特集名 | 透析看護 -- 質の改善をどう追求するか | |
---|---|---|
題名 | 病院機能評価は透析施設の実態を表現できるか (1) 医師の立場から | |
発刊年月 | 1998年 03月 | |
著者 | 大平 整爾 | 日鋼記念病院外科・腎センター |
【 要旨 】 | (財)日本医療機能評価機構による医療の質的評価を当院が受審し認定証を受けた経験から,他人の目による「評価」に意義があるものと考察した.しかし,評価・評点に馴染みにくい領域は確実に存在し,この点を向後いかに取り扱うかが問題となろう.透析医療の質的向上のためにも,類似の評価が試みられてよいと考える.ただし,このためには現実に根差し,よくよく練られた評価基準を構築することが肝要であろう.その第一歩として,第一線の透析施設が具備すべき要件を掲げ,若干の私見を述べた. |
Theme | Dialysis Nursing -- How can we pursue the improvement of the quality of nursing | |
---|---|---|
Title | Does "the Hospital Accreditation Program" clarify actual conditions of dialysis institutes? -- From a doctor's point of view | |
Author | Seiji Ohira | Department of Surgery, Kidney Center, Nikko Memorial Hospital |
[ Summary ] | The Japan Hospital Quality Assurance Society has begun its regular activity as of 1997, We had an evaluation from the society in April, 1997, and were accredited as appropriate. Based upon this experience, we concluded that evaluations done by the society are very valuable especially for the future hospital plan, though we noted that there are some important fields in which evaluation is extremely difficult. These problems remain to be solved. In dialysis medicine, the necessity of evaluating the institute from various points of view is crucial. Furthermore, well-considered and precise criteria should be established. As the first step, the minimal requirements which dialysis institutes must fulfil were proposed privately. |