A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.
A detailed review and evaluation of selected clinical records by qualified professional personnel to improve the quality of patient care and outcomes. The clinical audit was formally introduced in 1993 into the United Kingdom's National Health Service.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of nursing care.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of dental care.
Management review designed to evaluate efficiency and to identify areas in need of management improvement within the institution in order to ensure effectiveness in meeting organizational goals.
An examination, review and verification of all financial accounts.
I'm sorry for any confusion, but 'England' is not a medical term and does not have a medical definition. England is a country that is part of the United Kingdom, known for its rich history, cultural heritage, and contributions to medical science. However, in a medical context, it may refer to the location of a patient, healthcare provider, or research study, but it is not a term with a specific medical meaning.
The non-profit, non-governmental organization which collects, processes, and distributes data on hospital use. Two programs of the Commission are the Professional Activity Study and the Medical Audit Program.
Committees of professional personnel who have responsibility for determining policies, procedures, and controls related to professional matters in health facilities.
Great Britain is not a medical term, but a geographical name for the largest island in the British Isles, which comprises England, Scotland, and Wales, forming the major part of the United Kingdom.
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
Recording of pertinent information concerning patient's illness or illnesses.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
I'm sorry for any confusion, but "Wales" is not a medical term and does not have a medical definition. It is a country that is part of the United Kingdom, located in Europe. If you have any questions about a specific medical topic, I would be happy to help answer those!
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Professional medical personnel approved to provide care to patients in a hospital.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Hospitals controlled by various types of government, i.e., city, county, district, state or federal.
I'm sorry for any confusion, but "Scotland" is not a medical term and does not have a medical definition. Scotland is one of the four constituent countries of the United Kingdom, located in the northern part of Great Britain. If you have any questions related to healthcare or medical terminology, I would be happy to help answer those!
Hospital department which administers and provides pathology services.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
#### I must clarify that 'Northern Ireland' is not a medical term and does not have a medical definition. It is a geographical and political term referring to a part of the United Kingdom located in the northeastern portion of the island of Ireland, consisting of six of the nine counties of the historic province of Ulster.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
I'm sorry for any confusion, but "London" is a place name and not a medical term, so it doesn't have a medical definition. It's the capital city of England and the United Kingdom, known for its rich history, culture, and landmarks. If you have any questions related to health or medicine, I'd be happy to help answer those!
A management function in which standards and guidelines are developed for the development, maintenance, and handling of forms and records.
Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.
Hospital facilities equipped to carry out investigative procedures.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.
Major administrative divisions of the hospital.
The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals (From The Facts On File Dictionary of Health Care Management, 1988).
An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
Educational programs designed to inform physicians of recent advances in their field.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The branch of psychology concerned with psychological methods of recognizing and treating behavior disorders.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.
The care of women and a fetus or newborn given before, during, and after delivery from the 28th week of gestation through the 7th day after delivery.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Disorders related to or resulting from abuse or mis-use of alcohol.
Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.
The capability to perform acceptably those duties directly related to patient care.
Organized services in a hospital which provide medical care on an outpatient basis.
An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.
Blood, mucus, tissue removed at surgery or autopsy, soiled surgical dressings, and other materials requiring special disposal procedures.
Organizations representing designated geographic areas which have contracts under the PRO program to review the medical necessity, appropriateness, quality, and cost-effectiveness of care received by Medicare beneficiaries. Peer Review Improvement Act, PL 97-248, 1982.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
Institutions with an organized medical staff which provide medical care to patients.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
A voluntary contract between two or more doctors who may or may not share responsibility for the care of patients, with proportional sharing of profits and losses.
A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)
Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for Medicaid programs beginning in 1993.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases.
The attainment or process of attaining a new level of performance or quality.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A mechanism of communication within a system in that the input signal generates an output response which returns to influence the continued activity or productivity of that system.
A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4)
Institutional funding for facilities and for equipment which becomes a part of the assets of the institution.
Organized periodic procedures performed on large groups of people for the purpose of detecting disease.
The planning and managing of programs, services, and resources.
Maternal deaths resulting from complications of pregnancy and childbirth in a given population.
Occupations of medical personnel who are not physicians, and are qualified by special training and, frequently, by licensure to work in supporting roles in the health care field. These occupations include, but are not limited to, medical technology, physical therapy, physician assistant, etc.
Usually a written medical and nursing care program designed for a particular patient.
The structuring of the environment to permit or promote specific patterns of behavior.
The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.
Individuals referred to for expert or professional advice or services.
The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
Method of measuring performance against established standards of best practice.
Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.
Patient-based medical care provided across age and gender or specialty boundaries.
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
Deaths occurring from the 28th week of GESTATION to the 28th day after birth in a given population.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Elements of limited time intervals, contributing to particular results or situations.
Directions written for the obtaining and use of DRUGS.
The reciprocal interaction of physicians and nurses.
Diagnostic, therapeutic, and investigative procedures prescribed and performed by health professionals, the results of which do not justify the benefits or hazards and costs to the patient.
Studies determining the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. For drugs and devices, CLINICAL TRIALS AS TOPIC; DRUG EVALUATION; and DRUG EVALUATION, PRECLINICAL are available.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
The observation and analysis of movements in a task with an emphasis on the amount of time required to perform the task.
The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.
Incorrect diagnoses after clinical examination or technical diagnostic procedures.
A formal process of examination of patient care or research proposals for conformity with ethical standards. The review is usually conducted by an organized clinical or research ethics committee (CLINICAL ETHICS COMMITTEES or RESEARCH ETHICS COMMITTEES), sometimes by a subset of such a committee, an ad hoc group, or an individual ethicist (ETHICISTS).
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
An occupation limited in scope to a subsection of a broader field.
A surgical specialty concerned with the study and treatment of disorders of the ear, nose, and throat.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.

A comparative analysis of six audit systems for mental health nursing. (1/49)

PURPOSE: To devise an analytical framework to help identify strengths and weaknesses in the audit process as specified by existing psychiatric nursing audit systems, in order to analyse current audit practice and identify improvements for incorporation in the Newcastle Clinical Audit Toolkit for Mental Health. DATA SOURCES: Published material relating to the following six systems: the Central Nottinghamshire Psychiatric Nursing Audit; Psychiatric Nursing Monitor; Standards of Care and Practice; Achievable Standards of Care; Quartz; and Quest. DATA EXTRACTION: Comparison of the six systems according to an analytical framework derived from detailed empirical study (structures, processes and outcomes) of one of them in use and the educational evaluation literature. Examination of the extent to which guidance is provided for operating the systems and for wider process-related aspects of audit. RESULTS OF DATA SYNTHESIS: Five of the systems failed to specify some important elements of the audit process. Conceptually, the six systems can be divided into two main types: 'instrument-like' systems designed along psychometric lines and which emphasize the distance between the subjects of audit and the operators of the systems, and 'tool-like' systems which exploit opportunities for care setting staff to engage in the audit process. A third type of system is the locally-developed system which is offered to a wider audience but which does not make the same level of claim to universal applicability. CONCLUSION: The analytical framework allows different approaches to audit to be compared and contrasted not only according to the techniques used, but also according to process issues. The analysis of six systems revealed a variety of different techniques and procedures which can facilitate, in a methodologically rigorous manner, practitioner and other stakeholder involvement in audit processes.  (+info)

Practitioner based quality improvement: a review of the Royal College of Nursing's dynamic standard setting system. (2/49)

OBJECTIVE: To explore and describe the implementation of the Royal College of Nursing's approach to audit--the dynamic standard setting system--within the current context of health care, in particular to focus on how the system has developed since its inception in the 1980s as a method for uniprofessional and multiprofessional audit. DESIGN: Qualitative design with semistructure interviews and field visits. SETTING: 28 sites throughout the United Kingdom that use the dynamic standard setting system. SUBJECTS: Quality and audit coordinators with a responsibility for implementing the system; clinical staff who practice the system. MAIN MEASURES: Experiences of the dynamic standard setting system, including reasons for selection, methods of implementation, and observed outcomes. RESULTS: Issues relating to four themes emerged from the data: practical experiences of the system as a method for improving patient care; issues of facilitation and training; strategic issues of implementation; and the use of the system as a method for multiprofessional audit. The development of clinical practice was described as a major benefit of the system and evidence of improved patient care was apparent. However, difficulties were experienced in motivating staff and finding time for audit, which in part related to the current format of the system and the level of training and support available for clinical staff. Diverse experiences were reported in the extent to which the system had been integrated at a strategic level of quality improvement and its successful application to multiprofessional clinical audit. CONCLUSIONS: The Royal College of Nursing's dynamic standard setting system can successfully be used as a method for clinical audit at both a uniprofessional and multiprofessional level. However, to capitalise on the strengths of the system, several issues need to be considered further. These include modifications to the system itself, as well as a more strategic focus on resources and support for audit, better integration of quality initiatives in health care, and a continuing focus on ways to achieve true multiprofessional collaboration and involvement of patients in clinical audit.  (+info)

Consistency of retrospective triage decisions as a standardised instrument for audit. (3/49)

OBJECTIVES: To determine the level of agreement between senior medical staff when asked to perform retrospective case note review of nursing triage decisions, both before and after development of a consensus approach. METHODS: Four medical reviewers independently allocated triage categories to 50 emergency department patients after review of their case notes. They were blind to the identity of the triage nurse and their triage categorisation. The process was repeated twice, firstly after agreement on a consensus approach and then using formal guidelines. RESULTS: Agreement between reviewers was initially fair to moderate (kappa = 0.27 to 0.53). This failed to improve after development of a consensus approach (kappa = 0.29 to 0.57). There was a trend towards better agreement when guidelines were used but agreement was still only moderate (kappa = 0.31 to 0.63). CONCLUSIONS: Audit of nurse triage categorisation by senior medical staff performing case note review has only fair to moderate consistency between reviewers. Use of this technique will result in frustration among those whose performance is being audited if they recognise inconsistency in the standard they are compared against.  (+info)

Clinical interventions and outcomes of One-to-One midwifery practice. (4/49)

BACKGROUND: Changing Childbirth became policy for the maternity services in England in 1994 and remains policy. One-to-One midwifery was implemented to achieve the targets set. It was the first time such a service had been implemented in the Health Service. An evaluation was undertaken to compare its performance with conventional maternity care. METHODS: This was a prospective comparative study of women receiving One-to-One care and women receiving the system of care that One-to-One replaced (conventional care) to compare achievement of continuity of carer and clinical outcomes. The evaluation took place in The Hammersmith Hospitals NHS Trust, the Queen Charlotte's and Hammersmith Hospitals. This was part of a larger study, which included the evaluation of women's responses, cost implications, and clinical standards and staff reactions. The participants were all those receiving One-to-One midwifery practice (728 women), which was confined to two postal districts, and all women receiving care in the system that One-to-One replaced, in two adjacent postal districts (675 women), and expecting to give birth between 15 August 1994 and 14 August 1995. Main outcome measures were achievement of continuity of care, rates of interventions in labour, length of labour, maternal and infant morbidity, and breastfeeding rates. RESULTS: A high degree of continuity was achieved through the whole process of maternity care. One-to-One women saw fewer staff at each stage of their care, knew more of the staff who they did see, and had a high level of constant support in labour. One-to-One practice was associated with a significant reduction in the use of epidural anaesthesia (odds ratio (OR) 95 per cent confidence interval (CI) = 0.59 (0.44, 0.80)), with lower rates of episiotomy and perineal lacerations (OR 95 per cent CI = 0.70 (0.50, 0.98)), and with shorter second stage labour (median 40 min vs 48 min). There were no statistically significant differences in operative and assisted delivery or breastfeeding rates. CONCLUSIONS: This study confirms that One-to-One midwifery practice can provide a high degree of continuity of carer, and is associated with a reduction in the rate of a number of interventions, without compromising safety of care. It should be extended locally and replicated in other services under continuing evaluation.  (+info)

Reviewing audit: barriers and facilitating factors for effective clinical audit. (5/49)

OBJECTIVE: To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. DESIGN: A comprehensive literature review was undertaken through a thorough review of Medline and CINAHL databases using the keywords of "audit", "audit of audits", and "evaluation of audits" and a handsearch of the indexes of relevant journals for key papers. RESULTS: Findings from 93 publications were reviewed. These ranged from single case studies of individual audit projects through retrospective reviews of departmental audit programmes to studies of interface projects between primary and secondary care. The studies reviewed incorporated the experiences of a wide variety of clinicians, from medical consultants to professionals allied to medicine and from those involved in unidisciplinary and multidisciplinary ventures. Perceived benefits of audit included improved communication among colleagues and other professional groups, improved patient care, increased professional satisfaction, and better administration. Some disadvantages of audit were perceived as diminished clinical ownership, fear of litigation, hierarchical and territorial suspicions, and professional isolation. The main barriers to clinical audit can be classified under five main headings. These are lack of resources, lack of expertise or advice in project design and analysis, problems between groups and group members, lack of an overall plan for audit, and organisational impediments. Key facilitating factors to audit were also identified: they included modern medical records systems, effective training, dedicated staff, protected time, structured programmes, and a shared dialogue between purchasers and providers. CONCLUSIONS: Clinical audit can be a valuable assistance to any programme which aims to improve the quality of health care and its delivery. Yet without a coherent strategy aimed at nurturing effective audits, valuable opportunities will be lost. Paying careful attention to the professional attitudes highlighted in this review may help audit to deliver on some of its promise.  (+info)

Development of an audit instrument for nursing care plans in the patient record. (6/49)

