Abstract:
:Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor and evaluate their services based on predetermined criteria. This paper considers how quality assurance activities have been implemented in healthcare facilities, reviews various obstacles to the full development of the quality assurance program, and suggests several areas in which corrective actions could be undertaken.
journal_name
Mil Medjournal_title
Military medicineauthors
de Savorgnani AAsubject
Has Abstractpub_date
1989-06-01 00:00:00pages
322-6issue
6eissn
0026-4075issn
1930-613Xjournal_volume
154pub_type
杂志文章abstract::Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) of examin...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract::Gingival diseases are the most widely dispersed diseases in the United States. In some patients, periodontal disease appears in a generalized form, but more often it appears in localized areas. Furthermore, after treatment with scaling and root planing in generalized cases, the disease is often reduced to a few local ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2001-11-01 00:00:00
abstract:INTRODUCTION:While previous studies have examined the stress of the military training environment, studies have not systematically examined the stress associated with attending the Defense Language Institute Foreign Language Center (DLIFLC). Service members assigned to DLIFLC endure intense academic pressure to succeed...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy359
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:The Beck Depression Inventory-II (BDI-II) is widely used as a screening instrument for depressive symptomatology in clinical settings. The factor structure has been researched in a variety of settings with results ranging from a single factor to a five-factor structure. The purpose of this study was to examin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00048
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:Veterans with mental illness tend to have shorter life spans and suboptimal physical health because of a variety of factors. These factors include poor nutrition, being overweight, and smoking cigarettes. Nonphysical contributors that may affect quality of life are the stigma associated with mental illness...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00405
更新日期:2017-09-01 00:00:00
abstract::Health information booklets deliver information to large groups quickly and economically. Rapidly deploying soldiers are a group that needs such information. Military personnel responsible for the health of troops should know of the materials produced to meet this need so that they can facilitate booklet distribution....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVE:This study examined soldier attitudes about postdeployment mental health screening, treatment, barriers to care, strategies for overcoming barriers, and settings, personnel and timing for conducting postdeployment mental health screening. METHODS:Deploying soldiers participated in a voluntary anonymous surve...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.6.563
更新日期:2008-06-01 00:00:00
abstract::Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.2.111
更新日期:2004-02-01 00:00:00
abstract:INTRODUCTION:The prevalence of mild traumatic brain injury (mTBI) is commonly estimated based on indirect metrics such as emergency department visits and self-reporting tools. The study of postconcussive symptoms faces similar challenges because of their unspecific character and indistinct causality. In this article, w...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa504
更新日期:2020-12-03 00:00:00
abstract:INTRODUCTION:A variety of factors influence the motivation to choose a medical career; however, the influence of premedical experiences on health professional trainees' choices is a neglected one. We hypothesize that medical exposure during service in the Israeli Air Force special operations forces (SOFs) has an impact...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa335
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:For more than a decade, primary care residency training programs have struggled to attract graduates of U.S. medical schools. Internal medicine (IM) interest groups (IMIGs) have been widely instituted to foster student interest in careers in IM. Residents can participate in many IMIG activities. Studies have...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.7205/milmed.172.2.210
更新日期:2007-02-01 00:00:00
abstract::Rhabdomyolysis is a painful and potentially life-threatening injury in which muscle breaks down in response to an insult. In this case report, we describe the clinical course of a 22-year-old man who developed paraspinal muscle rhabdomyolysis and possible compartment syndrome in association with strenuous activity and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00647
更新日期:2015-07-01 00:00:00
abstract::This study describes injury and illness rates and some risk factors among soldiers from an armor division during a rotation at the National Training Center (Fort Irwin, California). Soldiers from a brigade of the 1st Cavalry Division were involved in a 5-week training exercise at the National Training Center. Health c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.11.1051
更新日期:2006-11-01 00:00:00
