Assessment of Ambulatory Care: Application of the Tracer Methodology

Novick, Lloyd F.; Dickinson, Karen J.; Asnes, Russel; Lan, S-P May; Lowenstein, Regina

doi:10.1097/00005650-197601000-00001

Cited by 21 publications

(10 citation statements)

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“…The assumption is that if several clinicians collect similar data on similar patients, then the results can be compared and discussed, and that this will lead to improvements in patient care. This is evidently a variation on what others have called the 'tracer condition' (Novick et al, 1976), 'indicator condition' (Moses, 1984), or 'case series' (Sheps and Robertson, 1984). It departs from Kessner et al (1973) in that it is not directly prescriptive: it is based on comparisons between the practices of different clinicians, with quality of outcome and use of resources as criteria, rather than comparison with some standard protocol of 'good quality' care, any departure from which is in some sense seen as failing.…”

Section: Mentmentioning

confidence: 98%

Reviewing the process and outcome of hospital care in Europe: The tracer method

Sanderson

Bosch²,

Goosen³

et al. 1987

Health Planning & Management

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A method is described for reviewing and comparing the process and outcome of hospital care, which involves collecting data on a consecutive series of patients with the same medical condition. Criteria for choice of tracer condition are given, and illuminated with reference to fractured neck of femur. The method has been developed in the context of the European Collaborative Health Services Studies, and participants from five countries have been involved. It is concluded that the method is practicable and succeeds in its objectives. The role of health care managers is one of stimulus and support to doctors and nurses who might be interested in carrying out such studies, and a set of stages from the initial idea for a study, through study design and data collection to conclusions for practical change, is described.

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Section: Mentmentioning

confidence: 98%

Reviewing the process and outcome of hospital care in Europe: The tracer method

Sanderson

Bosch²,

Goosen³

et al. 1987

Health Planning & Management

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“…Lai et al (19) 2003 Canada Parkinsonism and Related Disorders Web of Science Egges, Turnock, Springfield (20) 1980 USA Annals of Emergency Medicine Web of Science Novich et al (21) 1976 USA Medical Care Web of Science Murphy-Knoll et al (22) 2006 USA Journal of Nursing Care Quality CINAHL Wojtkowski (23) 2005 England Journal of Emergency Nursing CINAHL Friedman (24) 2004 USA Journal Home Health Care Nurse CINAHL…”

Section: Author Year Country Periodical Databasementioning

confidence: 99%

“…Regarding the 22 articles analyzed in this study: seven use a quantitative approach (7,9,(12)(13)(14)16,19), seven use a mixed method (quanti-qualitative) (8,15,(17)(18)(20)(21)27) , five have a qualitative approach (3,(10)(11)22,24) and three are reports of experiences (23,(25)(26) .…”

Section: Author Year Country Periodical Databasementioning

confidence: 99%

Método Tracer e a qualidade do cuidado na enfermagem: revisão integrativa da literatura

Meireles

Labegalini

Baldissera

2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Analisar a produção científica sobre o Método Tracer na área da enfermagem. MÉTODO Revisão integrativa, realizada com 22 artigos localizados nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências e Saúde (LILACS); Medical Literature Analysis and Retrieval System Online(Medline/PubMed); Scientific Eletronic Library Online (SciELO); Cumulative Index to Nursing & Allied Health Literature (CINAHL) eWeb of Science. As estratégias de busca incluíram descritores e palavras-chave: Método Tracer, Método traçador, Método rastreador, Método de avaliação, Usuário Guia e Enfermagem correlacionados e combinados com operadores booleanos. RESULTADOS Organizaram-se os dados segundo os cenários de aplicação do método, a saber: agravos à saúde como condição traçadora para avaliar a qualidade dos cuidados, conformidades e não conformidades em relação aos protocolos institucionais, reflexão e capacitação para a acreditação. CONCLUSÃO O Método Tracer é utilizado para avaliação e melhoria da qualidade da assistência.

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“…The implicit approach compares practice with a standard which is based on subjective opinion at the time of the comparison. For example, in an audit assessing the care given to children with iron deficiency anaemia (Novick et al , 1976), the explicit approach involved a panel of paediatricians deciding on twenty‐three criteria which they considered essential elements of good care and which should have been entered in the medical record (e.g., results of full blood count and history of blood loss). The medical records of the children were then reviewed by non‐medical abstractors to see if the agreed criteria were met.…”

Section: Comparing Practice With the Standardmentioning

confidence: 99%

Medical audit cycle

Fowkes

1982

Medical Education

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1. Summary The aim of medical audit is to improve the effectiveness and efficiency of medical care. Achieving this aim may involve a cycle of activities: (i) observing practice; (ii) setting a standard of practice; (iii) comparing the observed practice with the standard; (iv) implementing change; and (v) re‐observing practice. This paper reviews those methods which have been used and tested in clinical practice at the various stages of the cycle. Some principles involved in the choice of what to audit are also described. As definitive cost effective methods of auditing have not yet emerged, further initiatives and experimentation are required in clinical practice.

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Assessment of Ambulatory Care: Application of the Tracer Methodology

Cited by 21 publications

References 0 publications

Reviewing the process and outcome of hospital care in Europe: The tracer method

Reviewing the process and outcome of hospital care in Europe: The tracer method

Método Tracer e a qualidade do cuidado na enfermagem: revisão integrativa da literatura

Medical audit cycle

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