Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-30T20:10:52.861Z Has data issue: false hasContentIssue false

Epidemiologic Approaches to Quality Assessment

Published online by Cambridge University Press:  02 January 2015

Bryan P Simmons*
Affiliation:
Methodist Hospitals of Memphis, Memphis, Tennessee University of Tennessee, Department of Preventive Medicine, Memphis, Tennessee
Stephen B. Kritchevsky
Affiliation:
University of Tennessee, Department of Preventive Medicine, Memphis, Tennessee
*
188 South Bellevue, Suite 419, Doctors Building, Memphis, TN 38104

Abstract

Hospital epidemiologists have an opportunity to apply their skills to hospital quality problems other than infection control. Soon, hospitals will be required to collect and report numerous quality indicators, whose results will require epidemiologic interpretation. For those who choose to make the transition into quality management, careful assessment and planning are needed to succeed.

Type
Practical Healthcare Epidemiology
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1995 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. McGeer, A, Credè, W, Hierholzer, WJ Jr. Surveillance for quality assessment, II: surveillance for noninfectious processes: back to basics. Infect Control Hosp Epidemiol 1990;11:36-41.CrossRefGoogle Scholar
2. Credé, WB, Hierholzer, WJ Jr. Surveillance for quality assessment, III: the critical assessment of quality indicators. Infect Control Hosp Epidemiol 1990:11:197-201.Google Scholar
3. Joint Commission on Accreditation of Healthcare Organizations. Primer on Clinical Indicator Development and Application. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 1990.Google Scholar
4. Jencks, SF Wilensky, GR. The health care quality improvement initiative. JAMA 1992;268:900903.CrossRefGoogle ScholarPubMed
5. Wenzel, RP. Instituting health care reform and preserving quality: role of the hospital epidemiologist. Clin Infect Dis 1993;17:831836.CrossRefGoogle ScholarPubMed
6. Decker, MD. Continuous quality improvement. Infect Control Hosp Epidemiol 1992;13:165-169.CrossRefGoogle Scholar
7. Kritchevsky, SB, Simmons, BP Continuous quality improvement: concepts and applications for physician care. JAMA 1991;266:18171823.CrossRefGoogle Scholar
8. Berwick, DM. Continuous improvement as an ideal in health care. N Engl J Med 1989;320:5356.CrossRefGoogle ScholarPubMed
9. Plsek, PE. Resource B: a primer on quality improvement tools. In: Berwick, DM. Godfrey, AB. Roessner, J. Curine Health Care: New Strategies for Quality Improvement. San Francisco, CA: Jossey-Bass Inc; 1990.Google Scholar
10. Sellick, JA. The use of statistical process control charts in hospital epidemiology. Infect Control Hosp Epidemiol 1993;14:649-656.CrossRefGoogle Scholar
11. Blumenthal, D. Total quality management and physicians' clinical decisions. JAMA 1993;269:27752778.CrossRefGoogle ScholarPubMed
12. Haywood, RA, McMahon, LE Bernard, AM. Evaluating the care of general medicine inpatients: how good is implicit review? Ann Intern Med 1993;118:550556.Google Scholar
13. Goldman, RL. The reliability of peer assessments of quality of care. JAMA 1992;267:958960.CrossRefGoogle ScholarPubMed
14. Rubin, HR, Rogers, WH, Kahn, KL, Rubenstein, LV, Brook, RH. Watching the doctor-watchers: how well do peer review organization methods detect hospital care quality problems? JAMA 1992;267:23492354.CrossRefGoogle ScholarPubMed
15. Classen, DC, Evans, RS, Pestotnik, SL, Horn, SD. Menlove, RL, Burke, JP The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 1992;326:281286.CrossRefGoogle ScholarPubMed
16. Evans, RS, Larsen, RA, Burke, JP, et al. Computer surveillance of hospital-acquired infections and antibiotic use. JAMA 1986;256:10071011.CrossRefGoogle ScholarPubMed
17. Ehrenkranz, NJ, Nerenberg, DE, Slater, KC, Schultz, JM. Interventions to discontinue parenteral antimicrobial therapy in hospitalized patients with urinary tract infection, skin and soft tissue infection, or no evident infection. Infect Control Hosp Epidemiol 1993;14:517522.CrossRefGoogle ScholarPubMed
18. Classen, DC, Burke, JP, Pestotnik, SL, Evans, S, Stevens, LE. Surveillance for quality assessment, IV: surveillance using a hospital information system. Infect Control Hosp Epidemiol 1991;12:239244.CrossRefGoogle ScholarPubMed
19. Beyt, EE Jr. Computer monitoring-the next step in surveillance. JAMA 1986:256:1042.CrossRefGoogle ScholarPubMed