A quality improvement model for healthcare terminologies

Tae Youn Kim, Amy Coenen, Nicholas Hardiker

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

A number of controlled healthcare terminologies and classification systems have been developed for specific purposes, resulting in variations in content, structure, process management, and quality. A terminology quality improvement (TQI) model or framework would be useful for various stakeholders to guide terminology selection, to assess the quality of healthcare terminologies and to make improvements according to an agreed standard. A TQI model, thus, was formulated based on a review of the literature and existing international standards developed for healthcare terminologies. The TQI model, adapted from Donabedian’s approach, encompasses structure, process, and outcome components in relation to a terminology life cycle – change request, editing, and publication. Multi-dimensional quality outcome measures also were identified in the areas of terminology content, modeling structure, mapping, and process management. A case study was developed to validate the TQI model using the International Classification for Nursing Practice (ICNP). The TQI model represented the complexity of activities involved in terminology quality management. The ICNP case study demonstrated both the applicability of the TQI model and the appropriateness of the criteria identified in the TQI model: openness and responsiveness, clarity and reproducibility, understandability, accessibility and usability, interoperability, and quality of documentation. The applicability of the TQI model was validated using ICNP. While ICNP exhibits many of the desirable characteristics of contemporary terminologies, the case study identified a need for further work on ICNP policy and on documentation.
LanguageEnglish
Pages1036-1043
Number of pages8
JournalJournal of Biomedical Informatics
Volume43
Issue number6
DOIs
Publication statusPublished - Dec 2010
Externally publishedYes

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Terminology
Quality Improvement
Delivery of Health Care
Nursing
Documentation
Outcome and Process Assessment (Health Care)
Quality of Health Care
Quality management
Life Cycle Stages
Interoperability
Publications
Life cycle

Cite this

Kim, Tae Youn ; Coenen, Amy ; Hardiker, Nicholas. / A quality improvement model for healthcare terminologies. In: Journal of Biomedical Informatics. 2010 ; Vol. 43, No. 6. pp. 1036-1043.
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A quality improvement model for healthcare terminologies. / Kim, Tae Youn; Coenen, Amy; Hardiker, Nicholas.

In: Journal of Biomedical Informatics, Vol. 43, No. 6, 12.2010, p. 1036-1043.

Research output: Contribution to journalArticle

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