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[PMID]:29431939
[Au] Autor:Land D
[Ti] Título:Auditing ICD-10 Through the Lens of Education.
[So] Source:J AHIMA;87(10):82-3, 2016 10.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica
Classificação Internacional de Doenças
Administradores de Registros Médicos/educação
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Seres Humanos
Auditoria Administrativa
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:29412563
[Au] Autor:Wiedemann LA
[Ti] Título:Are You Ready for a HIPAA Audit?
[So] Source:J AHIMA;88(4):26-7, 2017 04.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Health Insurance Portability and Accountability Act
Auditoria Administrativa
Administração da Prática Médica
[Mh] Termos MeSH secundário: Fidelidade a Diretrizes
Seres Humanos
Técnicas de Planejamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


  3 / 2456 MEDLINE  
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[PMID]:29406683
[Ti] Título:Information Asset Inventory for Information Governance.
[So] Source:J AHIMA;88(2):40-3, 2017 02.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gestão da Informação em Saúde
Auditoria Administrativa
[Mh] Termos MeSH secundário: Seres Humanos
Cultura Organizacional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  4 / 2456 MEDLINE  
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[PMID]:27776819
[Au] Autor:Kwok YLA; Juergens CP; McLaws ML
[Ad] Endereço:School of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.
[Ti] Título:Automated hand hygiene auditing with and without an intervention.
[So] Source:Am J Infect Control;44(12):1475-1480, 2016 Dec 01.
[Is] ISSN:1527-3296
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Daily feedback from continuous automated auditing with a peer reminder intervention was used to improve compliance. Compliance rates from covert and overt automated auditing phases with and without intervention were compared with human mandatory audits. METHODS: An automated system was installed to covertly detect hand hygiene events with each depression of the alcohol-based handrub dispenser for 5 months. The overt phase included key clinicians trained to share daily rates with clinicians, set compliance goals, and nudge each other to comply for 6 months. During a further 6 months, the intervention continued without being refreshed. Hand Hygiene Australia (HHA) human audits were performed quarterly during the intervention in accordance with the World Health Organization guidelines. Percentage point (PP) differences between compliance rates were used to determine change. RESULTS: HHA rates for June 2014 were 85% and 87% on the medical and surgical wards, respectively. These rates were 55 PPs and 38 PPs higher than covert automation rates for June 2014 on the medical and surgical ward at 30% and 49%, respectively. During the intervention phase, average compliance did not change on the medical ward from their covert rate, whereas the surgical ward improved compared with the covert phase by 11 PPs to 60%. On average, compliance during the intervention without being refreshed did not change on the medical ward, whereas the average rate on the surgical ward declined by 9 PPs. CONCLUSIONS: Automation provided a unique opportunity to respond to daily rates, but compliance will return to preintervention levels once active intervention ceases or human auditors leave the ward, unless clinicians are committed to change.
[Mh] Termos MeSH primário: Automação
Fidelidade a Diretrizes/utilização
Higiene das Mãos/métodos
Pesquisa sobre Serviços de Saúde/métodos
Auditoria Administrativa/métodos
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:28829801
[Au] Autor:Jaya Z; Drain PK; Mashamba-Thompson TP
[Ad] Endereço:Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
[Ti] Título:Evaluating quality management systems for HIV rapid testing services in primary healthcare clinics in rural KwaZulu-Natal, South Africa.
[So] Source:PLoS One;12(8):e0183044, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Rapid HIV tests have improved access to HIV diagnosis and treatment by providing quick and convenient testing in rural clinics and resource-limited settings. In this study, we evaluated the quality management system for voluntary and provider-initiated point-of-care HIV testing in primary healthcare (PHC) clinics in rural KwaZulu-Natal (KZN), South Africa. MATERIAL AND METHODS: We conducted a quality assessment audit in eleven PHC clinics that offer voluntary HIV testing and counselling in rural KZN, South Africa from August 2015 to October 2016. All the participating clinics were purposively selected from the province-wide survey of diagnostic services. We completed an on-site monitoring checklist, adopted from the WHO guidelines for assuring accuracy and reliability of HIV rapid tests, to assess the quality management system for HIV rapid testing at each clinic. To determine clinic's compliance to WHO quality standards for HIV rapid testing the following quality measure was used, a 3-point scale (high, moderate and poor). A high score was defined as a percentage rating of 90 to 100%, moderate was defined as a percentage rating of 70 to 90%, and poor was defined as a percentage rating of less than 70%. Clinic audit scores were summarized and compared. We employed Pearson pair wise correlation coefficient to determine correlations between clinics audit scores and clinic and clinics characteristics. Linear regression model was computed to estimate statistical significance of the correlates. Correlations were reported as significant at p ≤0.05. RESULTS: Nine out of 11 audited rural PHC clinics are located outside 20Km of the nearest town and hospital. Majority (18.2%) of the audited rural PHC clinics reported that HIV rapid test was performed by HIV lay counsellors. Overall, ten clinics were rated moderate, in terms of their compliance to the stipulated WHO guidelines. Audit results showed that rural PHC clinics' average rating score for compliance to the WHO guidelines ranged between 64.4% (CI: 44%- 84%) and 89.2% (CI: 74%- 100%).Ten out of eleven of the clinics were rated as moderate (70-89%). All clinic have scored highest for the following audit component: equipment; process control and specimen management; and facility ad safety, with 100%. Clinics obtained the lowest scores for the assessment audit component followed by process improvement and organisation, with 40.9% (CI: 15.7-66.1%), 45.5% (CI: 10.4-80.5%) and 56.8% (CI: 31.8 81.8%), respectively. A statistically significant correlation was observed between the following: category of staff performing the HIV rapid tests in the audited clinics and service and satisfactory audit component; weekly average number of patients using the audited PHC clinics and service and satisfactory audit component; number of HIV lay counsellors in the audited clinics and quality control audit component with p<0.05. DISCUSSION: In the small audit of primary healthcare clinics located within the rural part of KwaZulu-Natal, results revealed an overall moderate rating of the quality management system for rapid HIV testing. Improvements in the organisation, quality control, process improvement and assessment components could enable a higher quality assurance rating for rural HIV testing in KwaZulu-Natal.
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS
Garantia da Qualidade dos Cuidados de Saúde
Serviços de Saúde Rural/organização & administração
[Mh] Termos MeSH secundário: Estudos Transversais
Fidelidade a Diretrizes
Seres Humanos
Auditoria Administrativa
Serviços de Saúde Rural/normas
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183044


