Comments on: Quality – the number one issue http://www.medrants.com/archives/2386 Contemplating medicine and the health care system Fri, 19 Mar 2010 12:28:23 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Greg P http://www.medrants.com/archives/2386/comment-page-1#comment-22430 Greg P Wed, 08 Jun 2005 01:45:55 +0000 http://medrants.com/archives/2005/05/31/quality-the-number-one-issue/#comment-22430 The problem I see with analyses of quality, with the plan to implement changes starts with quality really being a nebulous entity. So we measure epiphenomena of quality, then implement those epiphenomena and calling that an improvement. It would be something like analyzing the motions of a great actor, imitating them, then saying, "Now I too am a great actor!" The problem I see with analyses of quality, with the plan to implement changes starts with quality really being a nebulous entity.
So we measure epiphenomena of quality, then implement those epiphenomena and calling that an improvement.

It would be something like analyzing the motions of a great actor, imitating them, then saying, “Now I too am a great actor!”

]]> By: Ram http://www.medrants.com/archives/2386/comment-page-1#comment-22329 Ram Sat, 04 Jun 2005 07:47:30 +0000 http://medrants.com/archives/2005/05/31/quality-the-number-one-issue/#comment-22329 Regarding quality: this is big in the UK where I work. Unfortunately, quantity is easier to measure than quality, and inappropriate measures of quality (such as "time to discharge from ER") are driving clinical practice right now. My wife is doing a high-quality MS in quality improvement in clinical practice so at least one of us will profit from the ever-burgeoning bureaucracy. Seriously though, this MS run by the University of Swansea is targetted at administrators and teaches them about epidemiological methods, economic analysis and other areas which should raise the quality of quality initiatives. Regarding quality: this is big in the UK where I work. Unfortunately, quantity is easier to measure than quality, and inappropriate measures of quality (such as “time to discharge from ER”) are driving clinical practice right now. My wife is doing a high-quality MS in quality improvement in clinical practice so at least one of us will profit from the ever-burgeoning bureaucracy. Seriously though, this MS run by the University of Swansea is targetted at administrators and teaches them about epidemiological methods, economic analysis and other areas which should raise the quality of quality initiatives.

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