Evaluation of a quality assessment manual. Effectiveness in a quality assurance program.
AAOHN J 1993 Dec; 41(12):579-586
An occupational health quality assessment manual written to establish standards of care in an occupational health unit was evaluated. The goal of the project was to determine the effectiveness of the manual as part of the overall quality assurance program and to make recommendations based on the findings. The effectiveness of the manual was evaluated at five health units within a Public Health Service region. Four categories in the quality assessment manual were evaluated: employee injury, employee acute illness, employee health promotion services, and clinical records. The analysis revealed compliance in many areas and also deficits of information for the follow up, referral, referral follow up, signed instructions, and employee signature for both employee injury and acute illness categories. The cause of these deficits may be the lack of a defined follow up procedure in the health unit policy and procedure manual. The occupational code was another area where a deficit was noted. This code was used for employee identification, although confusion existed as to what this code is and where it should be entered on the employee record. The author recommends that in the health promotion category, possible courses of action would accurately assess whether target populations in the different agencies are being informed and whether a sample of this population is aware and using the health unit. The clinical records category needed updated criteria. The pharmaceutical compound inventory should be defined so that each health unit can reach this criteria. The system would be clearer for the nurses if each health unit maintained a standard form for recording equipment cleaning.
NIOSH-Grant; Training; Occupational-health-programs; Worker-health; Quality-control; Occupational-health-services
Environmental Health University of Washington Environmental Health Dept Seattle, Wash 98195
AAOHN Journal - American Association of Occupational Health Nurses Journal
University of Washington, Seattle, Washington