OBJECTIVES: To develop, validate, and test the reliability of an audit instrument that measures the extent to which patient records describe important aspects of nursing care. MATERIAL: Twenty records from each of three hospital wards were collected and audited. The auditors were registered nurses with a knowledge of nursing documentation in accordance with the VIPS model--a model designed to structure nursing documentation. (VIPS is an acronym formed from the Swedish words for wellbeing, integrity, prevention, and security.) METHODS: An audit instrument was developed by determining specific criteria to be met. The audit questions were aimed at revealing the content of the patient for nursing assessment, nursing diagnosis, planned interventions, and outcome. Each of the 60 records was reviewed by the three auditors independently and the reliability of the instrument was tested by calculating the inter-rater reliability coefficient. Content validity was tested by using an expert panel and calculating the content validity ratio. The criterion related validity was estimated by the correlation between the score of the Cat-ch-Ing instrument and the score of an earlier developed and used audit instrument. The results were then tested by using Pearson's correlation coefficient. RESULTS: The new audit instrument, named Cat-ch-Ing, consists of 17 questions designed to judge the nursing documentation. Both quantity and quality variables are judged on a rating scale from zero to three, with a maximum score of 80. The inter-rater reliability coefficients were 0.98, 0.98, and 0.92, respectively for each group of 20 records, the content validity ratio ranged between 0.20 and 1.0 and the criterion related validity showed a significant correlation of r = 0.68 (p < 0.0001, 95% CI 0.57 to 0.76) between the two audit instruments. CONCLUSION: The Cat-ch-Ing instrument has proved to be a valid and reliable audit instrument for nursing records when the VIPS model is used as the basis of the documentation.  (+info)

Improving door to needle times with nurse initiated thrombolysis. (7/49)

OBJECTIVE: To evaluate the effect of nurse initiated thrombolysis on door to needle time (the interval between arriving at the hospital and starting thrombolytic treatment) in patients with acute myocardial infarction. DESIGN: Comparison of door to needle times before and after the employment of nurses trained and approved to initiate thrombolysis without prescription by a doctor but with a protocol for rapid triage of patients with chest pain. SETTING: A district general hospital. SUBJECTS: All patients admitted with suspected myocardial infarction between April 1995 and March 1999. MAIN OUTCOME MEASURES: Speed (door to needle time) and appropriateness of administration of thrombolytic drugs to patients with acute myocardial infarction who gave a characteristic history and had appropriate criteria on the admission ECG. RESULTS: During seven periods (each of four months) before the introduction of nurse initiated thrombolysis and a new chest pain triage protocol, the median door to needle time varied from 50-58 minutes. In four periods (each of 4-6 months) following the introduction of the changes, the median door to needle time was 25-30 minutes. The improvement was significant (p < 0.001). Nurses trained to initiate thrombolysis currently provide cover for 66% of the time. Median door to needle time for nurses was 15 minutes. Median door to needle time for junior doctors improved to 35 minutes. The median door to needle times when nurses initiated thrombolysis was significantly shorter than when doctors did so (p < 0.001). There have been no inappropriate management decisions by nurses approved to initiate thrombolysis. CONCLUSIONS: The use of nurse initiated thrombolysis has resulted in a clinically important reduction in the time taken for thrombolysis to be started in patients with acute myocardial infarction.  (+info)

An audit of clinical nurse practitioner led thrombolysis to improve the treatment of acute myocardial infarction. (8/49)

BACKGROUND: The aim of the study was to audit the impact of cardiac nurse practitioner led thrombolysis as a method of reducing call to needle times for acute myocardial infarction (AMI) in a single district hospital. METHODS: This was a prospectively planned, observational study, comparing time delay between arrival at hospital and the administration of thrombolysis ('door to needle' time) in patients presenting with AMI in a district general hospital serving a population of 270000. The 6 months before and 6 months after initiation of the scheme were compared. RESULTS: There were 151 consecutive patients (undergoing 163 thrombolysis episodes). The median door to needle time fell from 60 min (range 42-110 min) to 30 min (range 20-61 min) (p<0.01). In those patients eligible for immediate thrombolysis the number of cases treated within 30 min of arrival rose from 10/58 (17 per cent) to 48/64 (75 per cent) (p<0.01). The proportion of cases where there was an initial delay as a result of non-diagnostic ECG or possible contra-indication to therapy remained constant, 20/78 (25 per cent) cases before and 21/85 (25 per cent) cases after initiation of the scheme. The number of cases of inappropriate thrombolysis fell from 73 per cent to 30 per cent. CONCLUSION: The provision of i.v. thrombolysis by cardiac nurse practitioners is safe and should be considered as a method for achieving acceptable door to needle times in the management of acute myocardial infarction.  (+info)

A medical audit is a systematic review and evaluation of the quality of medical care against established standards to see if it is being delivered efficiently, effectively, and equitably. It is a quality improvement process that aims to improve patient care and outcomes by identifying gaps between actual and desired practice, and implementing changes to close those gaps. Medical audits can focus on various aspects of healthcare delivery, including diagnosis, treatment, medication use, and follow-up care. The ultimate goal of medical audits is to ensure that patients receive the best possible care based on current evidence and best practices.

A clinical audit is a quality improvement process that involves systematically evaluating and improving the care delivered to patients. It is based on comparing current practice against evidence-based standards or guidelines, identifying gaps between current and desired practice, and implementing changes to close those gaps. Clinical audits can focus on various aspects of healthcare delivery, including clinical outcomes, patient safety, patient experience, and clinical processes. The aim of a clinical audit is to ensure that patients receive high-quality care that meets best practice standards, leading to improved health outcomes and patient satisfaction.

A nursing audit is a systematic review and evaluation of nursing practice, care, and outcomes in relation to established standards, policies, and guidelines. It is a quality improvement process that aims to identify strengths, weaknesses, and areas for improvement in nursing care, with the goal of enhancing patient safety, outcomes, and overall healthcare delivery. Nursing audits can focus on various aspects of nursing practice, such as documentation, assessment, care planning, implementation, and evaluation. The findings from a nursing audit are typically used to inform education, policy development, and performance improvement initiatives.

A dental audit is a systematic review and evaluation of the dental records, procedures, and care provided by a dentist or dental practice. The purpose of a dental audit is to assess the quality of care, identify any areas for improvement, and ensure that appropriate policies and procedures are being followed. This can include reviews of patient records, treatment plans, billing practices, and adherence to infection control guidelines.

The results of a dental audit may be used to improve the quality of care provided to patients, reduce the risk of errors or complications, and ensure compliance with regulatory requirements. Dental audits may be conducted internally by dental practices themselves, or externally by dental organizations, insurance companies, or government agencies.

I'm sorry for any confusion, but "Management Audit" is not a term that has a specific medical definition. It is a concept that is more commonly used in business and management contexts. A Management Audit refers to an examination and evaluation of an organization's or a company's management systems, processes, and practices. Its aim is to assess their effectiveness, efficiency, and compliance with established policies, procedures, and laws.

If you have any questions related to medical terminology or healthcare concepts, I would be happy to help!

I'm sorry for any confusion, but "Financial Audit" is not a medical term. It belongs to the field of accounting and finance. A financial audit is an independent examination of an organization's financial records, statements, and accounting practices to ensure that they are accurate, complete, and in accordance with applicable laws and regulations. This process is conducted by professional auditors who are unbiased and independent from the organization being audited.

I'm sorry for any confusion, but "England" is not a medical term or concept. It is one of the four constituent countries that make up the United Kingdom, along with Wales, Scotland, and Northern Ireland. England is located in the southern part of Great Britain, which is the largest island of the British Isles.

If you have any questions related to medicine or healthcare, I would be happy to try to help answer them for you!

The Commission on Professional and Hospital Activities (CPHA) was a non-profit organization that was established in the United States to collect, process, and analyze data related to healthcare services provided by hospitals and professionals. The CPHA developed a system for measuring and comparing the quality and efficiency of medical care delivered by hospitals and physicians.

The Commission's main product was the Professional Activity Study (PAS), which was a comprehensive database of hospital discharge summaries that contained information about patient diagnoses, treatments, and outcomes. The PAS was used to evaluate physician performance, identify best practices, and develop quality improvement initiatives.

In 1995, the CPHA merged with the American Medical Association (AMA) to form the AMA-CPHA, which continued to collect and analyze healthcare data until 2003 when it was discontinued due to financial difficulties. The work of the CPHA has since been taken up by other organizations, such as The Joint Commission and the Centers for Medicare & Medicaid Services (CMS), which continue to monitor and regulate the quality of healthcare in the United States.

I'm sorry for any confusion, but "Professional Staff Committees" is not a medical term or concept. Instead, it likely refers to committees made up of professional staff members in a hospital, healthcare organization, or other professional setting. These committees typically consist of department heads, managers, and other experienced professionals who collaborate on various aspects of organizational operations, such as policy-making, quality improvement, patient care standards, and staff development. They serve as platforms for discussion, decision-making, and problem-solving to ensure the smooth functioning and continuous improvement of the organization's services.

I'm sorry for any confusion, but the term "Great Britain" is not a medical concept or condition. It is a geographical and political term referring to the largest island in the British Isles, on which the majority of England, Scotland, and Wales are located. It's also used to refer to the political union of these three countries, which is called the United Kingdom. Therefore, it doesn't have a medical definition.

"State Medicine" is not a term that has a widely accepted or specific medical definition. However, in general terms, it can refer to the organization, financing, and delivery of healthcare services and resources at the national or regional level, overseen and managed by the government or state. This can include public health initiatives, regulation of healthcare professionals and institutions, and the provision of healthcare services through publicly funded programs.

In some contexts, "State Medicine" may also refer to the practice of using medical treatments or interventions as a means of achieving political or social objectives, such as reducing crime rates or improving economic productivity. However, this usage is less common and more controversial.

A "General Hospital" is a type of hospital that provides a broad range of medical and surgical services to a diverse patient population. It typically offers general medical care, emergency services, intensive care, diagnostic services (such as laboratory testing and imaging), and inpatient and outpatient surgical services. General hospitals may also have specialized departments or units for specific medical conditions or populations, such as pediatrics, obstetrics and gynecology, geriatrics, oncology, and mental health. They are usually staffed by a variety of healthcare professionals, including physicians, nurses, pharmacists, therapists, and support personnel. General hospitals can be found in both urban and rural areas and may be operated by governmental, non-profit, or for-profit organizations.

Quality Assurance in the context of healthcare refers to a systematic approach and set of activities designed to ensure that health care services and products consistently meet predetermined standards of quality and safety. It includes all the policies, procedures, and processes that are put in place to monitor, assess, and improve the quality of healthcare delivery.

The goal of quality assurance is to minimize variability in clinical practice, reduce medical errors, and ensure that patients receive evidence-based care that is safe, effective, timely, patient-centered, and equitable. Quality assurance activities may include:

1. Establishing standards of care based on best practices and clinical guidelines.
2. Developing and implementing policies and procedures to ensure compliance with these standards.
3. Providing education and training to healthcare professionals to improve their knowledge and skills.
4. Conducting audits, reviews, and evaluations of healthcare services and processes to identify areas for improvement.
5. Implementing corrective actions to address identified issues and prevent their recurrence.
6. Monitoring and measuring outcomes to evaluate the effectiveness of quality improvement initiatives.

Quality assurance is an ongoing process that requires continuous evaluation and improvement to ensure that healthcare delivery remains safe, effective, and patient-centered.

Guideline adherence, in the context of medicine, refers to the extent to which healthcare professionals follow established clinical practice guidelines or recommendations in their daily practice. These guidelines are systematically developed statements designed to assist practitioners and patient decisions about appropriate health care for specific clinical circumstances. Adherence to evidence-based guidelines can help improve the quality of care, reduce unnecessary variations in practice, and promote optimal patient outcomes. Factors that may influence guideline adherence include clinician awareness, familiarity, agreement, self-efficacy, outcome expectancy, and the complexity of the recommendation.

Medical records are organized, detailed collections of information about a patient's health history, including their symptoms, diagnoses, treatments, medications, test results, and any other relevant data. These records are created and maintained by healthcare professionals during the course of providing medical care and serve as an essential tool for continuity, communication, and decision-making in healthcare. They may exist in paper form, electronic health records (EHRs), or a combination of both. Medical records also play a critical role in research, quality improvement, public health, reimbursement, and legal proceedings.

Family practice, also known as family medicine, is a medical specialty that provides comprehensive and continuous care to patients of all ages, genders, and stages of life. Family physicians are trained to provide a wide range of services, including preventive care, diagnosis and treatment of acute and chronic illnesses, management of complex medical conditions, and providing health education and counseling.

Family practice emphasizes the importance of building long-term relationships with patients and their families, and takes into account the physical, emotional, social, and psychological factors that influence a person's health. Family physicians often serve as the primary point of contact for patients within the healthcare system, coordinating care with other specialists and healthcare providers as needed.

Family practice is a broad and diverse field, encompassing various areas such as pediatrics, internal medicine, obstetrics and gynecology, geriatrics, and behavioral health. The goal of family practice is to provide high-quality, patient-centered care that meets the unique needs and preferences of each individual patient and their family.

I'm sorry for any confusion, but "Wales" is not a medical term. It is a country that is part of the United Kingdom, located in Western Europe. If you have any questions about medical terms or concepts, I would be happy to help answer those!

Practice guidelines, also known as clinical practice guidelines, are systematically developed statements that aim to assist healthcare professionals and patients in making informed decisions about appropriate health care for specific clinical circumstances. They are based on a thorough evaluation of the available scientific evidence, consensus of expert opinion, and consideration of patient preferences. Practice guidelines can cover a wide range of topics, including diagnosis, management, prevention, and treatment options for various medical conditions. They are intended to improve the quality and consistency of care, reduce unnecessary variations in practice, and promote evidence-based medicine. However, they should not replace clinical judgment or individualized patient care.