  6 / 2456 MEDLINE  
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[PMID]:27634563
[Au] Autor:Gould DJ; Creedon S; Jeanes A; Drey NS; Chudleigh J; Moralejo D
[Ad] Endereço:Cardiff University, Cardiff, UK. Electronic address: gouldd@cardiff.ac.uk.
[Ti] Título:Impact of observing hand hygiene in practice and research: a methodological reconsideration.
[So] Source:J Hosp Infect;95(2):169-174, 2017 Feb.
[Is] ISSN:1532-2939
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The purpose of hand hygiene is to break the chain of healthcare-associated infection. In many countries hand hygiene is regularly audited as part of quality assurance based on recommendations from the World Health Organization. Direct observation is the recommended audit method but is associated with disadvantages, including potential for being observed to alter usual behaviour. The Hawthorne effect in relation to hand hygiene is analogous with productivity improvement by increasing the frequency with which hand hygiene is undertaken. Unobtrusive and/or frequent observation to accustom staff to the presence of observers is considered an acceptable way of reducing the Hawthorne effect, but few publications have discussed how to implement these techniques or examine their effectiveness. There is evidence that awareness of being watched can disrupt the usual behaviour of individuals in complex and unpredictable ways other than simple productivity effect. In the presence of auditors, health workers might defer or avoid activities that require hand hygiene, but these issues are not addressed in guidelines for practice or research studies. This oversight has implications for the validity of hand hygiene audit findings. Measuring hand hygiene product use overcomes avoidance tactics. It is cheaper and generates data continuously to assess the compliance of all clinicians without disrupting patient care. Disadvantages are the risk of overestimating uptake through spillage, wastage, or use by visitors and non-clinical staff entering patient care areas. Electronic devices may overcome the Hawthorne and avoidance effects but are costly and are not widely used outside research studies.
[Mh] Termos MeSH primário: Higiene das Mãos/métodos
Pesquisa sobre Serviços de Saúde/métodos
Controle de Infecções/métodos
Auditoria Administrativa/métodos
[Mh] Termos MeSH secundário: Infecção Hospitalar/prevenção & controle
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160917
[St] Status:MEDLINE


