Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3122
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Background: To be accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO), a health care facility must have an ongoing quality assurance program.
Methods: In accordance with JCAHO Guidelines the Optometry Section at the Cleveland Veterans Administration Medical Center developed such a program as part of the Medical Center's hospital-wide ongoing quality assurance plan.
Results: The methodology used to develop a quality assurance program is outlined. A discussion of how specific clinical indicators are used to monitor performance and/or patient outcomes is presented.
Conclusions: After the quality assurance monitoring period is completed the data is analyzed; if the outcome is unacceptable action must be taken to improve care. This dynamic process involves patient outcomes and enhances overall care.
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