from 1 January to 31 December 2012. Patients younger than 45 years and those that received thrombolysis were excluded. The hospital's finance department provided the bed costs, as well as expenditure on consumables, pharmacy, laboratory and radiology for each subject. The quality of care was measured according to the South African Stroke Guidelines. Results: The inpatient care of 261 patients was evaluated. Although neuroradiology was performed on 95% of patients, carotid duplex Doppler ultrasonography and echocardiography were not often done. Although all patients with ischaemic stroke received inpatient antiplatelet or anti - coagulation therapy, not all risk factors were adequately addressed on discharge. The median cost of a stroke admission was R19,072.07 (IQR R10,899.85 to R27,789.43 ). The strongest correlation with cost 12 was with length of stay (LOS), r = 0.9977. The median LOS was 6 days (IQR 3 to 9 days). Using non -¬‐ parametric univariable analysis, clinical factors prolonging LOS were previous stroke ( P = 0.0 2 8) and inpatient complications: fever ( P < 0.0 0 1), urinary tract infections ( P < 0.0 0 1) and acute kidney injury ( P < 0.0 0 1) . The LOS increased as the number of inpatient complications increased (P = 0.059). Mortality was 20% and 68% of patients experienced at least one medical complication during admission. Fever and pneumonia were predict ors of death. Pneumonia was less prevalent amongst patients who were mobilised early (P = 0.002). Early nutritional support was beneficial in reducing the incidence of acute kidney injury (P < 0.001). The median LOS was significantly prolonged by delaying speech therapy (P < 0.001), nutritional support (P < 0.01), physiotherapy (P < 0.01) and occupational therapy (P < 0.001). Discharge to inpatient rehabilitation centres significantly prolonged LOS as compared with patients discharged home (P < 0.001). Conclusions: This is the first study evaluating the cost of acute stroke care in South Africa. Length of stay was the greatest determinant of cost. Improving the quality of care to reduce the number of complications, early referral to allied health professionals and effective discharge planning would result in shorter length of hospital stay and therefore cost saving. There is a need for increased access to stroke unit beds, albeit dedicated stroke beds in the general medical wards, to ensure specialised nursing care and early inpatient rehabilitation to reduce the number of inpatient complications, as well as implementation of protocols to allow for better adherence to national guidelines.
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Ehrenberg, Anna. "In pursuit of the common thread : Nursing content in patient records with special reference to nursing home care." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-495.

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The purpose of this thesis was to study different aspects of nursing content in patient records with special reference to nursing home care. The thesis focused on the content, comprehensiveness, accuracy and auditing of records, as well as the practice and perceptions of nurses in relation to recording. A national sample of nurses was asked to complete a questionnaire. The effects on recording and nurses' practice and perceptions in nursing homes following educational intervention were studied. Accuracy was examined through record reviews and interviews with nurses and patients. A literature review of record auditing methods was performed and findings from this search were applied in the assessment of a set of records.

The results indicate that the VIPS model, as a structure for nursing recording, is widespread and shows validity across various areas in Swedish health care. After the educational intervention program, documentation in nursing home care improved significantly in the study group concerning notes on nursing history, nursing status, nursing diagnoses, interventions and discharge notes. Systematic and comprehensive assessment grounded in research-based criteria were not used in the records. Accuracy varied considerably and was significantly better for some areas in the study group. After intervention, the nurses in the study group indicated that they recorded assessments of patients with greater frequency, showed greater satisfaction with their documentation and spent less time on oral reports. Procedures in auditing patient records were found to encompass four approaches: formal structure, process comprehensiveness, knowledge based and accuracy.

In conclusion, the evidence suggests that there are serious flaws in the nursing content of nursing home records though improvements can be achieved through educational means. Presently, there are serious limitations in using the patient record as the sole source of data for care delivery, quality assessment and evaluation of care.

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Lindström, Kjell. "Methods for quality development of the primary health care structure /." Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med719s.pdf.

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Hobson, Biano. "Objective and subjective assessment of chronic disease management in General Practice. To determine the standard of care provided in the management of asthma, gout and hypothyroidism by means of a medical audit." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97247.

