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Using clinical indicators to change clinical practice

R Portelli1, J Williams, B Collopy

  • 1Australian Council on Healthcare Standards Care Evaluation Program, Victoria.

Journal of Quality in Clinical Practice
|January 14, 1998
PubMed
Summary
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Monitoring clinical indicators in Australian healthcare organizations stimulates quality improvement activities. A 1995 survey confirmed that using these indicators led to documented changes in clinical practice, enhancing patient care quality.

Area of Science:

  • Healthcare Quality Improvement
  • Clinical Performance Measurement

Background:

  • The Australian Council on Healthcare Standards (ACHS) Care Evaluation Program (CEP) identified potential for quality activities through clinical indicator monitoring in 1993.
  • A need existed to assess the sustained impact of clinical indicators on patient outcomes.

Purpose of the Study:

  • To determine if the potential for improved patient outcomes from clinical indicator monitoring had continued.
  • To evaluate the use of clinical indicators in driving quality improvement activities in healthcare organizations.

Main Methods:

  • A survey was conducted in 1995 of healthcare organizations participating in the ACHS CEP accreditation survey.
  • Qualitative data on the use of clinical indicator data for quality improvement were collected.
  • A follow-up survey detailed reported changes implemented due to clinical indicator monitoring.

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Main Results:

  • Organizations monitoring hospital-wide medical and obstetrics/gynaecology clinical indicator sets reported change on 505 occasions.
  • Detailed information on 251 reported changes was obtained through a follow-up survey.
  • Evidence confirmed the use of clinical indicators to implement changes in clinical practice.

Conclusions:

  • Clinical indicator monitoring continues to be a stimulus for quality improvement activities in Australian healthcare.
  • The use of clinical indicators provides evidence of their role in implementing changes to enhance patient care quality.