International Journal of Medical Informatics
Volume 53, Issue 2 , Pages 115-124 , 1 February 1999

Using information systems to measure and improve quality

  • David W. Bates

      Affiliations

    • Partners Information Systems, Boston, MA 02115, USA
    • Brigham and Women's Hospital, Boston, MA, USA
    • Corresponding Author InformationCorresponding author
    • ,
  • Elizabeth Pappius

      Affiliations

    • Partners Information Systems, Boston, MA 02115, USA
    • ,
  • Gilad J. Kuperman

      Affiliations

    • Partners Information Systems, Boston, MA 02115, USA
    • ,
  • Dean Sittig

      Affiliations

    • Partners Information Systems, Boston, MA 02115, USA
    • ,
  • Helen Burstin

      Affiliations

    • Brigham and Women's Hospital, Boston, MA, USA
    • ,
  • David Fairchild

      Affiliations

    • Brigham and Women's Hospital, Boston, MA, USA
    • ,
  • Troyen A. Brennan

      Affiliations

    • Brigham and Women's Hospital, Boston, MA, USA
    • ,
  • Jonathan M. Teich

      Affiliations

    • Partners Information Systems, Boston, MA 02115, USA
    • Brigham and Women's Hospital, Boston, MA, USA

References 

  1. D.W. Bates, E. Pappius, G.J. Kuperman, D. Sittig, H. Burstin, D.G. Fairchild, T.A. Brennan, J.M. Teich, Measuring and Improving Quality Using Information Systems, MEDINFO 1998, 2, A14–A15.
  2. Spiegel JS, Shapiro MF, Berman B, Greenfield S. Changing physician test ordering in a university hospital. An intervention of physician participation, explicit criteria and feedback. Arch. Intern. Med. 1989;149:549–553
  3. Eisenberg JM, Williams SV, Garner L, Viale R, Smits H. Computer-based audit to detect and correct overutilization of laboratory tests. Med. Care. 1977;15:915–921
  4. Williams SV, Eisenberg JM. A controlled trial to decrease the unnecessary use of diagnostic tests. J. Gen. Intern. Med. 1986;1:8–13
  5. Schroeder SA, Kenders K, Cooper JK, Piemme TE. Use of laboratory tests and pharmaceuticals. Variation among physicians and effect of cost audit on subsequent use. J. Am. Med. Assoc. 1973;225:969–973
  6. Dixon RH, Laszlo J. Utilization of clinical chemistry services by medical house staff. An analysis. Arch. Intern. Med. 1974;134:1064–1067
  7. Martin AR, Wolf MA, Thibodeau LA, Dzau V, Braunwald E. A trial of two strategies to modify the test-ordering behavior of medical residents. New Engl. J. Med. 1980;303:1330–1336
  8. Grossman RM. A review of physician cost-containment strategies for laboratory testing. Med. Care. 1983;21:783–802
  9. Parrino TA. The nonvalue of retrospective peer comparison feedback in containing hospital antibiotic costs. Am. J. Med. 1989;86:442–448
  10. Eisenberg JM, Williams SV. Cost containment and changing physicians' practice behavior. Can the fox learn to guard the chicken coop?. J. Am. Med. Assoc. 1981;246:2195–2201
  11. Soumerai SB, Avorn J. Efficacy and cost-containment in hospital pharmacotherapy: state of the art and future directions. Milbank Mem. Fund Q. Health Soc. 1984;62:447–474
  12. Sox HC. Probability theory in the use of diagnostic tests. An introduction to critical study of the literature. Ann. Intern. Med. 1986;104:60–66
  13. Wennberg Gittelsohn J. Small area variations in health care delivery. Science. 1973;182:1102–1108
  14. Poses RM, Cebul RD, Collins M, et al.  The accuracy of experienced physicians' probability estimates for patients with sore throats. J. Am. Med. Assoc. 1985;254:925–929
  15. Hlatky M, Botvinick E, Brundage B. Diagnostic accuracy of cardiologists compared with probability calculations using Bayes' rule. Am. J. Cardiol. 1982;49:1927–1931
  16. Fryback DG, Thornbury JR. Evaluation of a computerized Bayesian model for diagnosis of renal cyst vs. normal variant from excretory urogram information. Invest. Radiol. 1976;7:102–111
  17. Restuccia JD. The effect of concurrent feedback in reducing inappropriate hospital utilization. Med. Care. 1982;20:46–62
  18. Maryland Hospital Association, The Association of Hospitals and Health Care Systems. Quality indicator project implementation manual, May, 1996.
  19. Appleby C. HEDIS (Health Plan Employer Data and Information Set): managed care's emerging gold standard. Manage. Care. 1995;4:19–24
  20. Bates DW, Kuperman GJ, Jha A, Teich JM, Orav EJ, Ma’luf N, et al. Does the computerized display of charges of charges affect inpatient ancillary test utilization?. Arch. Int. Med. 1997;157:2501–2508
  21. Bates DW, Kuperman GJ, Rittenberg E, Teich JM, Onderdonk A, Winkelman J, et al. Reminders for redundant tests: results of a randomized controlled trial. Proc. Ann. Symp. Comp. Appl. Med. Care. 1995;19:935
  22. Schoenenberger RA, Tanasijevic MJ, Jha A, Bates DW. Appropriateness of antiepileptic drug level monitoring. J. Am. Med. Assoc. 1995;274:1622–1626
  23. Canas F, Tanasijevic M, Ma'Luf N, Bates DW. Evaluating the appropriateness of digoxin level monitoring. J. Gen. Intern. Med. 1997;12:66
  24. Solomon CG, Goel PK, Larsen PR, Tanasijevic M, Bates DW. Thyroid function testing in an ambulatory setting: identifying suboptimal patterns of use. J. Gen. Intern. Med. 1996;11:88
  25. Harpole LH, Khorasani R, Kuperman G, Fiskio J, Bates DW. On-line counterdetailing: does it change physician behavior when ordering abdominal radiographs?. J. Gen. Intern. Med. 1996;11:74
  26. Kuperman GJ, Boyle D, Jha A, Tanasijevic M, Teich JM, Winkelman J, et al. Timeliness of treatment of critical laboratory results in inpatients. J. Gen. Intern. Med. 1995;10:71
  27. Bates DW, Kuperman G, Teich JM. Computerized physician order entry and quality of care. Qual. Manage. Health Care. 1994;2:18–27
  28. Bates DW, O'Neil AC, Boyle D, Teich J, Chertow GM, Komaroff AL, et al. Potential identifiability and preventability of adverse events using information systems. J. Am. Med. Inform. Assoc. 1994;1:404–411
  29. Shojania KG, Yokoe D, Platt R, Fiskio J, Ma'Luf N, Bates DW. Reducing vancomycin utilization using computer order entry: results of an RCT. J. Gen. Intern. Med. 1997;12:63

PII: S1386-5056(98)00152-X

International Journal of Medical Informatics
Volume 53, Issue 2 , Pages 115-124 , 1 February 1999

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