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. 1988 Mar;70(2):85–92.

Why on earth do surgeons need quality assurance?

J R Gumpert 1
PMCID: PMC2498643  PMID: 3408166

Abstract

The article discusses the ways in which surgeons should respond to the growing external and internal pressures for ensuring the quality and appropriateness of surgical treatment. Quality Assurance is defined. Its development in the USA is described and it is debated whether or not a similar system should be introduced into the United Kingdom. The reasons for initiating a system of quality assurance into one health district and the experience so far gained is reported. The problems of quality assurance and some of the solutions are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen-Mersh T. G., Earlam R. J. General surgical workload in England and Wales. Br Med J (Clin Res Ed) 1983 Oct 15;287(6399):1115–1118. doi: 10.1136/bmj.287.6399.1115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Dawson A. The accountability of doctor to doctor. Lancet. 1985 Aug 10;2(8450):323–324. doi: 10.1016/s0140-6736(85)90364-2. [DOI] [PubMed] [Google Scholar]
  3. Dunn D. C., Dale R. F. Combined computer generated discharge documents and surgical audit. Br Med J (Clin Res Ed) 1986 Mar 22;292(6523):816–818. doi: 10.1136/bmj.292.6523.816. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ellis B. W., Michie H. R., Esufali S. T., Pyper R. J., Dudley H. A. Development of a microcomputer-based system for surgical audit and patient administration: a review. J R Soc Med. 1987 Mar;80(3):157–161. doi: 10.1177/014107688708000311. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Glass R. E., Thomas P. A. Surgical audit in a district general hospital: a stimulus for improving patient care. Ann R Coll Surg Engl. 1987 May;69(3):135–139. [PMC free article] [PubMed] [Google Scholar]
  6. James M., Roberts A. Performance indicators for the National Health Service. Health Trends. 1987 Feb;19(1):12–13. [PubMed] [Google Scholar]
  8. Paine L. International Symposium on Quality Assurance. General report and commentary: the realities of quality assurance. World Hosp. 1986 Mar;22(1):23–27. [PubMed] [Google Scholar]
  9. Prout W. G., Blood P. A. The establishment of a microcomputer-based diagnosis and operations index in the Department of Surgery of a district general hospital. Br J Surg. 1985 Jan;72(1):48–51. doi: 10.1002/bjs.1800720119. [DOI] [PubMed] [Google Scholar]
  10. Rees J. L. Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. Br Med J (Clin Res Ed) 1982 Jun 19;284(6332):1856–1857. doi: 10.1136/bmj.284.6332.1856. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sanderson H. F. Performance indicators. Br J Hosp Med. 1987 Mar;37(3):245, 248, 250-1. [PubMed] [Google Scholar]
  12. Whates P. D., Birzgalis A. R., Irving M. Accuracy of hospital activity analysis operation codes. Br Med J (Clin Res Ed) 1982 Jun 19;284(6332):1857–1858. doi: 10.1136/bmj.284.6332.1857. [DOI] [PMC free article] [PubMed] [Google Scholar]

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