'Medical Staff, Hospital' is a general term that refers to the group of licensed physicians and other healthcare professionals who are responsible for providing medical care to patients in a hospital setting. The medical staff may include attending physicians, residents, interns, fellows, nurse practitioners, physician assistants, and other advanced practice providers.

The medical staff is typically governed by a set of bylaws that outline the structure, authority, and responsibilities of the group. They are responsible for establishing policies and procedures related to patient care, quality improvement, and safety. The medical staff also plays a key role in the hospital's credentialing and privileging process, which ensures that healthcare professionals meet certain standards and qualifications before they are allowed to practice in the hospital.

The medical staff may work in various departments or divisions within the hospital, such as internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and radiology. They may also participate in teaching and research activities, as well as hospital committees and leadership roles.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

"Public hospitals" are defined as healthcare institutions that are owned, operated, and funded by government entities. They provide medical services to the general public, regardless of their ability to pay. Public hospitals can be found at the local, regional, or national level and may offer a wide range of services, including emergency care, inpatient and outpatient care, specialized clinics, and community health programs. These hospitals are accountable to the public and often have a mandate to serve vulnerable populations, such as low-income individuals, uninsured patients, and underserved communities. Public hospitals may receive additional funding from various sources, including patient fees, grants, and donations.

I'm sorry for any confusion, but "Scotland" is not a medical term or concept. It is one of the four constituent countries of the United Kingdom. If you have any questions related to medical terminology or health-related topics, I would be happy to try and help answer those for you.

A Pathology Department in a hospital is a division that is responsible for the examination and diagnosis of diseases through the laboratory analysis of tissue, fluid, and other samples. It plays a crucial role in providing accurate diagnoses, treatment planning, and monitoring of patients' health statuses. The department is typically staffed by pathologists (physicians who specialize in interpreting medical tests and diagnosing diseases), as well as laboratory technologists, technicians, and assistants.

The Pathology Department provides various services, including:

1. Anatomical Pathology - Examination of tissue specimens to identify abnormalities, such as cancerous growths or other diseases. This includes surgical pathology, cytopathology (examining individual cells), and autopsy pathology.
2. Clinical Pathology - Analysis of bodily fluids, such as blood, urine, and cerebrospinal fluid, to assess chemical, hematological, immunological, and microbiological aspects. This includes hematology (study of blood cells), clinical chemistry (analysis of body chemicals), immunopathology (study of immune system disorders), and microbiology (identification and classification of bacteria, viruses, fungi, and parasites).
3. Molecular Pathology - Analysis of DNA, RNA, and proteins to identify genetic mutations or abnormalities that contribute to diseases, particularly cancer. This information can help guide targeted therapies and personalized treatment plans.
4. Forensic Pathology - Examination of bodies to determine the cause and manner of death in cases of suspected criminal activity, accidents, or other suspicious circumstances.

The Pathology Department's work is essential for providing accurate diagnoses, determining appropriate treatments, monitoring disease progression, and conducting medical research.

**Referral:**
A referral in the medical context is the process where a healthcare professional (such as a general practitioner or primary care physician) sends or refers a patient to another healthcare professional who has specialized knowledge and skills to address the patient's specific health condition or concern. This could be a specialist, a consultant, or a facility that provides specialized care. The referral may involve transferring the patient's care entirely to the other professional or may simply be for a consultation and advice.

**Consultation:**
A consultation in healthcare is a process where a healthcare professional seeks the opinion or advice of another professional regarding a patient's medical condition. This can be done in various ways, such as face-to-face meetings, phone calls, or written correspondence. The consulting professional provides their expert opinion to assist in the diagnosis, treatment plan, or management of the patient's condition. The ultimate decision and responsibility for the patient's care typically remain with the referring or primary healthcare provider.

I'm sorry for any confusion, but "Northern Ireland" is a geographical location and political entity, and not a medical term or concept. It is one of the four constituent countries of the United Kingdom, located in the north-east of the island of Ireland. Therefore, it doesn't have a medical definition. If you have any questions related to health or medicine, I would be happy to try to help answer those!

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

A "Teaching Hospital" is a healthcare institution that provides medical education and training to future healthcare professionals, such as medical students, residents, and fellows. These hospitals are often affiliated with medical schools or universities and have a strong focus on research and innovation in addition to patient care. They typically have a larger staff of specialized doctors and medical professionals who can provide comprehensive care for complex and rare medical conditions. Teaching hospitals also serve as important resources for their communities, providing access to advanced medical treatments and contributing to the development of new healthcare technologies and practices.

I'm sorry for any confusion, but "London" is a place and not a medical term or condition. It is the capital city and largest metropolitan area in both England and the United Kingdom. If you have any questions related to medical definitions or health-related topics, I would be happy to help!

"Forms and Records Control" is not a recognized medical term or concept. However, in a broader healthcare context, "Records Control" typically refers to the systematic management and maintenance of patient records to ensure their accuracy, confidentiality, and accessibility. This includes establishing policies and procedures for creating, storing, retrieving, using, and disposing of records in compliance with applicable laws and regulations.

"Forms," on the other hand, are standardized documents used in healthcare settings to collect and record patient information. "Forms Control" may refer to the management and tracking of these forms to ensure they are up-to-date, compliant with relevant regulations, and accessible to authorized personnel. This can include developing and implementing processes for creating, revising, approving, distributing, and retiring healthcare forms.

In summary, "Forms and Records Control" in a healthcare context could be interpreted as the combined management of standardized forms used to collect patient information and the systematic maintenance of those records to ensure accuracy, confidentiality, and compliance with applicable laws and regulations.

The Surgery Department in a hospital is a specialized unit where surgical procedures are performed. It is typically staffed by surgeons, anesthesiologists, nurse anesthetists, registered nurses, surgical technologists, and other healthcare professionals who work together to provide surgical care for patients. The department may include various sub-specialties such as cardiovascular surgery, neurosurgery, orthopedic surgery, pediatric surgery, plastic surgery, and trauma surgery, among others.

The Surgery Department is responsible for the preoperative evaluation and preparation of patients, the performance of surgical procedures, and the postoperative care and management of patients. This includes ordering and interpreting diagnostic tests, developing treatment plans, obtaining informed consent from patients, performing surgeries, managing complications, providing postoperative pain control and wound care, and coordinating with other healthcare providers to ensure continuity of care.

The Surgery Department is equipped with operating rooms that contain specialized equipment and instruments necessary for performing surgical procedures. These may include microscopes, endoscopes, imaging equipment, and other technology used to assist in the performance of surgeries. The department may also have dedicated recovery areas, such as post-anesthesia care units (PACUs) or intensive care units (ICUs), where patients can be monitored and cared for immediately after surgery.

Overall, the Surgery Department plays a critical role in the delivery of healthcare services in a hospital setting, providing specialized surgical care to patients with a wide range of medical conditions and injuries.

A hospital laboratory is a specialized facility within a healthcare institution that provides diagnostic and research services. It is responsible for performing various tests and examinations on patient samples, such as blood, tissues, and bodily fluids, to assist in the diagnosis, treatment, and prevention of diseases. Hospital laboratories may offer a wide range of services, including clinical chemistry, hematology, microbiology, immunology, molecular biology, toxicology, and blood banking/transfusion medicine. These labs are typically staffed by trained medical professionals, such as laboratory technologists, technicians, and pathologists, who work together to ensure accurate and timely test results, which ultimately contribute to improved patient care.

Physician's practice patterns refer to the individual habits and preferences of healthcare providers when it comes to making clinical decisions and managing patient care. These patterns can encompass various aspects, such as:

1. Diagnostic testing: The types and frequency of diagnostic tests ordered for patients with similar conditions.
2. Treatment modalities: The choice of treatment options, including medications, procedures, or referrals to specialists.
3. Patient communication: The way physicians communicate with their patients, including the amount and type of information shared, as well as the level of patient involvement in decision-making.
4. Follow-up care: The frequency and duration of follow-up appointments, as well as the monitoring of treatment effectiveness and potential side effects.
5. Resource utilization: The use of healthcare resources, such as hospitalizations, imaging studies, or specialist consultations, and the associated costs.

Physician practice patterns can be influenced by various factors, including medical training, clinical experience, personal beliefs, guidelines, and local availability of resources. Understanding these patterns is essential for evaluating the quality of care, identifying potential variations in care, and implementing strategies to improve patient outcomes and reduce healthcare costs.

In a medical context, documentation refers to the process of recording and maintaining written or electronic records of a patient's health status, medical history, treatment plans, medications, and other relevant information. The purpose of medical documentation is to provide clear and accurate communication among healthcare providers, to support clinical decision-making, to ensure continuity of care, to meet legal and regulatory requirements, and to facilitate research and quality improvement initiatives.

Medical documentation typically includes various types of records such as:

1. Patient's demographic information, including name, date of birth, gender, and contact details.
2. Medical history, including past illnesses, surgeries, allergies, and family medical history.
3. Physical examination findings, laboratory and diagnostic test results, and diagnoses.
4. Treatment plans, including medications, therapies, procedures, and follow-up care.
5. Progress notes, which document the patient's response to treatment and any changes in their condition over time.
6. Consultation notes, which record communication between healthcare providers regarding a patient's care.
7. Discharge summaries, which provide an overview of the patient's hospital stay, including diagnoses, treatments, and follow-up plans.

Medical documentation must be clear, concise, accurate, and timely, and it should adhere to legal and ethical standards. Healthcare providers are responsible for maintaining the confidentiality of patients' medical records and ensuring that they are accessible only to authorized personnel.

There seems to be a misunderstanding in your question. "Hospital Departments" is not a medical term or diagnosis, but rather an organizational structure used by hospitals to divide their services and facilities into different units based on medical specialties or patient populations. Examples of hospital departments include internal medicine, surgery, pediatrics, emergency medicine, radiology, and pathology. Each department typically has its own staff, equipment, and facilities to provide specialized care for specific types of patients or medical conditions.

Peer review in the context of health care is a process used to maintain standards and improve the quality of healthcare practices, research, and publications. It involves the evaluation of work or research conducted by professionals within the same field, who are considered peers. The purpose is to provide an objective assessment of the work, identify any errors or biases, ensure that the methods and conclusions are sound, and offer suggestions for improvement.

In health care, peer review can be applied to various aspects including:

1. Clinical Practice: Healthcare providers regularly review each other's work to maintain quality standards in patient care, diagnoses, treatment plans, and adherence to evidence-based practices.

2. Research: Before research findings are published in medical journals, they undergo a rigorous peer-review process where experts assess the study design, methodology, data analysis, interpretation of results, and conclusions to ensure the validity and reliability of the research.

3. Publications: Medical journals use peer review to evaluate and improve the quality of articles submitted for publication. This helps to maintain the credibility and integrity of the published literature, ensuring that it is accurate, unbiased, and relevant to the field.

4. Education and Training Programs: Peer review is also used in evaluating the content and delivery of medical education programs, continuing professional development courses, and training curricula to ensure they meet established standards and are effective in enhancing the knowledge and skills of healthcare professionals.

5. Healthcare Facilities and Institutions: Accreditation bodies and regulatory authorities use peer review as part of their evaluation processes to assess the quality and safety of healthcare facilities and institutions, identifying areas for improvement and ensuring compliance with regulations and standards.

Utilization review (UR) is a comprehensive process used by healthcare insurance companies to evaluate the medical necessity, appropriateness, and efficiency of the healthcare services and treatments that have been rendered, are currently being provided, or are being recommended for members. The primary goal of utilization review is to ensure that patients receive clinically necessary and cost-effective care while avoiding unnecessary or excessive treatments.

The utilization review process may involve various steps, including:

1. Preauthorization (also known as precertification): A prospective review to approve or deny coverage for specific services, procedures, or treatments before they are provided. This step helps ensure that the planned care aligns with evidence-based guidelines and medical necessity criteria.
2. Concurrent review: An ongoing evaluation of a patient's treatment during their hospital stay or course of therapy to determine if the services remain medically necessary and consistent with established clinical pathways.
3. Retrospective review: A retrospective analysis of healthcare services already provided to assess their medical necessity, appropriateness, and quality. This step may lead to adjustments in reimbursement or require the provider to justify the rendered services.

Utilization review is typically conducted by a team of healthcare professionals, including physicians, nurses, and case managers, who apply their clinical expertise and adhere to established criteria and guidelines. The process aims to promote high-quality care, reduce wasteful spending, and safeguard patients from potential harm caused by inappropriate or unnecessary treatments.

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

Obstetrics is a branch of medicine and surgery concerned with the care of women during pregnancy, childbirth, and the postnatal period. It involves managing potential complications that may arise during any stage of pregnancy or delivery, as well as providing advice and guidance on prenatal care, labor and delivery, and postpartum care. Obstetricians are medical doctors who specialize in obstetrics and can provide a range of services including routine check-ups, ultrasounds, genetic testing, and other diagnostic procedures to monitor the health and development of the fetus. They also perform surgical procedures such as cesarean sections when necessary.

Continuing medical education (CME) refers to the process of ongoing learning and professional development that healthcare professionals engage in throughout their careers. The goal of CME is to enhance knowledge, skills, and performance in order to provide better patient care and improve health outcomes.

CME activities may include a variety of formats such as conferences, seminars, workshops, online courses, journal clubs, and self-study programs. These activities are designed to address specific learning needs and objectives related to clinical practice, research, or healthcare management.

Healthcare professionals are required to complete a certain number of CME credits on a regular basis in order to maintain their licensure, certification, or membership in professional organizations. The content and quality of CME activities are typically overseen by accreditation bodies such as the Accreditation Council for Continuing Medical Education (ACCME) in the United States.

