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Research Article  |   February 1989
Criteria Mapping: A Method of Quality Assurance
Author Affiliations
  • Mary Law, MSc, OT(C), is Assistant Professor, Departments of Medicine and Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, 1200 Main Street West, Room 2F22, Hamilton, Ontario L8N 3Z5, Canada, and Research Clinician, Occupational Therapy, Chedoke–McMaster Hospitals, McMaster Division
  • Brenda Ryan, MBA, is Program Evaluation Analyst, Nova Scotia Department of Health, Halifax, Nova Scotia, Canada
  • Elizabeth Townsend, MAdEd, BSc(OT), OT(C), is Assistant Professor, School of Occupational Therapy, Faculty of Allied Health Professions, Dalhousie University, Halifax, Nova Scotia, Canada
  • Barbara O’Shea, MS, OT(C), is Associate Professor and Director, School of Occupational Therapy, Faculty of Allied Health Professions, Dalhousie University, Halifax, Nova Scotia, Canada
Article Information
Health and Wellness / Rehabilitation, Participation, and Disability / Features
Research Article   |   February 1989
Criteria Mapping: A Method of Quality Assurance
American Journal of Occupational Therapy, February 1989, Vol. 43, 104-109. doi:10.5014/ajot.43.2.104
American Journal of Occupational Therapy, February 1989, Vol. 43, 104-109. doi:10.5014/ajot.43.2.104
Abstract

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.