Evaluation of two intervention strategies to stimulate quality improvement projects in the hospital: the H. pylori example.
A multistate quality improvement project conducted to improve the care of hospitalized Medicare patients with peptic ulcer disease is described. This randomized control study design compared the effectiveness of two intervention strategies (mailed information vs. on-site presentations with feedback) in stimulating hospitals to conduct diagnostic journeys to determine root causes for performance deficits and to develop and implement plans to improve performance.
Frankenfield
D L
DL
Health Care Financing Administration, Office of Clinical Standards and Quality, Baltimore, MD, USA.
Burgess
P A
PA
Hamm
J
J
Parks
P L
PL
Sabharwal
K
K
Wark
C G
CG
Weddle
J A
JA
D000368:Aged; D002985:Clinical Protocols; D004282:Documentation; D016481:Helicobacter Infections / Q000175:diagnosis* / Q000517:prevention & control; D016480:Helicobacter pylori / Q000472:pathogenicity*; D006757:Hospital Units / Q000592:standards*; D006801:Humans; D006278:Medicare / Q000592:standards*; D010353:Patient Education as Topic; D010437:Peptic Ulcer / Q000188:drug therapy* / Q000382:microbiology; D012308:Risk Management / Q000379:methods; D017749:Total Quality Management / Q000379:methods* / Q000458:organization & administration; D014481:United States