Overall, continuing medical education is an essential component of maintaining competence and staying up-to-date with the latest developments in healthcare.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Clinical psychology is a branch of psychology that focuses on the diagnosis, assessment, treatment, and prevention of mental health disorders. It is a practice-based profession and involves the application of psychological research and evidence-based interventions to help individuals, families, and groups overcome challenges and improve their overall well-being.

Clinical psychologists are trained to work with people across the lifespan, from young children to older adults, and they may specialize in working with specific populations or presenting problems. They use a variety of assessment tools, including interviews, observations, and psychological tests, to help understand their clients' needs and develop individualized treatment plans.

Treatment approaches used by clinical psychologists may include cognitive-behavioral therapy (CBT), psychodynamic therapy, family therapy, and other evidence-based practices. Clinical psychologists may work in a variety of settings, including hospitals, mental health clinics, private practice, universities, and research institutions.

In addition to direct clinical work, clinical psychologists may also be involved in teaching, supervision, program development, and policy advocacy related to mental health. To become a licensed clinical psychologist, individuals must typically complete a doctoral degree in psychology, a one-year internship, and several years of post-doctoral supervised experience. They must also pass a state licensing exam and meet other requirements set by their state's regulatory board.

An emergency service in a hospital is a department that provides immediate medical or surgical care for individuals who are experiencing an acute illness, injury, or severe symptoms that require immediate attention. The goal of an emergency service is to quickly assess, stabilize, and treat patients who require urgent medical intervention, with the aim of preventing further harm or death.

Emergency services in hospitals typically operate 24 hours a day, 7 days a week, and are staffed by teams of healthcare professionals including physicians, nurses, physician assistants, nurse practitioners, and other allied health professionals. These teams are trained to provide rapid evaluation and treatment for a wide range of medical conditions, from minor injuries to life-threatening emergencies such as heart attacks, strokes, and severe infections.

In addition to providing emergency care, hospital emergency services also serve as a key point of entry for patients who require further hospitalization or specialized care. They work closely with other departments within the hospital, such as radiology, laboratory, and critical care units, to ensure that patients receive timely and appropriate treatment. Overall, the emergency service in a hospital plays a crucial role in ensuring that patients receive prompt and effective medical care during times of crisis.

Data collection in the medical context refers to the systematic gathering of information relevant to a specific research question or clinical situation. This process involves identifying and recording data elements, such as demographic characteristics, medical history, physical examination findings, laboratory results, and imaging studies, from various sources including patient interviews, medical records, and diagnostic tests. The data collected is used to support clinical decision-making, inform research hypotheses, and evaluate the effectiveness of treatments or interventions. It is essential that data collection is performed in a standardized and unbiased manner to ensure the validity and reliability of the results.

Clinical protocols, also known as clinical practice guidelines or care paths, are systematically developed statements that assist healthcare professionals and patients in making decisions about the appropriate healthcare for specific clinical circumstances. They are based on a thorough evaluation of the available scientific evidence and consist of a set of recommendations that are designed to optimize patient outcomes, improve the quality of care, and reduce unnecessary variations in practice. Clinical protocols may cover a wide range of topics, including diagnosis, treatment, follow-up, and disease prevention, and are developed by professional organizations, government agencies, and other groups with expertise in the relevant field.

Perinatal care refers to the health care provided to pregnant individuals, fetuses, and newborn infants during the time immediately before and after birth. This period is defined as beginning at approximately 20 weeks of gestation and ending 4 weeks after birth. Perinatal care includes preventative measures, medical and supportive services, and treatment for complications during pregnancy, childbirth, and in the newborn period. It encompasses a wide range of services including prenatal care, labor and delivery management, postpartum care, and neonatal care. The goal of perinatal care is to ensure the best possible outcomes for both the mother and the baby by preventing, diagnosing, and treating any potential health issues that may arise during this critical period.

Primary health care is defined by the World Health Organization (WHO) as:

"Essential health care that is based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process."

Primary health care includes a range of services such as preventive care, health promotion, curative care, rehabilitation, and palliative care. It is typically provided by a team of health professionals including doctors, nurses, midwives, pharmacists, and other community health workers. The goal of primary health care is to provide comprehensive, continuous, and coordinated care to individuals and families in a way that is accessible, affordable, and culturally sensitive.

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), alcohol-related disorders are a category of mental disorders defined by a problematic pattern of alcohol use that leads to clinically significant impairment or distress. The disorders include:

1. Alcohol Use Disorder (AUD): A chronic relapsing brain disorder characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. AUD can be mild, moderate, or severe, and recovery is possible regardless of severity. The symptoms include problems controlling intake of alcohol, continued use despite problems resulting from drinking, development of a tolerance, drinking that leads to risky situations, or withdrawal symptoms when not drinking.
2. Alcohol Intoxication: A state of acute impairment in mental and motor function caused by the recent consumption of alcohol. The symptoms include slurred speech, unsteady gait, nystagmus, impaired attention or memory, stupor, or coma. In severe cases, it can lead to respiratory depression, hypothermia, or even death.
3. Alcohol Withdrawal: A syndrome that occurs when alcohol use is heavily reduced or stopped after prolonged and heavy use. The symptoms include autonomic hyperactivity, increased hand tremor, insomnia, nausea or vomiting, transient visual, tactile, or auditory hallucinations or illusions, psychomotor agitation, anxiety, and grand mal seizures.
4. Other Alcohol-Induced Disorders: These include alcohol-induced sleep disorder, alcohol-induced sexual dysfunction, and alcohol-induced major neurocognitive disorder.

It is important to note that alcohol use disorders are complex conditions that can be influenced by a variety of factors, including genetics, environment, and personal behavior. If you or someone you know is struggling with alcohol use, it is recommended to seek professional help.

The Obstetrics and Gynecology (OB-GYN) Department in a hospital is responsible for providing healthcare services related to pregnancy, childbirth, and the postpartum period, as well as gynecological care for women of all ages. This department is typically staffed with medical doctors who have specialized training in obstetrics and/or gynecology, including obstetricians, gynecologists, and maternal-fetal medicine specialists.

Obstetrics focuses on the care of pregnant women, including prenatal care, delivery, and postpartum care. Obstetricians provide medical care during pregnancy and childbirth to ensure the health and wellbeing of both the mother and the baby. They are trained to manage high-risk pregnancies, perform cesarean sections, and handle complications that may arise during labor and delivery.

Gynecology focuses on the health of the female reproductive system, including the prevention, diagnosis, and treatment of disorders related to the reproductive organs. Gynecologists provide routine care such as Pap tests, breast exams, and family planning services, as well as more complex care for conditions such as endometriosis, ovarian cysts, and menopause.

The OB-GYN department may also include specialized services such as reproductive endocrinology and infertility, which focuses on the diagnosis and treatment of infertility and other hormonal disorders related to reproduction. Additionally, some OB-GYN departments may offer midwifery services, providing a more natural approach to childbirth under the supervision of medical professionals.

Overall, the OB-GYN department plays a critical role in ensuring the health and wellbeing of women throughout their lives, from adolescence through menopause and beyond.

Clinical competence is the ability of a healthcare professional to provide safe and effective patient care, demonstrating the knowledge, skills, and attitudes required for the job. It involves the integration of theoretical knowledge with practical skills, judgment, and decision-making abilities in real-world clinical situations. Clinical competence is typically evaluated through various methods such as direct observation, case studies, simulations, and feedback from peers and supervisors.

A clinically competent healthcare professional should be able to:

1. Demonstrate a solid understanding of the relevant medical knowledge and its application in clinical practice.
2. Perform essential clinical skills proficiently and safely.
3. Communicate effectively with patients, families, and other healthcare professionals.
4. Make informed decisions based on critical thinking and problem-solving abilities.
5. Exhibit professionalism, ethical behavior, and cultural sensitivity in patient care.
6. Continuously evaluate and improve their performance through self-reflection and ongoing learning.

Maintaining clinical competence is essential for healthcare professionals to ensure the best possible outcomes for their patients and stay current with advances in medical science and technology.

An outpatient clinic in a hospital setting is a department or facility where patients receive medical care without being admitted to the hospital. These clinics are typically designed to provide specialized services for specific medical conditions or populations. They may be staffed by physicians, nurses, and other healthcare professionals who work on a part-time or full-time basis.

Outpatient clinics offer a range of services, including diagnostic tests, consultations, treatments, and follow-up care. Patients can visit the clinic for routine checkups, management of chronic conditions, rehabilitation, and other medical needs. The specific services offered at an outpatient clinic will depend on the hospital and the clinic's specialty.

Outpatient clinics are often more convenient and cost-effective than inpatient care because they allow patients to receive medical treatment while continuing to live at home. They also help reduce the burden on hospitals by freeing up beds for patients who require more intensive or emergency care. Overall, outpatient clinics play an essential role in providing accessible and high-quality healthcare services to patients in their communities.

Medical waste, also known as healthcare waste, is defined by the World Health Organization (WHO) as any waste generated within the healthcare system that may pose a risk to human health and the environment. This includes waste produced by hospitals, clinics, laboratories, research centers, and other healthcare-related facilities, as well as waste generated by individuals during the course of receiving medical treatment at home.

Medical waste can take many forms, including sharps (such as needles, syringes, and scalpels), infectious waste (such as used bandages, gloves, and surgical instruments), pharmaceutical waste (such as expired or unused medications), chemical waste (such as disinfectants and solvents), and radioactive waste (such as materials used in medical imaging and cancer treatments). Proper management of medical waste is essential to prevent the spread of infectious diseases, protect healthcare workers from injury and infection, and minimize the environmental impact of these wastes.

Professional Review Organizations (PROs) are entities that are contracted by the Centers for Medicare and Medicaid Services (CMS) in the United States to evaluate the performance of healthcare providers and suppliers who participate in the Medicare program. PROs conduct medical review activities to ensure that the services billed to Medicare meet the necessary standards of care and are medically necessary.

The primary goal of PROs is to promote quality healthcare, prevent fraud and abuse, and reduce unnecessary costs in the Medicare program. They achieve this by reviewing medical records, conducting site visits, and performing other activities to assess the appropriateness and quality of healthcare services provided to Medicare beneficiaries. Based on their findings, PROs may recommend corrective actions, impose sanctions, or take other measures to ensure that providers comply with Medicare regulations and policies.

PROs are typically composed of practicing physicians and other healthcare professionals who have expertise in the relevant medical specialties. They work collaboratively with CMS and other stakeholders to promote continuous quality improvement in the Medicare program and help ensure that beneficiaries receive high-quality, cost-effective healthcare services.

Operative surgical procedures refer to medical interventions that involve manual manipulation of tissues, structures, or organs in the body, typically performed in an operating room setting under sterile conditions. These procedures are carried out with the use of specialized instruments, such as scalpels, forceps, and scissors, and may require regional or general anesthesia to ensure patient comfort and safety.

Operative surgical procedures can range from relatively minor interventions, such as a biopsy or the removal of a small lesion, to more complex and extensive surgeries, such as open heart surgery or total joint replacement. The specific goals of operative surgical procedures may include the diagnosis and treatment of medical conditions, the repair or reconstruction of damaged tissues or organs, or the prevention of further disease progression.

Regardless of the type or complexity of the procedure, all operative surgical procedures require careful planning, execution, and postoperative management to ensure the best possible outcomes for patients.

A hospital is a healthcare facility where patients receive medical treatment, diagnosis, and care for various health conditions, injuries, or diseases. It is typically staffed with medical professionals such as doctors, nurses, and other healthcare workers who provide round-the-clock medical services. Hospitals may offer inpatient (overnight) stays or outpatient (same-day) services, depending on the nature of the treatment required. They are equipped with various medical facilities like operating rooms, diagnostic equipment, intensive care units (ICUs), and emergency departments to handle a wide range of medical situations. Hospitals may specialize in specific areas of medicine, such as pediatrics, geriatrics, oncology, or trauma care.

The "attitude of health personnel" refers to the overall disposition, behavior, and approach that healthcare professionals exhibit towards their patients or clients. This encompasses various aspects such as:

1. Interpersonal skills: The ability to communicate effectively, listen actively, and build rapport with patients.
2. Professionalism: Adherence to ethical principles, confidentiality, and maintaining a non-judgmental attitude.
3. Compassion and empathy: Showing genuine concern for the patient's well-being and understanding their feelings and experiences.
4. Cultural sensitivity: Respecting and acknowledging the cultural backgrounds, beliefs, and values of patients.
5. Competence: Demonstrating knowledge, skills, and expertise in providing healthcare services.
6. Collaboration: Working together with other healthcare professionals to ensure comprehensive care for the patient.
7. Patient-centeredness: Focusing on the individual needs, preferences, and goals of the patient in the decision-making process.
8. Commitment to continuous learning and improvement: Staying updated with the latest developments in the field and seeking opportunities to enhance one's skills and knowledge.

A positive attitude of health personnel contributes significantly to patient satisfaction, adherence to treatment plans, and overall healthcare outcomes.

Orthopedics is a branch of medicine that deals with the prevention, diagnosis, and treatment of disorders of the musculoskeletal system, which includes the bones, joints, muscles, ligaments, tendons, and nerves. The goal of orthopedic care is to help patients maintain or restore their mobility, function, and quality of life through a variety of treatments, including medication, physical therapy, bracing, and surgery. Orthopedic surgeons are medical doctors who have completed additional training in the diagnosis and treatment of musculoskeletal conditions, and they may specialize in specific areas such as sports medicine, spine care, joint replacement, or pediatric orthopedics.

I'm sorry for any confusion, but "Partnership Practice" is not a standard medical term or concept in the way that other medical terms like "diagnosis," "treatment," or "disease" are. It seems to be more related to the administration and organization of healthcare services.

