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At least 307 records · Page 17Linked to original sources
PubMed1996

Office of Management and Budget control numbers under the Paperwork Reduction Act--OSHA. Final rule.

The Occupational Safety and Health Administration (OSHA) is adding new sections to its Safety and Health REgulations for General Industry, Construction and Shipyard Employment. These new sections will be used to consolidate and display all of the control numbers assigned by the Office of Management and Budget (OMB) for "approved" information collection requirements. OSHA is also identifying information collection requirements found in certain of its other regulations and displaying the OMB control number at the end of each section containing a collection of information. None of the requirements are new; they have been promulgated by OSHA at various times over the past 25 years. The display of OMB control numbers is required under the implementing rules and regulations of OMB and under the Paperwork Reduction Act of 1995.

Documentation↗
PubMed1984

Medicare and Medicaid programs; OMB control numbers for collections of information contained in HCFA regulations--HCFA. Final rules.

In accordance with regulations published by the Office of Management and Budget (OMB) on March 31, 1983, implementing the provisions of the Paperwork Reduction Act of 1980, HCFA is displaying in 42 CFR Chapter IV, currently valid OMB control numbers for approved "collections of information" contained in HCFA regulations. As OMB notifies us of additional control numbers, we will add those numbers to the HCFA display in the Code.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1989

Formal plan for major equipment purchases saves money.

A healthcare organization that uses its purchasing department only to process paperwork overlooks a key area for strategic planning and cost savings. By using a 15-step equipment purchasing process managed by a trained purchasing specialist, organizations can gain control of what can otherwise be an unwieldy process.

Budgets↗
PubMed1991

Controlled trial on medical birth notification design.

In a controlled trial, two different forms were compared with respect to thoroughness of completing medical data on procedures during pregnancy, labor, and in newborns. The contents of 547 forms filled in by hospital personnel were compared to data abstracted from hospital records by trained research assistants. Forms with open-ended questions lacked information on 29% of the most common procedures and forms with a check-box format 9%. The results support the use of the check-box format in routine collection of data on common medical procedures.

Birth Certificates↗
PubMed1994

Effect of different questionnaire formats on reporting of occupational exposures.

During an exposure monitoring study, 78 saw maintenance tradesmen were randomly assigned to be interviewed about their exposures using one of two questionnaire formats: open-ended and partly prompted questions about five categories of materials; and detailed prompting about 75 agents. The more open-ended questionnaire elicited fewer exposure responses overall, but more responses about agents not included on the detailed questionnaire. Composite materials and trade name products were more frequently cited as exposures than individual metals or compounds. Validity of responses was ascertained using air measurements (individual metals) or observations of the employees (composite materials). Sums of sensitivities and specificities were very low (near 1.0) for most of the metals for both types of questionnaire. For composite materials, validity improved substantially. Sensitivities with the partly promoted format (0.44-0.85) were always lower than with detailed prompting (0.80-1.00). Specificities were usually, but not always, higher with partial prompting (0.66-0.92) than with detailed prompting (0.18-0.86). Selection of questionnaire format for an epidemiologic study would depend on the likely prevalence of exposure in controls and the effects of trade-offs in sensitivity and specificity.

Data Collection↗
PubMedDate not supplied

Development of an outcome measure to document pain relief for home hospice patients: a collaboration between nursing education and practice.

In the spring of 1997, an Eastern Michigan University nursing educator, a master's nursing student, and a hospice clinical nursing director collaborated to develop a pain outcome instrument as a part of the student's clinical practicum. The instrument was designed to describe and measure pain control of home hospice patients in preparation for fall accreditation of a home hospice program by the Joint Commission on Accreditation of Healthcare Organizations. A chart audit of all on-call communications (n = 63 charts) by the educator and student supported the organization's need to improve patients' pain control. The collaborators reviewed the pain instrument literature, developed measurement instruments, and presented information to nurses at staff meetings for input and instrument revisions. A pilot study of the Home Hospice Patient Pain Assessment Instrument (HHPPAI) was conducted, the instrument was revised, and a second pilot was performed (n = 51 pain episodes). A description of those findings is presented. Further research needs to be conducted to examine instrument reliability and validity. The use of a pain outcome instrument, such as the HHPPAI, can improve patients' pain control and, therefore, promote their quality of life.

Clinical Competence↗
PubMed1994

A records retention primer.

Today's healthcare financial managers are faced with the challenge of controlling costs and providing quality care while maintaining the necessary records to comply with government requirements and observe sound business practices.

Financial Management, Hospital↗
PubMed1999

[Quality control of reactant lots at the Nation Blood Group Reference Center (CNRGS). Data for the year 1998].

The reagents used for blood group analyses are subject in France to the same regulations as other reagents. A file must be submitted for each reagent to the Agence française de sécurité sanitaire des produits de santé. Furthermore, each production lot must be checked by the Centre national de référence pour les groupes sanguins (CNRGS) for control before marketing. These controls allow a comparative quality assessment of the reagents. The investigation by the CNRGS of the problems encountered in the every day use of these products makes this quality control even more accurate.

Blood Banks↗
PubMed2002

How do you know that your care is improving? Part II: Using control charts to learn from your data.

This article builds on my article in the January 2002 issue of JACM on the use of run charts to analyze data variation and document process improvement. It describes a more powerful tool than the run chart for analyzing variation and measuring process improvement, namely, the control chart developed by Walter Shewhart. This article first explains the basic elements of a control chart, the tests for detecting a special cause variation, and how to choose the best control chart for the type of data being collected. It concludes with one case study using a control chart to document a successful intervention and some suggestions regarding computer software.

Data Collection↗
PubMed1991

Quality assurance program for a nuclear pharmacy.

The development of a quality assurance program for a nuclear pharmacy service is described. The program was established to complement and test the extensive quality control procedures in the nuclear pharmacy. Based on current nuclear pharmacy standards of practice and government regulations, audits were developed and tested for a 12-month period. Results of these audits were closely analyzed for their relevance and impact on the service. These results showed that the standards for the established quality control program were being met. It was concluded that the quality assurance program was a useful and practical tool.

Forms and Records Control↗
PubMed1995

Positioning for capitation by redesigning internal processes.

Now that healthcare reform is no longer at the forefront of President Clinton's agenda, competition among providers, practitioners, and health systems will become more common as they ready themselves for capitation. In addition, mergers, consolidations, acquisitions, alliances, and partnerships will continue to reshape the healthcare industry. In order for the parties to be successful in a capitated environment, providers, practitioners, and healthcare systems must manage and adapt to consolidation, capitation, communication, control, cost, customer, capital, and culture.

Capitation Fee↗
PubMed2003

The quality of record keeping in primary care: a comparison of computerised, paper and hybrid systems.

BACKGROUND: Computerised record keeping in primary care is increasing. However, no study has systematically examined the completeness of computer records in practices using different forms of record keeping. AIM: To compare computer-only record keeping to paper-only and hybrid systems, by measuring the number of consultations and symptoms recorded within individual consultations. DESIGN OF STUDY: Retrospective cohort study. SETTING: Eighteen general practices in the Exeter Primary Care Trust. METHOD: This study was part of a retrospective case control study of cancer patients aged over 40 years. All recorded consultations for a 2-year period were identified and coded for 1396 patients. Records were classified as paper, computer, or hybrid, depending on which medium stored the clinical information from consultations. RESULTS: More consultations were recorded in hybrid systems (median in 2 years = 11, interquartile range [IQR] = 6-18) than computer systems (median in 2 years = 9, IQR = 4-16.5) or paper systems (median in 2 years = 8, IQR = 5-14,): P <0.001. In a Poisson regression analysis, which included age, sex, and future cancer diagnosis, the rates of consultations recorded in paper and computer systems were 16% and 11% lower, respectively, than in hybrid systems. Fewer telephone consultations were recorded in paper systems, and fewer home visits in computer systems. Fewer symptoms were recorded in individual consultations on computer systems. Recording of absent symptoms and severity of symptoms was highest in paper systems. CONCLUSION: Hybrid systems of primary care record keeping document higher numbers of consultations than computer-only or paper-only systems. The quality of individual consultation recording is highest in paper-only systems. This has medicolegal implications and may impact upon continuity of care.

Aged↗
PubMed1993

Outcomes management in a prospective pay system.

Patient outcomes are the true measure of quality care, making accountability clear and control possible. As seen in this example, managed care lends itself to the process of tracking outcomes.

Community Health Nursing↗
PubMed1996

[Quality control of intraoperative diagnosis].

A retrospective study of 2500 consecutive frozen sections obtained in the period April 14, 1993, through April 29, 1995 from the Institute of Anatomic Pathology of Ospedale "Bellaria" of Bologna is presented. The most frequent of mistakes followed sampling errors. Quality Control of frozen section diagnoses is a valid system for monitoring and improving the accuracy of diagnoses.

Diagnosis↗