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Implementing clinical protocols in oncology: quality gaps and the learning curve phenomenon
Author(s) -
Simos Kedikoglou,
Konstantinos Syrigos,
Yannis Skalkidis,
Fani Ploiarchopoulou,
Nick Dessypris,
Eleni Petridou
Publication year - 2005
Publication title -
european journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 91
eISSN - 1464-360X
pISSN - 1101-1262
DOI - 10.1093/eurpub/cki013
Subject(s) - protocol (science) , quality (philosophy) , audit , quality management , medicine , medical physics , clinical practice , quality audit , quality assurance , clinical audit , quality score , medline , operations management , family medicine , pathology , alternative medicine , accounting , external quality assessment , philosophy , metric (unit) , epistemology , management system , political science , economics , law , business
The quality improvement effort in clinical practice has focused mostly on 'performance quality', i.e. on the development of comprehensive, evidence-based guidelines. This study aimed to assess the 'conformance quality', i.e. the extent to which guidelines once developed are correctly and consistently applied. It also aimed to assess the existence of quality gaps in the treatment of certain patient segments as defined by age or gender and to investigate methods to improve overall conformance quality.

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