scholarly journals Making the grade with quality reports

2021 ◽  
Vol 233 ◽  
pp. 1-3
Author(s):  
Thomas R. Welch
Keyword(s):  
Quality Reports

Nuclear medical inpatient treatment in Germany

2010 ◽  
Vol 49 (02) ◽  
pp. 49-57 ◽  
Author(s):  
M. Dietlein ◽  
C. Reiners ◽  
R. Lorenz
Keyword(s):  
Nuclear Medicine ◽  
Thyroid Cancer ◽  
Inpatient Treatment ◽  
Radioiodine Therapy ◽  
Main Diagnosis ◽  
Medical Inpatient ◽  
Iodine Prophylaxis ◽  
Iodine Supply ◽  
Quality Report ◽  
Quality Reports

SummaryAll public licensed hospitals of Germany are obligated since 2004 to establish and to publish a structured biennial quality report. The aim of this study was to analyse the quality reports from 2008 of clinics with nuclear-medicine therapy ward and to investigate developments for the inpatient nuclear-medicine therapy by comparing the results with the quality reports of the years 2004 and 2006. Methods: All available structured quality reports of clinics with a nuclear-medicine therapy ward of the years 2004, 2006 and 2008 were evaluated. Results: The total number of inpatient treatment cases in 2008 amounted to 54 190 (2006: 54 884; 2004: 57 366). This corresponds to a decrease of 5.5% in comparison to 2004. The number of the therapy wards decreased at the same time to currently 117 (2006: 120; 2004: 124). Remarkable changes were found in the spectrum of the main diagnosis. Thus, the most frequent diagnosis with the ICD-code E05 (hyperthyroidism) decreased continuously from 37 747 treatments in 2004 and 34 764 in 2006 to 31 756 in the year 2008. In contrast, the ICD-diagnoses for thyroid cancer (C73, Z08) with 14 761 cases in 2008 increased with time (2006: 13 426; 2004: 12 581). Conclusions: In analogy to the observations from Europe after introduction of an iodine prophylaxis the improved iodine supply in Germany has led to a decline of the radioiodine therapy due to hyperthyroidism.

scholarly journals The Scottish National Antarctic Expedition, 1902–1904: reconstructing the missing geological report

2018 ◽  
Vol 45 (2) ◽  
pp. 350-362 ◽  
Author(s):  
Philip Stone
Keyword(s):  
Research Programme ◽  
Medical Doctor ◽  
Scientific Investigation ◽  
Orkney Islands ◽  
Unpublished Work ◽  
Antarctic Expedition ◽  
South Orkney Islands ◽  
Scientific Results ◽  
Quality Reports ◽  
Archive Material

The Scottish National Antarctic Expedition (1902–1904) made the first topographical survey and scientific investigation of Laurie Island, one of the South Orkney Islands, and completed an extensive oceanographical research programme in the Scotia and Weddell Seas. When the expedition returned to Scotland, the leader, William Speirs Bruce, embarked on an ambitious attempt to publish the expedition's scientific results in a series of high-quality reports. Sadly, by the time it came to the eighth volume (on geology) his funds were exhausted, and the series was abandoned. Nevertheless, many of the contributions that had been intended for that volume were produced; some were published elsewhere whilst unpublished proofs and archive notes survive for others. From these various sources the volume as planned by Bruce can be reconstructed. The key contributor was J. H. H. Pirie, a medical doctor and primarily the expedition's surgeon. Despite his limited relevant experience his geological observations were commendable, with the notable exception of an important palaeontological misidentification that was inexplicably supported by eminent British experts. The archive material illuminates the background to Pirie's contributions and the ways in which his unpublished work came to be preserved.

scholarly journals PO-1484 Impact of COVID-19 pandemic on Radiation Oncology practice. An overview of recent higher quality reports

2021 ◽  
Vol 161 ◽  
pp. S1215-S1216
Author(s):  
R. Carbonara ◽  
M.P. Ciliberti ◽  
F. Gregucci ◽  
A. Surgo ◽  
M. Caliandro ◽  
...  
Keyword(s):  
Radiation Oncology ◽  
Oncology Practice ◽  
Quality Reports

Establishing Stroke Services in the Republic of Georgia

2021 ◽  
pp. 1-9
Author(s):  
Zaza Katsarava ◽  
Tamar Akhvlediani ◽  
Tamar Janelidze ◽  
Tamar Gudadze ◽  
Marina Todua ◽  
...  
Keyword(s):  
Treatment Process ◽  
Stroke Care ◽  
Subsequent Treatment ◽  
National Guidelines ◽  
Ethical Problems ◽  
Stroke Units ◽  
Systemic Thrombolysis ◽  
Stroke Services ◽  
The Republic ◽  
Quality Reports

