title: [How effective is the quality assurance as a result of external checking of nursing homes by the public health services].
abstract: This is a report on the external checking of nursing homes by the Public Health Services in Duisburg, Germany, focussing on hygienic problems. For a second time in the last three-and-a-half years a total of 41 such homes were inspected and a total of 4150 residents were covered. Data on the intensity of care and on the hygienic standards were evaluated and compared with the results of 1998. 70.73 % of the homes inspected employed a nurse specifically trained in hygiene-management (1998 15 %), 53.66 % used disinfectant textile cleaning and 34.39 % possessed written standards for management of infections relevant for nursing homes. 1.45 % of all residents had pressure sores III degrees and IV degrees classified according to Shea (1998: 3.37 %). In spite of significant improvements, deficits were still registered. To achieve further improvement attention should be focussed on the effectiveness of Public Health Services' activities. Increased co-operation with other institutions engaged in the external checkings as well as a closer focus on specific subjects in hygiene could be appropriate.
authors.affiliation: Gesundheitsamt der Stadt Duisburg, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Martin
authors.forename: R
authors.initials: R
authors.lastname: Behler
mesh_terms: D003140:Communicable Disease Control / Q000592:standards; D004203:Disinfection / Q000592:standards; D005858:Germany; D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D009735:Nursing Homes / Q000592:standards*; D003668:Pressure Ulcer / Q000517:prevention & control; D011634:Public Health; D011785:Quality Assurance, Health Care