Avtor/Urednik		Kersnik, Janko
Naslov		Nadzor kakovosti dela zdravnika družinske medicine s pomočjo dokazov
Prevedeni naslov		Evidence-based audit in family practice
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 40, št. Suppl 1
Leto izdaje		2001
Obseg		str. 147-51
Jezik		slo
Abstrakt		Medical audit has gained wide usage in the licensing and re-licensing of medical professionals. Audit is based on the presumption that there are adequate instruments in place to detect variations and errors and that the possibility exists to prevent them in order to achieve supreme quality According to the user of the information gathered in an audit we can distinguish internal form external audits. Peer review run by the Slovene Medical Chamber is a form of external audit, and can be regarded as a means of setting priorities, suggesting necessary changes and at least partially motivating providers to improve the quality of their processes. In any type of audit explicit criteria and standards should be used. If a meaningful audit is to be expected, it is crucial that criteria are derived from the best available evidence from the medical literature. Peer review run by the Slovene Medical Chamber will gradually evolve in these new circumstances in order to stimulate different types of self-assessment and other own providers' activities in the field of quality improvement. It will support them by making the criteria explicit, by publishing them and by providing them with quality improvement methods and techniques.
Izvleček		Nadzor je v današnjem času dobil nove razsežnosti: presoja posameznika ob vstopu v delo (certificiranje, podeljevanje licence) in obdobno preverjanje med službovanjem (recertificiranje, podaljševanje licence). Nadzor kakovosti se naslanja na podmeno, da je z ustreznimi mehanizmi možno odkrivati odstopanja in različke ter jih odstranjevati. Posledica tega naj bi bila ustrezna kakovost. Nadzor delimo na notranji in zunanji glede na končnega uporabnika podatkov, pridobljenih med nadzorom. Strokovni nadzor s svetovanjem kot oblika zunanjega nadzora je metoda za odkrivanje področij v oskrbi, kjer bi bilo treba vpeljati spremembe, in delno tudi kot motivacija za izboljšave. Pri nadzoru potrebujemo jasna, objavljena merila in dogovor, kakšno raven doseganja teh meril pričakujemo (smernice oz. standardi). Merila morajo biti zasnovana na dokazih, ki znanstveno potrjujejo strokovno utemeljenost izbranih meril. Strokovni nadzor s svetovanjem se bo sčasoma prilagodil novi stvarnosti in predvsem spodbujal različne oblike samonadzora in druge samostojne dejavnosti zdravnikov na področju izboljševanja lastnega dela: Pomagal jim bo z jasnimi in objavljenimi merili nadzora ter metodami obvladovanja kakovosti dela.
Deskriptorji		FAMILY PRACTICE QUALITY OF HEALTH CARE EVIDENCE-BASED MEDICINE