PMID: 15368780Sep 17, 2004Paper

Hospital quality improvement activities and the effects of interventions on pneumonia: a multistate study of Medicare beneficiaries

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Joseph P WeingartenChris Przybyszewski

Abstract

This article evaluates the relative effectiveness of quality improvement interventions on increasing the time to antibiotic administration after a diagnosis of pneumonia. Clinical data were abstracted from the medical records of 17,040 Medicare beneficiaries discharged from one of 215 acute-care hospitals across 15 states. Thirteen Quality Improvement Organizations collected data on hospital quality improvement interventions from each hospital in this study. Medicare discharges between January 1997 and January 2002 define the study period. Most hospitals implemented multiple interventions to improve pneumonia care. Only 3 individual interventions were found to be effective in increasing time to antibiotic administration. Data feedback and benchmarking and medical records checklists had a positive effect on time to antibiotic administration. Administrative support by itself had a negative effect on the quality indicator. Although several combinations of interventions were also found effective, generalizations about the use of multiple interventions in quality improvement are difficult to make from retrospective studies.

References

Oct 4, 2000·JAMA : the Journal of the American Medical Association·S F JencksD R Arday
Jan 4, 2001·The Netherlands Journal of Medicine·J B HulscherUNKNOWN Barrett Advisory Committee
May 23, 2001·JAMA : the Journal of the American Medical Association·E H BradleyH M Krumholz
Jun 13, 2001·JAMA : the Journal of the American Medical Association·C I KiefeN W Weissman
Sep 22, 2001·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·K L Strom
Sep 29, 2001·The New England Journal of Medicine·P R DexterC J McDonald

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Citations

Sep 15, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Pieter-Jan CortoosGert Laekeman
Mar 24, 2006·Southern Medical Journal·Danielle B Scheurer
Jan 13, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Danielle B ScheurerJohn E Heffner

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