Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases.

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      622110 General Medical and Surgical Hospitals
      622111 General (except paediatric) hospitals
    • Abstract:
      Mortality rates during hospital stays for common diseases show considerable variation at the hospital level, which suggests that there is potential for outcome improvement. We studied changes in mortality after an intervention that aimed to improve medical outcomes through quality measurement combined with peer review. We examined eighteen acute care hospitals purchased by the Helios Hospital Group in Germany from one year before to three years after the start of the intervention. In hospital mortality for myocardial infarction, heart failure, ischemic stroke, and pneumonia was stratified by initial hospital performance and compared to the German average. Following the intervention, hospitals whose performance was initially subpar significantly reduced in-hospital mortality for all four diseases. In hospitals that initially performed well, no significant changes in mortality were observed. The observational nonrandomized data suggest that the quality management approach was associated with improved outcomes in initially subpar hospitals. Disease- specific measures of mortality, combined with peer reviews, can be used to direct actions to areas of potential improvement. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Research Scientist, Department of Structural Advancement & Quality Management in Health Care, Technische Universität Berlin, Germany
      2Professor, Department of Structural Advancement & Quality Management in Health Care, Technische Universität Berlin
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2012.0925
    • Accession Number:
      90291945
  • Citations
    • ABNT:
      NIMPTSCH, U.; MANSKY, T. Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases. Health Affairs, [s. l.], v. 32, n. 9, p. 1616–1623, 2013. Disponível em: . Acesso em: 20 ago. 2019.
    • AMA:
      Nimptsch U, Mansky T. Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases. Health Affairs. 2013;32(9):1616-1623. doi:10.1377/hlthaff.2012.0925.
    • APA:
      Nimptsch, U., & Mansky, T. (2013). Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases. Health Affairs, 32(9), 1616–1623. https://doi.org/10.1377/hlthaff.2012.0925
    • Chicago/Turabian: Author-Date:
      Nimptsch, Ulrike, and Thomas Mansky. 2013. “Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases.” Health Affairs 32 (9): 1616–23. doi:10.1377/hlthaff.2012.0925.
    • Harvard:
      Nimptsch, U. and Mansky, T. (2013) ‘Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases’, Health Affairs, 32(9), pp. 1616–1623. doi: 10.1377/hlthaff.2012.0925.
    • Harvard: Australian:
      Nimptsch, U & Mansky, T 2013, ‘Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases’, Health Affairs, vol. 32, no. 9, pp. 1616–1623, viewed 20 August 2019, .
    • MLA:
      Nimptsch, Ulrike, and Thomas Mansky. “Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases.” Health Affairs, vol. 32, no. 9, Sept. 2013, pp. 1616–1623. EBSCOhost, doi:10.1377/hlthaff.2012.0925.
    • Chicago/Turabian: Humanities:
      Nimptsch, Ulrike, and Thomas Mansky. “Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases.” Health Affairs 32, no. 9 (September 2013): 1616–23. doi:10.1377/hlthaff.2012.0925.
    • Vancouver/ICMJE:
      Nimptsch U, Mansky T. Quality Measurement Combined With Peer Review Improved German In-Hospital Mortality Rates For Four Diseases. Health Affairs [Internet]. 2013 Sep [cited 2019 Aug 20];32(9):1616–23. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=90291945&custid=s8280428