Hospital screening for tuberculosis

A quality assurance trial

Thomas Inui, Terrance A. Hill, George M. Leiby

Research output: Contribution to journalArticle

Abstract

A quality assurance trial which dealt with tuberculin testing and isoniazid prophylaxis for tuberculosis infection among hospitalized patients was undertaken at a short-term, general hospital of the Indian Health Service. Standards for care were developed by the hospital staff using questionnaire and Delphi process techniques. Following the demonstration of baseline deficiencies in clinical performance, tuberculin testing became a standing admission order. Subsequent changes in the completeness of tuberculosis screening and in physician response to a positive tuberculin skin test were demonstrated. Among hospitalized patients of unknown tuberculin reactivity, PPD screening coverage increased from 45 per cent to 87 per cent (p <0.005). Improvement in the appropriate initiation of isoniazid prophylaxis was demonstrated. The absence of simultaneous changes in other health surveillance activities suggests that the improvement in tuberculosis screening was attributable to die quality assurance intervention and not to other intervening variables. An approach to selecting alternatives for remedial action when quality assessment has documented a deficiency is presented and discussed.

Original languageEnglish (US)
Pages (from-to)347-354
Number of pages8
JournalMedical Care
Volume17
Issue number4
StatePublished - 1979
Externally publishedYes

Fingerprint

Chronic Disease Hospitals
Tuberculin
quality assurance
contagious disease
prophylaxis
Tuberculosis
Isoniazid
hospital staff
United States Indian Health Service
Delphi Technique
Tuberculin Test
surveillance
health service
Skin Tests
coverage
physician
General Hospitals
questionnaire
health
Physicians

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Inui, T., Hill, T. A., & Leiby, G. M. (1979). Hospital screening for tuberculosis: A quality assurance trial. Medical Care, 17(4), 347-354.

Hospital screening for tuberculosis : A quality assurance trial. / Inui, Thomas; Hill, Terrance A.; Leiby, George M.

In: Medical Care, Vol. 17, No. 4, 1979, p. 347-354.

Research output: Contribution to journalArticle

Inui, T, Hill, TA & Leiby, GM 1979, 'Hospital screening for tuberculosis: A quality assurance trial', Medical Care, vol. 17, no. 4, pp. 347-354.
Inui, Thomas ; Hill, Terrance A. ; Leiby, George M. / Hospital screening for tuberculosis : A quality assurance trial. In: Medical Care. 1979 ; Vol. 17, No. 4. pp. 347-354.
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