Evaluation of referral pathways for coronary artery bypass surgery patients; comparison on clinical outcomes, quality of life and process parameters

van Steenbergen, G. J.; Schulz, D. N.; Soliman-Hamad, M. A.; Wijnbergen, Inge F.; Thijssen, Eric J. M.; Theunissen, Luc JHJ; Heijmen, Eric PCM; Haest, Rutger J. P.; Cost, B.; Dekker, L.; van Veghel, D.

doi:10.1080/20479700.2024.2417639

International Journal of Healthcare Management

2024

DOI: 10.1080/20479700.2024.2417639

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Evaluation of referral pathways for coronary artery bypass surgery patients; comparison on clinical outcomes, quality of life and process parameters

G. J. van Steenbergen,

D. N. Schulz,

M. A. Soliman-Hamad

et al.

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2024

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The use of outcome data from quality registries to learn and improve; a Dutch nationwide quantitative analysis in five disease areas

Slingerland,

Moers,

Medendorp

et al. 2024

BMC Health Serv Res

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Background Clinical quality registries (CQR) aid in measuring, collecting and monitoring outcome data but it is still unknown how these data are used by hospitals to improve the quality of care. This study assessed the current state of outcome-based quality improvement in the Netherlands in 2022 based on data from multiple disease areas and CQRs; cardiothoracic surgery (Netherlands Heart Registration [NHR]), cardiology (NHR), nephrology, (Nefrovision), intensive care (National Intensive Care Evaluation [NICE]), and orthopaedic surgery (Dutch Arthroplasty Register [LROI]). Methods & results The Health Outcomes Management Evaluation (HOME) model was used to assess the current state of outcome-based quality improvement. A questionnaire with 36 questions was sent to healthcare departments of the six disease areas in participating hospitals within five quality registrations in the Netherlands. In total, 124 responses were received; 20 within cardiology, 12 within cardiothoracic surgery, 30 within nephrology, 35 within intensive care and 27 within orthopaedic surgery. Results showed outcome measures were actively used to improve the quality of care, several improvement initiatives were implemented, but outcomes were not always monitored regularly. Results differed between hospitals, but differences were limited between disease areas. Conclusion The current state of outcome-based quality improvement in all five disease areas is that outcome measures were consequently employed and used on a frequent basis aiming to achieve quality improvement in healthcare. Results can be improved by structurally embedding the entire improvement cycle into the organisation.

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The use of outcome data from quality registries to learn and improve; a Dutch nationwide quantitative analysis in five disease areas

Slingerland,

Moers,

Medendorp

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

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Evaluation of referral pathways for coronary artery bypass surgery patients; comparison on clinical outcomes, quality of life and process parameters

Cited by 1 publication

References 19 publications

The use of outcome data from quality registries to learn and improve; a Dutch nationwide quantitative analysis in five disease areas

The use of outcome data from quality registries to learn and improve; a Dutch nationwide quantitative analysis in five disease areas

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