Quality Evaluation in Medicine

Code:

MI020

Acronym:

MI020

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	No
Responsible unit:	Biochemistry Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	0	Mestrado Integrado em Medicina 2007	6	-	1	27	27
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	6	-	1	27	27

Teaching language

Portuguese

Objectives

The students should be able:

1. To get the knowledge and the perception of the growing relevance of this area.
2. To understand the main quality models and systems.
3. To understand the relevance of Patient Safety.
4. To learn the concept of risk management in Medicine.
5. To get in touch with real cases related to the subject of the course.

Learning outcomes and competences

The student will be expected:

1. To know how to construct and value a set of indicators.
2. To know how to prepare a clinical or organizational audit.
3. To be an effective team player.

Working method

Presencial

Program

Introduction to Quality. The importance of quality in management. Quality Models and Systems. Continuous Quality Improvement. Measuring Quality and introducing indicator systems. Quality Auditing. Variability in the provision of care and the consequences of non-quality in Medicine. What is patient safety? The importance of human factors to patient safety. Error in Medicine - causes, types and ways to avoid it. Learning from errors. Linking payment to the quality of care. Relations between performance assessment and quality.

Mandatory literature

Fragata J., Martins L; O Erro em Medicina, Livraria Almedina, 2004

Teaching methods and learning activities

Five seminars of 2 hour each, for a total of 10 hours per student. These sessions will be conducted by individuals with large experience in the subjects that are relevant for the course objectives. It is foreseen that the student will have around 27 hours of workload in this course.

Evaluation Type

Evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	100,00
Total:	100,00

Eligibility for exams

Assessment will be made through a written exam, with a small number of open and direct answer questions and an essay question (1 to choose out of 2). Students will be assessed in the end of the term and there will be a further exam for those missing or not getting approval in the preceding tests. For the student to get through this curricular unit it will be necessary to be present in two thirds of the sessions and to have a final average of at least 10 out of 20 in the exam.

Calculation formula of final grade

The final grade will be the grade at the final exam.

Observations

BIBLIOGRAPHY
O Erro em Medicina, Fragata J., Martins L., Livraria Almedina, Coimbra, 2004; The Quality Imperative - Measurementand Management of Quality in Healthcare, Kimberly J.R., Minvielle E. Imperial College Press, Londres, 2000; Evaluating the Quality of Medical Care, Donabedian A. Millbank, Q 83: 691-729, 2005; Physician Clinical Performance Assessment. Prospects and Barriers, Landon B.E., Normand S.L.T., Blumenthal D, Daley J., JAMA 290: 1183-1189, 2003; Estimating Hospital Errors Due to Medical Errors. Preventability is in the Eye of the Reviewer, Hayward R.A., Hofer T.P., JAMA 286: 415-420, 2001; Care in US Hospitals - The Hospital Quality Program, Jha A.K., Li Z., Orav E.J., Epstein A.M., N Engl J Med 353: 265-274, 2005; Linking Physicians’ Pay to the Quality of Care - A Major Experiment in the United Kingdom, Roland M., N Engl J Med 351: 1448-1454, 2005.