Clinical Audits in Outpatient Clinics for Chronic Obstructive Pulmonary Disease: Methodological Considerations and Workflow
| Autor: | José Luis López-Campos, Laura Caballero Ballesteros, Francisco González Vargas, Ruth Ayerbe García, Carmen Calero Acuña, Francisco Casas Maldonado, Fernando Romero Valero, María Abad Arranz, Juan Jose Cruz Rueda, Alejandro Segado, Bárbara Hernández Sierra, Ricardo Ismael Aguilar Perez-Grovas, Dolores Pérez-Tejero, Antonio Hidalgo Molina, Macarena Arroyo Varela, José Calvo Bonachera, Adolfo Domenech, Francisco García Gil, María Sánchez Palop |
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| Přispěvatelé: | [López-Campos,JL, Abad Arranz,M, Calero Acuña,C] Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Seville, Spain. [López-Campos,JL, Calero Acuña,C] CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. [Romero Valero,F, Hidalgo Molina,A] Hospital Puerta del Mar, Cádiz, Spain. [Ayerbe García,R, Aguilar Pérez-Grovas,RI] Hospital Juan Ramón Jiménez, Huelva, Spain. [García Gil,F, Caballero Ballesteros,L] Hospital Universitario Reina Sofía, Córdoba, Spain. [Casas Maldonado,F, Sánchez Palop,M] Hospital Universitario San Cecilio, Granada, Spain. [Pérez-Tejero,D, Segado,A] Hospital Infanta Margarita, Cabra, Córdoba, Spain. [Calvo Bonachera,J, Hernández Sierra,B] Hospital Torrecárdenas, Almería, Spain. [Doménech,A, Arroyo Varela,M] 9 Hospital Regional Universitario de Málaga, Spain. [González Vargas,F, Cruz Rueda,JJ] Hospital Universitario Virgen de las Nieves, Granada, Spain., This study was financially supported by an unrestricted grant from Laboratorios Menarini, SA (Barcelona, Spain). |
| Rok vydání: | 2015 |
| Předmět: |
Male
Clinical audit lcsh:Medicine Instituciones de atención ambulatoria Ambulatory Care Facilities Workflow Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection [Medical Subject Headings] Pulmonary Disease Chronic Obstructive Outpatients Enfermedad pulmonar obstructiva crónica Outpatient clinic Drugtherapy lcsh:Science Information Science::Information Science::Systems Analysis::Workflow [Medical Subject Headings] Geographicals::Geographic Locations::Europe::Spain [Medical Subject Headings] Multidisciplinary Chronic obstructive pulmonary disease Data Collection Health Care::Health Services Administration::Organization and Administration::Management Audit::Benchmarking [Medical Subject Headings] Hospitals Humanos Benchmarking Recolección de datos Outpatient clinics Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet [Medical Subject Headings] Female Research Article medicine.medical_specialty Patients MEDLINE Check Tags::Male [Medical Subject Headings] Pulmonary disease Audit Databases Bronchodilators health services administration medicine Diseases::Respiratory Tract Diseases::Lung Diseases::Lung Diseases Obstructive::Pulmonary Disease Chronic Obstructive [Medical Subject Headings] Humans Internet Clinical Audit business.industry lcsh:R Flujo de trabajo Andalucía Auditoría clínica respiratory tract diseases Health Care::Health Care Facilities Manpower and Services::Health Facilities::Ambulatory Care Facilities [Medical Subject Headings] Check Tags::Female [Medical Subject Headings] Family medicine Physical therapy lcsh:Q Health Care::Health Services Administration::Quality of Health Care::Quality Assurance Health Care::Clinical Audit [Medical Subject Headings] business |
| Zdroj: | PLoS ONE PLoS ONE, Vol 10, Iss 11, p e0141856 (2015) Digibug. Repositorio Institucional de la Universidad de Granada instname |
| ISSN: | 1932-6203 |
| Popis: | Objectives: Previous clinical audits for chronic obstructive pulmonary disease (COPD) have provided valuable information on the clinical care delivered to patients admitted to medical wards because of COPD exacerbations. However, clinical audits of COPD in an outpatient setting are scarce and no methodological guidelines are currently available. Based on our previous experience, herein we describe a clinical audit for COPD patients in specialized outpatient clinics with the overall goal of establishing a potential methodological workflow. Methods: A pilot clinical audit of COPD patients referred to respiratory outpatient clinics in the region of Andalusia, Spain (over 8 million inhabitants), was performed. The audit took place between October 2013 and September 2014, and 10 centers (20% of all public hospitals) were invited to participate. Cases with an established diagnosis of COPD based on risk factors, clinical symptoms, and a post-bronchodilator FEV1/FVC ratio of less than 0.70 were deemed eligible. The usefulness of formally scheduled regular follow-up visits was assessed. Two different databases (resources and clinical database) were constructed. Assessments were planned over a year divided by 4 three-month periods, with the goal of determining seasonal-related changes. Exacerbations and survival served as the main endpoints. Conclusions: This paper describes a methodological framework for conducting a clinical audit of COPD patients in an outpatient setting. Results from such audits can guide health information systems development and implementation in real-world settings. This study was financially supported by an unrestricted grant from Laboratorios Menarini, SA (Barcelona, Spain). |
| Databáze: | OpenAIRE |
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