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quality indicator (QI); quality measure

Notes: - quality indicators tend to be rigid, simplistic, & mandatory - may negatively impact on quality of care [1] - hospital quality measures seldom agree [2] - tools that help consumers make informed choices about healthcare do not exist [2] - emergency department return visit rate is a poor quality measure [3] - 64% of Medicare hospitalizations are free of adverse events [4] - collecting, processing, analyzing, & reporting quality data are costly in time & resources often taken from direct patient care [5] - identifying a small set of high-priority quality measures is suggested [5]

Related

quality control (QC)

Specific

Geriatric Surgery Verification (GSV) Program online physician review patient satisfaction quality indicators in nursing homes (MDS-based) sepsis bundle (1 hour sepsis bundle)

References

  1. Mueller PS NEJM Journal Watch. March 14, 2014 Massachusetts Medical Society http://www.jwatch.org - Walter LC et al Pitfalls of Converting Practice Guidelines Into Quality Measures. Lessons Learned From a VA Performance Measure. JAMA. 2004;291(20):2466-2470 http://jama.jamanetwork.com/article.aspx?articleid=198814
  2. Austin JM et al. National hospital ratings systems share few common scores and may generate confusion instead of clarity. Health Aff (Millwood) 2015 Mar 1; 34:423. PMID: 25732492 http://content.healthaffairs.org/content/34/3/423
  3. Sabbatini AK et al. In-hospital outcomes and costs among patients hospitalized during a return visit to the emergency department. JAMA 2016 Feb 16; 315:663. PMID: 26881369 - Adams JG. Ensuring the quality of quality metrics for emergency care. JAMA 2016 Feb 16; 315:659 PMID: 26881367
  4. King A, Bottle A, Faiz O, Aylin P. Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. Ann Surg. 2016 May 17 PMID: 27192350 https://psnet.ahrq.gov/resources/resource/30075
  5. Schuster MA, Onorato SE, Meltzer DO. Measuring the Cost of Quality Measurement. A Missing Link in Quality Strategy. JAMA. 2017;318(13):1219-1220. PMID: 28859200 http://jamanetwork.com/journals/jama/article-abstract/2653111