Read e-book online An Introduction to Quality Assurance in Health Care PDF

By Avedis Donabedian

ISBN-10: 0195158091

ISBN-13: 9780195158090

Avedis Donabedian's identify is synonymous with caliber of treatment. He unraveled the secret at the back of the concept that by way of defining it in transparent operational phrases and supplied exact blueprints for either its measurement(known as caliber review) and its improvement(known as caliber assurance). Many ahead of him claimed that caliber could not be outlined in concrete target phrases. He verified that caliber is an attribte of a method which he known as structure, a collection of prepared actions whihc he known as process, and an consequence which ends up from either. during this ebook Donabedian tells the total tale of caliber evaluation and coverage in easy, transparent phrases. He defines the which means of caliber, explicates its elements, and offers transparent and systematic courses to its evaluation and enhancement. His sort is lucid, succinct, systematic and but own, nearly conversational.

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Extra info for An Introduction to Quality Assurance in Health Care

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When illness strikes, as shown by the solid line in the figure, health deteriorates for a while and then, because the disease has been assumed to be self-limiting, begins to improve, finally attaining a level similar to that present at the beginning. 2 represents the effect of treatment. Areas A and B combined represent the effect of the best treatment. Effectiveness can now be represented by the fraction (A) -j- (A + B), which is the ratio of the health improvement achieved in actual practice to the health improvement that could have been achieved had the best treatment been given.

But because clinical efficiency is so closely allied to patient care, I shall mention a few illustrative examples. The Components of Quality in Health Care 11 The literature contains many examples of the effort to devise new strategies of care that lower cost while outcomes remain unchanged or even improve. A recent report demonstrates that, by codifying rules that guide the physical examination of patients who have suffered injuries of the ankle or foot, it is possible to reduce the number of X-ray examinations of these parts by 30% without causing harm.

They depend on factors generally beyond the direct control of the practitioners, unless these also own the firm that provides care or, in some other way, can influence it. When one is concerned with the domain that surrounds the core transaction, something is added. That is, attention to the care implemented by patients and their families when these are removed from the direct influence or control of their practitioners. Clearly, the practitioners may perform faultlessly but care can be ineffective if patients do not do their share.

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An Introduction to Quality Assurance in Health Care by Avedis Donabedian


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