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Should the Focus Be on Drugs or Bugs?

Javed Butler, MD, MPH; Reid Ness, MD, MPH; Theodore Speroff, PhD

JAMA. 2001;286:2023-2024.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of THE JOURNAL, Brock and colleagues¹ report the results of their study assessing quality improvement in process of care, as recommended by evidence-based clinical guidelines,^2-3 for elderly patients hospitalized for peptic ulcer disease (PUD). Data for this study were derived from a quality improvement project conducted by peer review organizations (PROs) in 5 states. Although these databases are not designed primarily to answer scientific questions, the data collection and analyses are conducted rigorously. These data sources have been used to study several important issues, including assessing health care quality,⁴ identifying opportunities for improvement,⁵ evaluating effectiveness of care for patients not typically studied in randomized clinical trials (RCTs),⁶ developing risk adjustment models,⁷ assessing quality improvement interventions,⁸ and performing traditional epidemiologic and clinical research.^9-10 Data from the Centers for Medicare and Medicaid Services (formerly the Health Care Financing . . . [Full Text of this Article]

Author Affiliations: Center for Health Services Research (Drs Butler, Ness, and Speroff) and Center for Clinical Improvement (Dr Speroff), Divisions of Cardiovascular Medicine (Dr Butler) and Gastroenterolgy (Dr Ness), and Departments of Medicine (Drs Butler, Ness, and Speroff) and Preventive Medicine (Dr Speroff), Vanderbilt University Medical Center, and Medical Service, Tennessee Valley Health Care System—Nashville Campus (Drs Butler, Ness, and Speroff), Nashville.

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Process of Care and Outcomes for Elderly Patients Hospitalized With Peptic Ulcer Disease: Results From a Quality Improvement Project
Jane Brock, Angela Sauaia, Dennis Ahnen, William Marine, William Schluter, Beth R. Stevens, Jeanne D. Scinto, Herbert Karp, and Dale Bratzler
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