Navigation Links
Unreliable 'outcomes' measures hamper efforts to assure better, safer care
Date:4/7/2011

With a push to make hospitals and doctors more accountable for health care quality, more attention must be paid to the accuracy and reliability of measures used to evaluate caregivers, says a prominent Johns Hopkins patient safety expert.

Writing in the April issue of the journal Health Affairs, Peter J. Pronovost, M.D., Ph.D., a professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine, argues that as the desire to evaluate and improve health care intensifies, there remains little consensus as to which measures are scientifically valid and accurate assessments of quality. This risks misinforming patients who may make decisions based on metrics that poorly reflect the state of health care provided by hospitals and may ultimately lead to a failure to make improvements in hospitals where quality is judged to be better than it is, he says.

"There is bipartisan support behind efforts to start paying for value rather than volume," Pronovost says. "This is great, but we act as if there's a whole library of reliable outcome measures for us to use and the fact is that serious work needs to be done to create them. We can't shrink from doing this science. We need to be guided by it."

Acknowledging that substantial shortcomings in the quality of care persist, causing needless patient harm and increasing health care costs, Pronovost says fixes can't be put in place until rigorous scientific data show exactly where systems are broken and until hard comparative evidence points to what types of repairs work best.

In the absence of such safety and efficacy science, he says, there will remain little consensus among hospitals and physicians about the best methods to judge quality or improvement. For example, he notes that overall hospital death rates are an imperfect reflection of quality of care, but in some cases they are the only measures used.

