Introduction to Quality Assurance in Health Care

ISBN-10: 0195158091
ISBN-13: 9780195158090
Edition: 2003
List price: $44.95 Buy it from $44.34
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Description: Avedis Donabedian's name is synonymous with quality of medical care. He unraveled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement(known as quality assessment) and its  More...

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Book details

List price: $44.95
Copyright year: 2003
Publisher: Oxford University Press, Incorporated
Publication date: 12/26/2002
Binding: Hardcover
Pages: 240
Size: 5.50" wide x 8.25" long x 1.00" tall
Weight: 0.880
Language: English

Avedis Donabedian's name is synonymous with quality of medical care. He unraveled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement(known as quality assessment) and its improvement(known as quality assurance). Many before him claimed that quality couldn't be defined in concrete objective terms. He demonstrated that quality is an attribte of a system which he called structure, a set of organized activities whihc he called process, and an outcome which results from both. In this book Donabedian tells the full story of quality assessment and assurance in simple, clear terms. He defines the meaning of quality, explicates its components, and provides clear and systematic guides to its assessment and enhancement. His style is lucid, succinct, systematic and yet personal, almost conversational.

List of Appendices
Introduction
What This Book Is About
The Meaning of Quality Assurance
The Targets of Quality Assurance
The Components of Quality Assurance
The Quality Monitoring Cycle
Formal and Informal Monitoring
Some Foundations of Quality Assurance Through Monitoring
The Meaning of Quality in Health Care
The Components of Quality in Health Care
Efficacy
Effectiveness
Efficiency
Optimality
Acceptability
Choosing a Definition of Quality
Steps in Monitoring and Improving Clinical Performance
Determining What to Monitor
Externally Required Monitoring Activities
Internally Motivated Monitoring Activities
Determining Priorities in Monitoring
Importance to Patient Welfare
Additional Institutional Interests
Feasibility
Selecting Approaches to Assessing Performance
Definitions of Structure, Process, and Outcome
Comments on the Structure-Process-Outcome Model
Relative Usefulness of the Three Approaches
Conclusions About the Choice of an Approach
Formulating Criteria and Standards
Definitions of Terms
Importance of Criteria and Standards
Some Attributes of Criteria and Standards
Obtaining the Necessary Information
Medical Records
Surveys
Financial Records
Statistical Reports
Direct Observation
Test Situations
Choosing When and How to Monitor
When to Monitor
How to Monitor
Constructing a Monitoring System
Key Elements
Bringing About Behavior Change
Readjustments in the System
Educational and Motivational Activities
The Effectiveness of Quality Monitoring
Contextual Factors
Operational Factors
Some Concluding Remarks
References
Appendices
Index

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