1. Dermatosurgery: Total Quality Management in a Dermatology Department
- Author
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Jean-Paul Meningaud, A. Ostojic, Séverine Lafaye, E. Domergue Than Trong, V. Buffard, S. Goldszal, Pierre Wolkenstein, Saskia Ingen-Housz-Oro, Jean Christophe Moreno, J.-L. Plaquet, J.M. Amici, Olivier Chosidow, A. Mirkamali, B. Roy-Geffroy, and D. Thuillot
- Subjects
Clinical audit ,medicine.medical_specialty ,Total quality management ,Quality Assurance, Health Care ,business.industry ,Communication ,Dermatologic Surgical Procedures ,Dermatology department ,Hospital Departments ,Dermatology ,medicine.disease ,Perioperative Care ,Patient Satisfaction ,Physicians ,Family medicine ,Health care ,Humans ,Medicine ,France ,Medical emergency ,business ,Referral and Consultation ,health care economics and organizations ,Total Quality Management - Abstract
Background: Dermatosurgery (DS) is a growing sector in dermatology. Performance measurement is organized worldwide to improve the quality of health care. Clinical audit relies on self-assessment, comparison with guidelines, frames of references and implementation of improvement actions. Objective: To assess the efficiency of our DS department. Methods: A clinical audit focusing on the organization of the DS unit, patient routing, continuing medical education and training for students was conducted by two external auditors. After an initial evaluation, improvements were implemented and reassessed 1 year later by the same auditors. Results: The audit resulted in the implementation of preoperative consultation, improved pre- and postoperative information leaflets for patients, standardizing of surgery reports, earmarking of funds for materials, and patient satisfaction survey. The training of residents was organized. Conclusion: This audit was a driving force for communication among the medical and paramedical teams and helped improve patient care and training of residents in DS. It also highlighted areas needing further improvement.
- Published
- 2012
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