In a broad context, a Partnership Practice could refer to a collaborative arrangement between different healthcare providers or organizations, where they work together to provide comprehensive care to patients. This could involve various arrangements, such as:

1. A group of physicians coming together to form a partnership to share resources, expenses, and profits while providing coordinated patient care.
2. Healthcare organizations (e.g., hospitals, clinics, or long-term care facilities) partnering with one another to improve the quality, efficiency, and accessibility of healthcare services in a community.
3. Healthcare providers collaborating with community-based organizations, such as public health departments, social service agencies, or schools, to address the social determinants of health and provide holistic care to patients.

However, without more specific context, it's challenging to provide a precise definition of "Partnership Practice" in the medical field. If you could provide more information about the context in which this term is being used, I would be happy to help further!

"Quality control" is a term that is used in many industries, including healthcare and medicine, to describe the systematic process of ensuring that products or services meet certain standards and regulations. In the context of healthcare, quality control often refers to the measures taken to ensure that the care provided to patients is safe, effective, and consistent. This can include processes such as:

1. Implementing standardized protocols and guidelines for care
2. Training and educating staff to follow these protocols
3. Regularly monitoring and evaluating the outcomes of care
4. Making improvements to processes and systems based on data and feedback
5. Ensuring that equipment and supplies are maintained and functioning properly
6. Implementing systems for reporting and addressing safety concerns or errors.

The goal of quality control in healthcare is to provide high-quality, patient-centered care that meets the needs and expectations of patients, while also protecting their safety and well-being.

A Drug Utilization Review (DUR) is a systematic retrospective examination of a patient's current and past use of medications to identify medication-related problems, such as adverse drug reactions, interactions, inappropriate dosages, duplicate therapy, and noncompliance with the treatment plan. The goal of DUR is to optimize medication therapy, improve patient outcomes, reduce healthcare costs, and promote safe and effective use of medications.

DUR is typically conducted by pharmacists, physicians, or other healthcare professionals who review medication records, laboratory results, and clinical data to identify potential issues and make recommendations for changes in medication therapy. DUR may be performed manually or using automated software tools that can analyze large datasets of medication claims and electronic health records.

DUR is an important component of medication management programs in various settings, including hospitals, long-term care facilities, managed care organizations, and ambulatory care clinics. It helps ensure that patients receive the right medications at the right doses for the right indications, and reduces the risk of medication errors and adverse drug events.

Health services research (HSR) is a multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to healthcare, the quality and cost of care, and ultimately, our health and well-being. The goal of HSR is to inform policy and practice, improve system performance, and enhance the health and well-being of individuals and communities. It involves the use of various research methods, including epidemiology, biostatistics, economics, sociology, management science, political science, and psychology, to answer questions about the healthcare system and how it can be improved.

Examples of HSR topics include:

* Evaluating the effectiveness and cost-effectiveness of different healthcare interventions and technologies
* Studying patient-centered care and patient experiences with the healthcare system
* Examining healthcare workforce issues, such as shortages of primary care providers or the impact of nurse-to-patient ratios on patient outcomes
* Investigating the impact of health insurance design and financing systems on access to care and health disparities
* Analyzing the organization and delivery of healthcare services in different settings, such as hospitals, clinics, and long-term care facilities
* Identifying best practices for improving healthcare quality and safety, reducing medical errors, and eliminating wasteful or unnecessary care.

Ophthalmology is a branch of medicine that deals with the diagnosis, treatment, and prevention of diseases and disorders of the eye and visual system. It is a surgical specialty, and ophthalmologists are medical doctors who complete additional years of training to become experts in eye care. They are qualified to perform eye exams, diagnose and treat eye diseases, prescribe glasses and contact lenses, and perform eye surgery. Some subspecialties within ophthalmology include cornea and external disease, glaucoma, neuro-ophthalmology, pediatric ophthalmology, retina and vitreous, and oculoplastics.

Quality improvement (QI) in a healthcare setting is a systematic and continuous approach to improving patient care and outcomes by identifying and addressing gaps or deficiencies in care processes, protocols, and systems. It involves the use of evidence-based practices, data analysis, and performance measurement to drive changes that lead to improvements in the quality, safety, and efficiency of healthcare services.

QI aims to reduce variations in practice, eliminate errors, prevent harm, and ensure that patients receive the right care at the right time. It is a collaborative process that involves healthcare professionals, patients, families, and other stakeholders working together to identify opportunities for improvement and implement changes that lead to better outcomes. QI initiatives may focus on specific clinical areas, such as improving diabetes management or reducing hospital-acquired infections, or they may address broader system issues, such as improving patient communication or reducing healthcare costs.

QI is an ongoing process that requires a culture of continuous learning and improvement. Healthcare organizations that prioritize QI are committed to measuring their performance, identifying areas for improvement, testing new approaches, and sharing their successes and failures with others in the field. By adopting a QI approach, healthcare providers can improve patient satisfaction, reduce costs, and enhance the overall quality of care they provide.

An emergency is a sudden, unexpected situation that requires immediate medical attention to prevent serious harm, permanent disability, or death. Emergencies can include severe injuries, trauma, cardiac arrest, stroke, difficulty breathing, severe allergic reactions, and other life-threatening conditions. In such situations, prompt medical intervention is necessary to stabilize the patient's condition, diagnose the underlying problem, and provide appropriate treatment.

Emergency medical services (EMS) are responsible for providing emergency care to patients outside of a hospital setting, such as in the home, workplace, or public place. EMS personnel include emergency medical technicians (EMTs), paramedics, and other first responders who are trained to assess a patient's condition, provide basic life support, and transport the patient to a hospital for further treatment.

In a hospital setting, an emergency department (ED) is a specialized unit that provides immediate care to patients with acute illnesses or injuries. ED staff includes physicians, nurses, and other healthcare professionals who are trained to handle a wide range of medical emergencies. The ED is equipped with advanced medical technology and resources to provide prompt diagnosis and treatment for critically ill or injured patients.

Overall, the goal of emergency medical care is to stabilize the patient's condition, prevent further harm, and provide timely and effective treatment to improve outcomes and save lives.

In a medical context, feedback refers to the information or data about the results of a process, procedure, or treatment that is used to evaluate and improve its effectiveness. This can include both quantitative data (such as vital signs or laboratory test results) and qualitative data (such as patient-reported symptoms or satisfaction). Feedback can come from various sources, including patients, healthcare providers, medical equipment, and electronic health records. It is an essential component of quality improvement efforts, allowing healthcare professionals to make informed decisions about changes to care processes and treatments to improve patient outcomes.

Alcoholism is a chronic and often relapsing brain disorder characterized by the excessive and compulsive consumption of alcohol despite negative consequences to one's health, relationships, and daily life. It is also commonly referred to as alcohol use disorder (AUD) or alcohol dependence.

The diagnostic criteria for AUD include a pattern of alcohol use that includes problems controlling intake, continued use despite problems resulting from drinking, development of a tolerance, drinking that leads to risky behaviors or situations, and withdrawal symptoms when not drinking.

Alcoholism can cause a wide range of physical and psychological health problems, including liver disease, heart disease, neurological damage, mental health disorders, and increased risk of accidents and injuries. Treatment for alcoholism typically involves a combination of behavioral therapies, medications, and support groups to help individuals achieve and maintain sobriety.

Capital financing refers to the process of raising funds to provide capital for a business, organization, or project, particularly in the medical field. This can include obtaining loans, issuing stocks and bonds, seeking grants, or attracting private investments. The goal of capital financing is to secure sufficient financial resources to support long-term growth, expansion, or modernization efforts, as well as to ensure ongoing operations and sustainability. In healthcare, capital financing may be used for various purposes such as building new hospitals or clinics, purchasing medical equipment, conducting research and development, or implementing new technology systems.

Medical mass screening, also known as population screening, is a public health service that aims to identify and detect asymptomatic individuals in a given population who have or are at risk of a specific disease. The goal is to provide early treatment, reduce morbidity and mortality, and prevent the spread of diseases within the community.

A mass screening program typically involves offering a simple, quick, and non-invasive test to a large number of people in a defined population, regardless of their risk factors or symptoms. Those who test positive are then referred for further diagnostic tests and appropriate medical interventions. Examples of mass screening programs include mammography for breast cancer detection, PSA (prostate-specific antigen) testing for prostate cancer, and fecal occult blood testing for colorectal cancer.

It is important to note that mass screening programs should be evidence-based, cost-effective, and ethically sound, with clear benefits outweighing potential harms. They should also consider factors such as the prevalence of the disease in the population, the accuracy and reliability of the screening test, and the availability and effectiveness of treatment options.

I cannot provide a "medical definition" of "Organization and Administration" as it is not a medical term. However, I can give you an explanation of how these concepts are applied in the context of healthcare and medical organizations.

Organization and administration in healthcare refer to the planning, coordination, and management of resources, processes, and structures within a medical institution or system. This includes:

1. Organizing: The process of designing, structuring, and implementing systems, departments, and workflows that facilitate efficient and effective patient care, staff performance, and resource management. Examples include creating clinical pathways for specific conditions, establishing quality improvement committees, and defining roles and responsibilities within the organization.
2. Administration: The process of overseeing, directing, and controlling the operations and resources of a medical institution or system. This includes managing finances, human resources, information technology, and facilities to ensure high-quality patient care, regulatory compliance, and strategic goals are met. Examples include developing budgets, hiring staff, implementing policies and procedures, and monitoring performance metrics.

In summary, organization and administration in healthcare involve the design, implementation, and management of systems, processes, and structures that promote efficient, effective, and high-quality patient care within medical institutions or systems.

Maternal mortality is defined by the World Health Organization (WHO) as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes."

This definition highlights that maternal mortality is a preventable death that occurs during pregnancy, childbirth, or in the postpartum period, and it can be caused by various factors related to or worsened by the pregnancy or its management. The WHO also collects data on maternal deaths due to direct obstetric causes (such as hemorrhage, hypertensive disorders, sepsis, and unsafe abortion) and indirect causes (such as malaria, anemia, and HIV/AIDS).

Maternal mortality is a significant public health issue worldwide, particularly in low- and middle-income countries. Reducing maternal mortality is one of the Sustainable Development Goals (SDGs) set by the United Nations, with a target to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030.

Allied health occupations refer to a group of healthcare professionals who provide a range of diagnostic, technical, therapeutic, and support services essential for the proper diagnosis, treatment, and rehabilitation of patients. These professions include, but are not limited to:

1. Audiologists: Professionals who diagnose, evaluate, and treat hearing and balance disorders.
2. Dietitians/Nutritionists: Healthcare professionals who specialize in food and nutrition, and help individuals make healthy eating choices to prevent or manage chronic diseases.
3. Occupational Therapists: Professionals who help patients improve their ability to perform everyday activities through the use of therapeutic exercises and adaptive equipment.
4. Physical Therapists: Healthcare professionals who diagnose and treat movement disorders, injuries, and other physical impairments using exercise, massage, and other techniques.
5. Respiratory Therapists: Professionals who evaluate, diagnose, and treat breathing disorders and cardiopulmonary systems.
6. Speech-Language Pathologists: Healthcare professionals who diagnose and treat communication and swallowing disorders in individuals of all ages.
7. Diagnostic Medical Sonographers: Professionals who use ultrasound technology to create images of internal organs, tissues, and blood vessels for diagnostic purposes.
8. Radiologic Technologists: Healthcare professionals who perform medical imaging examinations such as X-rays, CT scans, and MRIs.
9. Rehabilitation Counselors: Professionals who help individuals with disabilities overcome barriers to employment, education, and independent living.
10. Social Workers: Healthcare professionals who provide emotional support, counseling, and advocacy services to patients and their families.

Allied health occupations are an essential part of the healthcare system and work collaboratively with physicians, nurses, and other healthcare providers to ensure high-quality patient care.

Patient care planning is a critical aspect of medical practice that involves the development, implementation, and evaluation of an individualized plan for patients to receive high-quality and coordinated healthcare services. It is a collaborative process between healthcare professionals, patients, and their families that aims to identify the patient's health needs, establish realistic goals, and determine the most effective interventions to achieve those goals.

The care planning process typically includes several key components, such as:

1. Assessment: A comprehensive evaluation of the patient's physical, psychological, social, and environmental status to identify their healthcare needs and strengths.
2. Diagnosis: The identification of the patient's medical condition(s) based on clinical findings and diagnostic tests.
3. Goal-setting: The establishment of realistic and measurable goals that address the patient's healthcare needs and align with their values, preferences, and lifestyle.
4. Intervention: The development and implementation of evidence-based strategies to achieve the identified goals, including medical treatments, therapies, and supportive services.
5. Monitoring and evaluation: The ongoing assessment of the patient's progress towards achieving their goals and adjusting the care plan as needed based on changes in their condition or response to treatment.

Patient care planning is essential for ensuring that patients receive comprehensive, coordinated, and personalized care that promotes their health, well-being, and quality of life. It also helps healthcare professionals to communicate effectively, make informed decisions, and provide safe and effective care that meets the needs and expectations of their patients.

I couldn't find a medical definition specifically for "environment design." However, in the context of healthcare and public health, "environmental design" generally refers to the process of creating or modifying physical spaces to promote health, prevent injury and illness, and improve overall well-being. This can include designing hospitals, clinics, and other healthcare facilities to optimize patient care, as well as creating community spaces that encourage physical activity and social interaction. Environmental design can also involve reducing exposure to environmental hazards, such as air pollution or noise, to protect public health.

Professional practice in the context of medicine refers to the responsible and ethical application of medical knowledge, skills, and judgement in providing healthcare services to patients. It involves adhering to established standards, guidelines, and best practices within the medical community, while also considering individual patient needs and preferences. Professional practice requires ongoing learning, self-reflection, and improvement to maintain and enhance one's competence and expertise. Additionally, it encompasses effective communication, collaboration, and respect for colleagues, other healthcare professionals, and patients. Ultimately, professional practice is aimed at promoting the health, well-being, and autonomy of patients while also safeguarding their rights and dignity.

