Safety is part of quality: a proposal for a continuum in performance measurement

Kazandjian, Vahé A.; Wicker, Karol G.; Matthes, Nikolas; Ogunbo, Sam

doi:10.1111/j.1365-2753.2008.00960.x

Cited by 14 publications

(9 citation statements)

References 27 publications

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“…Our results reinforce the conceptualisation of safety as one dimension of quality, a finding that is in line with other recent studies. 10 The inter-relation of strategies lends support to the use of a QI maturity index that combines several strategies and facilitates a comprehensive assessment and evaluation of the development of QI in hospitals. The positive association between hospitals’ scores on the maturity index and their results for hospital outputs provided additional support in this direction.…”

Section: Discussionmentioning

confidence: 99%

Impact of quality strategies on hospital outputs

Suñol

Vallejo

Thompson

et al. 2009

Quality and Safety in Health Care

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Context: This study was part of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) research project on patients crossing borders, a study to investigate quality improvement strategies in healthcare systems across the European Union (EU). Aim: To explore the association between the implementation of quality improvement strategies in hospitals and hospitals' success in meeting defined quality requirements that are considered intermediate outputs of the care process. Methods: Data regarding the implementation of seven quality improvement strategies (accreditation, organisational quality management programmes, audit and internal assessment of clinical standards, patient safety systems, clinical practice guidelines, performance indicators and systems for obtaining patients' views) and four dimensions of outputs (clinical, safety, patient-centredness and cross-border patient-centredness) were collected from 389 acute care hospitals in eight EU countries using a web-based questionnaire. In a second phase, 89 of these hospitals participated in an on-site audit by independent surveyors. Pearson correlation and linear regression models were used to explore associations and relations between quality improvement strategies and achievement of outputs. Results: Positive associations were found between six internal quality improvement strategies and hospital outputs. The quality improvement strategies could be reasonably subsumed under one latent index which explained about half of their variation. The analysis of outputs concluded that the outputs can also be considered part of a single construct. The findings indicate that the implementation of internal as well as external quality improvement strategies in hospitals has beneficial effects on the hospital outputs studied here. Conclusion: The implementation of internal quality improvement strategies as well as external assessment systems should be promoted.This study forms part of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) project. The objectives of the MARQuIS project are to research and compare different quality improvement (QI) policies and strategies in healthcare systems across the member states of the European Union (EU), and to consider their potential value when patients cross borders to receive healthcare. This research was intended to enable an evaluation of the need for, and development of, formal quality procedures at the EU level for healthcare services.To identify quality strategies in Europe, quality policies were analysed, and a survey of key experts in QI from the 25 member states comprising the EU in 2005 was conducted to gather information about views and accounts of QI policies and strategies in their healthcare systems. Seven main strategies were identified 1 : c accreditation c organisational quality management programmes (TQMs) c audit and internal assessment of clinical standards (internal assessment) c patient safety systems (patient safety) c clinical practice guidelines (clinical ...

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Section: Discussionmentioning

confidence: 99%

Impact of quality strategies on hospital outputs

Suñol

Vallejo

Thompson

et al. 2009

Quality and Safety in Health Care

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“…Conversely, other research describes quality and patient safety as separate and distinct issues (Pronovost, Nolan, Zeger, Miller, & Rubin, 2004). The debate about the possible distinction between safety and quality began after the publication of the first IOM report (Kazandjian, Wicker, Matthes, & Ogunbo, 2008). A later IOM (2001) report describes the relationship between patient safety and quality in that patient safety is one dimension of quality.…”

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confidence: 99%

Leadership, safety climate, and continuous quality improvement

McFadden¹,

Stock²,

Gowen³

2015

Health Care Management Review

139

107

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The notion that patient safety climate and CQI initiatives are not interchangeable or universally beneficial is an important contribution to the literature. The results confirm the importance of using CQI to effectively enhance process quality in hospitals, and patient safety climate to improve patient safety outcomes. The overall pattern of findings suggests that simultaneous implementation of CQI initiatives and patient safety climate produces greater combined benefits.

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“…Any kind of evidence to support implementation in specific departments or set up of an EBM center, etc. Quality Indicator Systems Quality Indicator System is a performance measurement system that represents a system of analyses and control support based on system analysis of the environment and process taking place therein; definition of accurate and standardized methods of data collection and measurement; definition of key indicators; and providing feedback information to participants [ 43 ], and participants can use it to compare their performance with peers and initiate following QI activitiescc Hospital joins the TQIP (IQIP in Taiwan) with evidence of reporting acute care, long-term care or psychiatric care indicators [ 45 ]. Hospital joins the THIS with evidence of reporting ambulatory, inpatient, emergency, ICU, patient safety indicators [ 46 ].…”

Section: Appendixmentioning

confidence: 99%

Do relationships exist between the scope and intensity of quality improvement activities and hospital operation performance? A 10-year observation in Taiwan

Chung

2015

BMC Health Serv Res

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BackgroundThe relationship between the scope and intensity of quality improvement (QI) activities and hospital performance remains unclear. This study investigated the relationship between performance, external environment, and the scope and intensity of QI activities in hospitals.MethodsThe study used a longitudinal observation. Data regarding the scope and intensity of QI activities were collected using a questionnaire survey among the administrative deputy superintendents / directors of quality management center in 139 hospitals. Hospital performance indicators were abstracted from the 2000–2009 national hospitals profiles. We adopted year 2000 as the baseline, and divided the study period into three 3-year periods. The Generalized Estimating Equations (GEE) model was used for the statistical analysis.ResultsSeventy-two hospitals responded to the survey, giving a response rate of 52 %. The results showed a significant increase in the scope and intensity of QI activities between 2000 and 2009. The results also showed that the scope and intensity of a hospital’s QI activities were associated with the scope and intensity of its competitors’ QI activities in the previous period and its own prior performance. The scope of QI activities in the previous period was not significantly related to the selected hospital performance measures. However, the intensity of QI activities in the previous period showed a significant and positive relationship with the number of inpatients and the turnover of beds.ConclusionThe study demonstrates that the intensity of QI activities is associated with the external environment and the hospital’s own performance in the previous period. Furthermore, some performance measures are associated with the intensity of the QI activities in the previous period.

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Safety is part of quality: a proposal for a continuum in performance measurement

Cited by 14 publications

References 27 publications

Impact of quality strategies on hospital outputs

Impact of quality strategies on hospital outputs

Leadership, safety climate, and continuous quality improvement

Do relationships exist between the scope and intensity of quality improvement activities and hospital operation performance? A 10-year observation in Taiwan

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