engleski

Example of Good Clinical Practice at the National Memorial Hospital in Vukovar

The aim of the paper is to present an example of good clinical practice at the Department of Orthopaedics and Traumatology through invoice realization according to the Diagnostic- therapeutic group (DTG) and satisfaction with the overall quality that we monitored during hospitalization.The medical documentation of Hospital Information System (HIS) and the documentation from the Quality Control Unit of the National Memorial Hos-pital in Vukovar were used.Out of the total number of operated patients admitted to hospitalization and 109 operated in the period from October 15 to November 15, 2019, 39 were selected for analysis according to the criterion for the most demanding surgical procedures on patients at that Department. Hospitalization of the selected pa-tients at the Department of Orthopaedics and Traumatology lasted for seven days on average, patients’ average age was 69, and according to sex, 30 were women and nine were men.This retrospective study monitored and analyzed all incoming DTG patients: I04Z – Knee replacement or reconstruction, 17 patients, I03C, I03B – Hip replacement without very severe or severe clinical complications, 19 patients, 674Agneza Aleksijevi • Marko Aleksijević: EXAMPLE OF GOOD CLINICAL PRACTICE AT NATIONAL MEMORIAL HOSPITAL IN VUKOVARI08B – Other hip and femur procedures without very severe or severe clini-cal complications, 4 patients. Of the 39 selected invoices of the most demand-ing surgical procedures performed at the Department, the analysis everything speaks in favor of DTG groups that have a set expense, which we have justified to the Croatian Health Insurance Fund (CHIF) for each of the selected 39 patients. The result of the analysis through the invoice realization resulted in the presentation of expense amount by comparing expenses for an individual DTG prescribed by the CHIF with the final overall invoice. Each calculation points towards profits.Along with the invoice realization, we also controlled the quality from the as-pect of patients operated at the said Department. The patients received forms for reporting their compliments and complaints, created by the Quality Control Unit, which indicated satisfaction with the overall service at the Department of Orthopaedics and Traumatology.It can be concluded that the staff at the Department of Orthopaedics and Trau-matology at the National Memorial Hospital in Vukovar use resources ef-ficiently in order to achieve the stated goal of improving the quality of services while simultaneously following the principle of financial sustainability and cost- effectiveness

patients, Department of Orthopaedics and Traumatology, Diag-nostic-Therapeutic Groups (DTG), invoice realization, Quality Control Unit forms

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