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American Journal of Medical Quality, Vol. 13, No. 4, 228-239 (1998)
DOI: 10.1177/106286069801300409

The Use of Relational Databases in the Transition from Quality Assurance to Continuous Quality Improvement: A Clinical Practice Model

Cephas P. Swamidoss, M.S., M.D.

Yale University School of Medicine, New Haven, Connecticut

Gail Watrous, R.N.

Yale University School of Medicine, New Haven, Connecticut

Bryan S. Dickson, M.A.

Yale University School of Medicine, New Haven, Connecticut

Paul G. Barash, M.D.

Yale University School of Medicine, New Haven, Connecticut

Sorin J. Brull, M.D.

Department of Anesthesiology, University of Arkansas, Little Rock, Arkansas

The use of both clinical medical and administrative databases is discussed in the context of an academic anesthesiology's transition from the tenets of quality assurance to those of continuous quality improvements. A historical framework is presented. The basic and aggregate models are introduced, and examples are used to illustrate the composite system.


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