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A checklist for patient safety rounds at the care pathway level

2014Journal article Open access
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dc.contributor.authorWagner, Cordula
dc.contributor.authorThompson, Caroline A.
dc.contributor.authorArah, Onyebuchi A.
dc.contributor.authorGroene, Oliver
dc.contributor.authorKlazinga, Niek S.
dc.contributor.authorDersarkissian, Maral
dc.contributor.authorSuñol, Rosa
dc.contributor.authorEiras, Margarida
dc.date.accessioned2015-03-16T17:05:38Z
dc.date.available2015-03-16T17:05:38Z
dc.date.issued2014
dc.description.abstractObjective - To define a checklist that can be used to assess the performance of a department and evaluate the implementation of quality management (QM) activities across departments or pathways in acute care hospitals. Design - We developed and tested a checklist for the assessment of QM activities at department level in a cross-sectional study using on-site visits by trained external auditors. Setting and Participants - A sample of 292 hospital departments of 74 acute care hospitals across seven European countries. In every hospital, four departments for the conditions: acute myocardial infarction (AMI), stroke, hip fracture and deliveries participated. Main outcome measures - Four measures of QM activities were evaluated at care pathway level focusing on specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies and clinical review (CR). Results - Participating departments attained mean values on the various scales between 1.2 and 3.7. The theoretical range was 0-4. Three of the four QM measures are identical for the four conditions, whereas one scale (EBOP) has condition-specific items. Correlations showed that every factor was related, but also distinct, and added to the overall picture of QM at pathway level. Conclusion - The newly developed checklist can be used across various types of departments and pathways in acute care hospitals like AMI, deliveries, stroke and hip fracture. The anticipated users of the checklist are internal (e.g. peers within the hospital and hospital executive board) and external auditors (e.g. healthcare inspectorate, professional or patient organizations).por
dc.identifier.citationWagner C, Thompson CA, Arah OA, Groene O, Klazinga NS, Eiras M, et al. A checklist for patient safety rounds at the care pathway level. Int J Qual Health Care. 2014;26 Suppl 1:36-46.por
dc.identifier.doi10.1093/intqhc/mzu019
dc.identifier.urihttp://hdl.handle.net/10400.21/4376
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherOxford University Presspor
dc.relation.publisherversionhttp://intqhc.oxfordjournals.org/content/26/suppl_1/36.longpor
dc.subjectQuality improvementpor
dc.subjectQuality managementpor
dc.subjectExternal quality assessmentpor
dc.subjectMeasurement of qualitypor
dc.subjectSurgerypor
dc.subjectHospital carepor
dc.subjectHealth professionalpor
dc.subjectCritical pathwayspor
dc.titleA checklist for patient safety rounds at the care pathway levelpor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage46por
oaire.citation.startPage36por
oaire.citation.volume26por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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