Botje, Daan, Klazinga, N. S., Sunol, R., Groene, O., Pfaff, H., Mannion, R., Depaigne-Loth, A., Arah, O. A., Dersarkissian, M. and Wagner, C. (2014). Is having quality as an item on the executive board agenda associated with the implementation of quality management systems in European hospitals: a quantitative analysis. Int. J. Qual. Health Care, 26. S. 92 - 100. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

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Abstract

To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals. A quantitative, mixed method, cross-sectional study in seven European countries in 2011 surveying CEOs and quality managers and data from onsite audits. One hundred and fifty-five CEOs and 155 quality managers. One hundred and fifty-five randomly selected acute care hospitals in seven European countries (Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). Three constructs reflecting quality management based on questionnaire and audit data: (i) Quality Management System Index, (ii) Quality Management Compliance Index and (iii) Clinical Quality Implementation Index. The main predictor was whether quality performance was on the executive board's agenda. Discussing quality performance at executive board meetings more often was associated with a higher quality management system score (regression coefficient b = 2.53; SE = 1.16; P = 0.030). We found a trend in the associations of discussing quality performance with quality compliance and clinical quality implementation. PEP did not modify these relationships. Having quality as an item on the executive board's agenda allows them to review and discuss quality performance more often in order to improve their hospital's quality management. Generally, and as this study found, having quality on the executive board's agenda matters.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Botje, DaanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klazinga, N. S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sunol, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Groene, O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfaff, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mannion, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Depaigne-Loth, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arah, O. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dersarkissian, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-441165
DOI: 10.1093/intqhc/mzu017
Journal or Publication Title: Int. J. Qual. Health Care
Volume: 26
Page Range: S. 92 - 100
Date: 2014
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1464-3677
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PERFORMANCE DATA; IMPROVEMENT; GOVERNANCE; ACCREDITATION; CARE; INVOLVEMENT; LEADERSHIP; IMPACT; INDEXMultiple languages
Health Care Sciences & Services; Health Policy & ServicesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/44116

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