Quality Assurance in Psychiatry: Concept and Methods

1997 ◽  
Vol 12 (S2) ◽  
pp. 79s-87s ◽  
Author(s):  
W Gaebel
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Practice Guidelines ◽  
Psychiatric Care ◽  
Quality Care ◽  
Outcome Indicators ◽  
Continuous Quality ◽  
Process And Outcome ◽  
Standards And Guidelines ◽  
Process And Outcome Indicators

SummaryQuality assurance is the corrective action applied to any observed discrepancy between optimal and actual level of medical care requiring continuous quality control. Obviously, quality assurance is of utmost importance also in psychiatric practice. Quality care as defined by the degree of adherence to standards and guidelines can be measured in terms of structural, process and outcome indicators applied to inpatient, outpatient and complementary services. To promote the implementation of practice guidelines into psychiatric care conceptual, methodological, and organisational requirements must be taken into account.

Process and outcome indicators for evaluation of surgical activity in a high-risk gastric cancer area.

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. e16537-e16537
Author(s):  
O. Nanni ◽  
M. Altini ◽  
P. Morgagni ◽  
A. Rossi ◽  
E. Ciotti ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
High Risk ◽  
Outcome Indicators ◽  
Process And Outcome ◽  
Process And Outcome Indicators

scholarly journals Evaluation of Quality Assurance of Activity against Accreditation Norms of the Imaging Services in a Tertiary Care Teaching Hospital

2021 ◽  
Vol 11 (9) ◽  
pp. 172-177
Author(s):  
Padmini Kumari B ◽  
G Vijay Kumar ◽  
K. Ravi Babu
Keyword(s):  
Quality Assurance ◽  
Outcome Measures ◽  
Health Care Providers ◽  
Quality Care ◽  
Tertiary Care ◽  
Care Providers ◽  
Quality Assurance Programme ◽  
College Hospital ◽  
Cross Sectional ◽  
Process And Outcome

Purpose of Study: To study the radiological and imaging services in terms of Quality Assurance in relation to accreditation norms. Methods: We performed cross sectional evaluation of the data obtained from the participants in the study Semi structured both open and closed ended questionnaire were administered among the participants who were agreed to participate in the study. The questionnaire was formulated to evaluate different parameters of Quality Assurance Programme (QAP). The parameters were divided into structure, process and outcome measures and were derived from literature [National Accreditation Board for Hospitals and Health care Providers during accreditation of healthcare institutions]. Results: The radiology and imaging services of Vydehi Medical College Hospital was established in the year 2002, and was approved by AERB (Atomic Energy Regulatory Board) in the year 2007. The department was renewed by AERB in the year 2012. Checklist was formulated which includes several parameters in terms of structure, process and outcome measures. Conclusion: Quality assurance programme is to provide good patient timely care and the policies adopted by the department of radiology and imaging service in terms of quality are on par with standard guidelines in our study. Safe and sustainable quality care is the need of the hour and it can be practically achieved by regular monitoring of the quality assurance programme. Key words: Quality assurance; Imaging services; Utilisation; Guidelines; Healthcare

scholarly journals Developing and measuring a set of process and outcome indicators for breast cancer

The Breast ◽  
2012 ◽  
Vol 21 (3) ◽  
pp. 253-260 ◽  
Author(s):  
Sabine Stordeur ◽  
France Vrijens ◽  
Stephan Devriese ◽  
Koen Beirens ◽  
Elizabeth Van Eycken ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Outcome Indicators ◽  
Process And Outcome ◽  
Process And Outcome Indicators

scholarly journals GMP/GACP - new standards for quality assurance of cannabis

2020 ◽  
Vol 66 (1) ◽  
pp. 91-101
Author(s):  
Mirela Ilikj ◽  
Irena Brchina ◽  
Liljana Ugrinova ◽  
Vasil Karcev ◽  
Aleksandra Grozdanova
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Quality Standards ◽  
Quality System ◽  
Quality Systems ◽  
High Quality ◽  
Iso Standard ◽  
Continuous Quality ◽  
Medicinal Use

