A checklist for patient safety rounds at the care pathway level
Wagner, Cordula (Department of Public and Occupational Health. EMGO+ Institute for Health and Care Research. VU University Medical Center)
Thompson, C.A. (Palo Alto Medical Foundation Research Institute)
Arah, Onyebuchi A (Center for Health Policy Research. University of California. Los Angeles)
Groene, Oliver (Department of Health Services Research and Policy. London School of Hygiene and Tropical Medicine)
Klazinga, N.S. (Department of Public Health. Academic Medical Center. University of Amsterdam)
Dersarkissian, Maral (Department of Epidemiology. Fielding School of Public Health. University of California. Los Angeles (UCLA))
Suñol, R.. (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Kringos, D.S. (University of Amsterdam. Academic Medical Centre-AMC)
Lombarts, M.J.M.H. (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)
Bottaro, S. (European Hospital and Healthcare Federation-HOPE)
Garel, Pascal (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. (University of New South Wales)
Hammer, A. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Ommen, O. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Pfaff, H. (Institute of Medical Sociology. Health Services Research and Rehabilitation Science. University of Cologne. IMVR)
Botje, Daan (London School of Hygiene and Tropical Medicine)
Kutaj-Wąsikowska, Halina (Polish Society for Quality Promotion in Health Care-TPJ)
Kutryba, B. (Polish Society for Quality Promotion in Health Care-TPJ)
Escoval, Ana (Portuguese Association for Hospital Development-APDH)
Lívio, A. (Portuguese Association for Hospital Development-APDH)
Eiras, M. (Portuguese Society for Quality in Health Care-SPQS)
Franca, M. (Portuguese Society for Quality in Health Care-SPQS)
Leite, I. (Portuguese Society for Quality in Health Care-SPQS)
Almeman, F. (Turkish Society for Quality Improvement in Healthcare-SKID)
Kus, H. (Turkish Society for Quality Improvement in Healthcare-SKID)
Ozturk, K. (Turkish Society for Quality Improvement in Healthcare-SKID)
Mannion, Russell (University of Birmingham)
Wang, A. (University of California. Los Angeles-UCLA)
Thompson, A. (University of Edinburgh)

Fecha:	2014
Resumen:	Objective: To define a checklist that can be used to assess the performance of a department and evaluate the implementation of quality management (QM) activities across departments or pathways in acute care hospitals. Design: We developed and tested a checklist for the assessment of QM activities at department level in a cross-sectional study using on-site visits by trained external auditors. Setting and participants: A sample of 292 hospital departments of 74 acute care hospitals across seven European countries. In every hospital, four departments for the conditions: acute myocardial infarction (AMI), stroke, hip fracture and deliveries participated. Main Outcome Measures. Four measures of QM activities were evaluated at care pathway level focusing on specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies and clinical review (CR). Results: Participating departments attained mean values on the various scales between 1. 2 and 3. 7. The theoretical range was 0-4. Three of the four QM measures are identical for the four conditions, whereas one scale (EBOP) has condition-specific items. Correlations showed that every factor was related, but also distinct, and added to the overall picture of QM at pathway level. Conclusion: The newly developed checklist can be used across various types of departments and pathways in acute care hospitals like AMI, deliveries, stroke and hip fracture. The anticipated users of the checklist are internal (e. g. peers within the hospital and hospital executive board) and external auditors (e. g. healthcare inspectorate, professional or patient organizations).
Nota:	The study, "Deepening our Understanding of Quality Improvement in Europe (DUQuE)" has received funding from the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 241822. Funding to pay the Open Access publication charges for this article was provided by European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 241822.
Derechos:	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.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	International journal for quality in health care, Vol. 26 (2014) , p. 36-46, ISSN 1464-3677

DOI: 10.1093/intqhc/mzu019
PMID: 24615594

11 p, 173.7 KB

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