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Accreditation of Hospitals actual practice data admission appropriate attributable AUDIT CRITERIA audit procedure audit study audit—specific AUDIT/3 Block Caesarean sections Chairman Received chart review cholecystectomy cholecystitis Clinical Justification clinicians Cluster Analysis clusters Commission on Accreditation complications conform cont'd continuing medical education Contraindicated Copyright 1973 corrective action CRITERIA AND INSTRUCTIONS DATE department or service diabetes diabetes mellitus diagnosis Discharge status Elements Standard established EXAMPLES GUIDELINES FOR WORKSHEET Hip fracture Hospitals Audit Worksheet hysterectomy identified JCAH Joint Commission judgment justification criteria knowledge or skill listed MAJOR CONSEQUENCE management criteria MDA'S DATA DISPLAY medical care audit medical care evaluation medical staff MONITORING Nono norms OB/GYN outcome criteria outcome element patient disability patient population physicians placenta praevia pneumonia PRIORITY OF STUDY problem proteinuria pyuria require responsible retrieve retrospective medical returned to shelf second screen status at discharge surgical tubal ligation Urinary tract infection utilization review Worksheet II x—ray