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Evidence-based organization and patient safety strategies in European hospitals
OBJECTIVE: To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals. DESIGN: Mixed-method multilevel cross-sectional...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001691/ https://www.ncbi.nlm.nih.gov/pubmed/24578501 http://dx.doi.org/10.1093/intqhc/mzu016 |
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author | Sunol, Rosa Wagner, Cordula Arah, Onyebuchi A. Shaw, Charles D. Kristensen, Solvejg Thompson, Caroline A. Dersarkissian, Maral Bartels, Paul D. Pfaff, Holger Secanell, Mariona Mora, Nuria Vlcek, Frantisek Kutaj-Wasikowska, Halina Kutryba, Basia Michel, Philippe Groene, Oliver Klazinga, N. Kringos, D.S. Lombarts, M.J.M.H. Plochg, T. Lopez, M.A. Vallejo, P. Saillour-Glenisson, F. Car, M. Jones, S. Klaus, E. Bottaro, S. Garel, P. Saluvan, M. Bruneau, C. Depaigne-Loth, A. Hammer, A. Ommen, O. Pfaff, H. Botje, D. Escoval, A. Lívio, A. Eiras, M. Franca, M. Leite, I. Almeman, F. Kus, H. Ozturk, K. Mannion, R. Wang, A. Thompson, A. |
author_facet | Sunol, Rosa Wagner, Cordula Arah, Onyebuchi A. Shaw, Charles D. Kristensen, Solvejg Thompson, Caroline A. Dersarkissian, Maral Bartels, Paul D. Pfaff, Holger Secanell, Mariona Mora, Nuria Vlcek, Frantisek Kutaj-Wasikowska, Halina Kutryba, Basia Michel, Philippe Groene, Oliver Klazinga, N. Kringos, D.S. Lombarts, M.J.M.H. Plochg, T. Lopez, M.A. Vallejo, P. Saillour-Glenisson, F. Car, M. Jones, S. Klaus, E. Bottaro, S. Garel, P. Saluvan, M. Bruneau, C. Depaigne-Loth, A. Hammer, A. Ommen, O. Pfaff, H. Botje, D. Escoval, A. Lívio, A. Eiras, M. Franca, M. Leite, I. Almeman, F. Kus, H. Ozturk, K. Mannion, R. Wang, A. Thompson, A. |
author_sort | Sunol, Rosa |
collection | PubMed |
description | OBJECTIVE: To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals. DESIGN: Mixed-method multilevel cross-sectional design in seven countries as part of the European Union-funded project ‘Deepening our Understanding of Quality improvement in Europe’ (DUQuE). SETTING AND PARTICIPANTS: Seventy-four acute care hospitals with 292 departments managing acute myocardial infarction (AMI), hip fracture, stroke, and obstetric deliveries. MAIN OUTCOME MEASURE: Five multi-item composite measures—one generic measure for PSS and four pathway-specific measures for EBOP. RESULTS: Potassium chloride had only been removed from general medication stocks in 9.4–30.5% of different pathways wards and patients were adequately identified with wristband in 43.0–59.7%. Although 86.3% of areas treating AMI patients had immediate access to a specialist physician, only 56.0% had arrangements for patients to receive thrombolysis within 30 min of arrival at the hospital. A substantial amount of the total variance observed was due to between-hospital differences in the same country for PSS (65.9%). In EBOP, between-country differences play also an important role (10.1% in AMI to 57.1% in hip fracture). CONCLUSIONS: There were substantial gaps between evidence and practice of PSS and EBOP in a sample of European hospitals and variations due to country differences are more important in EBOP than in PSS, but less important than within-country variations. Agencies supporting the implementation of PSS and EBOP should closely re-examine the effectiveness of their current strategies. |
format | Online Article Text |
