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Important factors for effective patient safety governance auditing: a questionnaire survey

BACKGROUND: Audits are increasingly used for patient safety governance purposes. However, there is little insight into the factors that hinder or stimulate effective governance based on auditing. The aim of this study is to quantify the factors that influence effective auditing for hospital boards a...

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Autores principales: van Gelderen, Saskia C., Zegers, Marieke, Robben, Paul B., Boeijen, Wilma, Westert, Gert P., Wollersheim, Hub C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195966/
https://www.ncbi.nlm.nih.gov/pubmed/30342516
http://dx.doi.org/10.1186/s12913-018-3577-9
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author van Gelderen, Saskia C.
Zegers, Marieke
Robben, Paul B.
Boeijen, Wilma
Westert, Gert P.
Wollersheim, Hub C.
author_facet van Gelderen, Saskia C.
Zegers, Marieke
Robben, Paul B.
Boeijen, Wilma
Westert, Gert P.
Wollersheim, Hub C.
author_sort van Gelderen, Saskia C.
collection PubMed
description BACKGROUND: Audits are increasingly used for patient safety governance purposes. However, there is little insight into the factors that hinder or stimulate effective governance based on auditing. The aim of this study is to quantify the factors that influence effective auditing for hospital boards and executives. METHODS: A questionnaire of 32 factors was developed using influencing factors found in a qualitative study on effective auditing. Factors were divided into four categories. The questionnaire was sent to the board of directors, chief of medical staff, nursing officer, medical department head and director of the quality and safety department of 89 acute care hospitals in the Netherlands. RESULTS: We approached 522 people, of whom 211 responded. Of the 32 factors in the questionnaire, 30 factors had an agreement percentage higher than 50%. Important factors per category were ‘audit as an improvement tool as well as a control tool’, ‘department is aware of audit purpose’, ‘quality of auditors’ and ‘learning culture at department’. We found 14 factors with a significant difference in agreement between stakeholders of at least 20%. Amongst these were ‘medical specialist on the audit team’, ‘soft signals in the audit report’, ‘patients as auditors’ and ‘post-audit support’. CONCLUSION: We found 30 factors for effective auditing, which we synthesised into eight recommendations to optimise audits. Hospitals can use these recommendations as a framework for audits that enable boards to become more in control of patient safety in their hospital. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3577-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-61959662018-10-30 Important factors for effective patient safety governance auditing: a questionnaire survey van Gelderen, Saskia C. Zegers, Marieke Robben, Paul B. Boeijen, Wilma Westert, Gert P. Wollersheim, Hub C. BMC Health Serv Res Research Article BACKGROUND: Audits are increasingly used for patient safety governance purposes. However, there is little insight into the factors that hinder or stimulate effective governance based on auditing. The aim of this study is to quantify the factors that influence effective auditing for hospital boards and executives. METHODS: A questionnaire of 32 factors was developed using influencing factors found in a qualitative study on effective auditing. Factors were divided into four categories. The questionnaire was sent to the board of directors, chief of medical staff, nursing officer, medical department head and director of the quality and safety department of 89 acute care hospitals in the Netherlands. RESULTS: We approached 522 people, of whom 211 responded. Of the 32 factors in the questionnaire, 30 factors had an agreement percentage higher than 50%. Important factors per category were ‘audit as an improvement tool as well as a control tool’, ‘department is aware of audit purpose’, ‘quality of auditors’ and ‘learning culture at department’. We found 14 factors with a significant difference in agreement between stakeholders of at least 20%. Amongst these were ‘medical specialist on the audit team’, ‘soft signals in the audit report’, ‘patients as auditors’ and ‘post-audit support’. CONCLUSION: We found 30 factors for effective auditing, which we synthesised into eight recommendations to optimise audits. Hospitals can use these recommendations as a framework for audits that enable boards to become more in control of patient safety in their hospital. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3577-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-10-20 /pmc/articles/PMC6195966/ /pubmed/30342516 http://dx.doi.org/10.1186/s12913-018-3577-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
van Gelderen, Saskia C.
Zegers, Marieke
Robben, Paul B.
Boeijen, Wilma
Westert, Gert P.
Wollersheim, Hub C.
Important factors for effective patient safety governance auditing: a questionnaire survey
title Important factors for effective patient safety governance auditing: a questionnaire survey
title_full Important factors for effective patient safety governance auditing: a questionnaire survey
title_fullStr Important factors for effective patient safety governance auditing: a questionnaire survey
title_full_unstemmed Important factors for effective patient safety governance auditing: a questionnaire survey
title_short Important factors for effective patient safety governance auditing: a questionnaire survey
title_sort important factors for effective patient safety governance auditing: a questionnaire survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195966/
https://www.ncbi.nlm.nih.gov/pubmed/30342516
http://dx.doi.org/10.1186/s12913-018-3577-9
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