DUQuE quality management measures : Associations between quality management at hospital and pathway levels
Wagner, Cordula. (Department of Public and Occupational Health. EMGO+ Institute for Health and Care Research. VU University Medical Center)
Groene, Oliver. (Department of Health Services Research and Policy. London School of Hygiene and Tropical Medicine)
Thompson, Caroline A. (Palo Alto Medical Foundation Research Institute)
Dersarkissian, Maral (University of California. Los Angeles-UCLA)
Klazinga, Niek. (Department of Public Health. Academic Medical Center. University of Amsterdam)
Arah, Onyebuchi A.. (UCLA Center for Health Policy Research)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Klazinga, Niek. (Department of Public Health, Academic Medical Center, University of Amsterdam)
Kringos, Dionne. (Department of Public Health, Academic Medical Center, University of Amsterdam)
Lombarts, Kiki. (University of Amsterdam. Academic Medical Centre-AMC)
Plochg, T. (University of Amsterdam. Academic Medical Centre-AMC)
Lopez, M. A. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Secanell, M. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Vallejo, P. (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Bartels, Paul (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Kristensen, S. (Central Denmark Region. Center for Healthcare Improvements. Aalborg University)
Michel, P. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Saillour-Glenisson, F. (Comité de la Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine)
Vlcek, F. (Czech Accreditation Committee)
Car, M. (Dr Foster Intelligence-DFI)
Jones, S. (Dr Foster Intelligence-DFI)
Klaus, E. (Dr Foster Intelligence-DFI)
Garel, Pascal. (European Hospital and Healthcare Federation-HOPE)
Hanslik, K. (European Hospital and Healthcare Federation-HOPE)
Saluvan, M. (Hacettepe University)
Bruneau, Charles (Haute Autorité de la Santé-HAS)
Depaigne-Loth, A. (Haute Autorité de la Santé-HAS)
Shaw, C.
Hammer, A. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Ommen, O. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Pfaff, H. (Institute for Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Botje, Daan (Netherlands Institute for Health Services Research (NIVEL))
Kutaj-Wąsikowska, Halina (Polish Society for Quality Promotion in Health Care-TPJ)
Kutryba, B. (Polish Society for Quality Promotion in Health Care-TPJ)
Escoval, A. (Portuguese Association for Hospital Development-APDH)
Franca, M. (Portuguese Society for Quality in Health Care-SPQS)
Almeman, F. (Turkish Society for Quality Management in Healthcare-SKID)
Kus, H. (Turkish Society for Quality Management in Healthcare-SKID)
Ozturk, K. (Turkish Society for Quality Management in Healthcare-SKID)
Mannion, Russell (University of Birmingham)
Chow, Angela. (University of California.)
Dersarkissian, Maral (University of California.)
Thompson, C. (University of California.)
Wang, A. (University of California.)
Thompson, A. (University of Edinburgh)

Data:	2014
Resum:	Objective. The assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives and at various levels of care delivery. Within the DUQuE project (Deepening our Understanding of Quality improvement in Europe), seven measures for QM were developed. This study investigates the relationships between the various quality measures. Design. It is a multi-level, cross-sectional, mixed-method study. Setting and Participants. As part of the DUQuE project, we invited a random sample of 74 hospitals in 7 countries. The quality managers of these hospitals were the main respondents. Furthermore, data of site visits of external surveyors assessing the participating hospitals were used. Main Outcome Measures. Three measures of QM at hospitals level focusing on integral systems (QMSI), compliance with the Plan-Do-Study-Act quality improvement cycle (QMCI) and implementation of clinical quality (CQII). Four measures of QM activities at care pathway level focusing on Specialized expertise and responsibility (SER), Evidence-based organization of pathways (EBOP), Patient safety strategies (PSS) and Clinical review (CR). Results. Positive significant associations were found between the three hospitals level QM measures. Results of the relationships between levels were mixed and showed most associations between QMCI and department-level QM measures for all four types of departments. QMSI was associated with PSS in all types of departments. Conclusion. By using the seven measures of QM, it is possible to get a more comprehensive picture of the maturity of QM in hospitals, with regard to the different levels and across various types of hospital departments.
Ajuts:	European Commission 241822
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	International journal for quality in health care, Vol. 26, Num. suplement 1(2014) , p. 66-73, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu020
PMID: 24615597

8 p, 189.8 KB

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