| Adapting a statewide patient database for comparative analysis and quality improvement. | |
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MedLine Citation:
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PMID: 8858418 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In 1991 the Michigan Health and Hospital Association established the Michigan Patient Outcome Measures Program to support quality improvement activities among member hospitals. Data submitted by each hospital are based on the Uniform Hospital Discharge Data Set (UHDDS). REPORTING THE MEASURES: Each participating hospital is provided with tabulations for each of the 18 indicators, along with comparative data for each of five hospital peer groups. CASE STUDY 1: FACILITATING DEVELOPMENT OF A CLINICAL PATHWAY: Review of data on stroke patients indicated that patients discharged to home represented the single largest group of patients and that their length of stay was lower than for other groups of stroke patients. Hospital A used a clinical pathway to achieve reduction in length of stay of almost a day for this group. CASE STUDY 2: IMPROVING OBSTETRICS AND GYNECOLOGIC SERVICES THROUGH EDUCATION: The Department of Obstetrics and Gynecological Surgery at Hospital B achieved improvement in birth trauma, hysterectomy, cesarean section (C-section) births, and vaginal births after C-section. Program participants are considering adopting a birth trauma indicator. CASE STUDY 3: ESTABLISHING A HOSPITALWIDE QI PROGRAM: The Newborn Team at Hospital C initiated several QI initiatives aimed at reducing the newborn mortality rate, including guidelines for earlier identification of high-risk obstetric cases and for earlier intervention by the perinatalogist. CONCLUSIONS: Data that are not risk or severity adjusted have value in assessing hospital procedures and systems and can be used to educate and effect change in practice patterns. |
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Authors:
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L S Rosen; K Schroeder; M Hagan; J Acord-Szczesny; M Garavaglia |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Joint Commission journal on quality improvement Volume: 22 ISSN: 1070-3241 ISO Abbreviation: Jt Comm J Qual Improv Publication Date: 1996 Jul |
Date Detail:
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Created Date: 1996-12-27 Completed Date: 1996-12-27 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 9315239 Medline TA: Jt Comm J Qual Improv Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 468-81 Citation Subset: IM |
Affiliation:
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Data Services Department, MHA Service Corporation, Lansing, MI 48917, USA. lrosen@lans.mha.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Databases, Factual* Diagnosis-Related Groups Female Health Care Surveys Humans Infant, Newborn Length of Stay Michigan Models, Organizational Outcome Assessment (Health Care) / organization & administration, statistics & numerical data* Physician's Practice Patterns / organization & administration Pregnancy Specialties, Surgical / standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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