RT Book, Section A1 Amaral, Andre Carlos Kajdacsy-Balla A1 Rubenfeld, Gordon D. A2 Hall, Jesse B. A2 Schmidt, Gregory A. A2 Kress, John P. SR Print(0) ID 1107710681 T1 Measuring Quality T2 Principles of Critical Care, 4e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071738811 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1107710681 RD 2024/03/29 AB Quality is defined as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”The ability to measure quality is an essential component to improve quality of care.Quality of care has multiple domains and no single metric can appropriately define quality.Quality indicators should represent metrics that have face validity and are actionable by patients, clinicians, and managers.Methodological rigor is necessary to avoid spurious interpretations and provide proper interpretation of quality metrics.Public reporting quality metrics can have unintended consequences to the health care system.Quality metrics can be divided into outcome metrics, process metrics, and structural metrics.Quality metrics that are based on outcomes are widely used to compare health care systems, but are not necessarily sensitive or specific to identify outliers and may lead to biased conclusions.When rigorously and objectively defined, quality metrics that are based on processes of care can be more informative on specific aspects of quality.Many structural aspects of ICUs are associated with quality, but it is possible for ICUs that do not have these attributes to still perform with high quality.