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JCAHO Tweaks Emergency Departments’ Pneumonia Treatment Standards
Mike Mitka
JAMA. 2007;297:1758-1759.
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A performance measure for emergency departments' treatment of pneumonia is being modified in hopes of better reflecting the true quality of care administered. But will it do so?
At issue is a measure established by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) involving the timing of administration of antibiotics to patients diagnosed with community-acquired pneumonia. When originally issued in 2004, meeting the standard (known as PN-5b) required giving patients who present to an emergency department and are discharged with a diagnosis of pneumonia an antibiotic within 4 hours of presentation. The standard was developed after publication of 2 large retrospective studies showing an association between antibiotic timing and outcomes in patients with pneumonia.
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An emergency department radiograph shows normal lungs, but a subsequent computed tomography scan reveals a right middle lobe consolidation (arrowhead) consistent with pneumonia. (Photo credit: Christopher Fee, MD/University of California, San Francisco)
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Beginning . . . [Full Text of this Article] INCREASING RESISTANCE?
RELATED LETTER
Pneumonia Treatment Standards in Emergency Departments
Jerod M. Loeb and Nancy K. Lawler
JAMA. 2007;298(12):1397-1398.
EXTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Hospital mortality: when failure is not a good measure of success
Shojania and Forster
CMAJ 2008;179:153-157.
FULL TEXT
Public Reporting of Antibiotic Timing in Patients with Pneumonia: Lessons from a Flawed Performance Measure
Wachter et al.
ANN INTERN MED 2008;149:29-32.
ABSTRACT
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Pneumonia Treatment Standards in Emergency Departments
Loeb and Lawler
JAMA 2007;298:1397-1398.
FULL TEXT
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