  7 / 2456 MEDLINE  
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[PMID]:29039900
[Au] Autor:CDA Practice Support Staff
[Ti] Título:Lessons Learned From HIPAA Enforcement.
[So] Source:J Calif Dent Assoc;44(11):703-04, 706, 2016 11.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Health Insurance Portability and Accountability Act
Auditoria Administrativa
Administração da Prática Odontológica/legislação & jurisprudência
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171019
[St] Status:MEDLINE


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[PMID]:27932489
[Au] Autor:Boyd S; Kerr R; Murray P
[Ad] Endereço:Council for the Homeless Northern Ireland (CHNI), 4th Floor, Andras House, 60 Great Victoria Street, Belfast BT2 7BB, UK, admin@chni.org.uk.
[Ti] Título:Psychometric properties of the Irish Management Standards Indicator Tool.
[So] Source:Occup Med (Lond);66(9):719-724, 2016 Dec.
[Is] ISSN:1471-8405
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Work Positive is Ireland's national policy initiative to control work-related stress. Since the introduction of the UK Health and Safety Executive's Management Standards (MS) in 2004, a number of studies have been undertaken to assess the potential adaptation of the MS framework within Ireland. AIMS: To investigate the dimensionality, reliability and validity of the Irish version of the MS Indicator Tool (ROI-MSIT). METHODS: Between February 2011 and June 2014, we collected data from a wide range of public and private sector organizations that used the ROI-MSIT. In addition to the ROI-MSIT, respondents completed the WHO-Five Well-being Index (WHO-5). Exploratory factor analysis (EFA) was used to determine whether the ROI-MSIT maintained the structure of the UK instrument. The internal consistency of the ROI-MSIT was also assessed to determine its reliability, while its criterion-related validity was explored through correlation analysis with the WHO-5. RESULTS: Data were collected from 7377 participants. The factor structure of the ROI-MSIT consisted of six factors; the Demands, Control, Peer Support, Relationships and Role factors were equivalent to the original UK factors. Like the Italian version, a principal factor emerged that combined the Manager Support and Change domains. Cronbach's alpha scores ranged from 0.75 to 0.91. Finally, the ROI-MSIT's subscales and WHO-5 were positively correlated (r = 0.42-0.59, P < 0.001). CONCLUSIONS: The ROI-MSIT is reliable and valid, with a factor structure similar to the original UK instrument and the Italian MSIT. Further psychometric evaluation of the ROI-MSIT is recommended.
[Mh] Termos MeSH primário: Auditoria Administrativa/métodos
Percepção
Psicometria/normas
[Mh] Termos MeSH secundário: Adulto
Análise Fatorial
Feminino
Seres Humanos
Irlanda
Liderança
Masculino
Auditoria Administrativa/estatística & dados numéricos
Meia-Idade
Psicometria/métodos
Reprodutibilidade dos Testes
Estresse Psicológico/diagnóstico
Estresse Psicológico/etiologia
Inquéritos e Questionários
Local de Trabalho/normas
Local de Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE