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Asthma, gout and hypothyroidism are common chronic medical disorders encountered in general practice. Optimal disease management according to standard guidelines are fundamental to disease control. This study aimed to objectively and subjectively assess the quality of care provided in a private general practice to patients with asthma, gout and hypothyroidism by means of a practice audit and questionnaire based survey. These tools proved to be an effective measure for the quality of care provided and identified areas needing improvement. Patient’s understanding of the disease process plays an important role in both patient satisfaction ratings and success of disease control. The medical audit identified and highlighted specific areas of care that can be improved. Evidence from the practice audit showed that control for asthma based on the PEFR readings, gout based on the serum uric acid reading and hypothyroidism based on a blood TSH reading, was found at 56.7%, 43.3%, and 66.7 % respectively. In addition acute attacks of asthma and gout occurred in 22.7% and 32.8% respectively. This does not represent good control. Definition of disease control for each condition is placed in the text. The survey revealed overall patient understanding for the disease processes of asthma, gout and hypothyroidism to be 69.6%, 73.3% and 66.8% respectively. The patient survey satisfaction rating for asthma, gout and hypothyroidism was 93.1%, 93.9% and 89.2% respectively. Patient suggestions for improvement included three dominant themes: better assessment of disease control, education about their chronic disease and implementation of a clearer referral process. The study concludes that disease control can be achieved if patients are educated about their chronic disease and regularly followed up to assess disease control based on standard management guidelines. Patients' disease education was a major contributing factor for satisfaction rating bias. The study confirms that in spite of high satisfaction ratings, patients are not optimally managed with substandard disease control. It would be expected that as disease education improves, the quality of care will improve, but satisfaction ratings will decrease.
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Murphy, Richard. "Health professionals and ethnic Pakistanis in Britain : risk, thalassaemia and audit culture." Thesis, University of St Andrews, 2005. http://hdl.handle.net/10023/2802.

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The central theme or 'red-thread' that I consider in this thesis is the concept of risk as it is perceived by and affects the two sides of the medical encounter -in this instance ethnic Pakistanis and Health Professionals- in Britain. Each side very often perceives risk quite distinctively, relating to the balance between the spiritual and temporal realms. This is particularly germane in matters to do with possible congenital defects within the prenatal realm for the ethnic Pakistani, and predominantly Muslim, side of this encounter. Thus one of the factors considered in this thesis is how senses of Islam impact upon the two sides. By ethnic Pakistanis Islam is seen as central to all life decisions, whilst Health Professionals view Islam with some considerable trepidation, little understanding it or its centrality to the former's decision-making processes. This is particularly significant with regard to attitudes to health and health care. In the initial stages of the project I had thought first cousin marriage (FCM), seen by ethnic Pakistanis as desirable and by Health Professionals as putting ethnic Pakistanis at-risk to be central to the argument, but concluded that concerns around FCM were a 'red herring', merely a trope for the tensions between the two sides -at once both British and at-risk from audit culture. Although no longer central, FCM remains a viable touchstone in consideration of the two sides' perceptions of genetic risk. In this thesis the medical encounter between ethnic Pakistanis and Health Professionals is performed within the realm of the so called New Genetics. Here the respective understandings of the New Genetics are informed by the enculturation processes that shape the two sides' world view. Furthermore, I will agree with Lord Robert Winston's and others' concern that any attempt to eradicate an adaptive genetic mutation, in this instance, thalassaemia, from the gene pool is not only undesirable in the short term, but also that such eradications may have an adverse, and far reaching, effect on whole population groups in the future. The main thrust of my argument is that audit culture not only compounds risk for both sides, but also perpetuates institutional racism within the National Health Service (NHS), by promulgating what I have called the language myth. That is to say that much institutional racism is the unwanted by-product of the NHS's attempts to become more patient centred and its continuing efforts to develop systems of best practice. This professionalisation process within the NHS can be seen to impact most strongly in relation to communication -particularly the claimed language barrier between the two sides. This 'barrier' has worrying policy implications for any meaningful communication between the two sides, notably relating to obtaining informed consent from ethnic Pakistani patients -with a resultant increase in risk for the two sides and clear economic consequences for the NHS.
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Von, Pressentin Klaus Botho. "A Medical audit of the management of cryptococcal meningitis in HIV patients in the Cape Winelands (East) district, Western Cape, South Africa." Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/37562.

