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Criteria mapping: a method of quality assurance
1Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Summary
Criteria mapping effectively assesses occupational therapy quality of care. This chart audit method demonstrated good reliability for evaluating self-care disability in acute care settings.
Area of Science:
- Occupational Therapy
- Healthcare Quality Improvement
- Health Informatics
Background:
- Criteria mapping is a flexible chart audit method for assessing care processes and outcomes.
- It suits occupational therapy by accommodating sequential clinical judgments and omitting unnecessary procedures.
- Evaluating the quality of care in occupational therapy requires reliable audit tools.
Purpose of the Study:
- To determine the utility and reliability of criteria mapping for quality assessment.
- To evaluate care quality for self-care disability in an acute care setting.
- To assess the applicability of criteria mapping in occupational therapy.
Main Methods:
- Utilized criteria mapping for health record abstraction and chart audit.
- Three occupational therapists and one independent abstractor evaluated 12 charts twice.
- Calculated intraobserver and interobserver reliability using intraclass correlation coefficients.
Main Results:
- Intraobserver reliability was .77 for therapists and .65 for all observers.
- Interobserver reliability was .73 for therapists and .72 for all observers.
- The criteria map provided comprehensive and relevant chart information.
Conclusions:
- Criteria mapping is a reliable tool for monitoring occupational therapy quality of care.
- The method is useful for evaluating self-care disability in acute care.
- Findings support ongoing quality monitoring in occupational therapy.