Biomaterial Database

Institutional and professional responsibilities in quality assurance. 1989

A Donabedian

School of Public Health, University of Michigan.

The quality of care has three components: the goodness of technical care, judged by its effectiveness, the goodness of the interpersonal relationship, judged partly by its contribution to technical care, and the goodness of the amenities. Quality assurance protects and enhances quality through system design and performance monitoring. Monitoring may occur informally in the course of collaborative practice. Formal monitoring is conducted by: (1) systematically collecting information about the process and outcome of care, (2) identifying patterns of practice, (3) explaining these patterns, (4) acting to correct deficiencies, and (5) verifying the effects of remedial actions. Rather than being a policing activity, monitoring implements professional accountability and contributes to rational management by documenting the quality of the product. Its effectiveness depends in specified ways on (1) leadership, (2) organizational characteristics, (3) characteristics of health care professionals, (4) features of the method of monitoring, and (5) methods used to influence practitioner behavior.

UI	MeSH Term	Description	Entries
D008722	Methods	A series of steps taken in order to conduct research.	Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D010043	Outcome and Process Assessment, Health Care	Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.	Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D011785	Quality Assurance, Health Care	Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.	Quality Assessment, Health Care,Health Care Quality Assessment,Health Care Quality Assurance,Healthcare Quality Assessment,Healthcare Quality Assurance,Quality Assessment, Healthcare,Quality Assurance, Healthcare,Assessment, Healthcare Quality,Assessments, Healthcare Quality,Assurance, Healthcare Quality,Assurances, Healthcare Quality,Healthcare Quality Assessments,Healthcare Quality Assurances,Quality Assessments, Healthcare,Quality Assurances, Healthcare
D002983	Clinical Competence	The capability to perform acceptably those duties directly related to patient care.	Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D005069	Evaluation Studies as Topic	Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies.	Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D006280	Health Workforce	The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.	Health Manpower,Health Occupations Manpower,Manpower, Health,Manpower, Health Occupations,Workforce, Health
D006296	Health Services	Services for the diagnosis and treatment of disease and the maintenance of health.	Services, Health,Health Service
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013597	Systems Analysis	The analysis of an activity, procedure, method, technique, or business to determine what must be accomplished and how the necessary operations may best be accomplished.	Agent-Based Modeling,Analysis, Systems,Complexity Analysis,System Dynamics Analysis,Systems Approach,Systems Medicine,Systems Oriented Approach,Systems Thinking,Agent Based Modeling,Agent-Based Modelings,Analyses, Complexity,Analyses, System Dynamics,Analyses, Systems,Analysis, Complexity,Analysis, System Dynamics,Approach, Systems,Approach, Systems Oriented,Approachs, Systems,Approachs, Systems Oriented,Complexity Analyses,Dynamics Analyses, System,Dynamics Analysis, System,Medicine, Systems,Medicines, Systems,Modeling, Agent-Based,Modelings, Agent-Based,System Dynamics Analyses,Systems Analyses,Systems Approachs,Systems Medicines,Systems Oriented Approachs,Systems Thinkings,Thinking, Systems,Thinkings, Systems
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.