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This article is one example of how a more simplified audit system for evaluating patient outcomes can be implemented and can be applied to an ambulatory care setting. Quality assurance activities are here to stay, either as a result of our feeling a professional obligation to monitor our own practice in relationship to the public we serve, or as a result of pressure from consumers and third-party payers. I prefer to believe that as professionals, we do recognize our obligation to be accountable for our actions, and that only we can set the standards of practice to which we will be held accountable. Through the development of criteria for care, we are able to establish these standards of practice. In complex care settings such as our Ambulatory Care Service, the CMA/CHA audit process is a reasonable approach to assuring quality by looking at patient outcomes. This process supports the team approach to patient care, is a less expensive method because less time is required to orient personnel to the audit process, and meets JCAH requirements for accreditation.
本文是一个示例，展示了如何实施一个更简化的用于评估患者治疗结果的审核系统，并将其应用于门诊护理环境。质量保证活动将持续存在，这要么是因为我们感到有职业义务去监督我们自己与所服务公众相关的实践，要么是因为来自消费者和第三方支付方的压力。我更愿意相信，作为专业人员，我们确实认识到对自己的行为负责的义务，并且只有我们自己能够设定我们将为之负责的实践标准。通过制定护理标准，我们能够确立这些实践标准。在像我们的门诊护理服务这样复杂的护理环境中，CMA/CHA审核流程是一种通过查看患者治疗结果来确保质量的合理方法。这个流程支持团队式的患者护理方法，是一种成本较低的方法，因为让人员熟悉审核流程所需的时间较少，并且符合联合委员会对认证的要求。
