0
Editor's Correspondence |

Evidence-Based Guidelines Can Improve Quality of Care and Reduce Costs

William Rifkin, MD; Angela Askren-Gonzalez, RN, MSN, CMC
Arch Intern Med. 2010;170(13):1173. doi:10.1001/archinternmed.2010.209.
Text Size: A A A
Published online

Extract

The analysis by Chen et al1 found that costs of care for patients with pneumonia and heart failure and measures of quality of care were not tightly correlated, and they concluded that concerns about shorter lengths of stay translating to patient harm were not well founded. Of particular interest to clinicians and policy makers is to identify the “active ingredients” to safe and efficient care.

The literature describes the use of clinical care guidelines as a means to achieve safe and efficient care. Looking specifically at pneumonia, studies have found that implementation of and care concordant with care guidelines is associated with reduced length of stay, lower costs, and most importantly, improved clinical outcomes including reduced mortality.25 One of these studies found that case management combined with guideline-based care was associated with further reductions in length of stay and improved markers of quality of care such as administration of recommended vaccinations.5

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Chapter e23. How to Use an Article About Quality Improvement

brightcove.createExperiences();