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The Outcome IndexA Method of Quality Assurance in the Special Care Area
Arthur S. McFee, MD;
James Gilbert, MD
Arch Surg. 1989;124(7):825-829.
Abstract
• A method of quality assurance for a surgical intensive care unit is described. A system outcome score is devised, incorporating only easily obtained objective components that reflect the likelihood of death. Through the use of a derived outcome index, the actual mortality rate is compared with the predicted mortality rate as a method of monitoring the quality of care provided. Subroutines exist to identify errors in data entry, to detect malicious interference in patient care, to add nonscoring components for the purposes of clinical studies, and to facilitate retrieval of a concise summary of the major events during the stay of every patient admitted to the intensive care unit.
(Arch Surg. 1989;124:825-829)
Author Affiliations
From the Departments of Surgery (Dr McFee) and Anesthesiology (Dr Gilbert), University of Texas Health Science Center, San Antonio, Tex.
Footnotes
Accepted for publication March 6, 1989.
Read before the 96th Annual Meeting of the Western Surgical Association, San Diego, Calif, November 15, 1988.
Reprint requests to Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78284 (Dr McFee).
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