PMID- 19896881
OWN - NLM
STAT- MEDLINE
DCOM- 20100729
LR  - 20120910
IS  - 1887-1364 (Electronic)
IS  - 1134-282X (Linking)
VI  - 25
IP  - 2
DP  - 2010 Mar-Apr
TI  - [Improvement in the clinical management of urinary infections in a health centre 
      by means of a quality management cycle. Analysis using lot quality assurance 
      sampling].
PG  - 77-82
LID - 10.1016/j.cali.2009.06.003 [doi]
AB  - AIM: To improve clinical effectiveness of the management of urinary tract 
      infections in a primary care centre by means of a Management Quality Cycle. 
      DESIGN: Pre-post test. SETTING: Urban primary care centre. PARTICIPANTS AND MAIN 
      OUTCOME MEASURES: We selected a clinical practice guideline for management of 
      urinary tract infection by way of consensus among doctors, and using the 
      evaluation document AGREE. The main points of the protocol chosen, and evaluation 
      indicators were: the prescription of treatment with a single dose of 3 grams of 
      fosfomycin orally without performing a urine strip or urine culture to those 
      patients who met the protocol inclusion criteria. The results of these baseline 
      indicators, as well as evaluation at six months after the intervention started, 
      were reported and discussed with the doctors of medical centre. The measurement 
      was conducted by audit of medical records selected by lot quality assurance 
      sampling (LQAS). RESULTS: Starting from a level of compliance of the indicators 
      of, at best 52%, at 18 months after the intervention all major indicators had 
      reached an acceptable quality level of 90% (5% alpha and beta 10%). CONCLUSIONS: 
      The introduction of a Management Quality Cycle for management urinary tract 
      infections in our area, appears to modify the behaviour of health professionals 
      and improve the clinical effectiveness.
CI  - Copyright 2009 SECA. Published by Elsevier Espana. All rights reserved.
FAU - Tormo Molina, J
AU  - Tormo Molina J
AD  - Centro de Salud Salvador Caballero, Distrito Sanitario Granada, Servicio Andaluz 
      de Salud, Espana. juantormomolina@telefonica.net
FAU - Santos Garcia, M J
AU  - Santos Garcia MJ
FAU - Hortal Carmona, J
AU  - Hortal Carmona J
FAU - Aguilar Cruz, I
AU  - Aguilar Cruz I
FAU - Padilla Ruiz, F
AU  - Padilla Ruiz F
FAU - Bueno Cavanillas, A
AU  - Bueno Cavanillas A
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Mejora de la actuacion ante las infecciones urinarias en un centro de salud 
      mediante un ciclo de garantia de calidad. Analisis mediante muestreo por lotes.
DEP - 20091106
PL  - Spain
TA  - Rev Calid Asist
JT  - Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad 
      Asistencial
JID - 9601664
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - *Lot Quality Assurance Sampling
MH  - *Management Quality Circles
MH  - Middle Aged
MH  - Urinary Tract Infections/diagnosis/*drug therapy
MH  - Young Adult
EDAT- 2009/11/10 06:00
MHDA- 2010/07/30 06:00
CRDT- 2009/11/10 06:00
PHST- 2009/01/14 00:00 [received]
PHST- 2009/06/09 00:00 [accepted]
PHST- 2009/11/10 06:00 [entrez]
PHST- 2009/11/10 06:00 [pubmed]
PHST- 2010/07/30 06:00 [medline]
AID - S1134-282X(09)00050-5 [pii]
AID - 10.1016/j.cali.2009.06.003 [doi]
PST - ppublish
SO  - Rev Calid Asist. 2010 Mar-Apr;25(2):77-82. doi: 10.1016/j.cali.2009.06.003. Epub 
      2009 Nov 6.