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  1. Using hospital performance data in quality improvement : the Cleveland health quality choice experience.

    Article - En anglais


    Cleveland health quality choice is a regional initiative to assess hospital performance which was implemented in 1989.

    The project developed and validated CHOICE, a severity adjustment system that includes diagnosis-specific models for medical, surgical, and obstetrical patients which are based on clinical data abstracted from patients'medical records.


    Since 1992 Cleveland health quality choice ha disseminated semi-annual reports that profile hospital mortality rates, lengths of stay, and cesarean section rates using the CHOICE severity adjustment models.

    Hospitals receive tabular and graphical representations of hospital outcomes and electronic patient-level data files that can be used to further examine outcomes in clinical subgroups.


    Four case studies illustrate how outcomes data derived from the CHOICE models led to the development of successful hospital programs to decrease lengths of stay, cesarean section rates, and hospital mortality rates. (...)

    Mots-clés Pascal : Dossier médical, Registre, Epidémiologie, Information, Soin, Médecin, Pratique professionnelle, Hôpital, Nursing, Recommandation, Multidisciplinaire, Travail, Collecte donnée, Qualité, Processus

    Mots-clés Pascal anglais : Medical record, Register, Epidemiology, Information, Care, Physician, Professional practice, Hospital, Nursing, Recommendation, Multidisciplinary, Work, Data gathering, Quality, Process

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 19/02/1999.