AustralieFrV1, Main, Exploration, bibRecord, 004173

Evidence-based organization and patient safety strategies in European hospitals

Identifieur interne : 004173 ( Main/Exploration ); précédent : 004172; suivant : 004174

Evidence-based organization and patient safety strategies in European hospitals

Auteurs : Rosa Sunol [Espagne] ; Cordula Wagner [Pays-Bas] ; Onyebuchi A. Arah [États-Unis] ; Charles D. Shaw [Australie] ; Solvejg Kristensen [Danemark] ; Caroline A. Thompson [États-Unis] ; Maral Dersarkissian [États-Unis] ; Paul D. Bartels [Danemark] ; Holger Pfaff [Allemagne] ; Mariona Secanell [Espagne] ; Nuria Mora [Espagne] ; Frantisek Vlcek [République tchèque] ; Halina Kutaj-Wasikowska [Pologne] ; Basia Kutryba [Pologne] ; Philippe Michel [France] ; Oliver Groene [Royaume-Uni]

Source :

International journal for quality in health care [ 1353-4505 ] ; 2014.

RBID : Pascal:14-0152847

Descripteurs français

Pascal (Inist)
- Iatrogène, Médecine factuelle, Organisation, Complication, Malade, Stratégie, Hôpital, Santé publique, Hospitalisation, Europe, Européen, Qualité, Amélioration, Gestion de la qualité, Pratique professionnelle, Variation, Recommandation, Soin, Efficacité, Sécurité du patient, Soins de santé.
Wicri :
- topic : Santé publique, Hospitalisation, Recommandation, Soins de santé.

English descriptors

KwdEn :
- Care, Complication, Efficiency, Europe, European, Evidence-based medicine, Healthcare, Hospital, Hospitalization, Iatrogenic, Improvement, Organization, Patient, Patient safety, Professional practice, Public health, Quality, Quality management, Recommendation, Strategy, Variations.

Abstract

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

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001691

Affiliations:

