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At least 865 records · Page 48Linked to original sources
PubMed1999

Designing compliance programs that foster ethical behavior.

The federal government continues to expand its initiatives to uncover healthcare fraud, waste, and abuse. It is therefore more important than ever that healthcare organizations have an effective compliance program in place. The organization should have a compliance officer with adequate authority and staff to carry out the compliance program's functions. The program should include an ethics code, an internal hotline that employees can use to report compliance concerns, and education and training for all employees. In addition, the program should be audited periodically to ensure its viability. To be successful, a compliance program also needs the support of the healthcare organization's senior management.

Communication↗
PubMed2003

ROI under scrutiny: the radical redefinition of a core concept.

This article offers a three-part analysis for identifying and assessing return on investment in healthcare information technology (IT) projects. Returns to IT can be financial, clinical, or structural. The goal is to identify key areas of measurable returns to both assess the value of a project before it is undertaken and to assess the actual value returned to the organization. Given the choice, many senior executives still prefer to rely on classic financial analyses, but the true value of a project is often found in the clinical and structural returns. Still, project-specific assessments do not answer the core question of whether long-term strategic investment in IT leads to a systemic strategic advantage to healthcare organizations. This article addresses these issues and indicates opportunities for further investigation.

Benchmarking↗
PubMed1997

Environmental auditing programme in India.

The concept of environmental auditing in industrial units in India was formally introduced in March 1992 with the overall objective minimising consumption of resources and promoting use of clean technologies in industrial production to minimise generation of wastes. A series of discussions were held among the concerned regulatory agencies before and after making environmental auditing and submission of Annual Environmental Statements, a mandatory requirement for the industries. This followed organisation of a number of workshops, seminars and training programmers all over the country by different agencies dealing with environment protection, conducting of audit studies in 125 selected polluting industries in the country by the Central Pollution Control Board (CPCB), Delhi, and a number of other activities. The present paper gives the details of the activities before and after the introduction of this requirement in the country. The aspects covered include (i) the evolution of the concept, (ii) the history of the introduction of the scheme in the country and the organisational structure, (iii) the mandatory requirement and its applicability, (iv) the implementing agencies and their responsibilities, (v) summary of the training programmes/workshops organised in the country, (vi) case studies conducted by CPCB in selected polluting industries and the major findings, (vii) development of guidelines for conducting environmental audit in different categories of polluting industries, and (viii) the current status of the scheme and plans for its effective implementation.

Air Pollution↗
PubMed2006

Discussion of quality and audit in health.

Attaining quality health care has long been a social policy priority for countries internationally. This discussion considers issues important to understanding quality, and audit implementation in particular. The paper covers, first, the principles and practice of audit and, second, broader implementation issues, which together point to the further development of quality initiatives in health in the United Kingdom health care context. To close, the future of audit as a means of improving health care is elaborated.

Humans↗
PubMed1988

The hazardous waste audit.

In this two part article, the author considers hazardous materials audits: what they are, why they should be performed, what they should encompass, and who should perform them. He also describes the actual mechanics of the audit process. In this second segment, the author discusses the mechanics of performing the audit: who should perform the audit, the necessary disciplines that should be involved in the audit team and how the team should be prepared and assigned the task. Finally, the audit report itself is considered.

Environmental Monitoring↗
PubMed1992

Inpatient management of piles: a surgical audit.

A retrospective study was performed on 160 patients admitted to the University Surgical Unit between July 1975 and November 1989 with haemorrhoidal disease. Patients' records were analysed with respect to predisposing factors, inpatient management, postoperative analgesia, hospital stay and post-management complications. One hundred and nineteen patients had haemorrhoidectomy (low ligation combined with an anal stretch). Of these, 1.6% developed urinary retention and 4.2% bled postoperatively but did not require surgical intervention. Ten patients were found to have tight anal canals post surgery and required outpatient anal dilatation. In no case was dilatation necessary for more than 3 months. Three patients required a therapeutic course of antibiotics. Of the 119 patients, 60 required narcotic analgesia for less than 24 hours. Hospital stay was 1-4 nights.

Adult↗
PubMed1997

Audit of a pre-employment risk identification form.

A risk identification form was introduced as part of Southmead Health Services NHS Trust's pre-employment procedure. Its purpose was to allow occupational health nurses to identify employees with specific occupational health needs. One hundred employees' risk identification forms were studied and a comparison made between the manager's assessment and that of an independent occupational health nurse's assessment based on job title alone. The actual risks involved in the post were identified by the employee after 1 month employment, together with an occupational health nurse from Southmead NHS Trust. There was a greater agreement between the managers' assessments and the actual risks identified (range 83-100%), than between the independent nurse's assessments and the actual risks identified (range 59-100%), in all categories other than driving. The sensitivity of the managers' risk assessments were higher than that of the independent nurse in all categories and the positive predictive value of the managers' risk assessments were higher than that of the independent nurse in all but two categories.

England↗
PubMed1994

The scope and place of ultrasound-monitored extracorporeal shock wave lithotripsy in a multimodality setting and the effects of experiential, audit-evoked changes on the management of ureteric calculi.

OBJECTIVE: To assess the results from ultrasound-monitored extracorporeal shock wave lithotripsy (ESWL) for ureteric stones, to compare the results with other treatment modalities and to evaluate experiential audit-evoked gains. PATIENTS AND METHODS: A review of the records of 109 patients with ureteric stones who were treated during 1990 (Group I) and 69 patients treated by ESWL during the first 10 months of 1991 (Group II), was carried out. All patients with a steinstrasse or fragments secondary to ESWL were excluded from the study. RESULTS: Of the 109 patients in Group I, 63 were treated with ESWL, nine underwent ureteroscopic push-up of the stone and 11 underwent catheter push-up prior to ESWL, 28 underwent ureteroscopic extraction/fragmentation, five underwent post-ESWL ureteroscopy and 29 underwent open ureterolithotomy (nine after failed ureteroscopy). Ureteroscopy was successful in fragmentation/extraction of 19 of 28 (68%) stones and 95% of patients were stone-free at 3 months. All patients who underwent ureterolithotomy and 84% who underwent ESWL (and post-ESWL ancillary procedures) were stone-free at 3 months. All patients who underwent ureterolithotomy, 51% of those who underwent ureteroscopy and 56% of patients who underwent ESWL needed only one treatment. The mean stone burdens of patients in Groups I and II were comparable but more patients presented with larger stones (> 15 mm length, > 100 mm2 surface area) in Group II. The stone-free rates for ESWL monotherapy with ESWL increased from 84% in 1990 to 92% in 1991. A higher proportion of stones were treated in situ in 1991 and a stent was used less frequently in obstructed ureters. Post-ESWL procedures fell from 8% in 1990 to 6% in 1991 and the proportion of patients who required more than one treatment fell from 44% in 1990 to 14% in 1991. CONCLUSIONS: The choice of treatment for patients with ureteric stones is critical but will vary depending on the individual's circumstances, the availability of equipment, costs and time required to perform the procedure. The results obtained using ESWL for ureteric stones improved considerably over the course of the study as a result of experience and refinement of the technique. Stones located in more difficult systems such as in kidneys with a thin cortex and those located above the ischial spine were no longer subjected to ESWL. Audit of the results obtained following treatment allows identification of problem areas, alerts physicians to alternative methods of treatment and gives an objective quantification of experience, assisting rational decision making with consequent improved success.

Adult↗