Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 14-18, March 2010

Development of Quality-of-Care Indicators for Patients Undergoing Total Hip or Total Knee Replacement

  • Nelson F. SooHoo, MD

      Affiliations

    • UCLA Department of Orthopaedic Surgery, UCLA, Los Angeles, CA, USA
    • Corresponding Author InformationAddress reprint requests to Nelson F. SooHoo, MD, UCLA Department of Orthopaedic Surgery, 10945 Le Conte Ave., PVUB 3355, Los Angeles, CA 90095
    • ,
  • Jay R. Lieberman, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA
    • ,
  • Eugene Farng, MD

      Affiliations

    • UCLA Department of Orthopaedic Surgery, UCLA, Los Angeles, CA, USA
    • ,
  • Samuel Park, MD

      Affiliations

    • UCLA Department of Orthopaedic Surgery, UCLA, Los Angeles, CA, USA
    • ,
  • Sushma Jain, BS

      Affiliations

    • Center for Surgical Outcomes and Quality, UCLA, Los Angeles, CA, USA
    • ,
  • Clifford Y. Ko, MD

      Affiliations

    • Department of Surgery, UCLA, Los Angeles, CA, USA

This study developed evidence-based quality indicators to measure key aspects of care than can be targeted to decrease variations in complication rates following total joint replacement. There were 101 candidate indicators of quality identified in the 6 domains of preoperative processes of care; intraoperative processes; postoperative processes; implant selection and the use of new technology; privileging of hospitals and surgeons; and outcomes and comorbidity assessment. A total of 68 of the 101 indicators were rated as valid with statistical agreement.. This project provides tools to measure and improve quality of care for patients undergoing total joint replacement.

Keywords: quality improvement, quality indicators, quality measures, quality of care, total hip arthroplasty, total knee arthroplasty

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 This study is supported by a grant from the Orthopaedic Research and Education Foundation.

PII: S1045-4527(09)00109-6

doi:10.1053/j.sart.2009.12.023

Seminars in Arthroplasty
Volume 21, Issue 1 , Pages 14-18, March 2010

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