医学审计、继续医学教育与质量保证。
Medical audit, continuing medical education and quality assurance.
作者信息
Sanazaro P J
出版信息
West J Med. 1976 Sep;125(3):241-52.
Abstract
Medical audit and continuing medical education (CME) are now the mainstays of quality assurance in hospitals. Audits should address problems that have serious consequences for patients if proper treatment is not given. The single most important step is the selection of essential or scientific criteria that relate process to outcomes. CME does less than commonly believed to improve care. Today, quality assurance increasingly means a near-guarantee to every patient of appropriate treatment and fewest possible complications. Maintenance of the public trust rests on a firm commitment of the medical staff and board to this principle, implemented through an organized program of quality assurance. Under these conditions, medical audit and CME can effectively improve care by improving physician performance.
摘要
医学审计和继续医学教育（CME）如今是医院质量保证的主要支柱。审计应关注那些若未得到恰当治疗会给患者带来严重后果的问题。最重要的一步是选择将医疗过程与治疗结果相关联的基本或科学标准。继续医学教育在改善医疗方面的作用比通常认为的要小。如今，质量保证越来越意味着几乎要向每位患者保证得到恰当治疗并尽可能减少并发症。公众信任的维持依赖于医务人员和董事会对这一原则的坚定承诺，并通过有组织的质量保证计划来实施。在这些条件下，医学审计和继续医学教育可以通过提高医生的表现来有效改善医疗。
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