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Related Concept Videos

Quality Control01:05

Quality Control

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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
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Quality Assurance01:19

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Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Quality of Water01:19

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In concrete preparation, the quality of water is paramount as it affects the strength and durability of the concrete. Potable water is usually preferred; however, it must not have excessive sodium or potassium to prevent compromising the concrete's integrity. Water quality is typically evaluated based on impurities such as dissolved solids, chlorides, and sulfates, and its pH value is ideally between 6 and 8. Even slightly acidic natural water may be acceptable unless it contains harmful...
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Pulse amplitude and quality01:17

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Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
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Testing Water Quality01:14

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When the quality of water for concrete preparation is uncertain, its impact on the setting time of cement and compressive strength of mortar is assessed by comparison with de-ionized or distilled water benchmarks. American Society for Testing and Materials (ASTM) C1602 requires the setting times to be within 90 minutes of the control, British Standard (BS) 3146:1980 allows a 30-minute variance in the initial setting, while British Standards European Norm (BS EN) 1008 specifies initial setting...
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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Clinical audit does not work, is quality improvement any better?

Adrian Boyle1, Jeff Keep2

  • 1Consultant Emergency Physician, Department of Emergency Medicine, Addenbrooke's Hospital, Cambridge CB1 8RJ.

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|September 7, 2018
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Summary

Clinical audit effectiveness is reviewed, highlighting barriers to improving patient care. Quality improvement and improvement science offer promising alternatives to traditional audit methods.

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Area of Science:

  • Healthcare Quality Improvement
  • Clinical Audit
  • Improvement Science

Background:

  • Clinical audit has a long history in healthcare, aiming to improve patient care.
  • Despite its intentions, clinical audit often faces challenges in effectively translating findings into improved clinical practice.
  • Barriers to audit effectiveness necessitate exploring alternative approaches for enhancing healthcare quality.

Purpose of the Study:

  • To review the historical evolution and assess the effectiveness of clinical audit.
  • To identify and discuss the reasons behind the ineffectiveness of traditional audit in improving patient care.
  • To propose strategies for overcoming barriers to audit and introduce quality improvement and improvement science as alternatives.

Main Methods:

  • Historical review of clinical audit.
  • Appraisal of audit's effectiveness in healthcare settings.
  • Discussion of barriers to audit implementation.
  • Exploration of quality improvement and improvement science methodologies.

Main Results:

  • Clinical audit's effectiveness is often limited by various implementation barriers.
  • Quality improvement and improvement science present potentially more effective frameworks for enhancing healthcare.
  • The Royal College of Emergency Medicine is pioneering a national quality improvement program.

Conclusions:

  • Traditional clinical audit faces significant challenges in driving meaningful improvements in patient care.
  • Quality improvement and improvement science offer a more robust and effective paradigm for healthcare enhancement.
  • Adoption of these newer methodologies, as exemplified by the Royal College of Emergency Medicine, is crucial for advancing healthcare quality.