In the context of medical field, a consultant is a physician who has completed specialty training and offers expert advice to general practitioners and other healthcare professionals. They typically work in hospitals or private practice and provide specialized services for specific medical conditions or diseases. Consultants play a crucial role in diagnosing complex medical cases, developing treatment plans, and managing patient care. They may also conduct research, teach medical students and residents, and write articles for professional publications. Some consultants are also involved in administrative tasks such as hospital management and policy-making.

Drug utilization refers to the use of medications by patients or healthcare professionals in a real-world setting. It involves analyzing and evaluating patterns of medication use, including prescribing practices, adherence to treatment guidelines, potential duplications or interactions, and outcomes associated with drug therapy. The goal of drug utilization is to optimize medication use, improve patient safety, and minimize costs while achieving the best possible health outcomes. It can be studied through various methods such as prescription claims data analysis, surveys, and clinical audits.

A hospital unit, also known as a patient care unit or inpatient unit, is a designated area within a hospital where patients with similar medical conditions or needs are grouped together to receive specialized nursing and medical care. These units can include intensive care units (ICUs), telemetry units, medical-surgical units, pediatric units, maternity units, oncology units, and rehabilitation units, among others. Each unit has its own team of healthcare professionals who work together to provide comprehensive care for the patients in their charge. The specific layout, equipment, and staffing of a hospital unit will depend on the type of care provided and the needs of the patient population.

Program Evaluation is a systematic and objective assessment of a healthcare program's design, implementation, and outcomes. It is a medical term used to describe the process of determining the relevance, effectiveness, and efficiency of a program in achieving its goals and objectives. Program evaluation involves collecting and analyzing data related to various aspects of the program, such as its reach, impact, cost-effectiveness, and quality. The results of program evaluation can be used to improve the design and implementation of existing programs or to inform the development of new ones. It is a critical tool for ensuring that healthcare programs are meeting the needs of their intended audiences and delivering high-quality care in an efficient and effective manner.

Benchmarking in the medical context refers to the process of comparing healthcare services, practices, or outcomes against a widely recognized standard or within best practice recommendations, with the aim of identifying areas for improvement and implementing changes to enhance the quality and efficiency of care. This can involve comparing data on various metrics such as patient satisfaction, clinical outcomes, costs, and safety measures. The goal is to continuously monitor and improve the quality of healthcare services provided to patients.

A group practice is a medical organization where multiple healthcare professionals, such as physicians, nurses, and allied health professionals, collaborate to provide comprehensive medical care for patients. These practitioners share resources, expenses, and responsibilities while maintaining their own individual practices within the group. The goal of a group practice is to enhance patient care through improved communication, coordination, and access to a wide range of medical services.

"General practice" in the context of medicine refers to the provision of primary care services that are delivered by a general practitioner (GP) or family physician. These healthcare professionals offer broad-based, first-contact care for a wide range of health issues and conditions, regardless of age, gender, or type of disease. They provide continuous and comprehensive care to individuals and families in their communities, acting as the entry point into the healthcare system and coordinating care with other specialists when needed. General practice emphasizes prevention, health promotion, early intervention, and management of acute and chronic conditions.

Patient admission in a medical context refers to the process by which a patient is formally accepted and registered into a hospital or healthcare facility for treatment or further medical care. This procedure typically includes the following steps:

1. Patient registration: The patient's personal information, such as name, address, contact details, and insurance coverage, are recorded in the hospital's system.
2. Clinical assessment: A healthcare professional evaluates the patient's medical condition to determine the appropriate level of care required and develop a plan for treatment. This may involve consulting with other healthcare providers, reviewing medical records, and performing necessary tests or examinations.
3. Bed assignment: Based on the clinical assessment, the hospital staff assigns an appropriate bed in a suitable unit (e.g., intensive care unit, step-down unit, general ward) for the patient's care.
4. Informed consent: The healthcare team explains the proposed treatment plan and associated risks to the patient or their legal representative, obtaining informed consent before proceeding with any invasive procedures or significant interventions.
5. Admission orders: The attending physician documents the admission orders in the medical chart, specifying the diagnostic tests, medications, treatments, and care plans for the patient during their hospital stay.
6. Notification of family members or caregivers: Hospital staff informs the patient's emergency contact or next of kin about their admission and provides relevant information regarding their condition, treatment plan, and any necessary follow-up instructions.
7. Patient education: The healthcare team educates the patient on what to expect during their hospital stay, including potential side effects, self-care strategies, and discharge planning.

The goal of patient admission is to ensure a smooth transition into the healthcare facility, providing timely and appropriate care while maintaining open communication with patients, families, and caregivers throughout the process.

Perinatal mortality is the death of a baby around the time of birth. It specifically refers to stillbirths (fetal deaths at 28 weeks of gestation or more) and deaths in the first week of life (early neonatal deaths). The perinatal period is defined as beginning at 22 weeks (154 days) of gestation and ending 7 completed days after birth. Perinatal mortality rate is the number of perinatal deaths during this period, expressed per 1000 total births (live births + stillbirths). High perinatal mortality rates can indicate poor quality of care during pregnancy and childbirth.

Healthcare Quality Indicators (QIs) are measurable elements that can be used to assess the quality of healthcare services and outcomes. They are often based on evidence-based practices and guidelines, and are designed to help healthcare providers monitor and improve the quality of care they deliver to their patients. QIs may focus on various aspects of healthcare, such as patient safety, clinical effectiveness, patient-centeredness, timeliness, and efficiency. Examples of QIs include measures such as rates of hospital-acquired infections, adherence to recommended treatments for specific conditions, and patient satisfaction scores. By tracking these indicators over time, healthcare organizations can identify areas where they need to improve, make changes to their processes and practices, and ultimately provide better care to their patients.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

A drug prescription is a written or electronic order provided by a licensed healthcare professional, such as a physician, dentist, or advanced practice nurse, to a pharmacist that authorizes the preparation and dispensing of a specific medication for a patient. The prescription typically includes important information such as the patient's name and date of birth, the name and strength of the medication, the dosage regimen, the duration of treatment, and any special instructions or precautions.

Prescriptions serve several purposes, including ensuring that patients receive the appropriate medication for their medical condition, preventing medication errors, and promoting safe and effective use of medications. They also provide a legal record of the medical provider's authorization for the pharmacist to dispense the medication to the patient.

There are two main types of prescriptions: written prescriptions and electronic prescriptions. Written prescriptions are handwritten or printed on paper, while electronic prescriptions are transmitted electronically from the medical provider to the pharmacy. Electronic prescriptions are becoming increasingly common due to their convenience, accuracy, and security.

It is important for patients to follow the instructions provided on their prescription carefully and to ask their healthcare provider or pharmacist any questions they may have about their medication. Failure to follow a drug prescription can result in improper use of the medication, which can lead to adverse effects, treatment failure, or even life-threatening situations.

I couldn't find a specific medical definition for "Physician-Nurse Relations," but I can provide information about its importance and general aspects.

Physician-Nurse Relations refer to the interactions, communication, collaboration, and teamwork between physicians and nurses in a healthcare setting. These relationships are crucial in providing high-quality patient care, as they directly impact patient safety, satisfaction, and outcomes. Positive physician-nurse relations can lead to:

1. Improved communication: Clear and open communication between physicians and nurses reduces the risk of medical errors and ensures that patients receive appropriate and timely care.
2. Enhanced decision-making: Collaborative decision-making allows for the integration of different perspectives, leading to better patient care plans.
3. Increased job satisfaction: A positive working environment can lead to increased job satisfaction for both physicians and nurses, reducing burnout and turnover rates.
4. Better patient outcomes: Effective teamwork between physicians and nurses can contribute to improved patient safety, reduced lengths of stay, and fewer medication errors.

To maintain and improve physician-nurse relations, healthcare organizations often implement interventions such as multidisciplinary team meetings, shared governance models, and continuing education on communication and collaboration skills. Additionally, fostering a culture of respect, openness, and trust between physicians and nurses is essential for building and maintaining strong relationships.

'Unnecessary procedures' in a medical context refer to diagnostic or therapeutic interventions that are not indicated based on established guidelines, evidence-based medicine, or the individual patient's needs and preferences. These procedures may not provide any benefit to the patient, or the potential harm may outweigh the expected benefits. They can also include tests, treatments, or surgeries that are performed in excess of what is medically necessary, or when there are less invasive, cheaper, or safer alternatives available.

Unnecessary procedures can result from various factors, including defensive medicine (ordering extra tests or procedures to avoid potential malpractice claims), financial incentives (providers or institutions benefiting financially from performing more procedures), lack of knowledge or awareness of evidence-based guidelines, and patient pressure or anxiety. It is essential to promote evidence-based medicine and shared decision-making between healthcare providers and patients to reduce the frequency of unnecessary procedures.

"Evaluation studies" is a broad term that refers to the systematic assessment or examination of a program, project, policy, intervention, or product. The goal of an evaluation study is to determine its merits, worth, and value by measuring its effects, efficiency, and impact. There are different types of evaluation studies, including formative evaluations (conducted during the development or implementation of a program to provide feedback for improvement), summative evaluations (conducted at the end of a program to determine its overall effectiveness), process evaluations (focusing on how a program is implemented and delivered), outcome evaluations (assessing the short-term and intermediate effects of a program), and impact evaluations (measuring the long-term and broad consequences of a program).

In medical contexts, evaluation studies are often used to assess the safety, efficacy, and cost-effectiveness of new treatments, interventions, or technologies. These studies can help healthcare providers make informed decisions about patient care, guide policymakers in developing evidence-based policies, and promote accountability and transparency in healthcare systems. Examples of evaluation studies in medicine include randomized controlled trials (RCTs) that compare the outcomes of a new treatment to those of a standard or placebo treatment, observational studies that examine the real-world effectiveness and safety of interventions, and economic evaluations that assess the costs and benefits of different healthcare options.

A Patient Care Team is a group of healthcare professionals from various disciplines who work together to provide comprehensive, coordinated care to a patient. The team may include doctors, nurses, pharmacists, social workers, physical therapists, dietitians, and other specialists as needed, depending on the patient's medical condition and healthcare needs.

The Patient Care Team works collaboratively to develop an individualized care plan for the patient, taking into account their medical history, current health status, treatment options, and personal preferences. The team members communicate regularly to share information, coordinate care, and make any necessary adjustments to the care plan.

The goal of a Patient Care Team is to ensure that the patient receives high-quality, safe, and effective care that is tailored to their unique needs and preferences. By working together, the team can provide more comprehensive and coordinated care, which can lead to better outcomes for the patient.

"Time and motion studies" is not a term that has a specific medical definition. However, it is a term commonly used in the field of industrial engineering and ergonomics to describe a systematic analytical approach to improve the efficiency and effectiveness of a particular task or process. This method involves carefully observing and measuring the time and motion required to complete a task, with the goal of identifying unnecessary steps, reducing wasted motion, and optimizing the workflow. While not a medical term per se, time and motion studies can be applied in healthcare settings to improve patient care, staff efficiency, and overall operational performance.

I apologize for any confusion, but "Australia" is not a medical term or concept. It is the world's largest island and smallest continent, located in the Southern Hemisphere, surrounded by the Pacific and Indian Oceans. It is composed of many diverse ecosystems, including deserts, rainforests, and coastal areas, and is home to a wide variety of unique plant and animal species.

If you have any questions related to medical terminology or health-related topics, I would be happy to try and help answer them for you!

Diagnostic errors refer to inaccurate or delayed diagnoses of a patient's medical condition, which can lead to improper or unnecessary treatment and potentially serious harm to the patient. These errors can occur due to various factors such as lack of clinical knowledge, failure to consider all possible diagnoses, inadequate communication between healthcare providers and patients, and problems with testing or interpretation of test results. Diagnostic errors are a significant cause of preventable harm in medical care and have been identified as a priority area for quality improvement efforts.

An ethical review is the process of evaluating and assessing a research study or project that involves human participants, medical interventions, or personal data, to ensure that it is conducted in accordance with ethical principles and standards. The purpose of an ethical review is to protect the rights and welfare of the participants and to minimize any potential harm or risks associated with the research.

The ethical review is typically conducted by an independent committee called an Institutional Review Board (IRB), Research Ethics Committee (REC), or Ethics Review Board (ERB). The committee reviews the study protocol, informed consent procedures, recruitment methods, data collection and management plans, and potential conflicts of interest.

The ethical review process is guided by several key principles, including respect for persons, beneficence, and justice. These principles require that researchers obtain informed consent from participants, avoid causing harm, minimize risks, maximize benefits, and ensure fairness in the selection and treatment of research participants.

Overall, an ethical review is a critical component of responsible conduct in research and helps to ensure that studies are conducted with integrity, transparency, and respect for the rights and welfare of human participants.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

In the context of medicine, specialization refers to the process or state of a physician, surgeon, or other healthcare professional acquiring and demonstrating expertise in a particular field or area of practice beyond their initial general training. This is usually achieved through additional years of education, training, and clinical experience in a specific medical discipline or subspecialty.

For instance, a doctor who has completed medical school and a general residency program may choose to specialize in cardiology, dermatology, neurology, orthopedics, psychiatry, or any other branch of medicine. After completing a specialized fellowship program and passing the relevant certification exams, they become certified as a specialist in that field, recognized by professional medical organizations such as the American Board of Medical Specialties (ABMS) or the Royal College of Physicians and Surgeons of Canada (RCPSC).

Specialization allows healthcare professionals to provide more focused, expert care for patients with specific conditions or needs. It also contributes to the development and advancement of medical knowledge and practice, as specialists often conduct research and contribute to the evidence base in their respective fields.

