July 1989

The Outcome IndexA Method of Quality Assurance in the Special Care Area

Author Affiliations

From the Departments of Surgery (Dr McFee) and Anesthesiology (Dr Gilbert), University of Texas Health Science Center, San Antonio, Tex.

Arch Surg. 1989;124(7):825-829. doi:10.1001/archsurg.1989.01410070079016

• A method of quality assurance for a surgical intensive care unit is described. A system outcome score is devised, incorporating only easily obtained objective components that reflect the likelihood of death. Through the use of a derived outcome index, the actual mortality rate is compared with the predicted mortality rate as a method of monitoring the quality of care provided. Subroutines exist to identify errors in data entry, to detect malicious interference in patient care, to add nonscoring components for the purposes of clinical studies, and to facilitate retrieval of a concise summary of the major events during the stay of every patient admitted to the intensive care unit.

(Arch Surg. 1989;124:825-829)