PMID- 18785348
OWN - NLM
STAT- MEDLINE
DCOM- 20081024
LR  - 20110825
IS  - 0952-6862 (Print)
IS  - 0952-6862 (Linking)
VI  - 21
IP  - 5
DP  - 2008
TI  - LQAS usefulness in an emergency department.
PG  - 495-502
AB  - PURPOSE: This paper aims to explore lot quality assurance sampling (LQAS) 
      applicability and usefulness in the evaluation of quality indicators in a 
      hospital emergency department (ED) and to determine the degree of compliance with 
      quality standards according to this sampling method. DESIGN/METHODOLOGY/APPROACH: 
      Descriptive observational research in the Hospital General Universitario Gregorio 
      Maranon (HGUGM) emergency department (ED). Patients older than 15 years, 
      diagnosed with dyspnoea, chest pain, urinary tract colic or bronchial asthma 
      attending the HGUGM ED from December 2005 to May 2006, and patients admitted 
      during 2005 with exacerbation of chronic obstructive pulmonary disease or acute 
      meningitis were included in the study. Sample sizes were calculated using LQAS. 
      Different quality indicators, one for each process, were selected. The upper 
      (acceptable quality level (AQL)) and lower thresholds (rejectable quality level 
      (RQL)) were established considering risk alpha = 5 per cent and beta = 20 per 
      cent, and the minimum number of observations required was calculated. FINDINGS: 
      It was impossible to reach the necessary sample size for bronchial asthma and 
      urinary tract colic patients. For chest pain, acute exacerbation of chronic 
      obstructive pulmonary disease, and acute meningitis, quality problems were 
      detected. The lot was accepted only for the dyspnoea indicator. 
      ORIGINALITY/VALUE: The usefulness of LQAS to detect quality problems in the 
      management of health processes in one hospital's ED. The LQAS could complement 
      traditional sampling methods.
FAU - de la Orden, Susana Granado
AU  - de la Orden SG
AD  - Hospital General Universitario Gregorio Maranon, Servicio de Medicina Preventiva 
      y Gestion de Calidad, Madrid, Spain. sgranado.hgugm@salud.madrid.org
FAU - Rodriguez-Rieiro, Cristina
AU  - Rodriguez-Rieiro C
FAU - Sanchez-Gomez, Amaya
AU  - Sanchez-Gomez A
FAU - Garcia, Ana Chacon
AU  - Garcia AC
FAU - Hernandez-Fernandez, Tomas
AU  - Hernandez-Fernandez T
FAU - Revilla, Angel Abad
AU  - Revilla AA
FAU - Escribano, Dolores Vigil
AU  - Escribano DV
FAU - Perez, Paz Rodriguez
AU  - Perez PR
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Health Care Qual Assur
JT  - International journal of health care quality assurance
JID - 8916799
MH  - Emergency Service, Hospital/*standards
MH  - Humans
MH  - Quality Assurance, Health Care/*methods
MH  - *Quality Indicators, Health Care
MH  - Sampling Studies
EDAT- 2008/09/13 09:00
MHDA- 2008/10/25 09:00
CRDT- 2008/09/13 09:00
PHST- 2008/09/13 09:00 [pubmed]
PHST- 2008/10/25 09:00 [medline]
PHST- 2008/09/13 09:00 [entrez]
AID - 10.1108/09526860810890468 [doi]
PST - ppublish
SO  - Int J Health Care Qual Assur. 2008;21(5):495-502. doi: 10.1108/09526860810890468.