In 2015, in Republic of North Macedonia, a new law for narcotics has been adopted, where the changes include legal cultivation of cannabis for medicinal use as well as legal production of cannabis extracts for medicinal use. In order to gain high quality of cannabis and cannabis products for medicinal use and to meet some quality standards that will guarantee consistency, traceability and continuous quality of the product, it is necessary to implement Quality Systems. Good quality system is ISO standard system but for cannabis for medicinal use, GACP, GMP and GLC standards are used more often. Production of cannabis for medicinal use consists of: process of cultivation where GACP standards are applicable, primary processing where GMP standards are the most important and quality control of final product regulated with GLP standard. In this review, explanation of these standards as well as overview of modes of their implementation has been made. Keywords: GxP, GMP, GACP, GLP

scholarly journals Reducing infantile anemia: insight on patterns of process and outcome indicators by ethnicity and socioeconomic class during a 10-year intervention program and 5 years after

2022 ◽  
Vol 11 (1) ◽  
Author(s):  
Joseph Meyerovitch ◽  
Doron Carmi ◽  
Shraga Aviner ◽  
Michael Sherf ◽  
Doron Comaneshter ◽  
...  
Keyword(s):  
Prevalence Rate ◽  
Intervention Program ◽  
Health Maintenance Organization ◽  
Hemoglobin Level ◽  
Socioeconomic Class ◽  
Health Maintenance ◽  
Outcome Indicators ◽  
Process And Outcome ◽  
Performance Rate ◽  
Process And Outcome Indicators

Abstract Background In 2005, Clalit Health Services (CHS), the largest health maintenance organization in Israel, initiated an intervention program aimed at reducing the prevalence rate of infantile anemia (IA). This study evaluated the progress made during the intervention (2005–2014) and its yield 5 years after it ended (2019). Methods The CHS database was retrospectively reviewed twice yearly from 2005 to 2014 for repetitive samples of children aged 9 to 18 months regarding the previous half-year interval, and a single sample in 2019. Data were collected on gender, ethnicity (Jewish/non-Jewish), socioeconomic class (SEC; low/intermediate/high), hemoglobin testing (yes/no), and hemoglobin level (if tested). Excluded were infants with documented or suspected hemoglobinopathy. Results At study initiation, the rate of performance of hemoglobin testing was 54.7%, and the IA prevalence rate was 7.8%. The performance rate was lower in the Jewish than the non-Jewish subpopulation. The low-SEC subpopulation had a similar hemoglobin testing rate to the high-SEC subpopulation but double the IA prevalence rate. Overall, by the end of the intervention (2014), the performance rate increased to 87.5%, and the AI prevalence rate decreased to 3.4%. In 2019, there was little change in the performance rate from the end of the intervention (88%) and the IA prevalence was further reduced to 2.7%. The non-Jewish and low-SEC subpopulations showed the most improvement which was maintained and even bettered 5 years after the intervention ended. Conclusions The 10-year IA intervention program introduced by CHS in 2005 led to a reduction in IA prevalence rate to about 3.5% in all sub-populations evaluated. By program end, the results in the weaker subpopulations, which had the highest prevalence of IA at baseline, were not inferior to those in the stronger subpopulations. We recommended to the Israel Ministry of Health to adopt the intervention countrywide, and we challenge other countries to consider similar interventions.

Are we measuring what matters in health technology assessment of disease management? Systematic literature review

2006 ◽  
Vol 22 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Lotte Steuten ◽  
Bert Vrijhoef ◽  
Hans Severens ◽  
Frits van Merode ◽  
Cor Spreeuwenberg
Keyword(s):  
Disease Management ◽  
Literature Review ◽  
Health Technology Assessment ◽  
Systematic Literature Review ◽  
Technology Assessment ◽  
Health Technology ◽  
Substantial Part ◽  
Outcome Indicators ◽  
Process And Outcome ◽  
Process And Outcome Indicators

Objectives:An overview was produced of indicators currently used to assess disease management programs and, based on these findings, provide a framework regarding sets of indicators that should be used when taking the aims and types of disease management programs into account.Methods:A systematic literature review was performed.Results:Thirty-six studies met the inclusion criteria. It appeared that a link between aims of disease management and evaluated structure, process, as well as outcome indicators does not exist in a substantial part of published studies on disease management of diabetes and asthma/chronic obstructive pulmonary disease, especially when efficiency of care is concerned. Furthermore, structure indicators are largely missing from the evaluations, although these are of major importance for the interpretation of outcomes for purposes of decision-making. Efficiency of disease management is mainly evaluated by means ofprocessindicators; the use ofoutcomeindicators is less common. Within a framework, structure, process, and outcome indicators for effectiveness and efficiency are recommended for each type of disease management program.Conclusions:The link between aims of disease management and evaluated structure, process, and outcome indicators does not exist in a substantial part of published studies on disease management. The added value of this study mainly lies in the development of a framework to guide the choice of indicators for health technology assessment of disease management.

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