ArticleQuality & safety in health care2009
Differentiating between hospitals according to the "maturity" of quality improvement systems: a new classification scheme in a sample of European hospitals.
Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- A self-assessment maturity matrix to support large-scale change using collaborative networks in the New Zealand health system.BMC health services research · 2024Article
- Contribution of Healthcare Professionals in Issues that Relate to Quality Management.Materia socio-medica · 2021Article
- A Parsonian Approach to Patient Safety: Transformational Leadership and Social Capital as Preconditions for Clinical Risk Management-the GI Factor.International journal of environmental research and public health · 2020Article
- The association between quality system development stage and the implementation of process-level patient safety themes in Dutch hospitals: an observational study.BMC health services research · 2018Observational
- Article
- Quality Management Systems Implementation Compared With Organizational Maturity in Hospital.Global journal of health science · 2015Article
- DUQuE quality management measures: associations between quality management at hospital and pathway levels.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- 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.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- Development and validation of an index to assess hospital quality management systems.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.PloS one · 2014Article
- Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?BMC health services research · 2011Article
- Assessing hospitals' clinical risk management: Development of a monitoring instrument.BMC health services research · 2010Article
- Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' project.BMC health services research · 2010Article
- Implementation of patient safety strategies in European hospitals.Quality & safety in health care · 2009Article
- MARQulS: quality improvement strategies for European cross-border healthcare.Quality & safety in health care · 2009Article
- Is patient-centredness in European hospitals related to existing quality improvement strategies? Analysis of a cross-sectional survey (MARQuIS study).Quality & safety in health care · 2009Article
- Learning from MARQuIS: future direction of quality and safety in hospital care in the European Union.Quality & safety in health care · 2009Article
- Impact of quality strategies on hospital outputs.Quality & safety in health care · 2009Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
aimThis study, part of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) research project focusing on cross-border patients in Europe, investigated quality policies and improvement in healthcare systems across the European Union (EU). The aim was to develop a classification scheme for the level of quality improvement (maturity) in EU hospitals, in order to evaluate hospitals according to the maturity of their quality improvement activities.
methodsA web-based questionnaire survey designed to measure quality improvement in EU hospitals was used as the basis for the classification scheme. Items included for the development of an evaluation tool--the maturity index--were considered important contributors to quality improvement. The four-stage quality cycle (plan, do, check and act) was used to determine the level of maturity of the various items. Psychometric properties of the classification scheme were assessed, and validation analyses were performed.
resultsA total of 389 hospitals participated in a questionnaire survey; response rates varied by country. For a final sample of 349 hospitals, it was possible to construct a quality improvement maturity index which consisted of seven domains and 113 items. The results of independent analyses sustained the validity of the index, which was useful in differentiating between hospitals in the research sample according to the maturity of their quality improvement system (defined as the total of all quality improvement activities). DISCUSSION: Further research is recommended to develop an instrument which for use in the future as a practical tool to evaluate the maturity of hospital quality improvement systems.
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