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Stellenbosch University. Faculty of Medicine and Health Sciences. Interdisciplinary Health Sciences. Family Medicine and Primary Care.
Thesis (MFamMed) -- Stellenbosch University, 2010.
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ENGLISH ABSTRACT: Introduction: This thesis summarises the findings of a medical audit on the management of Cryptococcal Meningitis (CM). The study population of HIV positive adults (N = twenty five) were admitted during November 2009 – June 2010 to five hospitals of the Cape Winelands (East) District, Western Cape, South Africa. In the context of the HIV pandemic, CM has become the most common cause of community-acquired meningitis, and has poor outcomes if left untreated. The South African HIV Clinician Society has published treatment guidelines in 2007. These guidelines have been used by the audit team to compile a list of measurable criteria (with set targets) to evaluate the structure, process and outcome of CM management. A pilot audit (2008) at the regional hospital has demonstrated that certain target standards were not met. Aims and Objectives: The aim was to improve the quality of the clinical care of HIV-patients diagnosed with CM in the Cape Winelands (East) district. The objectives included the review of the audit criteria and target standards, demonstrating improvement in quality of CM care at the Level 1 and 2 hospitals, identifying new interventions based on the findings and providing recommendations to the health facilities. Methods In 2009, the researcher formed a new audit team, reviewed the audit criteria and held teaching interventions based on the national treatment guidelines. An intervention, based on the findings of the pilot audit, aimed at improving the clinical team’s adherence to the treatment guidelines. Results The audit identified the following areas that did not meet the target standards: the availability of Amphotericin B (Ampho B) and spinal manometers; the use of manometry in all initial lumbar punctures (LPs); completing fourteen days of the required Ampho B treatment; renal monitoring in patients on Ampho B; commencement of antiretroviral treatment (ART) by week four; and, the two-month survival figures post-diagnosis. The re-audit at the Level 2 hospital highlighted the need for improved medical record keeping to aid the audit process. Arrangement of inpatient ART counselling happened more consistently at the Level 1 hospitals. Adherence to the ART target and measures to prevent Ampho B related morbidity is comparable to that of the Level 2 hospital. The audit has also provided insight to the researcher and audit team on the practical challenges of conducting a prospective data collection technique across different care settings. Recommendations Level 1 hospitals should continue to manage CM patients. The availability of spinal manometers and closer adherence to renal monitoring require attention. Formal feedback to the audit team and clinical teams is planned. A multimodal interdisciplinary Quality Improvement approach (such as an integrated care pathway) is recommended and a future re-audit is encouraged to assess improved adherence to the CM management guidelines. The buy-in of stakeholders (management, health care workers and patients), the ongoing support of an audit team and a committed Quality Improvement environment will allow the medical audit process to become ingrained in the South African public healthcare setting.
AFRIKAANSE OPSOMMING: Inleiding Hierdie tesis bied ‘n opsomming van die sleutelbevindinge van ‘n mediese oudit van Cryptokokkale Menigitis (CM) sorg. Die studie groep van MIV-positiewe volwassenes (N = vyf-en-twintig) het binne-pasiënt behandeling ontvang gedurende November 2009 tot Junie 2010 in vyf hospitale van die Kaapse Wynland (Oos) distrik. In die konteks van die MIV pandemie het CM die mees algemene oorsaak van gemeenskapsverworwe meningitis geword, en het swak uitkomste indien onbehandeld. Die Suid-Afrikaanse HIV Clinici Vereniging het in 2007 behandelingsriglyne gepubliseer. Hierdie riglyne het die oudit span gebruik om ‘n lys van meetbare kriteria (met teiken standaarde) saam te stel om die struktuur, proses en uitkoms fasette van CM sorg te evalueer. ‘n Proef oudit (2008) by die streekshospitaal het getoon dat sekere teiken standaarde nie behaal was nie. Doelstelling Die doelstelling was om die kwaliteit van kliniese sorg van MIV-pasiënte met CM (in die Kaapse Wynland (Oos) distrik) te verbeter. Die doelstelling sluit in die hersiening van die oudit kriteria, die bevesting van verbetering in kwaliteit CM sorg by vlak 1 en 2 hospitale, identifisering van nuwe ingreep-moontlikhede gebaseer op die bevindinge en die verskaffing van toepaslike aanbevelings aan die gesondheidsorg fasiliteite. Metodes Die navorser het in 2009 ‘n nuwe oudit span gevorm, die oudit kriteria hersien en opleidingsingrepe geskoei op die nasionale riglyne gefasiliteer. Opleidingsingrepe, gebaseer op bevindinge van die proef oudit, het ten doel gehad dat die kliniese span die nasionale riglyne nakom. Resultate Die oudit het die volgende areas uitgelig waar daar nie aan die teikenstandaarde voldoen was nie: the beskikbaarheid van Amphotericin B (Ampho B) en spinale manometers; die gebruik van manometrie in alle aanvanklike lumbaal punksies (LPs); voltooi van die veertien dae Ampho B behandelingsteiken; nierfunksie monitoring van pasiënte op Ampho B; aanvang van anti-retovirale behandeling teen week vier; en, die twee maande oorlewing post-diagnose syfers. Die opvolg oudit by die vlak 2 hospitaal bevestig die belang van verbeterde kliniese notas om die oudit proses te vergemaklik. Die reël van binne-pasiënt ART berading gebeur meer bestendig in Vlak 1 hospitale. Bereiking van die ART teiken en maatreëls om Ampho B verwante morbiditeit te voorkom, is vergelykbaar met die bevindinge by die vlak 2 hospitaal. Die oudit het die navorser en die oudit span ingelig rakende die praktiese uitdagings om ‘n prospektiewe data insamelingsmetode te poog in verskillende kliniese kontekste. Aanbevelings Vlak 1 hospitale kan steeds CM pasiënte versorg. Die beskikbaarheid van spinale manometers en deeglike nierfunksie monitering sal die behaling van teiken standaarde vergemaklik. Formele terugvoer aan die oudit span en kliniese span word beoog. ‘n Multimodale interdissiplinêre Kwaliteitsverbeterings benadering (soos ‘n geïntegreerde sorgplan) word aanbeveel en ‘n toekomstige oudit word aangemoedig om verbetering in toepassing van die CM riglyne te evalueer. Dit is belangrik om die sleutelspelers (bestuur, gesondheidswerkers en pasiënte) te betrek. Verder word voortgesette ondersteuning van die oudit span en ‘n toegewyde omgewing van kwaliteitsverbetering aanbeveel. Sodoende sal die oudit proses in Suid-Afrikaanse publieke sorg geintegreer word.
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Sugarman, Philip A. "A model of integrated healthcare governance." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2716/.

