Redesign for effective quality assurance: pilot program in an urban community hospital.
An urban community hospital redesigned the quality assurance (QA) procedures of its medical staff to increase the effectiveness of QA. The best features of the plans of several leading hospitals were presented to departments and committees. These redesigned their QA efforts into a hospital-wide plan. Leadership commitment to redesign, increased process objectivity, and more horizontal structure resulted in the identification of adverse events and the assignment of numerical assessments to them. The rate of adverse event detection was equal to the rate achieved by the literature's benchmark study.
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D006764:Hospitals, Community / Q000458:organization & administration / Q000592:standards*; D006786:Hospitals, Urban / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D019982:Organizational Case Studies; D009936:Organizational Innovation; D010865:Pilot Projects; D011367:Professional Staff Committees; D016730:Program Development / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D014481:United States