Effect of the introduction of quality control on the working standards of specialist outpatient clinics

The Traumatology Department of the University of Debrecen Medical and Health Science Center and that of the Kenezy Gyula Hospital of Hajdu Bihar County guarantees 24 hour service for outpatient trauma patients, which makes up around one hundred thousand cases per year. A very important element of the quality control is the continual assessment and supervision of the specialist performance, and the indicator is the change in the number of selected, incorrectly treated cases. The supervised cases make up a total of 24% of the total outpatient turnover. In 2003, 24313 injury cases, and in 2004, 23705 cases were examined with respect to documentation, and x-ray films. During the supervision, the treatment of the chosen cases are assessed weekly and discussed in conference. The case discussion is one of the valuable pillars of residence training. Our method contributes to the safeguarding of an appropriate standard for specialist work in an outpatient setting, and for this reason we wish to present it.