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A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU
OBJECTIVE: Hospital boards are legally responsible for the quality of care delivered by healthcare professionals in their hospitals, but experience difficulties in overseeing quality and safety risks. This study aimed to select a core set of parameters for boards to govern quality of care in the int...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094796/ https://www.ncbi.nlm.nih.gov/pubmed/29635336 http://dx.doi.org/10.1093/intqhc/mzy048 |
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author | Oerlemans, Anke J M de Jonge, Evert van der Hoeven, Johannes G Zegers, Marieke |
author_facet | Oerlemans, Anke J M de Jonge, Evert van der Hoeven, Johannes G Zegers, Marieke |
author_sort | Oerlemans, Anke J M |
collection | PubMed |
description | OBJECTIVE: Hospital boards are legally responsible for the quality of care delivered by healthcare professionals in their hospitals, but experience difficulties in overseeing quality and safety risks. This study aimed to select a core set of parameters for boards to govern quality of care in the intensive care unit (ICU). DESIGN: Two-round Delphi study. SETTING: Two university hospitals in the Netherlands. PARTICIPANTS: An expert panel of 12 former ICU patients or their family members, 12 ICU nurses, 12 ICU physicians and 12 members of boards of directors and quality managers. MAIN OUTCOME MEASURES: Participants indicated the relevance of existing parameters for assessing the quality of ICU care for governance purposes (round 1) and selected 10 quality parameters that together provide boards of directors with a good representation of quality of care in their ICU (round 2). RESULTS: We identified 122 quality parameters related to care in the ICU, which we limited to a short list to present to participants in round 1. The response rate was 94% in round 1 and 85% in round 2. The final set consisted of the 10 most frequently selected quality parameters per hospital. Five parameters were included in both sets; all related to patient safety and continuous quality improvement. CONCLUSIONS: Parameters in the core set were mostly qualitative and generic, rather than quantitative and ICU-specific in nature. To engage in a true dialog about quality of care, boards are more interested in the story behind the numbers than in just the numbers themselves. |
format | Online Article Text |
id | pubmed-6094796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-60947962018-08-22 A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU Oerlemans, Anke J M de Jonge, Evert van der Hoeven, Johannes G Zegers, Marieke Int J Qual Health Care Research Article OBJECTIVE: Hospital boards are legally responsible for the quality of care delivered by healthcare professionals in their hospitals, but experience difficulties in overseeing quality and safety risks. This study aimed to select a core set of parameters for boards to govern quality of care in the intensive care unit (ICU). DESIGN: Two-round Delphi study. SETTING: Two university hospitals in the Netherlands. PARTICIPANTS: An expert panel of 12 former ICU patients or their family members, 12 ICU nurses, 12 ICU physicians and 12 members of boards of directors and quality managers. MAIN OUTCOME MEASURES: Participants indicated the relevance of existing parameters for assessing the quality of ICU care for governance purposes (round 1) and selected 10 quality parameters that together provide boards of directors with a good representation of quality of care in their ICU (round 2). RESULTS: We identified 122 quality parameters related to care in the ICU, which we limited to a short list to present to participants in round 1. The response rate was 94% in round 1 and 85% in round 2. The final set consisted of the 10 most frequently selected quality parameters per hospital. Five parameters were included in both sets; all related to patient safety and continuous quality improvement. CONCLUSIONS: Parameters in the core set were mostly qualitative and generic, rather than quantitative and ICU-specific in nature. To engage in a true dialog about quality of care, boards are more interested in the story behind the numbers than in just the numbers themselves. Oxford University Press 2018-08 2018-04-04 /pmc/articles/PMC6094796/ /pubmed/29635336 http://dx.doi.org/10.1093/intqhc/mzy048 Text en © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Research Article Oerlemans, Anke J M de Jonge, Evert van der Hoeven, Johannes G Zegers, Marieke A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title | A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title_full | A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title_fullStr | A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title_full_unstemmed | A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title_short | A systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the ICU |
title_sort | systematic approach to develop a core set of parameters for boards of directors to govern quality of care in the icu |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094796/ https://www.ncbi.nlm.nih.gov/pubmed/29635336 http://dx.doi.org/10.1093/intqhc/mzy048 |
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