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Biomedical subjects

Anne Frølich

Publications and source records attributed to Anne Frølich.

5 recordsLinked to original sources
PubMed2002

[Clinical indicators and quality databases--a review].

This review states the work which has been done in Denmark on clinical indicators and large databases containing clinical data with nationwide coverage. The aim of the work was to obtain valid and reliable information on clinical quality to be used by clinicians, leaders, and the public. Nationally we have: 1) The needed experience related to identification and development of clinical indicators and construction of databases. 2) The necessary partners (scientific societies, hospital owners, primary care sector, and health authorities) are motivated and involved in a collaborative organisation. Nationally we lack: 1) Experience with implementation and use of clinical indicators. 2) An overview of the needed investments to ensure coverage of all important diseases, continuity in patient care, and improvement of the existing databases. 3) Fully integrated information systems.

Continuity of Patient Care↗
PubMed2002

[Accreditation of hospitals. A review of international experiences].

Internationally, there is solid experience on accreditation. Accreditation in the present paper is described in the form that is used in the three biggest and oldest organisations, The Joint Commission on Accreditation of Healthcare Organization (JCAHO), The Canadian Council on Health Services Accreditation (CCHSA), and The Australian Council on Healthcare (ACHS). Common elements in the organisations are standards, indicators, surveyors, surveys, accreditation report, and end result. The development in the three organisations has been different. However, the establishment of The International Society for Quality in Health Care (ISQua) and The Agenda for Leadership in Programs in Healthcare Accreditation (ALPHA) programme has motivated increasing comparability. The fact that association between accreditation and quality in patient care has not been demonstrated is a weak point. However, standards in the accreditation organisations require the use of clinical guidelines in order to increase the quality of patient care. From the "Health Policy Report 2002" it appears that external assessment in the form of accreditation is going to be a reality in the Danish healthcare sector. Hospitals of all counties and within The Copenhagen Hospital Corporation must undergo accreditation before the year 2006.

Accreditation↗
PubMed2002

[The Good Medical Department. Results from a national survey of quality in 1998].

INTRODUCTION: This cross-sectional study describes quality related data from 39 medical wards in Denmark. MATERIAL AND METHODS: The study is based on a review of 1517 medical records and a short patient interview. The medical departments took part voluntarily in the study, which was initiated by the Danish Society for Internal Medicine. RESULTS: A total of 23 quality-related indicators related to the planning of the treatment, documentation in patient records, and care were registered. The day before the data collection was an inactive inpatient day for 22.8 +/- 1.1% of patients. Allergy was insufficiently documented in the medical record for 18.8 +/- 1.0% of patients. Weight was not documented in 48.8 +/- 1.3% of patients. Considerations about anticoagulation treatment of atrial fibrillation were not documented in 50.1 +/- 3.6% of patients with atrial fibrillation. DISCUSSION: This study indicates that it is possible on a voluntary basis to collect and distribute quality-related data. The survey has recently been repeated with a modified data registration sheet.

Adult↗