ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014
DUQuE quality management measures: associations between quality management at hospital and pathway levels.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study.BMC health services research · 2025Article
- An Innovative Framework for Sustainable Development in Healthcare: The Human Rights Assessment.International journal of environmental research and public health · 2022Article
- Building organisations, setting minds: exploring how boards of Dutch medical specialist companies address physicians' professional performance.BMC health services research · 2022Article
- How to sustainably build capacity in quality improvement within a healthcare organisation: a deep-dive, focused qualitative analysis.BMC health services research · 2021Article
- Contribution of Healthcare Professionals in Issues that Relate to Quality Management.Materia socio-medica · 2021Article
- 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
- Towards healthy learning climates in postgraduate medical education: exploring the role of hospital-wide education committees.BMC medical education · 2017Article
- Hospital-wide education committees and high-quality residency training : A qualitative study.Perspectives on medical education · 2017Article
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- 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
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8 authors.
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Abstract
objectiveThe assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives and at various levels of care delivery. Within the DUQuE project (Deepening our Understanding of Quality improvement in Europe), seven measures for QM were developed. This study investigates the relationships between the various quality measures.
designIt is a multi-level, cross-sectional, mixed-method study. SETTING AND
participantsAs part of the DUQuE project, we invited a random sample of 74 hospitals in 7 countries. The quality managers of these hospitals were the main respondents. Furthermore, data of site visits of external surveyors assessing the participating hospitals were used.
main outcome measuresThree measures of QM at hospitals level focusing on integral systems (QMSI), compliance with the Plan-Do-Study-Act quality improvement cycle (QMCI) and implementation of clinical quality (CQII). Four measures of QM activities at care pathway level focusing on Specialized expertise and responsibility (SER), Evidence-based organization of pathways (EBOP), Patient safety strategies (PSS) and Clinical review (CR).
resultsPositive significant associations were found between the three hospitals level QM measures. Results of the relationships between levels were mixed and showed most associations between QMCI and department-level QM measures for all four types of departments. QMSI was associated with PSS in all types of departments.
conclusionBy using the seven measures of QM, it is possible to get a more comprehensive picture of the maturity of QM in hospitals, with regard to the different levels and across various types of hospital departments.
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