Abstract
After a period of intense focus on efforts to improve the cost efficiency of health care, there is a sense of rising urgency about identifying and improving the associated levels of the quality of care. A widely acknowledged indicator of quality is the occurrence of adverse, sentinel, events during care. The step toward reducing the risk of such events is to understand sometimes about their causes and the variation in their occurrence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Al-Haider, A. S. and Wan, T.T.H. (1991). Modeling organizational determinants of hospital mortality. Health Services Research, 26, 303–323.
Bagian, J.P., Lee, C., Gosbee, J., DeRosier, J., Stalhandske, E., Eldridge, N., Williams, R. and Burkhardt, M. (2001). Developing and deploying a patient safety program in a large health care delivery system: You can’t fix what you don’t know about. Joint Commission Journal on Quality Improvement. 27 (10), 522–532.
Balestracci, D. and Barlow, J.L. (1996). Quality Improvement: Practical Applications for Medical Group Practice. Englewood, Colorado: Center for Research in Ambulatory Health Care Administration.
Berry, K. and Krizek, B. (2000). Root cause analysis in response to a “near miss.” Journal of Healthcare Quarterly, 22 (2), 16–18.
Bollen, K. (1989). Structural Equations with Latent Variables. New York: John Wiley and Sons.
Brassard, M. and Ritter, D. (1994). The Memory Jogger II: A Pocket Guide of Tools for Continuous Improvement & Effective Planning. Methusen, MA: GOAL/QPC.
Deming, W.E. (1993). The New Economics. Cambridge, MA: Massachusetts Institute of Technology Press.
Elixhauser, A., Steiner, C., Harris, D.R. and Coffey, R. (1998). Comorbidity measures for use with administrative data. Medical Care, 36, 1, 8–27.
Green, J. and Wintfeld, N. (1993). How accurate are hospital discharge data for evaluating effectiveness of care? Medical Care, 31: 719–731.
Handley, C.C. (2000). Quality improvement through root cause analysis. Hospital Material Management Quarterly, 21 (4),74–78.
Hritz, R.W., Everly, J.L. and Care, S.A. (2002). Medication error identification is a key to prevention: a performance improvement approach. Journal of Healthcare Quality, 24(2),10–17.
Iezzoni, L.L, Ash, A.S., Shwartz, M., Landon, B.E. and Meckiernan, Y.D. (1998). Predicting in-hospital deaths from coronary artery bypass graft surgery. Medical Care, 36, 1, 28–39.
Jőreskog, K. G. (1979). Basic ideas of factor and component analysis. In K.G. Joreskog and D. Sorbom (eds.), Advances in Factor Analysis and Structural Equation Models. Cambridge, MA: ABT Associates, Inc.
Joreskog, K.G. and Sorbom, D. (1989). LISREL 7: A Guide to the Program and Applications. Chicago: SPSS, Inc.
Kaminsky, F.C., Maleyeff, J., Providence, S., Purinton, E. and Waryasz, M. (1997). Using SPC to analyze quality indicators in a healthcare organization, ASHRM. Journal of Healthcare Risk Management, Fall, 14–22.
Land, K. (1969). Principles of path analysis. In E.F. Brogatta (ed.). Sociological Methodology. San Francisco: Jossey-Bass Inc, 3–37.
Marcoulides, G.A. and Hershberger, S.L. (1997). Multivariate Statistical Methods. Mahwah, NJ: Lawrence Erlbaum Associates, Publishers.
McGlynn, E.A. (1997). Six challenges in measuring the quality of health care. Health Affairs, 16 (3): 7–25.
McNutt, R.A. and Abrams, R.I. (2002). A model of medical error based on a model of disease: interaction between adverse events, failures, and their errors. Quality Management in Health Care, 10 (2): 23–28.
Rex, J.H., Turnbull, J.E., Allen, S.J., Vande Voorde, K. and Luther, K. (2000). Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Joint Commission Journal on Quality Improvement, 26 (10): 563–575.
Wan, T.T.H. (1992). Hospital variations in adverse patient outcomes. Quality Assurance and Utilization, 7, 2, 50–53.
Wan, T.T.H.(1995). Analysis and Evaluation of Health Systems: An Integrated Approach to Managerial Decision Making. Baltimore: Health Professions Press.
Wan, T.T.H. (2002). Evidence-Based Health Care Management: Multivariate Modeling Approaches. Boston: Kluwer Academic Publishers.
Weinberg, N. (2001). Using performance measures to identify plans of action to improve care. Joint Commission Journal on Quality Improvement, 27 (12): 683–688.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer Science+Business Media New York
About this chapter
Cite this chapter
Wan, T.T.H., Connell, A.M. (2003). Identifying the Root Causes or Patterns of Adverse Health Events: Statistical Methods. In: Monitoring the Quality of Health Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1097-0_16
Download citation
DOI: https://doi.org/10.1007/978-1-4615-1097-0_16
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5393-5
Online ISBN: 978-1-4615-1097-0
eBook Packages: Springer Book Archive