Otitis Media

Otitis Media: Treatment

Includes various components of otitis media care consistent with prevailing standards of care.

464 children≥3 years old diagnosed with otitis media from a sample of 2,024 patients of 135 providers.

Medical records from physicians’ offices, community health centers, and hospital outpatient facilities sampled from Maryland Medicaid claims data, 1988.

For each type of clinical setting, the study reports the average percentage of technical quality indicators for otitis media that were not met. Each average fell in the 10%–40% range.

Starfield et al., 1994

Hip Fractures

Hip Fracture: Hospital Care

Includes documentation of mental status and pedal or leg pulse, serum potassium level, electrocardiogram.

1,404 patients hospitalized with hip fracture from a nationally representative sample of 7,156 patients hospitalized with any of five conditions (congestive heart failure, acute myocardial infarction, pneumonia, stroke, hip fracture) (Draper et al., 1990).

Medical records for Medicare patients from 297 hospitals in five states (California, Florida, Indiana, Pennsylvania, Texas), July 1, 1985, to June 30, 1986.

67%–94% of patients with hip fracture received appropriate components of care.

Kahn et al., 1990

Urinary Tract Infections

Urinary Tract Infections: Diagnosis

The provision of a urine culture in diagnosing a urinary tract infection (UTI) is consistent with prevailing standards of care.

535 episodes of UTI from 465 children who received ambulatory care for UTIs out of a sample of 147,356 children<8 years old with

Medicaid claims from Alabama, July 1, 1989, to June 30, 1993.

52% received a urine culture.

Bronstein et al., 1997

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