Pronovost, writing with Richard
'/>"/>

Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
Johns Hopkins Medical Institutions
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Mortality rates are an unreliable metric for assessing hospital quality, study finds
2. Study shows that modern surgery for scoliosis has good long-term outcomes
3. Updated agenda available for Optimizing PCI Outcomes Symposium
4. Outcomes improved by longer delays between heart attacks and elective surgeries
5. Trauma patients protected from worse outcomes associated with so-called weekend effect
6. Chasing the pot of gold: WSU researchers study gambling subtypes and treatment outcomes
7. Referral to high-volume hospitals for operations fails to improve outcomes statewide
8. Perinatal safety initiative reduces adverse obstetrical outcomes
9. Study in PLoS: Intensive adherence counseling to HIV treatment improves patient outcomes
10. Anti-clotting agent does not improve outcomes of patients with severe pneumonia
11. Healthy lifestyle, positive attitude can help improve patient outcomes
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/19/2014)... Jacksonville,s campus of Mayo Clinic have discovered a defect ... both overproduction of toxic protein in the brains of ... of communication between neurons both significant contributors to ... online issue of Neuron , offers ... "may rejuvenate or rescue this pathway," says the study,s ...
(Date:9/19/2014)... September 19, 2014 Recently, Top10BestSEOHosting.com ... announced that JustHost, IX Web Hosting and Bluehost ... , “As is known to most people, VPS ... a physical server computer into many servers, each ... running on someone’s own dedicated computer,” the manager ...
(Date:9/19/2014)... 2014 BCC Research reveals in its ... MARKETS , the global market for human antifungal therapeutics ... 2018, with a five-year compound annual growth rate (CAGR) ... at a steady 3.8% CAGR. , Given the current ... coupled with the incidence of increasing mortality and the ...
(Date:9/19/2014)... advanced, incurable cancer do not receive any palliative care, ... at the ESMO 2014 Congress in Madrid, Spain, 26-30 ... the same time as 15 new oncology centres in ... the prestigious title of ,ESMO Designated Centre of Integrated ... Grigorescu, medical oncology consultant at the Institute of Oncology ...
(Date:9/19/2014)... Dallas, TX (PRWEB) September 19, 2014 ... which introduces a traditional Scandinavian style of ... United States. Much like Diet Doc’s medical ... Diet emphasizes cooking and eating good food ... diet also focuses on teaching patients to ...
Breaking Medicine News(10 mins):Health News:Mayo researchers reveal pathway that contributes to Alzheimer's disease 2Health News:Top10BestSEOHosting.com: JustHost is One of the Best VPS Suppliers in 2014 2Health News:Global Market for Human Antifungal Therapeutics to Reach Nearly $13.9 Billion in 2018; Over-The-Counter (OTC) Segment Growing At 3.8% CAGR 2Health News:Global Market for Human Antifungal Therapeutics to Reach Nearly $13.9 Billion in 2018; Over-The-Counter (OTC) Segment Growing At 3.8% CAGR 3Health News:Patients with advanced, incurable cancer denied palliative care 2Health News:Patients with advanced, incurable cancer denied palliative care 3Health News:Patients with advanced, incurable cancer denied palliative care 4Health News:Diet Doc’s Medical Weight Loss Programs Announce Diet Plans Based on the Same Principles as the New Nordic Diet 2Health News:Diet Doc’s Medical Weight Loss Programs Announce Diet Plans Based on the Same Principles as the New Nordic Diet 3Health News:Diet Doc’s Medical Weight Loss Programs Announce Diet Plans Based on the Same Principles as the New Nordic Diet 4
... Reporter , MONDAY, Aug. 23 (HealthDay News) -- While the ... report that the incidence of rectal cancer among people under ... young person,s chance of developing the disease remains tiny, but ... Dr. David L. Sherr, an assistant professor of radiation oncology ...
... HealthDay Reporter , MONDAY, Aug. 23 (HealthDay News) -- ... salmonella, the head of the U.S. Food and Drug Administration ... sub-recalls over the next couple of days, maybe even weeks, ... eggs that are contaminated," agency director Margaret Hamburg told NBC,s ...
... Gold Standard/Elsevier, a leading developer of drug ... launch of MEDcounselor Languages, a module that provides ... languages. The new MEDcounselor Languages will enable ... understand their drug therapy, take their medications safely, ...
... HealthDay Reporter , SUNDAY, Aug. 22 (HealthDay News) -- ... protein encoded by the BRCA2 gene. Dysfunction of this ... By separating the protein from the rest of the components ... and figure out exactly what it does in the body. ...
... while colon cancer rates have remained steady over the past ... cancer rates are increasing in this population across races and ... a peer-reviewed journal of the American Cancer Society, the study ... in young individuals who show potential signs of the disease. ...
... study of egg cells using time-lapse microscopy, researchers at ... and the Ludwig Institute for Cancer Research have discovered ... produces reproductive cells in sexually reproducing organisms. The ... cell chromosomes separate from each other may shed light ...
Cached Medicine News:Health News:Rectal Cancer Rates on the Rise in Younger Adults 2Health News:FDA Chief Says More Egg Recalls Possible 2Health News:FDA Chief Says More Egg Recalls Possible 3Health News:FDA Chief Says More Egg Recalls Possible 4Health News:Gold Standard/Elsevier promotes medication safety and compliance via New MEDcounselor languages 2Health News:Inner Workings of Gene Tied to Breast, Ovarian Cancer Revealed 2Health News:Inner Workings of Gene Tied to Breast, Ovarian Cancer Revealed 3Health News:Rectal cancer rates are rising in young individuals 2Health News:Study of cell division sheds light on special mechanism in egg cells 2
(Date:9/18/2014)... ... announced the addition of the "Global ... their offering.      (Logo: http://photos.prnewswire.com/prnh/20130307/600769) ... chromosomes using molecular biology to understand the ... It plays a crucial role in the ...
(Date:9/18/2014)... , Sept. 18, 2014  Aratana Therapeutics, ... therapeutics company focused on licensing, developing and commercializing ... the full exercise of the underwriters, option to ... connection with the company,s previously announced public offering ... the shares are being offered by Aratana Therapeutics.  ...
(Date:9/18/2014)... Ky. , Sept. 18, 2014 /PRNewswire/ ... innovative laboratory technologies and products to hospitals, ... announced today an amended distributorship agreement with ... reagents, controls and instruments, including the Sysmex ... Sysmex XP-300™, XT-Series and XN-Series Automated Hematology ...
Breaking Medicine Technology:Global Molecular Cytogenetics Market 2014-2018: Key Vendors are Abbott, Affymetrix, Agilent Technologies, F. Hoffmann-La Roche, Illumina and PerkinElmer 2Global Molecular Cytogenetics Market 2014-2018: Key Vendors are Abbott, Affymetrix, Agilent Technologies, F. Hoffmann-La Roche, Illumina and PerkinElmer 3Aratana Therapeutics, Inc. Announces Full Exercise of Underwriters' Option to Purchase Additional Shares 2LABSCO Renews Sysmex Distributorship Agreement 2LABSCO Renews Sysmex Distributorship Agreement 3
... ARAY ), a global leader in the ... ranked number 113 on Technology Fast 500™, Deloitte,s ranking ... life sciences and clean technology companies in North America. ... growth during the period from 2005–2009. Accuray grew 944 ...
... Oct. 20 HealthLeaders-InterStudy, a leading provider of managed ... San Diego area are looking to secure a strong ... of commercial and Medicare reimbursements by developing and growing ... will limit physician access for pharmaceutical reps. According to ...
Cached Medicine Technology:Accuray Ranked Number 113 Fastest Growing Company in North America on Deloitte's 2010 Technology Fast 500™ 2Accuray Ranked Number 113 Fastest Growing Company in North America on Deloitte's 2010 Technology Fast 500™ 3The Development of Medical Foundations in the San Diego Area will Restrict Physician Access for Pharmaceutical Reps 2
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
Medicine Products: