Measuring the quality of hospital care: an inventory of indicators

Copnell, Beverley; Hagger, Virginia; Wilson, Sally; Evans, Sue; Sprivulis, Peter; Cameron, Peter

doi:10.1111/j.1445-5994.2009.01961.x

Cited by 68 publications

(63 citation statements)

References 33 publications

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“…La estancia media es uno de los indicadores clásicos en la valoración de la eficiencia en la gestión de los recursos de los centros hospitalarios, de amplia utilización a nivel internacional (3)(4)(5), dado que resume el aprovechamiento de la cama y la agilidad de los servicios prestados en los hospitales (1,6).…”

Section: Introductionunclassified

Índice de internación ajustado por riesgo en hospitales públicos de Costa Rica

Morera-Salas

2017

RGYPS

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<p>La estancia prolongada constituye un importante problema de gestión hospitalaria. El objetivo de este estudio es estimar un índice que identifique los hospitales con una gestión inadecuada de las estancias. El índice de adecuación de estancias se calcula dividiendo las estancias observadas entre las estancias esperadas en cada hospital. Estas últimas se estiman con un modelo de regresión que considera las características sociodemográficas y clínicas de los pacientes. Se utiliza la base de egresos hospitalarios del seguro público de salud de Costa Rica del 2014. El 43 % de los hospitales tiene una inadecuada gestión de las estancias, dado que registran mayores días de hospitalización que los esperados, de acuerdo a lo que le correspondía por la casuística. Se concluye que la información clínico-administrativa del sistema público de Costa Rica permite estimar un índice de adecuación de estancias, para identificar los hospitales con una gestión inadecuada de las estancias.</p>

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Section: Introductionunclassified

Índice de internación ajustado por riesgo en hospitales públicos de Costa Rica

Morera-Salas

2017

RGYPS

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“…This was not possible as only few indicators for infertility care have been reported in the literature (Copnell et al, 2009). Furthermore, recommendations from guidelines do not cover all six quality dimensions Haagen et al, 2010).…”

Section: Critical Appraisal Of the Study Methodologymentioning

confidence: 99%

“…Infertility care has very few speciality specific quality indicators compared with other fields (Copnell et al, 2009) and experts have called for the development and selection of quality indicators (Temmerman et al, 2006;Nelen et al, 2007;Gerris, 2011). The previous European 'Reprostat' indicator set addressed reproductive health status and not health care (http://ec.europa.eu/health/ph_projects/2001/monitoring/ fp_monitoring_2001_a1_frep_02_en.pdf).…”

Section: Introductionmentioning

confidence: 99%

“…Quality indicators are measurable elements of health care for which there is evidence or consensus that they assess quality of care, and which are useful to quality management (Donabedian, 1988;Mainz, 2003a). The vast majority (89.3%) of medical quality indicators addresses safety and effectiveness of care (Copnell et al, 2009). However, indicator sets should fully represent health-care quality and, therefore, cover the six dimensions of quality of care, including effectiveness, safety, efficiency, timeliness, equity and patient centeredness (Mainz, 2003a).…”

Section: Introductionmentioning

confidence: 99%

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Quality indicators for all dimensions of infertility care quality: consensus between professionals and patients

