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PubMed · 10171060

An evolutionary process: applying CQI techniques to quality assurance issues.

E Ziacik
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Abstract

Evolving from a traditional quality assurance to a continuous quality improvement mindset is both challenging and frustrating. How to phase out the old and embrace the new is not always clear. Approaching the shift as an evolutionary process by applying CQI techniques to issues identified through traditional QA methods can be effective. It helps to validate the significance of past efforts and provide tangible evidence of process improvement.

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Ambulatory Surgical ProceduresHospital AdministrationLaboratories, HospitalOrganizational InnovationProblem SolvingProcess Assessment, Health CareQuality Assurance, Health CareRespiratory Therapy Department, HospitalJournal Article

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E Ziacik. An evolutionary process: applying CQI techniques to quality assurance issues.. https://doi.org/10.1111/j.1945-1474.1992.tb00047.x

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PubMed2007

The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

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