id | pubmed-4001691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-40016912014-04-28 Evidence-based organization and patient safety strategies in European hospitals Sunol, Rosa Wagner, Cordula Arah, Onyebuchi A. Shaw, Charles D. Kristensen, Solvejg Thompson, Caroline A. Dersarkissian, Maral Bartels, Paul D. Pfaff, Holger Secanell, Mariona Mora, Nuria Vlcek, Frantisek Kutaj-Wasikowska, Halina Kutryba, Basia Michel, Philippe Groene, Oliver Klazinga, N. Kringos, D.S. Lombarts, M.J.M.H. Plochg, T. Lopez, M.A. Vallejo, P. Saillour-Glenisson, F. Car, M. Jones, S. Klaus, E. Bottaro, S. Garel, P. Saluvan, M. Bruneau, C. Depaigne-Loth, A. Hammer, A. Ommen, O. Pfaff, H. Botje, D. Escoval, A. Lívio, A. Eiras, M. Franca, M. Leite, I. Almeman, F. Kus, H. Ozturk, K. Mannion, R. Wang, A. Thompson, A. Int J Qual Health Care Papers OBJECTIVE: To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals. DESIGN: Mixed-method multilevel cross-sectional design in seven countries as part of the European Union-funded project ‘Deepening our Understanding of Quality improvement in Europe’ (DUQuE). SETTING AND PARTICIPANTS: Seventy-four acute care hospitals with 292 departments managing acute myocardial infarction (AMI), hip fracture, stroke, and obstetric deliveries. MAIN OUTCOME MEASURE: Five multi-item composite measures—one generic measure for PSS and four pathway-specific measures for EBOP. RESULTS: Potassium chloride had only been removed from general medication stocks in 9.4–30.5% of different pathways wards and patients were adequately identified with wristband in 43.0–59.7%. Although 86.3% of areas treating AMI patients had immediate access to a specialist physician, only 56.0% had arrangements for patients to receive thrombolysis within 30 min of arrival at the hospital. A substantial amount of the total variance observed was due to between-hospital differences in the same country for PSS (65.9%). In EBOP, between-country differences play also an important role (10.1% in AMI to 57.1% in hip fracture). CONCLUSIONS: There were substantial gaps between evidence and practice of PSS and EBOP in a sample of European hospitals and variations due to country differences are more important in EBOP than in PSS, but less important than within-country variations. Agencies supporting the implementation of PSS and EBOP should closely re-examine the effectiveness of their current strategies. Oxford University Press 2014-04 2014-02-26 /pmc/articles/PMC4001691/ /pubmed/24578501 http://dx.doi.org/10.1093/intqhc/mzu016 Text en © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Papers Sunol, Rosa Wagner, Cordula Arah, Onyebuchi A. Shaw, Charles D. Kristensen, Solvejg Thompson, Caroline A. Dersarkissian, Maral Bartels, Paul D. Pfaff, Holger Secanell, Mariona Mora, Nuria Vlcek, Frantisek Kutaj-Wasikowska, Halina Kutryba, Basia Michel, Philippe Groene, Oliver Klazinga, N. Kringos, D.S. Lombarts, M.J.M.H. Plochg, T. Lopez, M.A. Vallejo, P. Saillour-Glenisson, F. Car, M. Jones, S. Klaus, E. Bottaro, S. Garel, P. Saluvan, M. Bruneau, C. Depaigne-Loth, A. Hammer, A. Ommen, O. Pfaff, H. Botje, D. Escoval, A. Lívio, A. Eiras, M. Franca, M. Leite, I. Almeman, F. Kus, H. Ozturk, K. Mannion, R. Wang, A. Thompson, A. Evidence-based organization and patient safety strategies in European hospitals |
title | Evidence-based organization and patient safety strategies in European hospitals |
title_full | Evidence-based organization and patient safety strategies in European hospitals |
title_fullStr | Evidence-based organization and patient safety strategies in European hospitals |
title_full_unstemmed | Evidence-based organization and patient safety strategies in European hospitals |
title_short | Evidence-based organization and patient safety strategies in European hospitals |
title_sort | evidence-based organization and patient safety strategies in european hospitals |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001691/ https://www.ncbi.nlm.nih.gov/pubmed/24578501 http://dx.doi.org/10.1093/intqhc/mzu016 |
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