Otolaryngology is a specialized branch of medicine that deals with the diagnosis, management, and treatment of disorders related to the ear, nose, throat (ENT), and head and neck region. It's also known as ENT (Ear, Nose, Throat) specialty. Otolaryngologists are physicians trained in the medical and surgical management of conditions such as hearing and balance disorders, nasal congestion, sinusitis, allergies, sleep apnea, snoring, swallowing difficulties, voice and speech problems, and head and neck tumors.

A feasibility study is a preliminary investigation or analysis conducted to determine the viability of a proposed project, program, or product. In the medical field, feasibility studies are often conducted before implementing new treatments, procedures, equipment, or facilities. These studies help to assess the practicality and effectiveness of the proposed intervention, as well as its potential benefits and risks.

Feasibility studies in healthcare typically involve several steps:

1. Problem identification: Clearly define the problem that the proposed project, program, or product aims to address.
2. Objectives setting: Establish specific, measurable, achievable, relevant, and time-bound (SMART) objectives for the study.
3. Literature review: Conduct a thorough review of existing research and best practices related to the proposed intervention.
4. Methodology development: Design a methodology for data collection and analysis that will help answer the research questions and achieve the study's objectives.
5. Resource assessment: Evaluate the availability and adequacy of resources, including personnel, time, and finances, required to carry out the proposed intervention.
6. Risk assessment: Identify potential risks and challenges associated with the implementation of the proposed intervention and develop strategies to mitigate them.
7. Cost-benefit analysis: Estimate the costs and benefits of the proposed intervention, including direct and indirect costs, as well as short-term and long-term benefits.
8. Stakeholder engagement: Engage relevant stakeholders, such as patients, healthcare providers, administrators, and policymakers, to gather their input and support for the proposed intervention.
9. Decision-making: Based on the findings of the feasibility study, make an informed decision about whether or not to proceed with the proposed project, program, or product.

Feasibility studies are essential in healthcare as they help ensure that resources are allocated efficiently and effectively, and that interventions are evidence-based, safe, and beneficial for patients.

