Young B C, Doyle K R
Department of Emergency Medicine, Foothills Hospital, Calgary, Alberta.
J Emerg Med. 1995 Sep-Oct;13(5):721-7. doi: 10.1016/0736-4679(95)00092-o.
This survey provides a description of quality assurance (QA) in emergency departments of Canadian hospitals, looking at QA structure, processes, outcome measurements, and applications. With survey questions addressing the existence of a written QA plan, chart audits, mortality review, data collection and reporting, the frequency of comprehensive QA programs was measured. All Canadian hospitals with 200 or more beds were surveyed by mail; 66% responded (134 of 204). Teaching and larger hospitals were more likely to respond. QA structure was reported by 81% of respondents, with 59% of these having a written plan. The majority collected data (74%), issued reports (75%), and had QA committees (50%), but only 34% were computerized. QA processes included chart audits (78%), review of laboratory, radiology, or ECG reports (73%, 46%, 54%, respectively), and mortality review (91%). Comprehensive QA existed in only 12% of responding hospitals.
本次调查描述了加拿大医院急诊科的质量保证（QA）情况，涉及质量保证的结构、流程、结果测量及应用。通过调查问题了解书面质量保证计划的存在情况、病历审核、死亡率审查、数据收集与报告，以此衡量全面质量保证计划的实施频率。所有拥有200张或更多床位的加拿大医院均通过邮件进行了调查；66%（204家医院中的134家）做出了回应。教学医院和规模较大的医院更有可能做出回应。81%的受访者报告了质量保证结构，其中59%有书面计划。大多数医院收集数据（74%）、发布报告（75%）并设有质量保证委员会（50%），但只有34%实现了计算机化。质量保证流程包括病历审核（78%）、实验室报告审核（73%）、放射学报告审核（46%）、心电图报告审核（54%）以及死亡率审查（91%）。仅12%的回应医院存在全面质量保证。