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The history of psychiatry is littered with serious failures of governance, to the detriment of mentally disordered people, especially those resident in psychiatric hospitals. Current mental health providers, increasingly focussed on community care, have also struggled to develop effective internal governance systems. Nine peer-reviewed research papers, published by the author (mostly with others) and the wider literature, reveal deficits in mental health governance at a jurisdictional, professional, and corporate level. In this thesis new governance solutions are developed against this background, built on contemporary principles in mental health and healthcare management. A new model of mental health governance is presented, based on the key demands of the strategic and regulatory environment, articulated as rights, risks and recovery. This integrated healthcare governance approach, covering provider policy, staff training and service audit, can monitor and ensure the protection of patients’ rights, as well as those of others; it also promotes the management of clinical risks, and of patients’ recovery outcomes. Rights-based risk-reduction training is the core interventional element of the model, whilst the monitoring element can be formalised as part of a Balanced Scorecard reporting system. This thesis makes a contribution to research methodology, theory and practice in mental health, human rights, healthcare management and governance. The model generates specific propositions for testing in mental health governance, with the potential for application in wider settings of service provision.
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Kidanto, Hussein L. "Improving quality of perinatal care through clinical audit a study from a tertiary hospital in Dar es Salaam, Tanzania /." Doctoral thesis, Umeå : Epidemiology & Global Health, Umeå university, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-27638.

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Books on the topic "Medical care Medical Audit"

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Galias, Delores L. Medical record audit: A procedure manual for long term care facilities : (regulatory compliance through medical record audit). Des Moines, Iowa: Briggs Corp., 1987.

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Etchells, Edward Evan. Clinical audit of perioperative medical care orthopaedic surgery inpatients. Ottawa: National Library of Canada, 1993.

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Montana. Legislature. Legislative Audit Division. Inmate medical services Department of Corrections: Performance audit. Helena, MT: Legislative Audit Division, State of Montana, 2000.

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National Association of Quality Assurance in Health Care. Yorkshire Regional Group. Organisational audit and BS 5750 for health. Bradford: Horton Publishing, 1991.

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Morrell, Clare. The clinical audit handbook: Improving the quality of health care. London: Baillière Tindall, 1999.

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Exworthy, Mark. Purchasing clinical audit: A study in the South and West Region. Southampton: Institute for Health Policy Studies, Faculty of Social Sciences, University of Souhampton, 1995.

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Paiz, Alfredo C. Auditoría médica. 2nd ed. Buenos Aires: Ediciones La Rocca, 1995.

