Assessing quality improvement initiatives when expert judgements are uncertain

نویسندگان

  • Eugene D. Hahn
  • C. L. Knott
چکیده

A new approach for examining quality improvement initiatives regarding errors in the U.S. Census Bureau’s Master Address File (MAF) and the Topologically Integrated Geographic and Referencing System (TIGER) databases is presented. A stochastic multi-criteria decision-making method involving Bayesian weighted hierarchical multinomial logit models is used to conduct inference on the priorities in a multiple-expert decision scenario. Quality initiatives regarding basic street addresslevel address matching, geocoding completeness, and geocoding quality were judged to be the most important for MAF/TIGER improvement at the 95% probability level. The approach allows managers to go one step further in understanding the relative impact of various types of errors on overall quality and thus be better prepared to select approaches to reduce these errors.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Software Process Improvement and Human Judgement Heuristics

This paper exemplifies how better knowledge about human judgement strategies known as heuristics can be used to improve software processes, especially estimation and prediction processes. Human judgement heuristics work well when they exploit a fit between their structure and the structure of the environment in which they are used. This use of environmental fit may lead to amazingly good judgem...

متن کامل

Determining when quality improvement initiatives should be considered research: proposed criteria and potential implications.

Quality improvement initiatives have become a major force in shaping health care. These initiatives are diverse but share a common goal of generating knowledge that will guide improvements in health care. Although quality improvement occupies an uncertain territory between clinical care and research, this difference is extremely important. If a quality improvement initiative is research, federa...

متن کامل

Building high functioning clinical teams through quality improvement initiatives.

BACKGROUND Team-based care has consistently been associated with improved clinical outcomes. However, strategies for promoting and sustaining a team-based approach in family medicine practice are more elusive. METHODS We conducted a longitudinal time series cohort study of 30 primary care providers in seven practices to assess the sequential addition of three different chronic disease managem...

متن کامل

Confidence and clinical judgement in community nurses managing venous leg ulceration - A judgement analysis.

BACKGROUND The variation in the management of venous leg ulceration in the UK is partly attributable to an uncertain clinical environment but the quality of judgements is influenced by the how well nurses' confidence and accuracy are aligned. OBJECTIVES To assess UK community nurses' confidence in the accuracy of their diagnostic judgements and treatment choices when managing venous leg ulcer...

متن کامل

Framing Bias in the Interpretation of Quality Improvement Data: Evidence From an Experiment

Background A growing body of public management literature sheds light on potential shortcomings to quality improvement (QI) and performance management efforts. These challenges stem from heuristics individuals use when interpreting data. Evidence from studies of citizens suggests that individuals’ evaluation of data is influenced by the linguistic framing or context of that information an...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • JORS

دوره 59  شماره 

صفحات  -

تاریخ انتشار 2008