van der Horst A, van Wijmen F C, van Dijk P H
Aust Clin Rev. 1987 Mar;7(24):21-5.
Dutch hospitals have to design their quality-assessment programmes within the boundaries set by "indirect government legislation". At the University hospital of Maastricht a five-stage project was started in 1985 to construct a hospital-wide quality-assurance organisation that includes regular review of the quality of professional performance. This paper will describe intermediate results of the first stage and will discuss the results of different subsurveys undertaken to assess the current level of quality of care and several key-issues conditional to the implementation of such a hospital-wide structure in the existing organisation of a University hospital. Finally the results of the first stage will be contrasted with external legislative standards and internal needs of the University hospital recognised during assessment of the current situation.
荷兰医院必须在“间接政府立法”设定的范围内设计其质量评估方案。1985年，马斯特里赫特大学医院启动了一个五阶段项目，以构建一个全院范围的质量保证组织，其中包括对专业表现质量的定期审查。本文将描述第一阶段的中期结果，并讨论为评估当前护理质量水平以及在大学医院现有组织中实施这种全院范围结构的几个关键问题而进行的不同子调查的结果。最后，将第一阶段的结果与评估当前形势时所认识到的大学医院的外部立法标准和内部需求进行对比。
