An overview of quality and safety in health care

Merry, Alan

doi:10.1007/s12630-012-9850-1

Cited by 9 publications

(5 citation statements)

References 49 publications

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“…In many ways, the licensing and certification of doctors also represent a graduated system, which extends from the assessments required for initial licensure through to MoL and MoC, or revalidation, requirements. However, unlike the implementation of graduated driver's licences, in which the longitudinal effect of the policy can be reasonably measured by counting car crashes, it can be difficult to obtain outcome measures to evaluate the impact of changes in patient care models or provider (doctor) qualifications . As a result, building a strong, defensible case for the validity of doctor licensure examinations, and revalidation efforts, can be difficult.…”

Section: Licensure Certification and Revalidation Of Credentialsmentioning

confidence: 99%

Ensuring high-quality patient care: the role of accreditation, licensure, specialty certification and revalidation in medicine

Boulet

Zanten

2013

Med Educ

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Although there is some evidence to support the value of medical school accreditation, the direct impact of this quality assurance initiative on patient care is not yet known. For both licensure and revalidation, some investigations have linked specific processes to quality indicators; however, additional evaluations should be conducted across the medical education and practice continuum to better elucidate the relationships among regulatory activities and patient outcomes. More importantly, the value of accreditation, licensure and revalidation programmes around the world, including the effectiveness of specific protocols employed in these diverse systems, needs to be better quantified and disseminated.

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Section: Licensure Certification and Revalidation Of Credentialsmentioning

confidence: 99%

Ensuring high-quality patient care: the role of accreditation, licensure, specialty certification and revalidation in medicine

Boulet

Zanten

2013

Med Educ

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“…2 'Mortality' given without any time range, is a poor safety indicator in anesthesia, not only because of its low occurrence, 3 but also because of the lack of standardized definition. 4 While 'blood transfusion requirement' provides reliable information, the 'amount of bleeding' does not. Moreover, how the authors determined the rate of postoperative complications remains obscure: there is no information regarding the criteria used to define complications ('pneumonia', for example, is a very imprecise entity), and a description of the process used to screen patients for complications is lacking.…”

Section: Dear Editormentioning

confidence: 99%

Hepatectomy without Endotracheal General Anesthesia: A Safe Procedure?

Hovaguimian¹,

Beck‐Schimmer²,

Clavien³

et al. 2014

Journal of the American College of Surgeons

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“…What if he or she becomes addicted to opioids, or commits suicide because of the opportunities and stresses associated with giving anaesthetics? Interestingly, the idea that the well being of practitioners should be included in considerations of the outcomes of medical practice is receiving increased emphasis; for example, the suggestion that the Institute of Healthcare Improvement's Triple Aim for healthcare services [3,4] should become quadruple and include the aim of ensuring the well being of staff [5].…”

mentioning

confidence: 99%