Amélioration de la qualité en milieu hospitalier : concepts, méthodes et application à la prévention de la maladie thromboembolique veineuse

Abstract : The objective of this work was to investigate whether clinical audit was applicable in various settings. We have shown that clinical audit was adequate to improve quality of clinical practice when evidence-based guidelines were available. This was the case for deep venous thrombosis prophylaxis in surgical patients. On the other hand, for medical patients, controversial guidelines that are not based on a high level of evidence did not allow clinical audit to be performed. However, we suggest that quality improvement is possible by the means of problem-solving. To improve daily practice, further research with rigorous methodological patterns (i.e. epidemiological surveys and/or clinical trials which could eventually lead to evidence-based guidelines) is needed. Our research was conducted using sequences of clinical audit or implementation of practice surveys, critical review of the literature and redesign of quality improvement methods.
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http://docnum.univ-lorraine.fr/prive/SCD_T_1999_0347_LEPAUX.pdf
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https://hal.univ-lorraine.fr/tel-01747308
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Submitted on : Thursday, March 29, 2018 - 10:56:58 AM
Last modification on : Monday, April 16, 2018 - 10:40:45 AM

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Dominique-Jeanne Lepaux. Amélioration de la qualité en milieu hospitalier : concepts, méthodes et application à la prévention de la maladie thromboembolique veineuse. Médecine humaine et pathologie. Université Henri Poincaré - Nancy 1, 1999. Français. ⟨NNT : 1999NAN19906⟩. ⟨tel-01747308⟩

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