abstract::A case of primary squamous cell carcinoma of the thyroid is presented. Squamous epithelium is normally not present in the thyroid gland, and this tumor is exceedingly rare. Proper workup is described, including the differentiation from metastatic disease. The case reported is of a 64-year-old woman who presented with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract::Suicide is currently the second leading cause of death in the U.S. military. Little recent research has been done on a well-defined cohort at high risk for death by suicide, which consist of military patients who attempt suicide or are admitted for suicidal ideation. As a pilot investigation based on a literature revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Ready or not, here they come! The triennial visit by surveyors from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not have to be an occurrence that strikes fear into the heart of the chief nurse and most of the nursing staff. If properly prepared, a nursing staff can actually look forw...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::Data were collected on 750 patients over a 6-month period at a Troop Medical Clinic in the US in an effort to identify gynecological problems of soldiers and to gain insight into the most effective ways to handle the needs of female soldiers. All female soldiers belonging to the Nurse Practitioner Gynecological Satel...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1987-02-01 00:00:00
abstract::The Clinical Laboratory Improvement Amendments of 1988 (CLIA'88) established national standards of laboratory practice and test performance in the areas of registration and certification, inspection, proficiency testing, personnel qualifications, quality control, patient test management, and quality assurance. A memor...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::Clonidine is a central alpha-2 agonist well known to produce a syndrome of bradycardia and hypotension in overdose. However, few examples of overt clinical clonidine toxicity secondary to cutaneous absorption have been reported. We report a case of unintentional systemic clonidine toxicity in an adult because of a com...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa284
更新日期:2020-10-02 00:00:00
abstract::Under operational conditions, current doctrine requires separate application of the standard military insect repellent and camouflage face paint. Working with an industrial partner, Amon Re, Inc., we developed a combined camouflage face paint and insect repellent that offers excellent protection from arthropod disease...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To compare responses of practicing military and civilian primary care physicians to a series of standardized inhalational anthrax cases. METHODS:A series of three randomly selected case vignettes adapted from the 2001 anthrax attack along the East Coast of the United States were mailed to a convenience sampl...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00057
更新日期:2010-09-01 00:00:00
abstract::The Wars in Afghanistan and Iraq witnessed the first widespread use of U.S. Army Forward Surgical Teams (FSTs). Although doctrinally designed to support maneuver brigades in a linear front conflict, FSTs were quickly adapted to fulfill area support and special operation support missions as part of Operation Enduring F...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00137
更新日期:2012-11-01 00:00:00
abstract::The objective of this study was to determine whether there was a relationship between levels of particulate matter with an aerodynamic diameter of less than 10 microns (PM10) and upper respiratory disease (URD) rates in soldiers deployed to Bosnia in 1997 and 1998. PM10 levels were divided into quartiles and upper and...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::This article addresses a topic that is part of the public consciousness yet is seldom explored in the public health literature: presidential promotion of health-related behaviors through words and example. The article explores the history of what some American presidents, as individuals, have conveyed to the populatio...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-12-00416
更新日期:2013-04-01 00:00:00
abstract::A retrospective study was performed to evaluate breast imaging in the Wilford Hall Medical Center, the largest medical facility in the U.S. Air Force, from the time period of October 1997 to October 2000, in comparison with its civilian counterparts. The results demonstrate that although Wilford Hall Medical Center br...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.5.361
更新日期:2004-05-01 00:00:00
abstract:INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz208
更新日期:2020-01-07 00:00:00
abstract::To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00549
更新日期:2013-07-01 00:00:00
abstract::Appropriate and consistent use of condom remains an effective approach to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) intervention. We analyzed the baseline data gathered for a situationally based HIV/AIDS intervention to assess the potential predictors of condom use among the Uniforme...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.1027
更新日期:2006-10-01 00:00:00
abstract::Chyle leaks are a rare but potentially fatal complication of head and neck surgery carrying an incidence as high as 8.3%. The development of a chyle leak carries significant morbidity ranging from delayed wound healing to oropharyngeal fistulas. Presented here is a case of a chyle leak that developed following a left ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00240
更新日期:2016-09-01 00:00:00
abstract::Protective gear is mandatory for medical personnel treating casualties in a contaminated environment. In the present study, we assessed the ability of emergency medical technicians to insert an intravenous line in this situation. Sixty emergency medical technicians were randomized to a control group, wearing fatigues,...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1999-10-01 00:00:00