caa a22 4500 445794801 CHVBK 20180317145121.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10620-011-1805-9 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1805-9 Can Quality of Care for Patients with Cirrhosis Be Measured? [Elektronische Daten] [John Bassett, Michael Volk] Introduction: The ultimate purpose of measuring quality of care is to discriminate between healthcare providers in order to motivate improvement. Recently, a set of evidence-based indicators has been proposed for measurement of processes of care for patients with cirrhosis, for example early endoscopy for variceal bleeding. The objective of this study was to determine whether these indicators can be measured in a reliable and automated fashion in routine practice. Materials and methods: We applied the top five indicators, based on agreement of a panel of experts, to hospitalized adults at our institution over a 3-year period. Results: Only two of the indicators could be reliably measured on the basis of the published wording, and these two still required physician chart review. After applying some assumptions, the indicators were met in 46-100% of cases. None of the indicators was linked to a single physician or institution in all cases, and none occurred with sufficient frequency to discriminate quality between providers. Conclusion: Measuring quality of care in cirrhosis is a laudable objective, but current indicators are not yet ready for administrative use. Springer Science+Business Media, LLC, 2011 Cirrhosis nationallicence Quality indicators nationallicence Ascites nationallicence Spontaneous bacterial peritonitis nationallicence Esophageal varices nationallicence SBP : Spontaneous bacterial peritonitis nationallicence PMN : Polymorphonuclear nationallicence UGIB : Upper gastrointestinal bleeding nationallicence EVL : Endoscopic variceal ligation nationallicence MAR : Medication administration record nationallicence EGD : Esophagogastroduodenoscopy nationallicence TIPS : Transjugular intrahepatic portosystemic shunt nationallicence Bassett John Department of Gastroenterology, University of Michigan, 1954 Upland Dr, 48105, Ann Arbor, MI, USA aut Volk Michael Department of Gastroenterology, University of Michigan, 1954 Upland Dr, 48105, Ann Arbor, MI, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/12(2011-12-01), 3488-3491 0163-2116 56:12<3488 2011 56 10620 https://doi.org/10.1007/s10620-011-1805-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1805-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bassett John Department of Gastroenterology, University of Michigan, 1954 Upland Dr, 48105, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Volk Michael Department of Gastroenterology, University of Michigan, 1954 Upland Dr, 48105, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/12(2011-12-01), 3488-3491 0163-2116 56:12<3488 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer