Richmond D E
Department of Medicine, University of Auckland, New Zealand.
Aust N Z J Med. 1990 Jun;20(3):265-70. doi: 10.1111/j.1445-5994.1990.tb01037.x.
Hospital Quality Assurance (QA) programmes by divisions and departments of medicine have developed since the late 1970s. The Continuing Education Unit of the Royal Australasian College of Physicians played a facilitatory role in this development, especially in the first five to six years. A survey of 38 major teaching hospitals in Australia and New Zealand early in 1989 revealed that of the 35 responding all had introduced a formal QA programme in internal medicine between 1976 and 1988. The 'Austin Hospital Method' of review seminars was the most popular format when QA programmes were introduced and 26 hospitals still maintain such a format - at least as a component of their programmes. Most programmes have been subject to modification to suit local needs. There have been no serious problems in maintaining confidentiality of information derived from QA exercises. Despite a formidable array of constraining forces, the majority of continuing QA programmes appeared to be stable. Seventeen hospitals reported that the organising group was recognised as an official committee of their hospital's administration. Although eight programmes have been discontinued in the last four years, nearly as many new ones have been introduced.
自20世纪70年代末以来，医学各科室和部门的医院质量保证（QA）项目不断发展。澳大利亚皇家内科医师学院继续教育部门在这一发展过程中发挥了促进作用，尤其是在最初的五到六年。1989年初对澳大利亚和新西兰38家主要教学医院进行的一项调查显示，在做出回应的35家医院中，所有医院都在1976年至1988年期间推出了内科正式质量保证项目。引入质量保证项目时，“奥斯汀医院评审研讨会方法”是最受欢迎的形式，26家医院仍在采用这种形式——至少作为其项目的一个组成部分。大多数项目都进行了修改以适应当地需求。在保持质量保证活动所得信息的保密性方面没有出现严重问题。尽管存在一系列强大的制约因素，但大多数持续进行的质量保证项目似乎都很稳定。17家医院报告称，组织小组被视为医院行政部门的官方委员会。尽管在过去四年中有8个项目已停止，但几乎有同样多的新项目被引入。
