Universität zu Köln

Sunol, Rosa, Wagner, Cordula, Arah, Onyebuchi A., Shaw, Charles D., Kristensen, Solvejg, Thompson, Caroline A., Dersarkissian, Maral, Bartels, Paul D., Pfaff, Holger ORCID: 0000-0001-9154-6575, Secanell, Mariona, Mora, Nuria, Vlcek, Frantisek, Kutaj-Wasikowska, Halina, Kutryba, Basia, Michel, Philippe and Groene, Oliver ORCID: 0000-0002-1099-2950 (2014). Evidence-based organization and patient safety strategies in European hospitals. Int. J. Qual. Health Care, 26. S. 47 - 56. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

Full text not available from this repository.

Abstract

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. 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). Seventy-four acute care hospitals with 292 departments managing acute myocardial infarction (AMI), hip fracture, stroke, and obstetric deliveries. Five multi-item composite measures-one generic measure for PSS and four pathway-specific measures for EBOP. 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). 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sunol, Rosa UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Cordula UNSPECIFIED UNSPECIFIED UNSPECIFIED Arah, Onyebuchi A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Shaw, Charles D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kristensen, Solvejg UNSPECIFIED UNSPECIFIED UNSPECIFIED Thompson, Caroline A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dersarkissian, Maral UNSPECIFIED UNSPECIFIED UNSPECIFIED Bartels, Paul D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Secanell, Mariona UNSPECIFIED UNSPECIFIED UNSPECIFIED Mora, Nuria UNSPECIFIED UNSPECIFIED UNSPECIFIED Vlcek, Frantisek UNSPECIFIED UNSPECIFIED UNSPECIFIED Kutaj-Wasikowska, Halina UNSPECIFIED UNSPECIFIED UNSPECIFIED Kutryba, Basia UNSPECIFIED UNSPECIFIED UNSPECIFIED Michel, Philippe UNSPECIFIED UNSPECIFIED UNSPECIFIED Groene, Oliver UNSPECIFIED orcid.org/0000-0002-1099-2950 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-441154
DOI:	10.1093/intqhc/mzu016
Journal or Publication Title:	Int. J. Qual. Health Care
Volume:	26
Page Range:	S. 47 - 56
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1464-3677
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY MANAGEMENT; IMPROVEMENT Multiple languages Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44115