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Biomedical subjects

F G Jones

Publications and source records attributed to F G Jones.

13 recordsLinked to original sources
PubMed1990

Continuous quality improvement (CQI): solution to QA shortcomings?

In the previous decade, quality assurance gained prominence in an effort to ensure optimal medical care. Some experts, as Avedis Donabedian, M.D.--a leading scholar in the area of quality assessment--characterized its dimensions as falling into three categories: structure (inputs), process and outcome. Paul Ellwood, M.D., in 1988, further promoted the latter by introducing an "outcomes management" system. Now Berwick, James, O'Leary and others advocate the incorporation of certain industrial insights advocated by Deming, Juran and others to improve traditional QA Methods and develop a process of Continuous Quality Improvement (CQI). The goal is to have patients (and other customers) better served.

Quality Assurance, Health Care↗
PubMed1988

Coronary thrombolysis in a community hospital: experience with an intravenous streptokinase protocol.

To determine whether intravenous streptokinase can be delivered safely and effectively in a community hospital without acute angiography, we treated 120 patients with intravenous infusion of 1.5 million units of streptokinase shortly after arrival in the emergency room. Average time from onset of pain to treatment was 2.7 hours. Therapy was well tolerated without significant complication. Reperfusion was clinically suspected in 78% of patients. Coronary angiography was done at referral hospitals in 94% of the surviving patients two to ten days after treatment. The infarcted vessel was patent in 74% of these patients. Of these, coronary angioplasty was performed in 36%, and 32% had bypass grafting. We conclude that intravenous streptokinase can be safely and effectively used in community hospitals without acute angiography in carefully selected patients with acute myocardial infarction.

Adult↗