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F Beske

Publications and source records attributed to F Beske.

11 recordsLinked to original sources

A pilot project on quality assurance in nursing care in the state of Schleswig-Holstein, Federal Republic of Germany.

As a direct result of the law passed in Germany requiring the practice of quality assurance in health care which has been in effect since 1 January 1989, the Institute for Health Systems Research in Kiel piloted a project on quality assurance in medicine in 12 hospitals in Schleswig-Holstein from September 1989 to February 1991. Two procedures for measuring the quality of nursing care were also developed in two of these hospitals. These procedures were oral care aided by nursing staff and oral care carried out by nursing staff. The pilot project was then evaluated by the Institute. An extension of the medical side of the project to cover all 80 hospitals in Schleswig-Holstein was planned to begin on 1 January 1992. As far as the nursing side is concerned, approximately 10 procedures will be developed and tested in eight hospitals.

Germany

[Quality assurance: introduction and legal principles].

Quality assurance has been part of clinical medicine and public health for decades, but only recently have structured and well documented procedures of quality assurance been introduced. Industry has been a model. Since 1. 1. 1989 quality assurance in Germany has been a legal requirement for a wide range of health services. Structure, process and outcome as part of quality assurance is defined as well as criteria, standards and norms. The development of quality assurance in Germany is described. The importance of quality assurance for the efficacy, efficiency and the aim-orientated work of the public health services and for the medical service of the compulsory health insurance is stressed.

Delivery of Health Care

[Quality assurance in health care. With special reference to the the pilot project quality assurance in Schleswig-Holstein hospitals].

Quality assurance is growing in significance in health care world wide. The European Office of the World Health Organization has included quality assurance in its 38 health-policy targets for health care. Most experience in this field has hitherto been gained in the USA and in the Netherlands. In West Germany, the most extensive step which has been taken to provide quality assurance has been the perinatal study which is a record of approximately 80 per cent of births. Apart from this, there are pilot studies in existence in particular in the areas of surgery, of operative gynecology and of paediatry. Quality assurance in in-patient and out-patient care has been laid down by law in West Germany since 1st January 1989. Using this as a basis, the Institute for Health-Systems Research is acting as advisor for a pilot study ("Pilot Study for Quality Assurance in Hospitals of Schleswig-Holstein") which is at present being carried out in Schleswig-Holstein and in which 12 hospitals are participating. The pilot study is so structured that it has developed methods for measuring quality assurance in the fields of surgery, internal medicine, gynecology and obstetrics, nosocomial infections, haemotherapy and nursing. Quality assurance is a sensitive area. Indications will be given to what should be heeded when introducing measures for quality assurance in hospitals. Institutes with clearly defined functions are required in order to carry out quality assurance.

Germany