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Baker, Richard. The practice audit plan: A handbook of medical audit for primary care teams. Bristol: Severn Faculty of the Royal College of General Practitioners, 1990.

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Colorado. Office of State Auditor. Department of Health Care Policy and Financing Colorado Medicaid Program Managed Care: Performance audit. [Denver, Colo: Office of State Auditor, 1997.

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Nevada. Division of Internal Audits. Audit report, Deptartment of Prisons, Medical Services. Carson City, Nev: The Division, 2000.

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Book chapters on the topic "Medical care Medical Audit"

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London, Jane. "Evidence for Audit and Feedback." In Improving Use of Medicines and Medical Tests in Primary Care, 107–39. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-2333-5_5.

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Aguiar, Albert V. "The Medical Marketing Audit: A Technique for Today’s Competitive Extended Care Environment." In Marketing Long-Term and Senior Care Services, 45–50. New York: Routledge, 2021. http://dx.doi.org/10.4324/9781315860169-5.

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Nahler, Gerhard. "medical audit." In Dictionary of Pharmaceutical Medicine, 110–11. Vienna: Springer Vienna, 2009. http://dx.doi.org/10.1007/978-3-211-89836-9_834.

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Souza, Angelo Bernardo B., Paulo Danilo Farina, Maurício Cagy, and Antonio Fernando C. Infantosi. "Implementing Audio and Visual Alarms to an Intensive Care Cerebral Function Monitor: A Standards Compliance Case Study." In XIV Mediterranean Conference on Medical and Biological Engineering and Computing 2016, 962–66. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-32703-7_187.

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Verma, Ranjit. "Anaesthetic Audit." In Medical Informatics Europe ’90, 814. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-51659-7_167.

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Ternès, Anabel, and Christopher Runge. "Medical Care." In Reputationsmanagement, 13–40. Wiesbaden: Springer Fachmedien Wiesbaden, 2015. http://dx.doi.org/10.1007/978-3-658-08949-8_2.

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Peterson, Rodney D. "Medical Care." In Political Economy and American Capitalism, 191–206. Dordrecht: Springer Netherlands, 1991. http://dx.doi.org/10.1007/978-94-011-3874-1_13.

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Nicholson, Jill, and C. B. E. Williams. "Medical Care." In Mother and Baby Homes, 106–14. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003202448-11.

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Marchevsky, David. "Papers On Audit." In Critical Appraisal of Medical Literature, 183–86. Boston, MA: Springer US, 2000. http://dx.doi.org/10.1007/978-1-4615-4205-6_22.

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Ozbolt, Judy G., and Suzanne Bakken. "Patient Care Systems." In Medical Informatics, 421–42. New York, NY: Springer New York, 2001. http://dx.doi.org/10.1007/978-0-387-21721-5_12.

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Conference papers on the topic "Medical care Medical Audit"

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Soni, Tej Prakash, Aaditya Prakash, Tinku Takia, and Jaishree Goyal. "Radiotherapy after hysterectomy in carcinoma cervix: Audit from a tertiary care cancer hospital in India’s largest state “Rajasthan”." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685274.