<b><i>Introduction:</i></b> This article summarizes the medical experience in establishing stroke units and systemic thrombolysis in Georgia, which, like many other post-Soviet countries, still faces problems in organizing stroke care even after 30 years of independence. <b><i>Patients and Methods:</i></b> We created an example of treating acute stroke with systemic thrombolysis and introduced stroke units in several hospitals in the country, including standardization of the diagnostic and treatment process, consistent evaluation, and monthly feedback to the stroke unit staff. <b><i>Results:</i></b> Systemic thrombolysis has become a clinical routine in some large hospitals and is meanwhile reimbursed by the state insurance. The data of consecutive 1,707 stroke patients in 4 major cities demonstrated significant time lost at the prehospital level, due to failure in identifying stroke symptoms, delay in notification, or transportation. The consequent quality reports resulted in a dramatic increase in adherence to the European and national guidelines. A mandatory dysphagia screening and subsequent treatment led to a decrease in pneumonia rates. <b><i>Discussion:</i></b> We discuss our experience and suggestions on how to overcome clinical, financial, and ethical problems in establishing a stroke services in a developing country. <b><i>Conclusion:</i></b> The Georgian example might be useful for doctors in other post-Soviet countries or other parts of the world.

scholarly journals The influence and added value of a Standardized Assessment and Reporting System for functioning outcomes upon national rehabilitation quality reports

2020 ◽  
Vol 32 (6) ◽  
pp. 379-387
Author(s):  
Roxanne Maritz ◽  
Cristina Ehrmann ◽  
Birgit Prodinger ◽  
Alan Tennant ◽  
Gerold Stucki
Keyword(s):  
Reporting System ◽  
Added Value ◽  
Standardized Assessment ◽  
Outcome Quality ◽  
Rehabilitation Outcome ◽  
Basic Body ◽  
Core Sets ◽  
Icf Core Sets ◽  
Further Development ◽  
Quality Reports

Abstract Objective To demonstrate the influence and added value of a Standardized Assessment and Reporting System (StARS) upon the reporting of functioning outcomes for national rehabilitation quality reports. A StARS builds upon an ICF-based (International Classification of Functioning, Disability and Health) and interval-scaled common metric. Design Comparison of current ordinal-scaled Swiss national rehabilitation outcome reports including an expert-consensus-based transformation scale with StARS-based reports through descriptive statistical methods and content exploration of further development areas of the reports with relevant ICF Core Sets. Setting Swiss national public rehabilitation outcome quality reports on the clinic level. Participants A total of 29 Swiss rehabilitation clinics provided their quality report datasets including 18 047 patients. Interventions Neurological or musculoskeletal rehabilitation. Main outcome measures Functional Independence Measure™ or Extended Barthel Index. Results Outcomes reported with a StARS tended to be smaller but more precise than in the current ordinal-scaled reports, indicating an overestimation of achieved outcomes in the latter. The comparison of the common metric’s content with ICF Core Sets suggests to include ‘energy and drive functions’ or ‘maintaining a basic body position’ to enhance the content of functioning as an indicator. Conclusions A StARS supports the comparison of outcomes assessed with different measures on the same interval-scaled ICF-based common metric. Careful consideration is needed whether an ordinal-scaled or interval-scaled reporting system is applied as the magnitude and precision of reported outcomes is influenced. The StARS’ ICF basis brings an added value by informing further development of functioning as a relevant indicator for national outcome quality reports in rehabilitation.

Data Show 2008 Jump in Quality Reports

2010 ◽  
Vol 11 (1) ◽  
pp. 4
Author(s):  
Joyce Frieden
Keyword(s):  
Quality Reports

Testing the Effect of Quality Reports on the Health Plan Choices of Medicare Beneficiaries

2002 ◽  
Vol 39 (4) ◽  
pp. 355-371 ◽  
Author(s):  
Jennifer D. Uhrig ◽  
Pamela Farley Short
Keyword(s):  
Laboratory Experiment ◽  
Health Plan ◽  
Low Cost ◽  
Health Maintenance Organization ◽  
Quality Information ◽  
Medicare Beneficiaries ◽  
Convenience Sample ◽  
Health Maintenance ◽  
Plan Choice ◽  
Quality Reports

This article describes a laboratory experiment that used a convenience sample of 225 Medicare beneficiaries to test the effects of comparative quality information on plan choice. Providing information about quality did not significantly influence the choice between Original Medicare and a health maintenance organization (HMO), but did affect the choice of HMO. Results from this experiment suggest that information about plan quality may not be effective in encouraging beneficiaries to leave Original Medicare and join HMOs that are rated high in quality. Furthermore, beneficiaries choosing among HMOs were not inclined to select a low-cost HMO, even when it was rated higher in quality. Implications for policy are discussed.

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