Measuring quality

Willis, Claire; Evans, Sue; Stoelwinder, Johannes Uiltje; Cameron, Peter

doi:10.1071/ah070276

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…This can be achieved using traditional methods such as surveys, panels, or focus groups. Notwithstanding the potential of these strategies, they also have serious limitations [5]. First, there are several methodological challenges such as social desirability bias and selection bias [6-8].…”

Section: Introductionmentioning

confidence: 99%

Social Media and Rating Sites as Tools to Understanding Quality of Care: A Scoping Review

Verhoef¹,

Belt²,

Engelen³

et al. 2014

J Med Internet Res

124

117

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BackgroundInsight into the quality of health care is important for any stakeholder including patients, professionals, and governments. In light of a patient-centered approach, it is essential to assess the quality of health care from a patient’s perspective, which is commonly done with surveys or focus groups. Unfortunately, these “traditional” methods have significant limitations that include social desirability bias, a time lag between experience and measurement, and difficulty reaching large groups of people. Information on social media could be of value to overcoming these limitations, since these new media are easy to use and are used by the majority of the population. Furthermore, an increasing number of people share health care experiences online or rate the quality of their health care provider on physician rating sites. The question is whether this information is relevant to determining or predicting the quality of health care.ObjectiveThe goal of our research was to systematically analyze the relation between information shared on social media and quality of care.MethodsWe performed a scoping review with the following goals: (1) to map the literature on the association between social media and quality of care, (2) to identify different mechanisms of this relationship, and (3) to determine a more detailed agenda for this relatively new research area. A recognized scoping review methodology was used. We developed a search strategy based on four themes: social media, patient experience, quality, and health care. Four online scientific databases were searched, articles were screened, and data extracted. Results related to the research question were described and categorized according to type of social media. Furthermore, national and international stakeholders were consulted throughout the study, to discuss and interpret results.ResultsTwenty-nine articles were included, of which 21 were concerned with health care rating sites. Several studies indicate a relationship between information on social media and quality of health care. However, some drawbacks exist, especially regarding the use of rating sites. For example, since rating is anonymous, rating values are not risk adjusted and therefore vulnerable to fraud. Also, ratings are often based on only a few reviews and are predominantly positive. Furthermore, people providing feedback on health care via social media are presumably not always representative for the patient population.ConclusionsSocial media and particularly rating sites are an interesting new source of information about quality of care from the patient’s perspective. This new source should be used to complement traditional methods, since measuring quality of care via social media has other, but not less serious, limitations. Future research should explore whether social media are suitable in practice for patients, health insurers, and governments to help them judge the quality performance of professionals and organizations.

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Section: Introductionmentioning

confidence: 99%

Social Media and Rating Sites as Tools to Understanding Quality of Care: A Scoping Review

Verhoef¹,

Belt²,

Engelen³

et al. 2014

J Med Internet Res

124

117

View full text Add to dashboard Cite

show abstract

“…Standardization of simplified work processes in an organization facilitates safety, QI, and accurate communication by using a single set of terms, definitions, and/or practices, for example, bundles, routines, checklists, pathways, protocols, and guidelines to reduce variation in patient care delivery. Structural indicators include attributes in the environment where care is delivered and often consist of materials, people, and the structure of the organization (Willis, Evans, Stoelwinder, & Cameron, 2007). Structure refers to "the conditions under which care is provided" such as nursing staff ratios, supplies available to provide patient care, etc.…”

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confidence: 99%

Glossary

2014

Introduction to Quality and Safety Education for Nurses

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Accountable care organization (ACO) is a formal network of doctors, hospitals, and health care providers that will share the responsibility of providing health care to all the patients enrolled with the ACO (Advisory Board Company, 2010). Accredited hospital is one that demonstrates that the hospital meets the minimal standards for quality developed by The Joint Commission (TJC) or another accrediting agency; this includes monitoring of standards such as infection control standards, medication management standards, and emergency management standards, and so on, as well as measurement of core measures, safe practice measures, and process improvement. Adverse event is an undesired or intended consequence of the care provided (The Joint Commission, 2012). Bar-code medication administration (BCMA) uses bar codes printed on the patient's wristband and the medication packet to determine if the medication is intended for the correct patient. Benchmarking is "the continual and collaborative discipline of measuring and comparing the results of key work processes with those of the best performers in evaluating organizational performance" . Bibliographic databases, such as Medline, provide a basic record, or citation, for an article and often provide an abstract or brief summary, of the article; they do not necessarily contain the complete text of the article itself (Rosenberg & Donald, 1995). Boolean commands are terms such as AND, OR, or NOT that are used to either expand or limit your literature search results when searching the literature in most electronic databases. Clinical intelligence is the electronic aggregation of accurate, relevant, and timely clinical data into meaningful information and actionable knowledge (Harrington, 2011). Collaboration is an interpersonal personal process characterized by health care professionals from multiple disciplines with shared objectives, decision making, responsibility, and power, working together to solve patient care problems (Petri, 2010). Computerized provider order entry (CPOE) allows health care providers to enter orders directly into a computer system. Core accountability measures are standardized performance indicators that allow for comparison of quality measures between organizations. Critical appraisal guide to the literature is essentially a checklist containing questions to ask about key aspects of a study (Melnyk & Fineout-Overholt, 2011). Cross-monitoring is the process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors (Agency for Healthcare Research and Quality [AHRQ] TeamSTEPPS. n.d.). Culture of safety refers to the extent to which individuals and groups will commit to personal responsibility for safety; act to preserve, enhance, and communicate safety concerns; strive to actively learn, adapt, and modify both individual and organizational behavior based on 457

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Quality Improvement in the Perioperative Orthopedic Setting

Horvath

Magid

2014

Perioperative Care of the Orthopedic Patient

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Measuring quality

Cited by 4 publications

References 21 publications

Social Media and Rating Sites as Tools to Understanding Quality of Care: A Scoping Review

Social Media and Rating Sites as Tools to Understanding Quality of Care: A Scoping Review

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Quality Improvement in the Perioperative Orthopedic Setting

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