Literature DB >> 19773653

The unintended consequences of quality improvement.

Naomi S Bardach1, Michael D Cabana.   

Abstract

PURPOSE OF REVIEW: The focus on quality improvement has led to several types of initiatives in pediatric care; however, these programs may lead to potential unintended consequences. RECENT
FINDINGS: Unintended consequences of quality improvement programs that have been described are reviewed. Unintended effects on resource utilization include effects on costs, as well as the inability to apply programs across different populations and affect disparities in care. Unintended effects on provider behavior include measurement fixation behavior, as well as 'crowding out' behavior, in which gains in quality in one area may simply occur at the expense of quality of care in another. Patient preferences may not always match specific quality improvement measures. Unintended effects for patients may include decreased patient satisfaction, trust, or confidence in their provider.
SUMMARY: Recognition and anticipation of the possible unintended consequences of guideline implementation is a critical step to harnessing all the benefits of quality improvement in practice.

Entities:  

Mesh:

Year:  2009        PMID: 19773653      PMCID: PMC3861327          DOI: 10.1097/MOP.0b013e3283329937

Source DB:  PubMed          Journal:  Curr Opin Pediatr        ISSN: 1040-8703            Impact factor:   2.856


  29 in total

Review 1.  Clinical practice guidelines and the cost of care. A growing alliance.

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Journal:  Int J Technol Assess Health Care       Date:  2000       Impact factor: 2.188

2.  Surgical mortality as an indicator of hospital quality: the problem with small sample size.

Authors:  Justin B Dimick; H Gilbert Welch; John D Birkmeyer
Journal:  JAMA       Date:  2004-08-18       Impact factor: 56.272

3.  Guidelines for medical practice: 1. The reasons why.

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Journal:  CMAJ       Date:  1990-09-15       Impact factor: 8.262

4.  Identifying poor-quality hospitals. Can hospital mortality rates detect quality problems for medical diagnoses?

Authors:  T P Hofer; R A Hayward
Journal:  Med Care       Date:  1996-08       Impact factor: 2.983

5.  Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations.

Authors:  J M Grimshaw; I T Russell
Journal:  Lancet       Date:  1993-11-27       Impact factor: 79.321

6.  Changes in the scope of care provided by primary care physicians.

Authors:  R F St Peter; M C Reed; P Kemper; D Blumenthal
Journal:  N Engl J Med       Date:  1999-12-23       Impact factor: 91.245

7.  Are patients' office visits with physicians getting shorter?

Authors:  D Mechanic; D D McAlpine; M Rosenthal
Journal:  N Engl J Med       Date:  2001-01-18       Impact factor: 91.245

8.  Medicaid markets and pediatric patient safety in hospitals.

Authors:  Richard B Smith; Robyn Cheung; Pamela Owens; R Mark Wilson; Lisa Simpson
Journal:  Health Serv Res       Date:  2007-10       Impact factor: 3.402

9.  Outmigration for coronary bypass surgery in an era of public dissemination of clinical outcomes.

Authors:  N A Omoigui; D P Miller; K J Brown; K Annan; D Cosgrove; B Lytle; F Loop; E J Topol
Journal:  Circulation       Date:  1996-01-01       Impact factor: 29.690

10.  Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measure.

Authors:  Louise C Walter; Natalie P Davidowitz; Paul A Heineken; Kenneth E Covinsky
Journal:  JAMA       Date:  2004-05-26       Impact factor: 56.272

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  10 in total

Review 1.  Public release of performance data in changing the behaviour of healthcare consumers, professionals or organisations.

Authors:  Nicole A B M Ketelaar; Marjan J Faber; Signe Flottorp; Liv Helen Rygh; Katherine H O Deane; Martin P Eccles
Journal:  Cochrane Database Syst Rev       Date:  2011-11-09

Review 2.  Public reporting of PCI outcomes: for better or for worse.

Authors:  Brian J Potter; Robert W Yeh; Duane S Pinto
Journal:  Curr Cardiol Rep       Date:  2014-07       Impact factor: 2.931

3.  What has to happen before we report radical prostatectomy outcomes of individual surgeons to the public?

Authors:  Andrew Vickers; James Eastham
Journal:  Urol Oncol       Date:  2010-09-29       Impact factor: 3.498

4.  From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.

Authors:  Naomi S Bardach; Audrey Lyndon; Renée Asteria-Peñaloza; L Elizabeth Goldman; Grace A Lin; R Adams Dudley
Journal:  BMJ Qual Saf       Date:  2015-12-15       Impact factor: 7.035

5.  General practitioners uses and perceptions of voluntary electronic feedback on treatment outcomes - a qualitative study.

Authors:  Maria Laura Lippert; Marius Brostrøm Kousgaard; Lars Bjerrum
Journal:  BMC Fam Pract       Date:  2014-11-30       Impact factor: 2.497

6.  Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study.

Authors:  Jose F Figueroa; Yusuke Tsugawa; Jie Zheng; E John Orav; Ashish K Jha
Journal:  BMJ       Date:  2016-05-09

7.  Is it time to abandon care planning in mental health services? A qualitative study exploring the views of professionals, service users and carers.

Authors:  Helen L Brooks; Karina Lovell; Penny Bee; Caroline Sanders; Anne Rogers
Journal:  Health Expect       Date:  2017-11-16       Impact factor: 3.377

8.  Unintended consequences and challenges of quality measurements in dentistry.

Authors:  Enihomo M Obadan-Udoh; Jean M Calvo; Sapna Panwar; Kristen Simmons; Joel M White; Muhammad F Walji; Elsbeth Kalenderian
Journal:  BMC Oral Health       Date:  2019-03-01       Impact factor: 2.757

9.  An Integrated Care Strategy for Pre-schoolers with Suspected Developmental Disorders: The Optimus Co-design Project that has Made it to Regular Care.

Authors:  Anna Sarkadi; Anton Dahlberg; Kajsa Leander; Moa Johansson; Johanna Zahlander; Anna Fäldt; Robert S Kristiansson; Kine Johansen
Journal:  Int J Integr Care       Date:  2021-04-15       Impact factor: 5.120

10.  Unintended Consequences Following the 2014 American Academy of Pediatrics Policy Change for Palivizumab Prophylaxis among Infants Born at Less than 29 Weeks' Gestation.

Authors:  Mitchell Goldstein; Leonard R Krilov; Jaime Fergie; Lance Brannman; Sally W Wade; Amanda M Kong; Christopher S Ambrose
Journal:  Am J Perinatol       Date:  2020-04-16       Impact factor: 1.862

  10 in total

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