The incidence of attempted CPR in nursing homes.

We studied the frequency with which cardiopulmonary resuscitation (CPR) is attempted on residents of American nursing homes. Each author (all members of the Clinical Practice Committee of the American Geriatrics Society) completed a questionnaire in 1989 about policy and practice regarding CPR during 1988 in each of three to seven nursing homes, by questioning the medical or nursing director or the administrator. Because of the vagaries of nursing home record-keeping, data from some homes were allowed when they were "accurate to within 10%.

Clinical performance data in learner needs identification. Applying the quality assurance process to continuing medical education.

Effective learning is best defined as performance change when change is needed. The best organization for dealing with learner needs is the hospital. Patient care data can be aggregated within a hospital and will provide a large enough sample to be reliably assessed.

The Yale Affiliated Hospital Program in Internal Medicine. I. Organization, goals and plans.

In July, 1975, the Departments of Internal Medicine at the Yale University School of Medicine and eight community hospitals in southern and western Connecticut formed the Yale Affiliated Hospital Program (YAHP) in Internal Medicine. The YAHP provides a planned and focused program of continuing education for medical staff and housestaff at the affiliated hospitals. Six formats for the over 1,000 rounds, lectures, and conferences given annually are used.