Data on patient age, gender, IOL type, dates of cataract surgery, Nd YAG-laser treatmeNd YAG-laseratreatmentisuand/orities before/after cataract surgery/Ndeath-landr treatment were collected from fivisualrces: cacuitiesoperation register, patient administration system, quality control system for cataract operations, Nd:YAG-laser treatment register and clinical patient records.
The health administration system is believed to influence quality outcomes and considerable resources are spent by participating hospitals in this belief.
In summary, the systems modelling and evaluation uncovered an implicit relationship conveyed through surveyors within the health administration system, which can provide feedback between quality performance reporting components and choice of accreditation components.
This result could be attributed to the increasing number of patients, higher requirements for technical level and comprehensive quality of medical staff, and reform measures of hospital administration system caused by the public hospital reform [ 6].
The study assumes that if quality performance reports had been utilized by hospitals as quality improvement guidance and referenced by surveyors as a tool to trace quality improvement, then surveyors could produce valuable feedback within the health administration system for the accreditation process.
In 1999 and 2000 the Patient Safety Center of Inquiry collaborated with the Institute for Healthcare Improvement (IHI) to implement a quality improvement (QI) project designed to reduce medication errors within the Veterans Administration system.
This study provides the first clinical evidence that this closed-loop fluid administration system can assist clinicians in providing, and even improving, the quality of GDFT.
The remaining two relations, P3 and P4, are horizontal control and communication relationships within the health administration system, to improve the focus and impact of accreditation on quality of care.
The focus of this paper is on the middle two layers, the health administration system, with its two sub-systems - the accreditation system and the quality measurement and reporting systems - in relation to the hospital-level healthcare system.
The study objective is to understand and utilise the potential for feedback between quality performance reporting components and choice of accreditation components through the activities of surveyors within the health administration system.
Figure 11 Experimental Platform Architecture: Administration system.
