A methodology for targeting hospital cases for quality of care record reviews
Bibliographic Data
| ID | 14601488 |
|---|---|
| Authors | Edward L Hannan (0000-0002-5931-216X, New York State Department of Health), H R Bernard (0000-0002-1367-2813), J F O'Donnell, Jennifer O'Donnell (0000-0002-1279-0084), Harold Kilburn |
| Year | 1989 |
| Volume | 79 |
| Issue | 4 |
| Pages | 430-436 |
| Publication date | 1989-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.79.4.430 |
| PMID | 2494893 |
| OpenAlex | W2008360841 |
| Language | EN |
| Citations received | 8 |
| References cited | 13 |
We tested the efficacy of selected case characteristics in targeting quality of care problems for medical record review. The case characteristics, all of which apply to patients who die in a hospital, consist primarily of procedures and DRGs (diagnosis-related groups) for which death rarely occurs, and a set of complications of surgical care. All characteristics are obtainable from combinations of the principal and secondary diagnoses and procedures in the case, and are available from discharge abstracts. The presence of a quality of care problem is confirmed through a review of the medical record by a nurse and two or more physicians. A logistic regression model that controls for various patient and hospital variables is used as a measure of each of the proposed case characteristics. The results indicate that most of the characteristics are associated with higher percentages of quality of care problems than cases chosen at random, and that the methodology has promise as a tool for targeting cases for medical record review
Family medicine · Logistic regression · Medical care · Medical diagnosis · Medical emergency · Medical record · Pathology · Quality (philosophy) · Emergency and Acute Care Studies · Emergency Medicine · Healthcare Policy and Management · Internal Medicine · Medical Coding and Health Information · Medicine · Surgery
Identifying Complications of Care Using Administrative Data
The Measurement of Mortality
Bias in the Coding of Hospital Discharge Data and Its Implications for Quality Assessment
Investigating Early Readmission as an Indicator for Quality of Care Studies
Assessing quality of care
Comparing hospitals that perform coronary artery bypass surgery
Comorbidity-Adjusted Complication Risk
Using administrative databases to evaluate the quality of medical care
Should Operations Be Regionalized?
Small Area Variations in Health Care Delivery
Measuring the Quality of Medical Care
Adjusted hospital death rates
Assessing quality of care
Physician and Hospital Factors Associated With Mortality of Surgical Patients
Does Practice Make Perfect
Effects of Surgeon Volume and Hospital Volume on Quality of Care in Hospitals
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,22 |
| Citation span | 1989 - 1996 (8) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |