Health care quality assurance: Difference between revisions
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==Measuring quality== | ==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> | 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> | ||
==Improving quality== | |||
More experience, as measured by volume of care, is associated with better quality of care.<ref name="pmid18043982">{{cite journal |author=Lin HC, Xirasagar S, Lin HC, Hwang YT |title=Does physicians' case volume impact inpatient care costs for pneumonia cases? |journal=J Gen Intern Med |volume=23 |issue=3 |pages=304-9 |year=2008 |pmid=18043982 |doi=10.1007/s11606-007-0462-3 |url=http://dx.doi.org/10.1007/s11606-007-0462-3 |issn=}}</ref> | |||
==Public reporting of quality measures== | ==Public reporting of quality measures== | ||
Revision as of 00:28, 6 April 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]
Improving quality
More experience, as measured by volume of care, is associated with better quality of care.[4]
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".[5]
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.
- ↑ Lin HC, Xirasagar S, Lin HC, Hwang YT (2008). "Does physicians' case volume impact inpatient care costs for pneumonia cases?". J Gen Intern Med 23 (3): 304-9. DOI:10.1007/s11606-007-0462-3. PMID 18043982. Research Blogging.
- ↑ 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]
See also
External links
- Hospital Compare (U.S. Department of Health & Human Services)