A yearly summary of quality assessment and improvement in the optometric pediatric clinics of the SUNY College of Optometry.
| Autor: | FitzGerald DE; College of Optometry, State College of New York, New York, USA., Mozlin R, Krumholtz I, Thau AP, Gruning CF, Chung I |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American Optometric Association [J Am Optom Assoc] 1998 May; Vol. 69 (5), pp. 307-18. |
| Abstrakt: | Background: Each clinic within the University Optometric Center (UOC) of the State University of New York (SUNY) College of Optometry develops a Quality Management (QM) Plan for each calendar year. The vehicle for implementation is a Quality Assessment and Improvement (QA&I) committee. The clinical adherence to the objectives are reviewed each year. The following article is a review of the QA&I reports of the Pediatric Vision Clinics within the College for the year 1996. Methods: Clinical records were concurrently and retrospectively reviewed for completeness and appropriateness of care. One hundred percent of the records were concurrently reviewed, and 10% of each doctors' total records were retrospectively reviewed. In addition, records with specific diagnoses--chosen as clinical indicators--were reviewed for a specified period of time. Results: Patient satisfaction exceeded predetermined threshold values. On general review, the clinical faculty performed at a 95% efficiency level. The pediatric population yielded only minimal major pathologies. In our strabismic sample, patients with esotropia exceeded those with exotropia (61% vs. 39%). Strabismic amblyopes were more prevalent than refractive amblyopes (80% vs. 20%). Preschool vision therapy appeared to be successful in most cases. Conclusion: Quality assessment and improvement is an ongoing process that can provide an overview of case management and type. The process serves to monitor quality of care, provide a modality for improvement, enhance outcomes, and guide future QM plans. |
| Databáze: | MEDLINE |
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