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Continuous Quality Improvement in a Community Teaching Hospital

Published online by Cambridge University Press:  21 June 2016

William E. Scheckler
William E. Scheckler*
Affiliation:
St. Marys Hospital Medical Center and the University of Wisconsin-Madison Medical School, Department of Family Medicine and Practice, Department of Medicine, Madison, Wisconsin
*
University of Wisconsin-Madison Medical School, Department of Family Medicine and Practice, 777 S. Mills St., Madison, WI 53715
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Extract

The purpose of this report is to describe the workings of continuous quality improvement (CQI) in a nonprofit community teaching hospital. An earlier report reviewed the adoption by a hospital system of CQI and discussed the implications and opportunities for the discipline of hospital epidemiology. This article will further develop the theme of CQI, discussed in recent months in Infection Control and Hospital Epidemiology and other journals, by offering a case history of one hospital's journey down the CQI management pathway-the origins, the aids, and the barriers to adoption, the development of the first CQI teams, and future prospects.

Type
Beyond Infection Control: The New Hospital Epidemiology
Information
Infection Control & Hospital Epidemiology , Volume 13 , Issue 11 , November 1992 , pp. 678 - 682
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

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References

1. Scheckler, WE. Continuous quality improvement in a hospital system: implications for hospital epidemiology. Infect Control Hosp Epidemiol. 1992;13:288–292.CrossRefGoogle Scholar
2. Decker, MD. The application of continuous quality improvement to healthcare. Infect Control Hosp Epidemiol. 1992;13:226–229.CrossRefGoogle ScholarPubMed
3. Decker, MD. Continuous quality improvement. Infect Control Hosp Epidemiol. 1992;13:165–169.CrossRefGoogle ScholarPubMed
4. Massanari, RM Simmons, B. Society for Hospital Epidemiology of America (SHEA) initiative for confronting the costquality conundrum. Infect Control Hosp Epidemiol. 1992;13:354–356.CrossRefGoogle Scholar
5. Kritchevsky, SB, Simmons, BP Continuous quality improvement: concepts and applications for physician care. JAMA. 1991;266:1817–1823.CrossRefGoogle Scholar
6. Jencks, SE Wilensky, GR. The health care quality improvement initiative: a new approach to quality assurance in medicare. JAMA. 1992;268:900–903.CrossRefGoogle Scholar
7. Nash, DB. Is the quality cart before the horse? JAMA. 1992;268:917–918.CrossRefGoogle Scholar
8. Laffel, G. Blumenthal, D. The case for using industrial quality management science in health care organizations. JAMA. 1989;262:2869–2873.CrossRefGoogle ScholarPubMed
9. Scheckler, WE, Scheibel, W Kresge, D. Temporal trends in septicemia in a community hospital. Am J Med. 1991;91 (suppl 3B):90–94.CrossRefGoogle Scholar
10. Berwick, DM. Continuous improvement as an ideal in health care . N Engl J Med. 1989;320:53–56.CrossRefGoogle ScholarPubMed
11. Berwick, DM, Godfrey, AB, Roessner, JJ. Curing Health Care. San Francisco, Ca: Josey Bass Publisher; 1990.Google Scholar
12. Deming, WE. Out of the Crisis. Cambridge, Ma: Massachusetts Institute of Technology, Center for Advanced Engineering Study: 1986.Google Scholar
13. Juran, JM. Planning for Quality New York, NY: The Free Press; 1988.Google Scholar
14. Joint Commission on Accreditation of Healthcare Organizations. The Joint Commissions Agenda for Change: Stimulating Continual Improvement in the Quality of Care, February 1990. Chicago, Ill: Joint Commission on Accreditation of Healthcare organizations; 1990.Google Scholar
15. Goldman, RL. The reliability of peer assessments of quality of care . JAMA. 1992;267:958–960.CrossRefGoogle ScholarPubMed
16. Rubin, HR, Rogers, WH, Kahn, KL, Rubenstein, LV Brook, RH. Watching the doctor-watchers: how well do peer review organization methods detect hospital care quality problems? JAMA. 1992;267:2349–2354.CrossRefGoogle ScholarPubMed