Document Detail


JCAHO accreditation and quality of care for acute myocardial infarction.
MedLine Citation:
PMID:  12674428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We examined the association between JCAHO accreditation of hospitals, those hospitals' quality of care, and survival among Medicare patients hospitalized for acute myocardial infarction. Hospitals not surveyed by JCAHO had, on average, lower quality (less likely to use aspirin, beta-blockers, and reperfusion therapy) and higher thirty-day mortality rates than did surveyed hospitals. However, there was considerable variation within accreditation categories in quality of care and mortality among surveyed hospitals, which indicates that JCAHO accreditation levels have limited usefulness in distinguishing individual performance among accredited hospitals. These findings support current efforts to incorporate quality of care in accreditation decisions.
Authors:
Jersey Chen; Saif S Rathore; Martha J Radford; Harlan M Krumholz
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  22     ISSN:  0278-2715     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-04-03     Completed Date:  2003-04-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-54     Citation Subset:  IM    
Affiliation:
Yale University School of Medicine, USA.
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MeSH Terms
Descriptor/Qualifier:
Accreditation*
Acute Disease
Aged
Cardiology Service, Hospital / standards*
Female
Health Care Surveys
Hospital Mortality
Humans
Joint Commission on Accreditation of Healthcare Organizations*
Male
Medicare / standards
Myocardial Infarction / mortality,  therapy*
Outcome Assessment (Health Care)
Quality Assurance, Health Care
Quality Indicators, Health Care*
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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