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Purpose: To explore the reasons of hysterectomy and indications of post-hysterectomy radiotherapy in carcinoma cervix cases. Methods: From January 2013 to May 2015, medical records of 64 cases of carcinoma cervix (post-hysterectomy) who were referred for radiotherapy to our hospital were analyzed retrospectively. Results: Medical records of 64 cases were reviewed. The median age was 47 years. In 45% of females hysterectomy was done in towns, but in majority of cases (55%) hysterectomy was done in different cities of Rajasthan. Simple hysterectomy was done in 31 of (48%) cases. Wertheim’s hysterectomy was done in remaining 33 cases (52%). 15 cases (23%) were treated by IMRT technique, while remaining 87% cases were treated by 3DCRT technique to dose of 50 Gy in 25 fractions followed by CVS brachytherapy. All cases also received concurrent chemotherapy. Reason for hysterectomy was analyzed. In 32 (50%) cases, biopsy from gross lesion at cervix or PAP smear test was not done before surgery. In 32 cases (50%) understaging of the tumor or inadequate staging before hysterectomy was performed. Histopathology report analysis revealed that in 9 cases (14%) primary tumor size was less than 4 cm, in 27 cases (64%) there was no comment on pT size, in 22% cases primary tumor was larger than 4 cm. Surprisingly in one case the pT size was 7 cm. LVSI was not seen in 18 cases (28%), positive in 20 case (31%) and with no comment in 26 cases. More than 50% of stroma thickness was involved in 54 cases (84%), and in remaining 10 cases there was no comment on stroma invasion. In 33 cases (52%) pelvic lymphadenectomy was done, in 48% cases lymph nodes were not addressed in surgery. In 36 cases (56%) pelvic lymph node metastasis was seen either in preoperative imaging (USG/CT scan) or in histopathology. Median follow-up duration was 6 months. Locoregional failure was seen in 10 cases (16%), 6 cases (9%) also developed distant metastasis. Conclusion: Failure to perform biopsy from gross lesion at or under staging/inadequate staging before surgery was the main reasons for inappropriate hysterectomy for carcinoma cervix. Inappropriate hysterectomy followed by chemo-radiotherapy resulted in poor tumor control rate as in our study, 1 out of every 4 patients failed loco-regionally with median follow up of 6 months. Strict adherence to guidelines for cervical cancer diagnosis and treatment is advised to prevent inappropriate hysterectomy.
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Aziz, Ayesha, and Nashi Khan. "PERCEPTIONS PERTAINING TO STIGMA AND DISCRIMINATION ABOUT DEPRESSION: A FOCUS GROUP STUDY OF PRIMARY CARE STAFF." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact013.

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"The present study was conducted to explore the perception and views of primary care staff about Depression related Stigma and Discrimination. The Basic Qualitative Research Design was employed and an In-Depth Semi-Structured Discussion Guide consisted of 7 question was developed on the domains of Pryor and Reeder Model of Stigma and Discrimination such as Self-Stigma, Stigma by Association, Structural Stigma and Institutional Stigma, to investigate the phenomenon. Initially, Field Test and Pilot study were conducted to evaluate the relevance and effectiveness of Focus Group Discussion Guide in relation to phenomena under investigation. The suggestions were incorporated in the final Discussion Guide and Focus Group was employed as a data collection measure for the conduction of the main study. A purposive sampling was employed to selected a sample of Primary Care Staff (Psychiatrists, Medical Officers, Clinical Psychologists and Psychiatric Nurses) to elicit the meaningful information. The participants were recruited from the Department of Psychiatry of Pakistan Medical and Dental Council (PMDC) recognized Private and Public Sector hospitals of Lahore, having experience of 3 years or more in dealing with patients diagnosed with Depression. However, for Medical Officers, the experience was restricted to less than one year based on their rotation. To maintain equal voices in the Focus Group, 12 participants were approached (3 Psychiatrist, 3 Clinical Psychologists, 3 Medical Officers and 3 Psychiatric Nurses) but total 8 participants (2 Psychiatrists, 2 Medical Officers, 3 Clinical Psychologists And 1 Psychiatric Nurse) participated in the Focus Group. The Focus Group was conducted with the help of Assistant Moderator, for an approximate duration of 90 minutes at the setting according to the ease of the participants. Further, it was audio recorded and transcribed for the analysis. The Braun and Clarke Reflexive Thematic Analysis was diligently followed through a series of six steps such as Familiarization with the Data, Coding, Generating Initial Themes, Reviewing Themes, Defining and Naming Themes. The findings highlighted two main themes i.e., Determining Factors of Mental Health Disparity and Improving Treatment Regimen: Making Consultancy Meaningful. The first theme was centered upon three subthemes such as Lack of Mental Health Literacy, Detached Attachment and Components of Stigma and Discrimination. The second theme included Establishing Contact and Providing Psychoeducation as a subtheme. The results manifested the need for awareness-based Stigma reduction intervention for Primary Care Staff aims to provide training in Psychoeducation and normalization to reduce Depression related Stigma and Discrimination among patients diagnosed with Depression."
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Whitley, Patricia, Emily Ennis, Nolan Taaca, Sweta Sneha, Hossain Shahriar, and Chi Zhang. "Reduction of Medical Errors in Emergency Medical Care." In SIGITE '18: The 19th Annual Conference on Information Technology Education. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3241815.3241884.

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Shile, Peter E., Harold L. Kundel, Sridhar B. Seshadri, Bruce Carey, Inna Brikman, Sheel Kishore, Eric R. Feingold, and Paul N. Lanken. "Assessing the impact of PACS on patient care in a medical intensive care unit." In Medical Imaging 1993, edited by R. Gilbert Jost. SPIE, 1993. http://dx.doi.org/10.1117/12.152911.

