Law M, Ryan B, Townsend E, O'Shea B
Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Am J Occup Ther. 1989 Feb;43(2):104-9. doi: 10.5014/ajot.43.2.104.
Criteria mapping is a flexible and responsive method of chart audit that allows the simultaneous assessment of both the process and the outcome of care by means of health record abstraction. This method of audit is particularly suited to occupational therapy because it includes branching to reflect the sequential judgments of therapists and does not penalize the clinician for omitting unnecessary procedures. The purpose of this study was to determine the utility and reliability of the criteria mapping process in evaluating the quality of care for a self-care disability in an acute care setting. Three occupational therapists and one independent abstractor evaluated 12 charts twice. Intraobserver reliability calculated with intraclass correlation coefficients was .77 for the therapists and .65 for all observers. Interobserver reliability was .73 for the therapists and .72 for all observers. The criteria map provided comprehensive and relevant information about each chart. This paper discusses the implications of these findings for the ongoing monitoring of the quality of care in occupational therapy.
标准映射是一种灵活且响应迅速的病历审核方法，它通过病历摘要同时评估护理过程和护理结果。这种审核方法特别适用于职业治疗，因为它包括分支以反映治疗师的顺序判断，并且不会因临床医生省略不必要的程序而对其进行惩罚。本研究的目的是确定标准映射过程在评估急性护理环境中自理残疾护理质量方面的效用和可靠性。三名职业治疗师和一名独立摘要员对12份病历进行了两次评估。使用组内相关系数计算的观察者内信度，治疗师为0.77，所有观察者为0.65。观察者间信度，治疗师为0.73，所有观察者为0.72。标准映射提供了有关每份病历的全面且相关的信息。本文讨论了这些发现对职业治疗中持续护理质量监测的影响。