Dancet¹,

D’Hooghe²,

Spiessens³

et al. 2013

Human Reproduction

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study question: What is the relative importance of the six dimensions of quality of care according to different stakeholders and can a quality indicator set address all six quality dimensions and incorporate the views from professionals working in different disciplines and from patients?summary answer: Safety, effectiveness and patient centeredness were the most important quality dimensions. All six quality dimensions can be assessed with a set of 24 quality indicators, which is face valid and acceptable according to both professionals from different disciplines and patients.what is known already: To our knowledge, no study has weighted the relative importance of all quality dimensions to infertility care. Additionally, there are very few infertility care-specific quality indicators and no quality indicator set covers all six quality dimensions and incorporated the views of professionals and patients. study design, size and duration: A three-round iterative Delphi survey including patients and professionals from four different fields, conducted in two European countries over the course of 2011 and 2012. participants/materials, settings and methods: Dutch and Belgian gynaecologists, embryologists, counsellors, nurses/midwifes and patients took part (n ¼ 43 in round 1 and finally 30 in round 3). Respondents ranked the six quality dimensions twice for importance and their agreement was evaluated. Furthermore, in round 1, respondents gave suggestions, which were subsequently uniformly formulated as quality indicators. In rounds 2 and 3, respondents rated the quality indicators for preparedness to measure and for importance (relation to quality and prioritization for benchmarking). Providing feedback allowed selecting indicators based on consensus between stakeholder groups. Measurable indicators, important to all stakeholder groups, were selected for each quality dimension.main results: All stakeholder groups and most individuals agreed that safety, effectiveness and patient centeredness were the most important quality dimensions. A total of 498 suggestions led to the development of 298 indicators. Professionals were sufficiently prepared to measure 204 of these indicators. Based on importance, 52 (7-15 per dimension; round 2) and finally 24 (4 per dimension; round 3) quality indicators were selected.limitations, reasons for caution: The final quality indicator set does not cover the entire care process, but rather takes a 'sample' of each quality dimension. Although the quality indicators are face valid and acceptable, their psychometric characteristics need to be tested by further research.wider implications of the findings: Quality management should focus on safety, effectiveness and patient centeredness of care. Clinics can use the quality indicator set to assess all quality dimensions of their care.

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“…48,49 While the majority of quality indicators includes safety and effectiveness of care, 49,50 it is argued that indicator sets should fully represent healthcare quality and, therefore, cover the six dimensions of quality of care, including effectiveness, safety, efficiency, timeliness, equity and patient centeredness. 49,51 In a recent study involving doctors, nurses and infertility patients, the relative importance of the six aforesaid quality dimensions of care was analyzed by the Delphi method.…”

Section: Quality Indicators Of Infertility Carementioning

confidence: 99%

Efficacy, efficiency and effectiveness of gonadotropin therapy for infertility treatment

Esteves¹

2015

Medical Express

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Gonadotropin therapy is an essential element in infertility treatments involving assisted reproductive technology. In recent years there have been outstanding advances in the development of new gonadotropins, particularly with the production of gonadotropins using biotechnological resources. Recombinant gonadotropins have higher specific activity compared with urinary counterparts, thus allowing subcutaneous administration of minimal amounts of glycoprotein. As a result, recombinant formulations have a better safety profile despite an overall similarity in terms of efficacy for pregnancy, as reported in many randomized controlled trials and meta-analyses. Gonadotropins stimulate the ovaries to develop follicles and oocytes, which are the raw material for fertilization and embryo production. The resulting embryos are transferred (fresh or frozen-thawed) to achieve pregnancy. The efficiency of a gonadotropin should therefore measured by the amount of drug used, the number of oocytes/embryos produced, and the number of pregnancies achieved by transferring fresh and/or frozen-thawed embryos to the uterus (cumulative pregnancy). Comparisons between different gonadotropin preparations should also take into account other important quality indicators in reproductive medicine, such as safety and patient-centeredeness. Altogether, the aforementioned quality indicators favor biotech gonadotropins over biologic products in infertility therapy.

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Measuring the quality of hospital care: an inventory of indicators

Abstract: Despite the large number of available indicators, significant gaps in measurement still exist. Development of indicators to address these gaps should be a priority. Work is also required to evaluate whether existing indicators measure what they purport to measure.

Cited by 68 publications

References 33 publications

Índice de internación ajustado por riesgo en hospitales públicos de Costa Rica

Índice de internación ajustado por riesgo en hospitales públicos de Costa Rica

Quality indicators for all dimensions of infertility care quality: consensus between professionals and patients

Efficacy, efficiency and effectiveness of gonadotropin therapy for infertility treatment

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