Health care quality assurance: Difference between revisions
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==Creating quality measures== | ==Creating quality measures== | ||
Creating quality measures from [[clinical practice guideline]]s can be problematic.<ref name="pmid15161897">{{cite journal |author=Walter LC, Davidowitz NP, Heineken PA, Covinsky KE |title=Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measure |journal=JAMA |volume=291 |issue=20 |pages=2466–70 |year=2004 |pmid=15161897 |doi=10.1001/jama.291.20.2466}}</ref> | Creating quality measures from [[clinical practice guideline]]s can be problematic.<ref name="pmid15161897">{{cite journal |author=Walter LC, Davidowitz NP, Heineken PA, Covinsky KE |title=Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measure |journal=JAMA |volume=291 |issue=20 |pages=2466–70 |year=2004 |pmid=15161897 |doi=10.1001/jama.291.20.2466}}</ref> | ||
==Measuring quality== | |||
Chart abstraction may underestimate quality.<ref name="titleHow well does chart abstraction measure quality? A...[Am J Med. 2000] - PubMed Result">{{cite web |url=http://www.ncbi.nlm.nih.gov/pubmed/10856412?ordinalpos=101 |title=How well does chart abstraction measure quality? A...[Am J Med. 2000] - PubMed Result |accessdate=2008-02-12 |author= |authorlink= |coauthors= |date= |format= |work= |publisher= |pages= |language= |archiveurl= |archivedate= |quote=}}</ref> | |||
==Public reporting of quality measures== | ==Public reporting of quality measures== | ||
Revision as of 09:38, 12 February 2008
Health care quality assurance is "activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps."[1]
Creating quality measures
Creating quality measures from clinical practice guidelines can be problematic.[2]
Measuring quality
Chart abstraction may underestimate quality.[3]
Public reporting of quality measures
A systematic review found that "publicly releasing performance data stimulates quality improvement activity at the hospital level. The effect of public reporting on effectiveness, safety, and patient-centeredness remains uncertain".[4]
References
- ↑ Anonymous (2024), Health care quality assurance (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Walter LC, Davidowitz NP, Heineken PA, Covinsky KE (2004). "Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measure". JAMA 291 (20): 2466–70. DOI:10.1001/jama.291.20.2466. PMID 15161897. Research Blogging.
- ↑ How well does chart abstraction measure quality? A...[Am J Med. 2000 - PubMed Result]. Retrieved on 2008-02-12.
- ↑ Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG (2008). "Systematic review: the evidence that publishing patient care performance data improves quality of care". Ann. Intern. Med. 148 (2): 111–23. PMID 18195336. [e]
External links
- Hospital Compare (U.S. Department of Health & Human Services)