Attendees usually comprise a few or a number from the following; GPs practice manager nurses - practice and/or community ... Chambers, Ruth; Wakley, Gill (2016). "2. Audit Methods". Clinical Audit in Primary Care: Demonstrating Quality and Outcomes. ... A significant event audit (SEA), also known as significant event analysis, is a method of formally assessing significant events ... Significant event auditing and root cause analysis". In Hurwitz, Brian; Sheikh, Aziz (eds.). Health Care Errors and Patient ...
Mary Shirley, Senior Nurse Grade 8, Children's Home Hospital, Strathblane. Phyllis Lynda Simon, Area Nursing Officer, Argyll ... Ronald Irvin Ewart Michael, Director of Audit. Dr. William Valentine Herbert. For public service. Civil Division Roy Arthur ... Superintending Nursing Officer Jane Titley, Queen Alexandra's Royal Naval Nursing Service. Captain Jennifer Margaret Heron ( ... Ann Pauline Lynch, Director of Nurse Education, Leeds (Eastern) District School of Nursing. Colonel Hugh Mackay, Director, ...
Professor Bale is a fellow of the Royal College of Nursing. Bale, Sue; V. Jones (2004). Wound Care Nursing, 2nd Edition - A ... ISBN 1-58255-274-6. University of Glamorgan (2003). Research Programmes Audit Committee, 11 June 2003. "Sue Bale". European ... Sue Bale, OBE FRCN, RGN, NDN, RHV is a British nurse with a special interest in wound healing. She received her PhD degree from ... Fellows of the Royal College of Nursing, British nurses). ... "Fellows". Royal College of Nursing. Archived from the original ...
Drinnan, Senior Charge Nurse, Westminster Strachan House Nursing Home. For services to Nursing and to the community in ... Subir Dutt, Audit Principal, National Audit Office. Patrick Brian Dyke, Vehicle Mechanic, Ministry of Defence. Thomas David ... Finlayson, Clinical Nurse Specialist, Stophill Hospital, Glasgow. For services to Nursing. Alexander Innes Finlayson, Secretary ... Britton-Chaplin, Senior Nurse, Neath Port Talbot Hospital. For services to the NHS in Wales. Susan Jennifer, Mrs. Chapman, ...
Taylor, Clinical Nurse Specialist in HIV/AIDS. For services to Nursing. John Taylorson. For charitable services, especially the ... Dabinderjit Singh Sidhu, Audit Manager, National Audit Office. Ms Josette Patricia Simon, Actress. For services to Drama. ... O'Connor, Senior Nurse Manager, Ealing Hospital. For services to Accident and Emergency Nursing. Shirley May, Mrs. Orford, ... Miss Joy Field, Clinical Nurse Specialist (Nutrition), Queen's Medical Centre, Nottingham. For services to Nursing. Gwyn ...
Royal Navy Lucy Phyllis Dewey, Senior Nursing Sister, Queen Alexandra's Royal Naval Nursing Service Reserve. Dorothy Haigh, ... Civil Division Patrick Aherne, Director of Audit, Exchequer and Audit Department. James Alexander, General Manager and ... Margaret Phyllis Dry, Nursing Sister and Midwife at Waddilove Mission, Southern Rhodesia. Gertrude Annie Fraser, of Launceston ... Paul Agius, Nurse, Isolation Hospital, Malta. Simon Onyekwelu Ofoedu, Works Superintendent, Onitsha Rural Areas, Native ...
For services to Nursing. Inthirasingam Rajah, lately Senior Audit Assistant, Oxfordshire County Council. Shanthi Kumar ... Director of Nursing, Barnsley NHS Trust. For services to Nursing. Walter John Houliston. Chief executive, Dairy Crest plc. For ... Head, Nursing and Midwifery Education, Beeches Management Centre. For services to Nursing. Donald William Hardy. Senior Civil ... Professor Jenifer Wilson-Barnett, Professor of Nursing and Head of the Nightingale School of Nursing. Pauline, Mrs Green, Chief ...
Violet Audrey Pope, VAD Nursing Member. Sarah Ellen Longworth, VAD Nursing Member. Winifred Ada Clark, VAD Nursing Member ( ... Shoilendra Chandra Gupta, Indian Audit and Accounts Service, Director of Audit, War and Supply, Government of India. Philip ... Frances Lisa Lewis, VAD Nursing Member (Head). Muriel Mary Pownall, VAD Nursing Member (Senior). Lorraine Dowding, VAD Nursing ... VAD Nursing Member (Senior). Lesley Winifred Fox, VAD Nursing Member. Ivy Gertrude Hills, Civilian Nurse. Army Isabella Forest ...
For nursing and welfare services in El Salvador. Ian William Derek Buxton, lately Director of Audit, Uganda. Edith Margaret ... For nursing and welfare services in Lesotho. Alison Mary Todd. For services to nursing and the community in the New Hebrides. ... Head Naval Nurse Joan Reynolds, Queen Alexandra's Royal Naval Nursing Service, 0085. Chief Petty Officer (C.D.I) Francis ... Dorothy Blundy, Clinical Nurse Teacher, The Ivy Lang School of Nursing, Crawley. Walter George Bowen, lately Secretary, Royal ...
Gdraldine Maud Arthur, Nursing Sister, Queen Alexandra's Royal Naval Nursing Service. Mabel Middleton, Head V.A.D. Nursing ... Hugh Munro Macleod Mackenzie, employed in the Audit Department, Southern Rhodesia. Jean Brownlee Mitchell, Director of George ... Margaret Bennetts, Colonial Nursing Service, Senior Nursing Sister, Nigeria. Ella Botes. For welfare services in Northern ... Mary Agnes Taylor, Head V.A.D. Nursing Member. Sister Thelma Bows (209457), Queen Alexandra's Imperial Military Nursing Service ...
Mackie, Mary (2001). Sky wards : a history of the Princess Mary's Royal Air Force Nursing Service. London: Robert Hale. ISBN 0- ... Downey, Gordon (1987). Ministry of Defence: Service Hospitals (PDF). nao.org.uk (Report). National Audit Office (through the ... Saeed Fareh Mohammed, Muna (2016). Nursing services and training in South Arabia during the late British colonial period, 1950- ... November 1927). "The Royal Air Force Hospital Halton". The British Journal of Nursing. London. 75: 273-274. OCLC 1157714856. ...
"Improving the use of temporary nursing staff in NHS acute and foundation trusts". National Audit Office. Retrieved 18 February ... Official website Companies House National Audit Office Department of Health and Social Care NHS England and Improvement (Use ... Its clinical Bank Members include nurses, midwives, healthcare support workers, doctors, allied healthcare professionals, ... which recruits overseas nurses into the NHS. NHS Professionals provides temporary clinical and non-clinical staff to the NHS. ...
Viola Remilekun Fashoro, Assistant Nursing, Sister, Nigerian Nursing Service. John Derek Sowerby, Superintendent of Police. ... Kenneth Raymond Cook, MBE, Director of Audit, Zanzibar. David John Coward, Registrar-General, Kenya. Abraham Cyril Cyrus. For ... For services to nursing in Trinidad. Fadzil bin Asmad, lately Head Teacher, Kerupang Government Primary School, Labuan, North ... For services to Nursing. Alan John Strevens Scott, formerly Director of Finance and Stores, Department of Civil Aviation. ...
For nursing and welfare services to the community in Jerusalem. John Edward Payne, lately P.S.A. Representative, HM Embassy, ... Denis Stanley Osborn, Senior Auditor, Exchequer and Audit Department. Albert Owen, General Manager, North West Region, Trustee ... For service to nursing. Mary Clayton. For service to the community. Athol Bryan Davies. For service to sport. Ashley Edwin ... For nursing and welfare services to the community in Nigeria. James Claude Stocks. For services to technical development in ...
Isobel Margaret Hutton, Queen Elizabeth's Colonial Nursing Service, Sister Tutor, Nurses' Training College, Gold Coast. Ip Tin ... Frank William Gladwin, Deputy Director of Audit, Exchequer and Audit Department. Earl Consiby Godwin , Superintendent, ... Margaret Kay Walshaw, Senior Nursing Sister, Queen Alexandra's Royal Naval Nursing Service. Royal Navy Lieutenant Commander ... For services to nursing in the State of Western Australia. Charles Molyneux, of Fremantle, State of Western Australia for ...
Claire Helen Bevan, Chair, Audit Committee, Older People's Commissioner for Wales. For services to Nursing and Patient Care. ... Elspeth Jane Clegg, Chief Nurse for London, NHS England and NHS Improvement. For services to Nursing and to the NHS. William ... Samantha Salaver, Head of Dental Nursing, Guy's and St Thomas' NHS Foundation Trust. For services to Dental Nursing. June ... Elaine Jean Boyd, Director, Audit Quality and Appointments, Audit Scotland. For Public and Charitable Services. Joseph Patrick ...
The audit found that the means for the crime was as a result of vague U.S. law. September 3 - A 47-year-old North Carolina man ... N.C. Man Convicted of Killing 8 at Nursing Home. Foxnews.com (2010-04-07). Retrieved on 2011-10-10. Austin-area wildfire burns ... September 2 - An audit report from the United States Treasury Inspector General for Tax Administration found that last year ... Illegal Workers Used Tax Credit to Pocket $4.2 Billion, Audit Shows. Foxnews.com (2010-04-07). Retrieved on 2011-10-10. ...
Nurse The Greatest Show on Earth - "A Place to Belong" (1964) ... Jeannie My Favorite Martian - "Who Am I?" (1964) ... Nurse ... "Audit" (1973) ... First Woman The Red Pony (1973) (TV) ... Miss Willis Do Not Throw Cushions Into the Ring (1970) ... The Wife ... Switch - "Dangerous Curves" (1978) ... Adele Charlie's Angels - "Terror on Ward One" (1977) ... Nurse Farragut The Rookies: ...
"All-nighter yields last-minute deal in N.L. nurses dispute". Canadian Broadcasting Corporation. 20 May 2009. Retrieved 10 ... "N.L. too dependent on oil: audit". Canadian Broadcasting Corporation. January 2011. Retrieved 10 February 2012. "Fiscal ...
... ineffective nursing procedures; and inadequate nursing auditing, supervision and staff development. When examining the use of ... Caruso E. M. (2007). "The Evolution of Nurse-to- Nurse Bedside Report on a Cardiology Unit". Medsurg Nursing. 16 (1): 17-22. ... In the past few decades, nurses have witnessed a change toward a more independent practice with explicit knowledge of nursing ... Lee T.-T. (2007). "Patients' Perceptions of Nurses' Bedside Use of PDAs". Computers, Informatics, Nursing. 25 (2): 106-11. doi: ...
Charlotte Eliza Bentley, Nurse Officer, Royal College of Nursing. Betty Bewick, Higher Executive Officer, Overseas Development ... Cragg), Deputy Director of Audit, Exchequer and Audit Department. Clement George Wardrop, ERD, Foreign and Commonwealth Office ... Jessie Stephenson, Chief Nursing Officer, East Riding of Yorkshire. Williamina Mary Stevenson, District Nurse, Westray, Orkney ... For services to nursing. State of Victoria Lillian Elhe Andrews, of Auburn. For services to mental health. Elsie Gwendolen St. ...
Superintendent of the Queen's Institute of District Nursing. Hugh Douglas Roberts, Inspector of Audit for Northern England, ... William Aberdein Middleton OBE Chief Auditor and Secretary, National Insurance Audit Department. The Right Honourable William ... In recognition of her numerous benefactions, particularly in connection with hospitals and the nursing profession. Margaret ...
Louisa Margaret Benade, Nursing Sister, Dutch Reformed Church Mission, Nyasaland. Robert Staveley Boumphrey, Colonial Audit ... Ronald Macdonald, OBE MC, Colonial Audit Service, Director of Audit, Federation of Malaya and Singapore. Adam Rankine, MC MB ... Royal Navy Olive Mary Molyneaux, Senior Nursing Sister, Queen Alexandra's Royal Naval Nursing Service. Army Major Nina Alys ... Lionel Gilbert Machin, Deputy Director of Audit, Exchequer & Audit Department. Duncan MacLennan, Chairman of the Visiting ...
The Mervyn M. Dymally College of Nursing opened in 2010. The school was the first comprehensive nursing program to open in ... "CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE Single Audit Report" (PDF). Health Resources and Services Administration. ... "CCNE-Accredited Nursing Degree Programs". directory.ccnecommunity.org. Charles Ornstein, Tracy Weber and Jack Leonard (August ... Programs at the university are also accredited by the National League for Nursing Accrediting Commission and the Commission on ...
This should be followed by a compliance audit. The chart should indicate a monitoring coupled with an escalating nursing, ... Midwives and nurses should be able to obtain help from senior nurse midwifery managers or the director of nursing on duty, and ... In particular, there needs to be audited compliance with guidelines on management of infection, sepsis, and suspected sepsis in ...
Allen, Rebekah (2016-02-02). "VA chief misspent thousands, audit says". The Advocate. Retrieved 2019-04-29. Allen, Rebekah ( ... that turned up concerns about conditions and lack of oversight at nursing homes for veterans. The investigations by the ... oversight at nursing homes". The Advocate. Retrieved 2019-04-29. ...
Stressors and counseling needs of undergraduate nurses in Ibadan, Nigeria. Journal of Nursing Education. Vol 43. No 9, 412-5 ... 2004) Medical Audit: A veritable tool for improving standards in clinical practice. Annals of African Medicine, 3 (3):146-149 ...
Portal:Nursing List of nursing journals "Business Magazines: Cross Platform Circulation Certificate: January to December 2014 ... " (PDF). Audit Bureau of Circulations (UK). Retrieved 30 April 2016. Official website v t e (Use dmy dates from April 2022, ... Primary Health Care is a professional magazine published 10 times a year by the RCNi, part of the Royal College of Nursing ... It is indexed by the British Nursing Index and CINAHL and available through most online aggregators as well as from the ...
For services to Nursing and to the Allied Health Professions. Elaine Noad. For services to Disabled People in Scotland. Peter ... Ian David Cornish, Head of Audit Services, Royal Household. Stephen John Luke Davies, Financial Controller, Duchy of Lancaster ... For services to Nursing and to the community in Selkirk, Scottish Borders. Norman Edward Young. For charitable services in ... Judith Wilson, Enrolled Nurse, Southern General Hospital, Glasgow. For services to Healthcare. Mary Evelyn Wilson. For service ...
Waterhouse, Catheryne (2008). "An audit of nurses' conduct and recording of observations using the Glasgow Coma Scale". British ... Rank, Wendi (March-April 2010). "Simplifying neurologic assessment". Nursing Made Incredibly Easy!. 8 (2): 15-19. doi:10.1097/ ... Iankova, Andriana (2006). "The Glasgow Coma Scale: clinical application in Emergency Departments". Emergency Nurse. 14 (8): 30- ... Lower, Judith (2002). "Facing neuro assessment fearlessly" (PDF). Nursing. 32 (2): 58-65. doi:10.1097/00152193-200202000-00054 ...
Media Audits. ABC releases data for the UK media industry to use when trading advertising. Our audits can cover your whole ... Nursing Times Mental Health (Email Newsletter), is no longer registered with ABC. Company: Emap Publishing Ltd. Product Type: ... Nursing Times Mental Health. Emap Publishing Ltd. January to December 2013. View ... Third Party Auditing. ABC are a leading industry-owned auditor for media products and services, with specialist skills in ...
A community-based nurse-led secondary prophylaxis programme for Rheumatic Fever heart disease is able to deliver excellent ... An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Sarah Grayson et al. N Z Med J. ... An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Sarah Grayson 1 , Margaret ... Methods: An audit of the 1998 and 2000 Auckland Rheumatic Fever Register data was undertaken to establish the compliance rates ...
The New York State Department of Health was unprepared to respond to infectious disease outbreaks at nursing homes, even before ... DiNapoli Audit Sheds Light On COVID Nursing Home Deaths In New York. ... "Our audit findings are extremely troubling. The public was misled by those at the highest level of state government through ... NEW YORK, NEW YORK - MARCH 25: People whove lost loved ones due to Covid-19 while they were in New York nursing homes attend a ...
He continued: This audit paints a bleak picture for dementia diagnosis in large parts of the country. On average there has ... The audit said this suggests that more people are receiving their diagnosis later and therefore missing early access to drug ... The audit was published after the Government last weekend announced the launch of a new national dementia mission, in honour ... The national audit of memory assessment services in England and Wales, conducted between January and August 2021 by the Royal ...
The Expanding Role of Nurses in Surgery and Prescribing in British Departments of Dermatology. Therapy Guidelines and Audit ... availability of a dermatology Nurse Practitioner or Liaison Nurse, or access to a hospital nurse-run dermatology clinic (both ... Nurse Prescribing in a Day-Care Dermatology Unit. Bowman J. Prof Nurse. 2000;15:573-577 ... Combining Nursing Roles in Dermatology. Peters J Prof Nurse. 1999;15:91-94 ...
Audit report  World Health Organization; African Programme for Onchocerciasis Control (‎JAF15.7, 2009)‎ ... The nursing community, macroeconomic and public finance policies: towards a better understanding  World Health Organization (‎ ...
For outstanding contributions to the AUDIT-C Workgroup Pilot.. Monica Boateng, Nursing Department. Keisha Grant, Nursing ... Heather Rizzo, Nursing Department. Rosa Rousseau, Nursing Department. Sharon Sawyer, Nursing Department. Agatha Patricia Shin, ... Debra Ariguzo, Nursing Department. Eugena Bergvall, Nursing Department. Alexis Braxton, Nursing Department. David Glenn, ... Ronald Gillis, Nursing Department. Mabel Gomez Mejia, Office of the Executive Officer. LCDR Jennifer Jabara, Nursing Department ...
Audits are an effective way to measure and evaluate performance when carrying out quality improvement. ... Fundamentals of Nursing - Flashcards build-your-own-bundleflashcards-for-nursing-studentsflashcards-for-practicing- ... Audits are an effective way to measure and evaluate performance when carrying out quality improvement. ...
Nursing Practice Observation Audit Form[PDF - 21 KB]. Audit tool to collect observations when nurses are changing central line ... Dressing Integrity Observation Audit Form [PDF - 21 KB]. Audit tool for central line dressings and appropriate changes of ... Presentation to Nurse Manager & Case Manager (or Unit Leader). Presentation addressing the role of the nurse manager, from AHRQ ... Central Line Maintenance Audit Form. Audit form to assess central line maintenance practices, from the Agency for Healthcare ...
Use our nursing audit checklist template to determinate the quality of nursing care. Optimize your workquailty now! ... Nursing Audit Checklist: A Practical Format for Evaluating Performance. A nursing audit checklist is a useful tool for nursing ... Document care quality with this nursing audit checklist format Nursing Audit Medical Record Admission assessment is fully ... Document care quality with this nursing audit checklist format. A nursing audit checklist format is the process of determining ...
ABSTRACT The main aim of the project is atomization of the clinical auditing system to atomize all clinical data from manual ... sa.ukessays.com/essays/nursing/what-is-clinical-auditing-nursing-essay.php?vref=1 ,title=What Is Clinical Auditing Nursing ... What Is Clinical Auditing Nursing Essay. ✅ Paper Type: Free Essay. ✅ Subject: Nursing. ... Absence of good managers, the particular nurses role in audit will provide an effective training, if audit is incomplete it is ...
Developing an audit tool for primary nursing. / Ryan, Assumpta; Logue, Hugh. In: Journal of Clinical Nursing, Vol. 7, 1998, p. ... Ryan, A & Logue, H 1998, Developing an audit tool for primary nursing, Journal of Clinical Nursing, vol. 7, pp. 417-423. ... Ryan, A., & Logue, H. (1998). Developing an audit tool for primary nursing. Journal of Clinical Nursing, 7, 417-423. ... Developing an audit tool for primary nursing. In: Journal of Clinical Nursing. 1998 ; Vol. 7. pp. 417-423. ...
Perform a content audit on this section, in table / spreadsheet format. Next, create a visual sitemap based on the columns from ... Choose a state and review the scope of practice for the advanced practice nurse. How does it compare to Florida? Submission ... the content audit. Create a user flow on how you would see the person progressing through the site. What recommendation would ...
Resume example for a nurse practioner with a long history working as a Nurse, nurse manager, CNP for medical centers ... Compassionate Certified Nurse Practitioner with over 20 years experience offering expertise in Medicare health regulations and ... The introduction showcases the nurses critical care, Medicare health regulations, and JCAHO standards experience. ...
Recovery Audit Contractors (RACs):. RACs play a crucial role in ensuring the accuracy and integrity of healthcare billing and ... In conclusion, recovery audit contractors (RACs) and electronic health records (EHRs) serve distinct yet essential purposes in ... A few months ago, on the basis of your experience in a Nursing Assignment Help October 2, 2023 ... Recovery audit contractors (RACs) and electronic health records (EHRs) have become prominent in healthcare systems, offering ...
Audit report  World Health Organization; African Programme for Onchocerciasis Control (‎JAF15.7, 2009)‎ ... The nursing community, macroeconomic and public finance policies: towards a better understanding  World Health Organization (‎ ...
The study is aimed at training the nurses and conducting a documentation audit to assess the effect of the training on their ... Can Nurses Training and Documentation Audit Improve the Oral Care Practice among Patients Receiving Cancer Treatment? Results ... Can Nurses Training and Documentation Audit Improve the Oral Care Practice among Patients ... as monitored by a documentation audit. CONCLUSION:. Capacity building of the nurses in providing effective oral care of cancer ...
The expected word count is 1500 Nursing Assignment Help ... Question 7 (10 points) Marion is the manager at a local Nursing ... Assignment 1#1 Nursing Assignment Help August 29, 2023 Assess your knowledge of foundational concepts essential to the nursing ... Accessibility Audit (30%): The expected word count is 1500 Nursing Assignment Help. ... Accessibility Audit (30%):. The expected word count is 1500 words +/- 150 words.You will be required to complete a review of a ...
Undoubtedly, nurses are the unsung heroes of the healthcare ... Nursing is undoubtedly one of the most rewarding professions, ... Undoubtedly, nurses are the unsung heroes of the healthcare system.. As a nurse, youre constantly juggling the needs of your ... As nurses, we often put our patients needs before our own. Still, its also essential to prioritize our mental health. Nursing ... So, if youre a nurse looking to enhance your career and personal growth, consider enrolling in a nursing degree program or ...
DOE Audit Report School Nurses Are at the Front Lines of Epidemic as Schools Reopen. Across the country, school nurses are ... The U.S. Environmental Protection Agencys (EPA) Office of Inspector General conducted an audit to determine whether the EPA ...
Do nursing textbooks accurately describe pulse oximetry? An audit of current literature The factors contributing to graduate ... Why choose British Journal of Nursing? BJN provides nurses with an evidence base for clinical practice and a platform for ... Cardiac Nursing Dermatology Gastroenterology Long-term conditions Nutrition Policy Stoma Care Tissue Viability Digital ... Covid-19 Education Leadership Management Mental Health Palliative Care Respiratory Care Theatre Nursing Vascular Access IV ...
Healthcare providers who interfere with audits risk being barred from the Medicare and Medicaid programs, under a final rule ... A slap in the face for LPNs who keep nursing homes running By ... "Compliance with audit processes and requests is integral to ... Providers who obstruct audits face exclusion from Medicare, Medicaid under final rule ... Healthcare providers who interfere with audits risk being barred from the Medicare and Medicaid programs, under a final rule ...
Nursing Audit N4.761.520 N4.761.700.250.520. N5.700.520 N5.700.175.520. Occipital Lobe A8.186.211.730.885.213.571 A8.186. ... Dental Audit N4.761.295 N4.761.700.250.295. N5.700.250 N5.700.175.250. Dental Etching E6.95.585 E6.931.475. Dentate Gyrus ... Medical Audit N4.761.380 N4.761.700.250.500. N5.700.500 N5.700.175.500. Mediodorsal Thalamic Nucleus A8.186.211.730.385.826. ...
... has compiled information and resources related to adverse events in nursing homes to assist providers to identify, track, and ... Audits & Compliance Back to menu section title h3. * Part A cost report audit ... In response to the OIG report on adverse events in skilled nursing facilities, CMS launched a year-long campaign to create ... Potentially Preventable Adverse Events in Nursing Homes. In the report on adverse events, the OIG recommended that Centers for ...
Elderly woman dead after migrant nursing home staff could not speak English well enough to speak to police The caretakers ... Hayes ridiculed Pennsylvania GOP State Senator Douglas Mastriano for visiting the Arizona audit. The audit, Hayes said, was an ... The audit is a "mass delusion," he claimed, that will cause damage and destruction to democracy. ... Elderly woman dead after migrant nursing home staff could not speak English well enough to speak to police. ...
The program helps future doctors and nurses identify and treat health issues stemming from environmental exposures and a ... changing climate.The program helps doctors and nurses identify and address health issues stemming from environmental exposures ... Leventhal is now working on her ESP capstone project, a waste audit for pediatric laceration-repair kits. She is using her ... "Future doctors and nurses typically receive little training on pathways of contaminant exposure in the body, or how exposures ...

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