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Emergency Department Quality: An Analysis of Existing Pediatric Measures
Academic emergency medicine, 2011-05, Vol.18 (5), p.519-526
Alessandrini, Evaline
Varadarajan, Kartik
Alpern, Elizabeth R.
Gorelick, Marc H.
Shaw, Kathy
Ruddy, Richard M.
Chamberlain, James M.
2011
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Alessandrini, Evaline
Varadarajan, Kartik
Alpern, Elizabeth R.
Gorelick, Marc H.
Shaw, Kathy
Ruddy, Richard M.
Chamberlain, James M.
Titel
Emergency Department Quality: An Analysis of Existing Pediatric Measures
Ist Teil von
Academic emergency medicine, 2011-05, Vol.18 (5), p.519-526
Ort / Verlag
Oxford, UK: Blackwell Publishing Ltd
Erscheinungsjahr
2011
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
ACADEMIC EMERGENCY MEDICINE 2011; 18:519–526 © 2011 by the Society for Academic Emergency Medicine Objectives: The Institute of Medicine (IOM) has recommended the development of national standards for the measurement of emergency care performance. The authors undertook this study with the goals of enumerating and categorizing existing performance measures relevant to pediatric emergency care. Methods: Potential performance measures were identified through a survey of 1) the peer‐reviewed literature, 2) websites of organizations and societies pertaining to quality improvement, and 3) emergency department (ED) directors. Performance measures were enumerated and categorized, using consensus methods, on three dimensions: 1) the IOM quality domains; 2) Donabedian’s structure/process/outcome framework; and 3) general, cross‐cutting, or disease‐specific measures. Results: A total of 405 performance measures were found for potential use for pediatric emergency care. When categorized by IOM domain, nearly half of the measures were related to effectiveness, while only 6% of measures addressed patient‐centeredness. In the Donabedian dimension, 67% of measures were categorized as process measures, with 29% outcome and 4% structure measures. Finally, 31% of measures were general measures relevant to every ED visit. Although 225 measures (55%) were disease‐specific, the majority (56%) of these measures related to only five common conditions. Conclusions: A wide range of performance measures relevant to pediatric emergency care are available. However, measures lack a systematic and comprehensive approach to evaluate the quality of care provided.
Sprache
Englisch
Identifikatoren
ISSN: 1069-6563
eISSN: 1553-2712
DOI: 10.1111/j.1553-2712.2011.01057.x
Titel-ID: cdi_proquest_miscellaneous_874486944
Format
–
Schlagworte
Emergency medical care
,
Emergency Service, Hospital - standards
,
Family physicians
,
Humans
,
Internet
,
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
,
Pediatrics
,
Pediatrics - methods
,
Pediatrics - standards
,
Performance evaluation
,
Practice Guidelines as Topic
,
Quality Indicators, Health Care
,
Quality of care
,
United States
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