Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Voluntary Programs”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 487 records · Page 27Linked to original sources
PubMed2003

Peer review in obstetrics and gynecology by a national medical specialty society.

BACKGROUND: Since 1986 the American College of Obstetricians and Gynecologists (ACOG) has offered a voluntary consultation service (Voluntary Review of Quality of Care [VRQC] program) to assist departments of obstetrics and gynecology in assessing their quality of care. HOW THE VQRC PROGRAM WORKS: The VRQC program review team selects three to five topics for on-site medical record review to further investigate the care processes that may contribute to the perceived problems. Each chart is evaluated by a single reviewer with the use of worksheets with explicit, objective criteria that represent practice guidelines. In addition, key departmental and hospital personnel are interviewed on site to provide insight into the issues that prompted the request. EVALUATION OF THE VRQC PROGRAM: The first 100 site visits took place in 29 states and represented a diverse geographic cohort of hospital departments of obstetrics and gynecology. Overall departmental and systemic deficiencies were significantly more common than clinical concerns. Obstetric issues were more prevalent than gynecologic issues. Induction and augmentation of labor was the most common deficiency, and the availability and quality of obstetric anesthesia was the second. CONCLUSION: The VRQC program, as a voluntary consultative peer review program, addresses hospital-specific quality problems and also identifies common deficiencies across a diverse group of hospitals, which may warrant continuing education.

Consultants↗
PubMed1994

Policy, ethics, and reproductive choice: pregnancy and childbearing among HIV-infected women.

As the numbers of women infected with HIV continue to increase, there are more calls for women who are HIV-infected not to have children, or for policies to be created that limit or try to influence the reproductive choices of HIV-infected women. Although motivated by legitimate concerns, such potential policies may be problematic in terms of their threats to the autonomy of women and considerations of justice. An alternative counseling approach is proposed that advocates encouraging HIV-infected women to make reasoned and considered decisions concerning childbearing. Such an approach would require providers to discuss with women not only the medical facts relevant to vertical transmission, but also many of the psychosocial issues relevant to the woman's interest in bearing a child. Moreover, the encounter would be contextualized to include discussion of issues unique to the woman's situation and other family considerations.

Counseling↗
PubMed1995

But doctor, it's my hip!: the fate of failed medical devices.

It is difficult to study failed medical devices because of a lack of data. Routine device retrieval and analysis (DRA) is essential to performance evaluation, which, in turn, is essential to good patient care. We argue for the development of a national DRA program and medical device database and discuss the major ethical and policy issues associated with this proposal.

Consumer Product Safety↗