6018.0: Thursday, October 25, 2001: 8:30 AM-10:00 AM | ||||
Oral Session | ||||
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| This panel will present the Process of Care Model as a framework for understanding the interrelationship among quality improvement research studies such as those presented in the session. Taken alone, the three studies each address important aspects of quality improvement, yet there are no obvious relationships among the studies, nor is there a clear definition of quality that ties them together. This is because much of quality improvement literature lacks an organizing framework to conceptualize quality. Historically Donabedian’s paradigm of structure-process-outcome has been used as the theoretical basis for defining and measuring quality, and this approach has led to the current linear and reductionistic emphasis on outcomes. Yet, as the studies presented indicate, health care is dynamic and ongoing, with the outcome of one discrete health care episode often impacting the next episode. For the field of quality improvement to advance, a new conceptualization is needed. The Process of Care Model provides a theoretical basis for the definition of quality, and explicates more completely the human interactive process that occurs in health care. The Model provides a framework for the organization of outcome measures and may aid the ability to understand why some outcomes are present and others are not. When the Process of Care Model is used as an organizing framework, the three studies presented in this session can be seen to each address selected components of the model and the discrete results of each study begin to provide a meaningful body of knowledge about quality of care. | ||||
| See individual abstracts for presenting author's disclosure statement. | ||||
| Learning Objectives: Applying the Process of Care Model to Quality Improvement Research | ||||
| Susan McCabe, EDD RN CS Carol Macnee, PhD, RN, ANP | ||||
| Gordon Schiff Patricia Byrns | ||||
| Understanding the relationship between patient, process and organizational factors and primary central line associated bloodstream infections (BSI): The EPIC study Barbara I. Braun, PhD, Stephen Kritchevsky, PhD, Bryan Simmons, MD, Lynn Steele, RN, CIC, MS, Steve Solomon, MD, Cheryl Richards, BS, RHIA, Edward Wong, MD | ||||
| Preventable invasive pneumococcal disease and missed opportunities to immunize in hospital Florencia Pereyra, MD, Glenn Eiger, MD, FACP, James W. Sweeney, BSN, RN, Barbara Watson, MD | ||||
| Survey of Housestaff and Medical Students' Knowledge, Attitudes and Experiences Regarding Tuberculosis Cheryl P. Sterling, MPH, MD, Ronald Braithwaite, PhD, Henry M. Blumberg, MD, Gene Stringer, MD, Jane R. Tapia, BSN, Robert E. Bailey II | ||||
| Sponsor: | Medical Care | |||
| Cosponsors: | Health Administration; Socialist Caucus | |||
| CE Credits: | CME, Health Education (CHES), Nursing, Pharmacy, Social Work | |||