Le document en format XML

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</affiliation>
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<author><name sortKey="Secanell, Mariona" sort="Secanell, Mariona" uniqKey="Secanell M" first="Mariona" last="Secanell">Mariona Secanell</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Avedis Donabedian Research Institute (FAD), Universitat Autonoma de Barcelona</s1>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Avedis Donabedian Research Institute (FAD), Universitat Autonoma de Barcelona</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Red de investigación en servicios de salud en enfermedades crónicas REDISSEC</s1>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Red de investigación en servicios de salud en enfermedades crónicas REDISSEC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mora, Nuria" sort="Mora, Nuria" uniqKey="Mora N" first="Nuria" last="Mora">Nuria Mora</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Avedis Donabedian Research Institute (FAD), Universitat Autonoma de Barcelona</s1>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Avedis Donabedian Research Institute (FAD), Universitat Autonoma de Barcelona</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Red de investigación en servicios de salud en enfermedades crónicas REDISSEC</s1>
<s3>ESP</s3>
<sZ>1 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Red de investigación en servicios de salud en enfermedades crónicas REDISSEC</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vlcek, Frantisek" sort="Vlcek, Frantisek" uniqKey="Vlcek F" first="Frantisek" last="Vlcek">Frantisek Vlcek</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Czech Accreditation Committee</s1>
<s3>CZE</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>République tchèque</country>
<wicri:noRegion>Czech Accreditation Committee</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kutaj Wasikowska, Halina" sort="Kutaj Wasikowska, Halina" uniqKey="Kutaj Wasikowska H" first="Halina" last="Kutaj-Wasikowska">Halina Kutaj-Wasikowska</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Polish Society for Quality Promotion in Health Care</s1>
<s3>POL</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Pologne</country>
<wicri:noRegion>Polish Society for Quality Promotion in Health Care</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kutryba, Basia" sort="Kutryba, Basia" uniqKey="Kutryba B" first="Basia" last="Kutryba">Basia Kutryba</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Polish Society for Quality Promotion in Health Care</s1>
<s3>POL</s3>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Pologne</country>
<wicri:noRegion>Polish Society for Quality Promotion in Health Care</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Michel, Philippe" sort="Michel, Philippe" uniqKey="Michel P" first="Philippe" last="Michel">Philippe Michel</name>
<affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Quality and Safety Department, Lyon University, Hospital Network</s1>
<s3>FRA</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Hospital Network</wicri:noRegion>
<wicri:noRegion>Quality and Safety Department, Lyon University, Hospital Network</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Groene, Oliver" sort="Groene, Oliver" uniqKey="Groene O" first="Oliver" last="Groene">Oliver Groene</name>
<affiliation wicri:level="1"><inist:fA14 i1="14"><s1>London School of Hygiene and Tropical Medicine</s1>
<s3>GBR</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>London School of Hygiene and Tropical Medicine</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">International journal for quality in health care</title>
<title level="j" type="abbreviated">Int. j. qual. health care</title>
<idno type="ISSN">1353-4505</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">International journal for quality in health care</title>
<title level="j" type="abbreviated">Int. j. qual. health care</title>
<idno type="ISSN">1353-4505</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Care</term>
<term>Complication</term>
<term>Efficiency</term>
<term>Europe</term>
<term>European</term>
<term>Evidence-based medicine</term>
<term>Healthcare</term>
<term>Hospital</term>
<term>Hospitalization</term>
<term>Iatrogenic</term>
<term>Improvement</term>
<term>Organization</term>
<term>Patient</term>
<term>Patient safety</term>
<term>Professional practice</term>
<term>Public health</term>
<term>Quality</term>
<term>Quality management</term>
<term>Recommendation</term>
<term>Strategy</term>
<term>Variations</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Iatrogène</term>
<term>Médecine factuelle</term>
<term>Organisation</term>
<term>Complication</term>
<term>Malade</term>
<term>Stratégie</term>
<term>Hôpital</term>
<term>Santé publique</term>
<term>Hospitalisation</term>
<term>Europe</term>
<term>Européen</term>
<term>Qualité</term>
<term>Amélioration</term>
<term>Gestion de la qualité</term>
<term>Pratique professionnelle</term>
<term>Variation</term>
<term>Recommandation</term>
<term>Soin</term>
<term>Efficacité</term>
<term>Sécurité du patient</term>
<term>Soins de santé</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term>
<term>Hospitalisation</term>
<term>Recommandation</term>
<term>Soins de santé</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Objective. 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. Design. 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). Setting and participants. Seventy-four acute care hospitals with 292 departments managing acute myocardial infarction (AMI), hip fracture, stroke, and obstetric deliveries. Main outcome measure. Five multi-item composite measures-one generic measure for PSS and four pathway-specific measures for EBOP Results. 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). Conclusions. 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.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Danemark</li>
<li>Espagne</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Royaume-Uni</li>
<li>République tchèque</li>
<li>États-Unis</li>
</country>
<region><li>Hollande-Septentrionale</li>
<li>Jutland du Nord</li>
<li>Utrecht (province)</li>
</region>
<settlement><li>Aalborg</li>
<li>Amsterdam</li>
<li>Utrecht</li>
</settlement>
<orgName><li>Université d'Aalborg</li>
</orgName>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name>
</noRegion>
<name sortKey="Mora, Nuria" sort="Mora, Nuria" uniqKey="Mora N" first="Nuria" last="Mora">Nuria Mora</name>
<name sortKey="Mora, Nuria" sort="Mora, Nuria" uniqKey="Mora N" first="Nuria" last="Mora">Nuria Mora</name>
<name sortKey="Secanell, Mariona" sort="Secanell, Mariona" uniqKey="Secanell M" first="Mariona" last="Secanell">Mariona Secanell</name>
<name sortKey="Secanell, Mariona" sort="Secanell, Mariona" uniqKey="Secanell M" first="Mariona" last="Secanell">Mariona Secanell</name>
<name sortKey="Sunol, Rosa" sort="Sunol, Rosa" uniqKey="Sunol R" first="Rosa" last="Sunol">Rosa Sunol</name>
</country>
<country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name>
</region>
<name sortKey="Wagner, Cordula" sort="Wagner, Cordula" uniqKey="Wagner C" first="Cordula" last="Wagner">Cordula Wagner</name>
</country>
<country name="États-Unis"><noRegion><name sortKey="Arah, Onyebuchi A" sort="Arah, Onyebuchi A" uniqKey="Arah O" first="Onyebuchi A." last="Arah">Onyebuchi A. Arah</name>
</noRegion>
<name sortKey="Dersarkissian, Maral" sort="Dersarkissian, Maral" uniqKey="Dersarkissian M" first="Maral" last="Dersarkissian">Maral Dersarkissian</name>
<name sortKey="Thompson, Caroline A" sort="Thompson, Caroline A" uniqKey="Thompson C" first="Caroline A." last="Thompson">Caroline A. Thompson</name>
<name sortKey="Thompson, Caroline A" sort="Thompson, Caroline A" uniqKey="Thompson C" first="Caroline A." last="Thompson">Caroline A. Thompson</name>
</country>
<country name="Australie"><noRegion><name sortKey="Shaw, Charles D" sort="Shaw, Charles D" uniqKey="Shaw C" first="Charles D." last="Shaw">Charles D. Shaw</name>
</noRegion>
</country>
<country name="Danemark"><region name="Jutland du Nord"><name sortKey="Kristensen, Solvejg" sort="Kristensen, Solvejg" uniqKey="Kristensen S" first="Solvejg" last="Kristensen">Solvejg Kristensen</name>
</region>
<name sortKey="Bartels, Paul D" sort="Bartels, Paul D" uniqKey="Bartels P" first="Paul D." last="Bartels">Paul D. Bartels</name>
</country>
<country name="Allemagne"><noRegion><name sortKey="Pfaff, Holger" sort="Pfaff, Holger" uniqKey="Pfaff H" first="Holger" last="Pfaff">Holger Pfaff</name>
</noRegion>
</country>
<country name="République tchèque"><noRegion><name sortKey="Vlcek, Frantisek" sort="Vlcek, Frantisek" uniqKey="Vlcek F" first="Frantisek" last="Vlcek">Frantisek Vlcek</name>
</noRegion>
</country>
<country name="Pologne"><noRegion><name sortKey="Kutaj Wasikowska, Halina" sort="Kutaj Wasikowska, Halina" uniqKey="Kutaj Wasikowska H" first="Halina" last="Kutaj-Wasikowska">Halina Kutaj-Wasikowska</name>
</noRegion>
<name sortKey="Kutryba, Basia" sort="Kutryba, Basia" uniqKey="Kutryba B" first="Basia" last="Kutryba">Basia Kutryba</name>
</country>
<country name="France"><noRegion><name sortKey="Michel, Philippe" sort="Michel, Philippe" uniqKey="Michel P" first="Philippe" last="Michel">Philippe Michel</name>
</noRegion>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Groene, Oliver" sort="Groene, Oliver" uniqKey="Groene O" first="Oliver" last="Groene">Oliver Groene</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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Evidence-based organization and patient safety strategies in European hospitals

Evidence-based organization and patient safety strategies in European hospitals

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