quality indicator (QI); quality measure

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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]

More specific terms

Additional terms

References

  1. 1.0 1.1 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. 2.0 2.1 2.2 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. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25732492 <Internet> http://content.healthaffairs.org/content/34/3/423
  3. 3.0 3.1 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: https://www.ncbi.nlm.nih.gov/pubmed/26881369
    Adams JG. Ensuring the quality of quality metrics for emergency care. JAMA 2016 Feb 16; 315:659 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26881367
  4. 4.0 4.1 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: https://www.ncbi.nlm.nih.gov/pubmed/27192350 https://psnet.ahrq.gov/resources/resource/30075
  5. 5.0 5.1 5.2 Schuster MA, Onorato SE, Meltzer DO. Measuring the Cost of Quality Measurement. A Missing Link in Quality Strategy. JAMA. 2017;318(13):1219-1220. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28859200 <Internet> http://jamanetwork.com/journals/jama/article-abstract/2653111