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Accreditation of Hospitals ACTION AND REPORTING actual practice data admission ANALYSIS appropriate attributable AUDIT CRITERIA audit procedure audit study audit—specific AUDIT/3 bleeding Block Caesarian section 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 Elements Standard endoscopy established EXAMPLES GUIDELINES FOR WORKSHEET Hip fracture Hospitals Audit Worksheet hysterectomy identified JCAH Joint Commission judgment justification criteria knowledge or skill listed management criteria MDA'S DATA DISPLAY medical care audit medical care evaluation medical data analyst medical staff norms OB/GYN outcome criteria patient disability patient population physicians placenta praevia pneumonia PRIORITY OF STUDY problem proteinuria pyuria require retrieve retrospective medical returned to shelf second screen status at discharge STUDY TOPICS WORKSHEET surgical tubal ligation Urinary tract infection utilization review x—ray