Continuous assessment and improvement in quality of care : a model from the department of veterans affairs cardiac surgery.
Objective The authors organized the Department of Veterans Affairs (VA) Continuous Improvement in Cardiac Surgery Study (CICSS) to provide risk-adjusted outcome data for the continuous assessment and improvement of quality of care for all patients undergoing cardiac surgery in the VA.
Background The use of risk-adjusted outcomes to monitor quality of health care has the potential advantage over consensus-derived standards of being free of preconceived biases about how health care should be provided.
Monitoring outcomes of all health care episodes, as opposed to review of selected cases (e.g., adverse outcomes), has the advantages of greater statistical power, the opportunity to compare processes of care between good and bad outcomes, and the positive psychology of treating all providers equally.
Mots-clés Pascal : Cardiopathie, Chirurgie, Traitement, Qualité, Soin, Evaluation, Homme, Survie, Facteur risque, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Heart disease, Surgery, Treatment, Quality, Care, Evaluation, Human, Survival, Risk factor, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0302215
Code Inist : 002B25E. Création : 199406.