Quality_Assurance. Sensitivity_testing.html

Quality is the Degree of Fulfilment of the Physician's Demands on Behalf of his Patient. (2,3)

Elements of structure and process (1)à

Registration à

Evaluation

I.Best diagnostics possible as the base for

IIA.1 Diagnosis

IIA.1 Treatment if necessary

IIB.1 Epidemiology

IIB.1 Hospital hygiene

III.A All results:

Species, sensitivity pattern, other types,

with repetition as the base for

V1. Standards:

Bergey etc.,

MIC, MBC

V1. Evaluation of

Precision (reproducibility) and

Accuracy (reliability) (4)

V1. Externally: PHLS, SSI.

IIB.2 Provisional information

IIB.2 Time till final reply

 

V1. Certification

IIB.1 Prevention of nosocomial risks

Other risks

IIB.3 Expenses

IIIB. Postoperative infections

Other infections

IIIB. Consumption of antibiotics

V1. Accreditation

V2. Utilitarism versus deontology

 

IIIB.3 The patient's recovery

IIIB.4 Rate of non-conformers

V3 The physician's satisfaction

ß ß Improvements ß ß

Literature:

  1. Donabedian A. The quality of medical care. Methods for assessing and monotoring the quality of care for research and for quality assurance programs. Science 1978;200:856-64.
  2. Siboni K. Clinical microbiology and quality assurance. ISQA Congress, Washington D.C. 1991.
  3. Siboni K. QA in Clinical microbiology and Hospital hygiene.. In Siboni K. (ed) Hospital Hygiene Committee for the County of Funen. Yearbook 1996, DK-5000 Odense 1997, p.19-22.
  4. Wise MN. The Values of Precision. New Jersey, Princeton University Press 1994, p.7-8