Pertinence et limites des indicateurs de qualite en medecine: l'exemple des infections nosocomiales. [Quality indicators pertinence and limits in medicine: example of nosocomial infections]

Détails

ID Serval
serval:BIB_F47651C2C83E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pertinence et limites des indicateurs de qualite en medecine: l'exemple des infections nosocomiales. [Quality indicators pertinence and limits in medicine: example of nosocomial infections]
Périodique
Revue Médicale de la Suisse Romande
Auteur⸱e⸱s
Petitmermet  D., Troillet  N., Wasserfallen  J. B.
ISSN
0035-3655 (Print)
Statut éditorial
Publié
Date de publication
11/2001
Volume
121
Numéro
11
Pages
801-4
Notes
English Abstract
Journal Article
Review --- Old month value: Nov
Résumé
Insuring that quality indicators really measure quality of care and not other factors, such as the type of intervention or the patients' characteristics, is notoriously difficult. In order to avoid as much as possible these potential methodological pitfalls, the association FoQual (www.hospvd.ch/quality/foqual) requested in the year 2000 the opinion of experts on the scientific value of some indicators, considered for introduction into practice by the commission on quality of care representing the Swiss hospital association and the health insurers' association (H+/CAMS), as well as on theoretical and practical aspects essential to guarantee their efficiency. The expert group Swiss-NOSO (www.hospvd.ch/swiss-noso) was asked to assess the indicator "nosocomial infection". This example illustrates some pitfalls to avoid, the importance of including infectious surveillance into a global prevention program and ask professionals with a specific training and independence from hospital wards to perform this activity. It shows the complexity of setting up and exploiting quality indicators in health care and the side effects that they might have.
Mots-clé
Cross Infection/*prevention & control Diagnosis-Related Groups/standards Efficiency, Organizational Evidence-Based Medicine Health Care Costs/standards Humans Infection Control/*organization & administration/standards Insurance, Health Quality Indicators, Health Care/*standards *Quality of Health Care Reproducibility of Results Societies, Hospital Switzerland
Pubmed
Création de la notice
25/01/2008 15:12
Dernière modification de la notice
20/08/2019 17:21
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