Clinical performance and quality health care
-
Clin Perform Qual Health Care · Oct 1998
Utilizing national nosocomial infection surveillance system data to improve urinary tract infection rates in three intensive-care units.
To reduce catheter-related urinary tract infection rates in three intensive-care units to at or below the National Nosocomial Infection Surveillance System pooled mean for similar units. ⋯ A multidisciplinary approach assisted in reducing catheter-associated urinary tract infections in three intensive-care units, although not to the extent desired. The teams are investigating preconnected and antimicrobial-coated catheters further.
-
Clin Perform Qual Health Care · Oct 1998
Preventable trauma deaths: evaluation by peer review and a guide for quality improvement. Emergency Medical Study Group for Quality.
The trauma-injury severity-score (TRISS) methodology was developed in the United States to calculate the probability of survival for trauma patients presenting for emergency care. ⋯ TRISS can be used as a screening tool to identify potentially preventable trauma deaths. Peer review is appropriate to confirm preventability and to identify potential medical errors.
-
Clin Perform Qual Health Care · Oct 1998
A quality management approach to optimizing delivery and administration of preoperative antibiotics.
To optimize the process for delivering and administering preoperative antibiotics in order to prevent potential adverse patient outcomes. ⋯ A continuous quality-improvement approach that engages all departments involved in patient care is necessary to achieve meaningful change in complicated hospital processes.