Goldman R
Office of Quality Assurance, Department of Veterans Affairs, Washington, DC 20420.
QRB Qual Rev Bull. 1989 Oct;15(10):315-9. doi: 10.1016/s0097-5990(16)30309-8.
In October 1988, the Department of Veterans Affairs (VA) established an occurrence screening program in its large, heterogeneous health care system. The program--comprising four stages: initial screening and clinical, peer, and service chief reviews--was designed to be sufficiently uniform for the collection of comparable data throughout the VA system, yet allow for local autonomy at 172 different facilities. Highly objective screening criteria were chosen so that identification of cases for review could be performed by automated procedures.
1988年10月，美国退伍军人事务部（VA）在其庞大且多样化的医疗保健系统中设立了一个事件筛查项目。该项目包括四个阶段：初始筛查以及临床、同行和服务主管评审，其设计目的是在整个退伍军人事务部系统中足够统一，以便收集可比数据，同时允许172个不同机构有地方自主权。选择了高度客观的筛查标准，以便能够通过自动化程序识别需评审的病例。