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Álvarez-Romero, José T., and Víctor M. Tovar-Muñoz. "Analysis of errors detected in external beam audit dosimetry program at Mexican radiotherapy centers." In MEDICAL PHYSICS: Twelfth Mexican Symposium on Medical Physics. AIP, 2012. http://dx.doi.org/10.1063/1.4764592.

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Thompson, Mary R., William E. Johnston, Jin Guojun, Jason Lee, Brian Tierney, and Joseph F. Terdiman. "Distributed health care imaging information systems." In Medical Imaging 1997, edited by Steven C. Horii and G. James Blaine. SPIE, 1997. http://dx.doi.org/10.1117/12.274557.

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Lazareva, N. V. "Quality Management Of Medical Care In State Medical Institutions." In Global Challenges and Prospects of The Modern Economic Development. European Publisher, 2021. http://dx.doi.org/10.15405/epsbs.2021.04.02.220.

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Dwyer III, Samuel J. "Impact of broadband telecommunications on health care." In Medical Imaging 1993, edited by R. Gilbert Jost. SPIE, 1993. http://dx.doi.org/10.1117/12.152866.

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Langlotz, Curtis P., Harold L. Kundel, Inna Brikman, Hugh M. Pratt, Regina O. Redfern, Steven C. Horii, and J. Sanford Schwartz. "Effect of PACS/CR on cost of care and length of stay in a medical intensive care unit." In Medical Imaging 1996, edited by R. Gilbert Jost and Samuel J. Dwyer III. SPIE, 1996. http://dx.doi.org/10.1117/12.239258.

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Bossen, Claus, Lotte Groth Jensen, and Flemming Witt. "Medical secretaries' care of records." In the ACM 2012 conference. New York, New York, USA: ACM Press, 2012. http://dx.doi.org/10.1145/2145204.2145341.

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Reports on the topic "Medical care Medical Audit"

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DEPARTMENT OF THE ARMY WASHINGTON DC. Medical Services: Medical, Dental, and Veterinary Care. Fort Belvoir, VA: Defense Technical Information Center, January 2002. http://dx.doi.org/10.21236/ada402407.

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Dunn, Abe, Eli Liebman, and Adam Shapiro. Decomposing Medical-Care Expenditure Growth. Cambridge, MA: National Bureau of Economic Research, February 2017. http://dx.doi.org/10.3386/w23117.

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Azoulay, Pierre, Misty Heggeness, and Jennifer Kao. Medical Research and Health Care Finance: Evidence from Academic Medical Centers. Cambridge, MA: National Bureau of Economic Research, October 2020. http://dx.doi.org/10.3386/w27943.

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Baker, Laurence, and Joanne Spetz. Managed Care and Medical Technology Growth. Cambridge, MA: National Bureau of Economic Research, January 1999. http://dx.doi.org/10.3386/w6894.

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DEPARTMENT OF THE ARMY WASHINGTON DC. Medical Services: Nonphysician Health Care Providers. Fort Belvoir, VA: Defense Technical Information Center, November 2000. http://dx.doi.org/10.21236/ada403181.

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Currie, Janet, and Duncan Thomas. Medicaid and Medical Care for Children. Cambridge, MA: National Bureau of Economic Research, March 1993. http://dx.doi.org/10.3386/w4284.

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Catillon, Maryaline, David Cutler, and Thomas Getzen. Two Hundred Years of Health and Medical Care: The Importance of Medical Care for Life Expectancy Gains. Cambridge, MA: National Bureau of Economic Research, December 2018. http://dx.doi.org/10.3386/w25330.

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Kessler, Daniel, and Mark McClellan. Medical Liability, Managed Care, and Defensive Medicine. Cambridge, MA: National Bureau of Economic Research, February 2000. http://dx.doi.org/10.3386/w7537.

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Lusardi, Annamaria, Daniel Schneider, and Peter Tufano. The economic crisis and medical care usage. Cambridge, MA: National Bureau of Economic Research, March 2010. http://dx.doi.org/10.3386/w15843.

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Kapur, Kanika, Jeannette Rogowski, Vicki Freedman, Steven wickstrom, John Adams, and Jose Escarce. Socioeconomic Status and Medical Care Expenditures in Medicare Managed Care. Cambridge, MA: National Bureau of Economic Research, September 2004. http://dx.doi.org/10.3386/w10757.

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