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- The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) are measures that organizations can apply to inpatient hospital data to assess and improve health care quality, identify areas that need further study and investigation, and track changes over time.
qualityindicators.ahrq.gov/faqs?tag=QIOverview-WhatAreQIsAHRQ - Quality Indicators - Agency for Healthcare Research ...
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How can quality indicators improve hospital care?
What are Health Care Quality Indicators?
Why do hospitals monitor quality indicators?
The AHRQ QIs use hospital administrative data to assess the quality of care provided, identify areas of concern in need of further investigation, and monitor progress over time. This toolkit focuses on the 17 Patient Safety Indicators (PSIs) and the 28 Inpatient Quality Indicators (IQIs).
- Quality Indicators (QIs)
AHRQ Quality Indicators (Qis) are standardized,...
- Quality Indicators (QIs)
From this definition of quality, specific indicators can be developed to moni-tor and promote quality and to compare (over time and between) hospitals or other healthcare provid-ers (7). In this introduction to quality indicators, we review their theory, application and potential in Canada.
Quality measurement accounts for complex aspects of healthcare quality, which involves assessing and addressing issues at many different levels of healthcare, such as health outcomes for patients and hospitals’ use of best practices.
- Introduction
- Methods
- Results
- Discussion
With increasing frequency, hospitals in various countries report and monitor indicator data in order to improve the quality of care [1–4]. Quality indicators aim to detect sub-optimal care either in structure, process or outcome, and can be used as a tool to guide the process of quality improvement in health care . Monitoring the health care qualit...
Data source
A systematic literature search was conducted in MEDLINE and the Cochrane Library for the period from January 1994 to January 2008. We searched all articles published in the English and Dutch languages. The search was limited to randomized controlled trials (RCTs), controlled clinical trials (CCTs) and controlled before–after studies (CBAs), as categorized in MEDLINE. A RCT is the most robust study design to show the effect of quality improvement strategies . However, as some strategies ar...
Study selection
Firstly, we selected studies based on the relevance of the focus of the study. Studies reporting the use of quality indicators as a tool to improve hospital care were included. Studies that measured care processes or patient outcomes were also included, if the focus was on inpatient care at the hospital level, ward, or individual specialist. Studies concerned with primary care, e.g. general practitioners, chronic health, mental health and dental care were excluded because the delivery of care...
Selection of articles
As a result of the search, 516 studies were identified (see Fig. 1). Of these, 465 were excluded, because these studies did not aim to measure the effect of the use of quality indicators. Four additional new articles were obtained from the reference lists. A total of 55 articles was evaluated by two reviewers, based on the quality of the studies. Finally, 21 studies were included.
Study characteristics
We included nine RCTs [16–24], two CCTs [25, 26] and ten CBAs [27–36]. The majority of the trials were conducted in the United States (17 studies); the others were carried out in Canada , Australia , Sweden and Laos . Furthermore, quality indicators were in a wide range of medical disciplines within hospital care. The majority of studies focused on the use of quality indicators in cardiovascular care (67%) [16, 17, 19, 20, 22–24, 27, 29, 32–36]. Most studies (81%) aimed at im...
Types of implementation strategies
The methods used to implement quality indicators were classified into implementation strategies in which the information on quality indicators was used directly, or that did not use the information on quality indicators directly, but only supported the implementation, such as the involvement of a quality improvement team. Table 2 shows the implementation strategies used. The most frequently used implementation strategies in which the information on quality indicators was used directly were au...
The two main objectives of this review were to explore the best implementation strategy for quality indicators, and to quantify the effectiveness of using quality indicators as a tool to improve quality of hospital care. Our results show that the majority of the studies included reported combinations of implementation strategies in which audit and ...
- Maartje De Vos, Wilco Graafmans, Mieneke Kooistra, Bert Meijboom, Peter Van Der Voort, Gert Westert
- 2009
The OECD Health Care Quality Indicator Project provides a list of 55 quality indicators for cross-country analyses of the quality of primary care, acute care and mental care, as well as patient safety and patient experiences (OECD HCQI, 2016).
- Wilm Quentin, Veli-Matti Partanen, Ian Brownwood, Niek Klazinga
- 2019
- 2019
The Quality Indicators (QIs) developed and maintained by the Agency for Healthcare Research and Quality (AHRQ) are one response to the need for multidimensional, accessible quality measures that can be used to gage performance in health care.
AHRQ Quality Indicators (Qis) are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes.
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