A performance assessment framework for hospitals: the WHO regional office for Europe PATH project

Veillard, Jérémy; Champagne, François; Klazinga, Niek; Kazandjian, Vahé A.; Arah, Onyebuchi A.; Guisset, Ann-Lise

doi:10.1093/intqhc/mzi072

Cited by 213 publications

(205 citation statements)

References 9 publications

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“…Nos demais projetos a segurança foi abordada como uma das dimensões de qualidade 15,16,17,19,20,22,23,25,26,27 . Quatro são iniciativas nacionais 16,22,25 e internacionais 17 para monitorar o desempenho e a qualidade de sistemas e organizações de saúde.…”

Section: Métodounclassified

“…Onze projetos 14,15,17,18,20,24,25,27,28,29,30 25 , criou, com base no modelo conceitual australiano e nas prioridades nacionais de saúde, os seguintes eixos para organizar os indicadores: melhor saúde, foco na prevenção, acesso (cuidado equânime e oportuno), alta qualidade dos cuidados (adequados e seguros), integração e continuidade do cuidado, cuidados centrados no paciente, eficiência, sustentabilidade e equidade.…”

Section: Modelo Conceitual •unclassified

“…Outras duas diferentes categorizações são as do projeto PATH 17 , que inclui as dimensões segurança, efetividade clínica, eficiência, orientação da equipe, governança ("responsive governance") e cuidados centrados no paciente; e a do projeto australiano, específica para o uso de medicamentos, a qual abrange a seleção criteriosa, a escolha apropriada e o uso seguro e efetivo de medicamentos 27 . Por fim, o projeto da OECD também definiu um modelo conceitual para o seu programa de indicadores, posteriormente à publicação de seus indicadores de segurança do paciente, com base nos modelos de seus países-membros, como o Canadá e a Austrália 34 .…”

Section: Modelo Conceitual •unclassified

“…De modo geral, dimensões como aceitabilidade, capacidade de resposta ("responsive") e cuidados centrados no paciente reúnem em seu contexto um atributo comum relacionado ao atendimento das necessidades dos pacientes e respeito às suas preferências 17,32,33,34 . De maneira semelhante, as dimensões continuidade, acessibilidade e oportunidade abrangem aspectos comuns relacionados à capacidade de o sistema de saúde atender de forma pronta às necessidades contínuas de saúde dos pacientes 22,32,33 .…”

Section: Modelo Conceitual •unclassified

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Indicadores de segurança do paciente para hospitais de pacientes agudos: revisão sistemática

Gouvêa

Travassos

2010

Cad. Saúde Pública

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Section: Métodounclassified

Section: Modelo Conceitual •unclassified

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Indicadores de segurança do paciente para hospitais de pacientes agudos: revisão sistemática

Gouvêa

Travassos

2010

Cad. Saúde Pública

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“…Quality is a multidimensional construct, and the dimensions are specific for each category. In health care, experts in quality management and international health organizations (e.g., World Health Organization) are in the process of identifying the most relevant dimensions [20,21]; once these have been identified, quality surveys should provide performance measures for each dimension. Meeting or where possible exceeding customer satisfaction is a prerequisite of being competitive on the market.…”

Section: Customer Perspective In Quality Improvementmentioning

confidence: 99%

Money matters: exploiting the data from outcomes research for quality improvement initiatives

et al. 2009

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In recent years, there has been an increase in studies that have sought to identify predictors of treatment outcome and to examine the efficacy of surgical and nonsurgical treatments. In addition to the scientific advancement associated with these studies per se, the hospitals and clinics where the studies are conducted may gain indirect financial benefit from participating in such projects as a result of the prestige derived from corporate social responsibility, a reputational lever used to reward such institutions. It is known that there is a positive association between corporate social performance and corporate financial performance. However, in addition to this, the research findings and the research staff can constitute resources from which the provider can reap a more direct benefit, by means of their contribution to quality control and improvement. Poor quality is costly. Patient satisfaction increases the chances that the patient will be a promoter of the provider to friends and colleagues. As such, involvement of the research staff in the improvement of the quality of care can ultimately result in economic revenue for the provider. The most advanced methodologies for continuous quality improvement (e.g., six-sigma) are data-driven and use statistical tools similar to those utilized in the traditional research setting. Given that these methods rely on the application of the scientific process to quality improvement, researchers have the adequate skills and mind-set to embrace them and thereby contribute effectively to the quality team. The aim of this article is to demonstrate by means of real-life examples how to utilize the findings of outcome studies for quality management in a manner similar to that used in the business community. It also aims to stimulate research groups to better understand that, by adopting a different perspective, their studies can be an additional resource for the healthcare provider. The change in perspective should stimulate researchers to go beyond the traditional studies examining predictors of treatment outcome and to see things instead in terms of the ''bigger picture'', i.e., the improvement of the process outcome, the quality of the service.

