A clinical demonstration program in quality assurance.
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Biomedical subjects
Publications and source records attributed to A Shimeld.
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The nature of Quality Assurance is outlined, as well as the range of activities encompassed in a Quality Assurance program. The need to provide occupational therapy personnel with an organizational framework within which to develop the skills to implement a Quality Assurance program is given as the rationale for utilizing a model that focuses on five key areas of professional practice. The model is described, and the way it has facilitated the Quality Assurance program in the Occupational Therapy Services Department of the University Hospital, London, Ontario is discussed. Reference material, useful when implementing a program, is included.
The methodology developed includes both the use of laboratory evaluation and clinical assessment in an area where there are no standard requirements, no specifications, nor any continuity of data available on the various thermoplastic splinting materials now on the market. A series of laboratory tests and clinical trials were devised such that these could be interpreted with regard to clinical considerations, cost analyses and serviceability factors relating to the materials. Laboratory testing covered possible effects on the chemical and mechanical properties of material likely to be caused by various environmental, sterilization and working factors. The complementary clinical evaluation to highlight the behaviour of materials during the fabrication and wearing of splints consisted of specific information generated with the assistance of experienced occupational therapists, occupational therapy students and patients. Biocompatibility studies were also carried out. The data to be published will provide needed information to physicians, occupational therapists, physical therapists, orthotists, prosthetists, and administrators with regard to their making informed decisions on the selection, purchase and use of thermoplastic materials.
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