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[PMID]:27729101
[Au] Autor:Tomsic H
[Ad] Endereço:Standards, Training and Communications Coordinator Safety, Security and Emergency Management Division, Corporate Services Department, Metro Vancouver 16th Floor, 4330 Kingsway Avenue, Burnaby, BC V5H 4G8, Canada.
[Ti] Título:Auditing emergency management programmes: Measuring leading indicators of programme performance.
[So] Source:J Bus Contin Emer Plan;10(1):57-75, 2016.
[Is] ISSN:1749-9216
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Emergency Management Programmes benefit from review and measurement against established criteria. By measuring current vs required programme elements for their actual currency, completeness and effectiveness, the resulting timely reports of achievements and documentation of identified gaps can effectively be used to rationally support prioritised improvement. Audits, with their detailed, triangulated and objectively weighted processes, are the ultimate approach in terms of programme content measurement. Although Emergency Management is often presented as a wholly separate operational mechanism, distinct and functionally different from the organisation's usual management structure, this characterisation is only completely accurate while managing an emergency itself. Otherwise, an organisation's Emergency Management Programme is embedded within that organisation and dependent upon it. Therefore, the organisation's culture and structure of management, accountability and measurement must be engaged for the programme to exist, much less improve. A wise and successful Emergency Management Coordinator does not let the separate and distinct nature of managing an emergency obscure their realisation of the need for an organisation to understand and manage all of the other programme components as part of its regular business practices. This includes its measurement. Not all organisations are sufficiently large or capable of supporting the use of an audit. This paper proposes that alternate, less formal, yet effective mechanisms can be explored, as long as they reflect and support organisational management norms, including a process of relatively informal measurement focused on the organisation's own perception of key Emergency Management Programme performance indicators.
[Mh] Termos MeSH primário: Planejamento em Desastres/organização & administração
Emergências
Auditoria Administrativa
Gestão de Riscos/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Cultura Organizacional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170113
[Lr] Data última revisão:
170113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE


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[PMID]:27694680
[Au] Autor:Kadam AB; Maigetter K; Jeffery R; Mistry NF; Weiss MG; Pollock AM
[Ad] Endereço:The Foundation for Research in Community Health (FRCH), Pune, India.
[Ti] Título:Correcting India's Chronic Shortage of Drug Inspectors to Ensure the Production and Distribution of Safe, High-Quality Medicines.
[So] Source:Int J Health Policy Manag;5(9):535-542, 2016 Apr 27.
[Is] ISSN:2322-5939
[Cp] País de publicação:Iran
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Good drug regulation requires an effective system for monitoring and inspection of manufacturing and sales units. In India, despite widespread agreement on this principle, ongoing shortages of drug inspectors have been identified by national committees since 1975. The growth of India's pharmaceutical industry and its large export market makes the problem more acute. METHODS: The focus of this study is a case study of Maharashtra, which has 29% of India's manufacturing units and 38% of its medicines exports. India's regulations were reviewed, comparing international, national and state inspection norms with the actual number of inspectors and inspections. Twenty-six key informant interviews were conducted to ascertain the causes of the shortfall. RESULTS: In 2009-2010, 55% of the sanctioned posts of drug inspectors in Maharashtra were vacant. This resulted in a shortfall of 83%, based on the Mashelkar Committee's recommendations. Less than a quarter of the required inspections of manufacturing and sales units were undertaken. The Indian Drugs and Cosmetics Act and its Rules and Regulations make no provisions for drug inspectors and workforce planning norms, despite the growth and increasing complexity of India's pharmaceutical industry. CONCLUSION: The Maharashtra Food and Drug Administration (FDA) falls short of the Mashelkar Committee's recommended workforce planning norms. Legislation and political and operational support are required to produce needed changes.
[Mh] Termos MeSH primário: Países em Desenvolvimento
Indústria Farmacêutica/organização & administração
Controle de Medicamentos e Entorpecentes/legislação & jurisprudência
Controle de Medicamentos e Entorpecentes/recursos humanos
Auditoria Administrativa/organização & administração
[Mh] Termos MeSH secundário: Indústria Farmacêutica/legislação & jurisprudência
Indústria Farmacêutica/normas
Seres Humanos
Índia
Auditoria Administrativa/economia
Auditoria Administrativa/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:H; IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.15171/ijhpm.2016.44



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