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Health outcomes measurement and organizational readiness support quality improvement: a systematic review
BACKGROUND: Using outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor QI initiatives. The second objective is to identify a) facilitators and/or bar...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311059/ https://www.ncbi.nlm.nih.gov/pubmed/30594193 http://dx.doi.org/10.1186/s12913-018-3828-9 |
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author | Kampstra, Nynke A. Zipfel, Nina van der Nat, Paul B. Westert, Gert P. van der Wees, Philip J. Groenewoud, A. Stef |
author_facet | Kampstra, Nynke A. Zipfel, Nina van der Nat, Paul B. Westert, Gert P. van der Wees, Philip J. Groenewoud, A. Stef |
author_sort | Kampstra, Nynke A. |
collection | PubMed |
description | BACKGROUND: Using outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor QI initiatives. The second objective is to identify a) facilitators and/or barriers that contribute to the realization of QI efforts, and b) how outcomes are being used as a catalyst to change outcomes over time. METHODS: We searched the PubMed, EMBASE and Cochrane databases for relevant articles published between January 1995 and March 2017. We used a standardized data abstraction form. Studies were included when the following three criteria were fulfilled: 1) they relied on structural data collection, 2) when a structural and comprehensive QI intervention had been implemented and evaluated, and 3) impact on improving clinical and/or patient-reported outcomes was described. Data on QI strategies, QI initiatives and the impact on outcomes was extracted using standardized assessment tools. RESULTS: We included 21 articles, of which eight showed statistically significant improvements on outcomes using data from clinical registries. Out of these eight studies, the Chronic Care Model, IT application as feedback, benchmarking and the Collaborative Care Model were used as QI methods. Encouraging trends in realizing improved outcomes through QI initiatives were observed, ranging from improving teamwork, implementation of clinical guidelines, implementation of physician alerts and development of a decision support system. Facilitators for implementing QI initiatives included a high quality database, audits, frequent reporting and feedback, patient involvement, communication, standardization, engagement, and leadership. CONCLUSION: This review suggests that outcomes collected in clinical registries are supportive to realize QI initiatives. Organizational readiness and an active approach are key in achieving improved outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3828-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6311059 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63110592019-01-07 Health outcomes measurement and organizational readiness support quality improvement: a systematic review Kampstra, Nynke A. Zipfel, Nina van der Nat, Paul B. Westert, Gert P. van der Wees, Philip J. Groenewoud, A. Stef BMC Health Serv Res Research Article BACKGROUND: Using outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor QI initiatives. The second objective is to identify a) facilitators and/or barriers that contribute to the realization of QI efforts, and b) how outcomes are being used as a catalyst to change outcomes over time. METHODS: We searched the PubMed, EMBASE and Cochrane databases for relevant articles published between January 1995 and March 2017. We used a standardized data abstraction form. Studies were included when the following three criteria were fulfilled: 1) they relied on structural data collection, 2) when a structural and comprehensive QI intervention had been implemented and evaluated, and 3) impact on improving clinical and/or patient-reported outcomes was described. Data on QI strategies, QI initiatives and the impact on outcomes was extracted using standardized assessment tools. RESULTS: We included 21 articles, of which eight showed statistically significant improvements on outcomes using data from clinical registries. Out of these eight studies, the Chronic Care Model, IT application as feedback, benchmarking and the Collaborative Care Model were used as QI methods. Encouraging trends in realizing improved outcomes through QI initiatives were observed, ranging from improving teamwork, implementation of clinical guidelines, implementation of physician alerts and development of a decision support system. Facilitators for implementing QI initiatives included a high quality database, audits, frequent reporting and feedback, patient involvement, communication, standardization, engagement, and leadership. CONCLUSION: This review suggests that outcomes collected in clinical registries are supportive to realize QI initiatives. Organizational readiness and an active approach are key in achieving improved outcomes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3828-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-12-29 /pmc/articles/PMC6311059/ /pubmed/30594193 http://dx.doi.org/10.1186/s12913-018-3828-9 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 Kampstra, Nynke A. Zipfel, Nina van der Nat, Paul B. Westert, Gert P. van der Wees, Philip J. Groenewoud, A. Stef Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title | Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title_full | Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title_fullStr | Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title_full_unstemmed | Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title_short | Health outcomes measurement and organizational readiness support quality improvement: a systematic review |
title_sort | health outcomes measurement and organizational readiness support quality improvement: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311059/ https://www.ncbi.nlm.nih.gov/pubmed/30594193 http://dx.doi.org/10.1186/s12913-018-3828-9 |
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