Administrative Procedure Act, 148

Adverse patient occurrences, 281–283

incidence, 214–215, 218

Agenda for Change, 56, 61, 125, 355, 396;

see also Joint Commission on Accreditation of Healthcare Organizations

AHA, see American Hospital Association

Algorithms, clinical (patient care), 178, 272–273, 278–279, 307, 310, 322, 327, 395

AMA, see American Medical Association

Ambulatory care

certification, 268

quality problems, 246–250

research needed, 355

review in, 142, 177, 194, 196–197, 238, 256–257, 407–408

American Bar Association, 219

American Board of Medical Specialties, 270, 271

American Hospital Association, 120, 307

American Medical Association, 220, 270, 271

American Medical Peer Review Association, 182

American Medical Review Research Center, 179, 346, 355

AMPRA, see American Medical Peer Review Association

AMRRC, see American Medical Review Research Center

Appropriateness

of care, 111, 159, 221–224, 316, 391

guidelines, 3, 272–273, 304–306, 319–321, 325, 328, 370, 418;

see also Practice guidelines

research, 345, 353–354

Art of care, 25, 219, 350–351;

see also Quality-of-care indicators/ measures

Attributes

of criteria sets, 311–319

implementation, 316–319

of medical profession, 289–292

of QA methods, 49–50, 266–267

substantive, 3, 311–316

Autopsy, 266, 286, 287

B

Beneficiary

complaints, 170, 217–218, 252

number of, 100

relations, 169–170

Bi-cycle model, 62, 293;

see also Quality assurance, models

Burden of harm

differentiating among contributing factors, 209–210

overuse and, 208, 210, 220–224

of poor quality care, 27, 31–32

quality problems and, 207

sources of information about, 210–211

of technical and interpersonal quality, 207–208, 209–210, 211–219

underuse and, 209–210, 225–230

C

Capacity building, 3, 14–15, 360–363, 384–385, 418–419

and continuous improvement, 362–363

patient education, 362

professional education, 361–362

research needs, 343

Career paths, 361



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