TY - JOUR
T1 - Developing and Testing a Chart Abstraction Tool for ICU Quality Measurement
AU - Lee, Jarone
AU - Austin, J. Matthew
AU - Kim, Jungyeon
AU - Miralles, Paola D.
AU - Kaafarani, Haytham M.A.
AU - Pronovost, Peter J
AU - Ghimire, Vipra
AU - Berenholtz, Sean M.
AU - Donelan, Karen
AU - Martinez, Elizabeth A
N1 - Funding Information:
We would like to acknowledge Ann-Marie Audet, MD, MSc, from The Commonwealth Fund. Abstraction of all records was performed by Jennifer Mills, Margaret Goldstein, Sandy Swoboda, Laurie Smith, and Tracey Smith, our Nurse Abstractors. Bonny B. Blanchfield assisted with data validation, cleaning, and programming. Maggie Cantara, Rhonda Holbrook, Melanie Curless, and Dr Sara Cosgrove helped review the cases. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by The Commonwealth Fund (Grant #20070334).
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by The Commonwealth Fund (Grant #20070334).
Publisher Copyright:
© The Author(s) 2018.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Quality measures are increasingly used to measure the performance of providers, hospitals, and health care systems. Intensive care units (ICUs) are an important clinical area in hospitals, given that they generate high costs and present high risks to patients. Yet, currently, few valid and clinically significant ICU-specific outcome measures are reported nationally. This study reports on the creation and evaluation of new abstraction tools that evaluate ICU patients for the following clinically important outcomes: central line–associated bloodstream infection, methicillin-resistant Staphylococcus aureus, gastrointestinal bleed, and pressure ulcer. To allow ICUs and institutions to compare their outcomes, the tools include risk-adjustment variables that can be abstracted from the chart.
AB - Quality measures are increasingly used to measure the performance of providers, hospitals, and health care systems. Intensive care units (ICUs) are an important clinical area in hospitals, given that they generate high costs and present high risks to patients. Yet, currently, few valid and clinically significant ICU-specific outcome measures are reported nationally. This study reports on the creation and evaluation of new abstraction tools that evaluate ICU patients for the following clinically important outcomes: central line–associated bloodstream infection, methicillin-resistant Staphylococcus aureus, gastrointestinal bleed, and pressure ulcer. To allow ICUs and institutions to compare their outcomes, the tools include risk-adjustment variables that can be abstracted from the chart.
KW - central line–associated bloodstream infection
KW - gastrointestinal bleeding
KW - intensive care unit
KW - methicillin-resistant Staphylococcus aureus
KW - pressure ulcer
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U2 - 10.1177/1062860618800596
DO - 10.1177/1062860618800596
M3 - Article
C2 - 30264579
AN - SCOPUS:85059338990
SN - 1062-8606
VL - 34
SP - 324
EP - 330
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 4
ER -