Within the framework of a brief review the state of the art of quality control for therapeutic work with special emphasis on interpersonal skills is summarized.The results of a documentation developed at the Medical School Hannover for ward sessions in psychiatry are presented. They are based on the evaluation of 190 ward sessions. For six months the behaviour of the patients as well as that of the therapists was measured by using a controlled rating scale. The results describe the characteristic differences between the therapists leading a ward-group with respect to the satisfaction with the session in relation to different kinds of quality models. The individual style of the therapists corresponding with the number of ward sessions performed proves to be an important factor for the quality of the therapy. The results are used for the design of a feedback system for the training of therapists.
A long-term documentation is presented which serves different quality-control mechanisms in computer tomography (CT) reporting. Developed by co-operation between different departments of the Hannover Medical School it has been based on 1000 CT reports and the experiences gained from them. The modular straightforward design makes the system applicable for routine documentation as well as for scientific investigations. It allows easy statistical analysis of the data gathered and can be used as a differentiated master file for special investigations, for example pattern-recognition procedures on the original data matrices. With regard to medical audit it allows the patients who really need it, access to the limited CT capacity.
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