Care Measurement (care + measurement)

Distribution by Scientific Domains

Selected Abstracts

Measuring and reporting on quality in health care: A framework and road map for improving care

Susan E. Brien PhD
Abstract Quality of care measurement and reporting at the provider, hospital, or health system level has become increasingly common in health systems around the world. Health system performance reports, whether they be confidentially distributed to the provider or made available to the public, are not only used as a stimulus for quality improvement, but can also be used to inform policy, apportion funding, or in rare cases, punish poorly performing providers. In this review, we outline several principles of quality of healthcare measurement and performance reporting, and describe a framework for optimal performance reporting that provides the greatest opportunity for the desired outcome,health system improvement. The quality reporting framework and roadmap that we present invokes opportunities for improving care in the domain of surgical oncology. J. Surg. Oncol. 2009;99:462,466. 2009 Wiley-Liss, Inc. [source]

Point of care measurement of plasma creatinine in critically ill patients with acute kidney injury

ANAESTHESIA, Issue 4 2009
A. Udy
Summary We report the utility of an enzymatic point of care system for estimation of plasma creatinine concentration in critically ill patients with acute kidney injury. Multiple measurements were obtained from a heterogenous population admitted to a multi-disciplinary intensive care unit. The acute kidney injury network guidelines were used to identify and stratify patients based on the creatinine concentration. Central laboratory values were used as comparators to assess the precision and bias of the system. Overall, point of care measurements correlated well with central pathology results (R2 = 0.991, p < 0.001), although there tended to be a small negative bias in patients with acute kidney injury (3 ,mol.l,1). The accuracy of point of care measurement is within clinically acceptable limits and given the much shorter turn around time can be used to identify and monitor patients with acute kidney injury in the critical care environment. [source]