Guide for selecting small equipment.
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A process is described for quality assurance in pharmaceutical purchasing and inventory control. A quality assurance program should ensure that quality drugs are purchased at the lowest price, drug products are available when needed, the system is managed efficiently, internal controls are provided, drug products are stored under appropriate conditions, and laws, regulations, accreditation standards, and procedures are followed. To meet these objectives, product quality, vendor performance, the department's system of internal controls, purchasing data, and storage conditions should be monitored. A checklist for evaluating purchasing and inventory practices and a sample audit form listing quality assurance criteria, standards, procedures, and recommended actions are provided. A quality assurance program for pharmaceutical purchasing and inventory control should define institution-specific criteria and standards and use these standards for continual evaluation of all aspects of the purchasing and inventory control system. Documentation of quality assurance activities should be provided for use by the purchasing department, hospital administration, and regulatory bodies.
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AIM OF THE STUDY: According to German Hospital Financing Regulations hospital comparisons are undertaken to serve as information basis to providers and purchasers concerning budget findings. The current purchasers' hospital comparison includes diagnosis and patients' age to compare costs between hospitals. This study aims at evaluating diagnosis, age and additional variables as predictors of length of stay for psychiatric inpatient treatment. METHODS: Data of one year's admissions of a German state psychiatric hospital (N = 2450) were evaluated by a linear regression analysis. RESULTS: The purchasers' model of diagnosis and age accounts for 10.5% of the variation of length of stay. A second model with additional sociodemographic and clinical variables accounts only for 11.3% of the variation. CONCLUSIONS: Results of this study are confirmed by several international studies on length of stay in psychiatric hospitals. It is concluded that diagnosis and age do not account sufficiently for the variation of length of stay in psychiatry. Meaningful hospital comparisons should include disease specific clinical, biographical and sociodemographic measures.
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