Book Navigation

What Strategies Do US Hospitals Employ to Reduce Unwarranted Clinical Practice Variations?

Overview
Title:
What Strategies Do US Hospitals Employ to Reduce Unwarranted Clinical Practice Variations?
Authors:
Gauld R, Horwitt J, Williams S, Cohen AB
Journal:
Am J Med Qual
Publication date:
2011
Volume:
26
Issue:
2
First page:
120
Last page:
6
ISSN:
1555-824X
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/20935275
Publication type:
Journal
Free text

Little is known about unwarranted clinical practice variations within US hospitals. The objectives of this study were to investigate whether hospitals are concerned about variations and their experiences with strategies to reduce variations. Case studies were conducted at 5 hospitals, and a survey of acute care hospitals was conducted in 4 states. Each of the case studies presented a different experience. Unwarranted variations were a concern for 90% of survey respondents, with no differences by state (P = .7) or hospital size (P = .2). Of these, 75% had a strategy in place to reduce variation. The likelihood of a multipronged approach was significantly higher in larger hospitals (P = .0009). This study revealed disparate approaches to reducing unwarranted clinical practice variations and also highlighted barriers to reducing variation. The case studies identified some models that could be emulated, but questions remain about whether there is a single best way forward.

Preview

What Strategies Do US Hospitals Employ to Reduce Unwarranted Clinical Practice Variations? Gauld R, Horwitt J, Williams S, Cohen AB. Am J Med Qual 2011; 26(2):120-6.

Page last updated: Apr 02, 2011
Copyright © 2002-2016 Guidelines International Network.
All rights reserved

The Guidelines International Network is formally constituted as a Scottish Guarantee Company under Company Number SC243691 and recognised as a Scottish Charity under Scottish Charity Number SC034047 with its Registered Office at J. & H. Mitchell W.S., 51 Atholl Road, Pitlochry, Perthshire PH16 5BU, Scotland.

Back to top