Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?

Groene, Oliver; Mora, Núria; Thompson, Alexandra; Sáez, Mercedes Goicoechea; Casas, Mercè; Suñol, Rosa

doi:10.1186/1472-6963-11-344

Cited by 29 publications

(25 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Swedish health care system is under constant pressure for change. Among the main reasons for this development are the increasing complexity of health care systems, the focus on efficiency and effectiveness, the pressure for cost reduction due to increased care demands, and the development towards more individualised, patient-centred care (Groene et al, 2011). Consequently, there is a trend where health care officials, commissioners, and professionals are striving to find new ways to organise for improved quality of care.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The effects of cancer care pathways on waiting times

Smeds

Poksińska

2019

IJQSS

View full text Add to dashboard Cite

Purpose The Swedish health-care system currently implements cancer care pathways (CCPs) for better and more timely cancer diagnostics. The purpose of this paper is to elucidate and define “crowding out” effects associated with the CCP implementation. Design/methodology/approach A document study based on implementation reports and action plans from Swedish county councils (n = 21) and a case study in one county council were conducted. Qualitative data collection and analysis were used to acquire more knowledge about the “crowding out” effects associated with the CCP implementation. Findings Three effects discussed under “crowding out” were defined. The first effect, called the push-out effect, occurs when other patients have to wait for care longer in favour of CCP patients. Another effect is the inclusion effect, whereby “crowding out” is reduced for vulnerable patients due to the standardised procedures and criteria in the referral process. The final effect is the exclusion effect, where patients in need of cancer diagnostics are, for some reason, not referred to CCP. These patients are either not diagnosed at all or diagnosed outside CCP by a non-standard process, with the risk of longer waiting times. Originality/value “Crowding out” effects are an urgent topic related to CCP implementation. While these effects have been reported in international research studies, no shared definition has been established to describe them. The present paper creates a common base to measure the “crowding out” effects and support further development of CCPs to avoid the negative effects on waiting times.

show abstract

Section: Theoretical Frameworkmentioning

confidence: 99%

The effects of cancer care pathways on waiting times

Smeds

Poksińska

2019

IJQSS

View full text Add to dashboard Cite

show abstract

“…The main distinction existing between this quality evaluation approach and other measurement tools is its emphasis on strategic thinking and the implementation of organizational issues based on the strategic management process. Applying such approaches in hospitals assures the awareness toward environmental opportunities and threats as well as internal competitive advantages of an organization; thus, all activities on the allocation of resources are conducted per determined strategic goals (Groene et al 2011). It also assists hospitals in progressing through the required organizational, strategic, and technical competences in a systematic manner.…”

Section: Quality Maturitymentioning

confidence: 99%

Quality Management System and its Role in the Quality Maturity of Training Hospitals

Seyedi

Mohebbifar

Rafiei

2019

JCCNC

View full text Add to dashboard Cite

Background: Recent trends have led many organizations to use strategic planning for designing and implementing Total Quality Management (TQM) as a fundamental necessity. This study investigated the role of TQM in the quality maturity of hospitals from the employees' point of view. Methods: A cross-sectional study was conducted among the senior managers and officials of three Zanjan University of Medical Sciences (ZUMS) training hospital wards, including supervisors, matrons, and all hospital committee members. All the managers who were willing to participate and met the inclusion criteria were recruited. Two questionnaires, including TQM Assessment and Quality Maturity of Hospital Services were used. Statistical analyses were conducted by SPSS through multivariable regression modeling. Results: The obtained results affirmed a significant effect of TQM on the quality improvement of hospital services; a unit of increase in the mentioned variable resulted in 0.63 unit of change in quality maturity (P<0.05). Furthermore, among the different aspects of the quality management system, the most significant impact on quality maturity belonged to having a system-wide approach toward management (β=0.342). Conclusion: To improve the quality of hospital services, it is necessary to promote managers and employees' commitment toward the necessity of effectively implementing quality improvement programs. Establishing a process management approach, developing a culture of continuous improvement, adopting a systematic approach to control managerial issues, and encouraging employees to participate in quality improvement goals are necessary in this regard.

show abstract

“…Most healthcare organizations have now implemented quality systems. However, there is large variation between countries and between individual healthcare organizations in terms of how well developed their quality system is [ 5 , 7 , 9 , 10 ]. Insight into the development stage of a quality system is important, because it is assumed that this shapes the organizational processes, in turn leading to higher quality of care at the patient level [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

The association between quality system development stage and the implementation of process-level patient safety themes in Dutch hospitals: an observational study

Schoten

Hoogervorst-Schilp

Groenewegen

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundQuality systems are believed to be positively related to quality and safety in healthcare. However, there is no convincing evidence for this relationship in the literature. This study aims to examine the association between the development stage of hospital quality systems and the implementation of patient safety themes at the process level.MethodsThis study combines data from a national survey on the development stage of quality systems in Dutch hospitals with results from an evaluation study of the Dutch Hospital Patient Safety Program. Data on the development stage of quality systems were collected in Dutch hospitals in 2011. A total of 73 quality coordinators completed a questionnaire (response rate 77%) covering five quality system domains: policy and strategy, human resource management, patient involvement, practice guidelines, and systematic quality improvement. Data were included on the implementation of five patient safety themes from the Dutch Hospital Safety Program. Process indicators for each theme were measured every four to six weeks, resulting in ten measurements in each hospital. Data were analyzed using multilevel analysis.ResultsThe mean score for hospital quality system development was 2.30 (range 1 to 3). The mean scores for the various quality system domains ranged from 1.56 (Patient Involvement) to 2.66 (Human Resources Management). The mean percentages for the implementation of the patient safety themes ranged from 12% for the ‘Pain’ process indicator to 73% for execution of the ‘Time-Out Procedure’. The intraclass correlation coefficients of the intercept-only model ranged between 11.6 and 51.6, which indicates large differences between hospitals in the implementation of the patient safety themes. Positive associations between quality system development stage and implementation of patient safety themes were found for four of the five patient safety themes, although they were not statistically significant.ConclusionsThis study found no association between the development stage of a hospital quality system and the implementation of patient level safety themes at the process level. This rejects the hypothesis that quality improvement is caused by a positive relationship between structure (the quality system) and processes (the safety program implementation), which in their turn mold the quality of care at the patient level.

show abstract

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?

Cited by 29 publications

References 42 publications

The effects of cancer care pathways on waiting times

The effects of cancer care pathways on waiting times

Quality Management System and its Role in the Quality Maturity of Training Hospitals

The association between quality system development stage and the implementation of process-level patient safety themes in Dutch hospitals: an observational study

Contact Info

Product

Resources

About