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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1980-8-15
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pubmed:abstractText |
Practical peer review by means of a clinical audit requires complete documentation, critical assessment and open discussion of difficulties or errors in patient management. The quality of care in a large surgical department was monitored using weekly on-the-ward capture of complications and immediate feedback to involved surgeons. Retrospective peer review of surgical deaths judged the process of patient care in three categories--treatment, investigation and documentation; feedback was also provided. Seven of the 10 surgical services each collected morbidity data for at least 40 weeks in 1976 and 44 weeks in 1977. In 1978, 8 of the 10 services collected data for 50 weeks or more. The number of patients reviewed was 3520 in 1978. Of these, 822 (23%) had complications in 1976, 703 (16%) in 1977 and 918 (17%) in 1978. In 1976, 260 patients died; the quality of care was considered to have been adequate in 67%. In 1977, 278 patients died; in 76% the management was considered adequate. In 1978, 231 patients died; in 68% management was satisfactory. This clinical audit system is suitable for computer programming and can provide a complete and accurate report of the entire spectrum of complications.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0008-428X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
278-82
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pubmed:dateRevised |
2007-8-16
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pubmed:meshHeading |
pubmed-meshheading:7378962-Canada,
pubmed-meshheading:7378962-Hospital Departments,
pubmed-meshheading:7378962-Hospitals, Teaching,
pubmed-meshheading:7378962-Humans,
pubmed-meshheading:7378962-Medical Audit,
pubmed-meshheading:7378962-Morbidity,
pubmed-meshheading:7378962-Mortality,
pubmed-meshheading:7378962-Postoperative Complications,
pubmed-meshheading:7378962-Quality of Health Care,
pubmed-meshheading:7378962-Surgery Department, Hospital,
pubmed-meshheading:7378962-Surgical Procedures, Operative,
pubmed-meshheading:7378962-Utilization Review
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pubmed:year |
1980
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pubmed:articleTitle |
Clinical audit of surgery in a large teaching hospital.
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pubmed:publicationType |
Journal Article
|