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AUTOMATED CONTROLLED-CASE STUDIES AND ROOT-CAUSE ANALYSIS FOR HOSPITAL QUALITY IMPROVEMENT
AUTOMATED CONTROLLED-CASE STUDIES AND ROOT-CAUSE ANALYSIS FOR HOSPITAL QUALITY IMPROVEMENT
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机译:医院质量改善的自动对照案例研究和根本原因分析
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摘要
A risk-adjusted assessment of a target facility's quality measures (e.g. mortality rate, length of stay, readmission rate, complications rate, etc.) is determined with respect to the quality measures of a broader population base. Patient cohorts are identified corresponding to particular ailments or treatments, and the target facility's risk-adjusted quality measures are determined for each cohort. When a particular quality measure for a target cohort indicates poor performance, factors that are determined to be relevant to the patients' outcomes are identified and used to create a control group of patients in the broader population who exhibit similar factors but had better outcomes than the patients of the target cohort. The care process (treatments, medications, interventions, etc.) that each of the target patients received is compared to the care process that each of the control patients received, to identify potential root-causes of the poorer performance.
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