60 performance measures with operational definitions (PDF) - HRSA

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# Measure Numerator Denominator IOM Quality Donabedian Diagnosis Measure Required Data Elements Notes /Reference Domain Framework Category Level* * (A)Individual Clinician or Group of Clinicians (e.g. nurses, residents, attendings, fellows); (B) Facility (ED); (C) System-Wide Measure Childhood Infections 10.5 Blood, urine and Number of febrile neonates who received Number of patients Effective Process Neonatal Fever A, B Unique visit identifier Definitions: cerebrospinal fluid cultures for neonates prior to antibiotic therapy antibiotic therapy AFTER having CSF, blood, AND urine cultures obtained
# Measure Numerator Denominator IOM Quality Donabedian Diagnosis Measure Required Data Elements Notes /Reference Domain Framework Category Level* * (A)Individual Clinician or Group of Clinicians (e.g. nurses, residents, attendings, fellows); (B) Facility (ED); (C) System-Wide Measure Quality and Safe Care for All Patients 11.1 Hand-washing rates Number of times hand washing is performed Number of times a Safe Process General A, B -Data obtained from random periods of direct observation just prior to patient contact care provider enters a room to provide patient care and includes all health care providers 11.2 Transfer Agreement Transfer agreement for pediatric patients in N/A Effective, Structure General B -Must include components from “Policy Statement— for Pediatric Patients place (Y/N) Safe Guidelines for Care of Children in the Emergency Department”; Annals of Emergency Medicine and Pediatrics, October 2009 -Transfer agreements should include: Defined process for initiation of transfer, including roles and responsibilities of referring and referral center Transport plan for delivering children Process for selecting appropriate care facility Process for selecting appropriately staffed transport service Process for patient transfer Plan for transfer of patient information Process for return transfer 11.3 Return Visits within Number of patients < 18 years of age Total number of Effective, Outcome General A, B Unique visit identifier 48 hours resulting in returning within 48 hours of a prior visit visits by patients < Safe Patient arrival time admission whose return visit results in hospital admission 18 years of age Patient left ED time 11.4 Medication error rates Counts of each of the following types of Number of patients Safe Outcome Cross-cutting A, B -Report rate of each type of error individually as well as errors Medication given but not ordered Medication ordered but not given Wrong drug given from what was ordered < 18 years of age with a medication ordered (medications) total medication error rate Reference: Marcin JP et al. (2007). Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 50:361-7 Wrong dosage Wrong or inappropriate drug for condition Wrong administration technique Wrong route Wrong dosage form 15 of 16
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60 performance measures with operational definitions (PDF) - HRSA

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