0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
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

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

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.
Submit a Comment

Multimedia

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

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

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

brightcove.createExperiences();