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Effects of Gender Bias and Stereotypes in Surgical Training

et al. 2020

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IMPORTANCE Factors contributing to underrepresentation of women in surgery are incompletely understood. Pro-male bias and stereotype threat appear to contribute to gender imbalance in surgery.OBJECTIVES To evaluate the association between pro-male gender bias and career engagement and the effect of stereotype threat on skill performance among trainees in academic surgery. DESIGN, SETTING, AND PARTICIPANTSA 2-phase study with a double-blind, randomized clinical trial component was conducted in 3 academic general surgery training programs. Residents were recruited between August 1 and August 15, 2018, and the study was completed at the end of that academic year. In phase 1, surveys administered 5 to 6 months apart investigated the association of gender bias with career engagement. In phase 2, residents were randomized 1:1 using permuted-block design stratified by site, training level, and gender to receive either a trigger of or protection against stereotype threat. Immediately after the interventions, residents completed the Fundamentals of Laparoscopic Surgery (FLS) assessment followed by a final survey. A total of 131 general surgery residents were recruited; of these 96 individuals with academic career interests met eligibility criteria; 86 residents completed phase 1. Eighty-five residents were randomized in phase 2, and 4 residents in each arm were lost to follow-up.INTERVENTION Residents read abstracts that either reported that women had worse laparoscopic skill performance than men (trigger of stereotype threat [A]) or had no difference in performance (protection against stereotype threat [B]). MAIN OUTCOMES AND MEASURESAssociation between perception of pro-male gender bias and career engagement survey scores (phase 1) and stereotype threat intervention and FLS scores (phase 2) were the outcomes. Intention-to-treat analysis was conducted.RESULTS Seventy-seven residents (38 women [49.4%]) completed both phases of the study. The association between pro-male gender bias and career engagement differed by gender (interaction coefficient, −1.19; 95% CI, −1.90 to −0.49; P = .02); higher perception of bias was associated with higher engagement among men (coefficient, 1.02; 95% CI, 0.19-2.24; P = .04), but no significant association was observed among women (coefficient, −0.25; 95% CI, −1.59 to 1.08; P = .50). There was no evidence of a difference in FLS score between interventions (mean [SD], A: 395 [150] vs B: 367 [157]; P = .51). The response to stereotype threat activation was similar in men and women (interaction coefficient, 15.1; 95% CI, −124.5 to 154.7; P = .39). The association between stereotype threat activation and FLS score differed by gender across levels of susceptibility to stereotype threat (interaction coefficient, −35.3; 95% CI, −47.0 to −23.6; P = .006). Higher susceptibility to stereotype threat was associated with lower FLS scores among women who received a stereotype threat trigger (coefficient, −43.4; 95% CI, −48.0 to −38.9; P = .001).CONCLUSIONS AND RELEVANCE Perception of pro-male bias and ...

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A performance assessment framework for hospitals: the WHO regional office for Europe PATH project

Abstract: PATH is currently being pilot implemented in eight countries to refine its framework before further expansion.

Cited by 213 publications

References 9 publications

Indicadores de segurança do paciente para hospitais de pacientes agudos: revisão sistemática

Indicadores de segurança do paciente para hospitais de pacientes agudos: revisão sistemática

Money matters: exploiting the data from outcomes research for quality improvement initiatives

Effects of Gender Bias and Stereotypes in Surgical Training

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