ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014
Development and validation of an index to assess hospital quality management systems.
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 14 papers.
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Who cites it
14 citing papers in PubMed.
- Contribution of Healthcare Professionals in Issues that Relate to Quality Management.Materia socio-medica · 2021Article
- Social determinants of the impact of hospital management boards on quality management: a study of 109 European hospitals using a parsonian approach.BMC health services research · 2021Article
- AGRASS Questionnaire: Assessment of Risk Management in Health Care.Revista de saude publica · 2020Article
- The involvement of medical doctors in hospital governance and implications for quality management: a quick scan in 19 and an in depth study in 7 OECD countries.BMC health services research · 2016Article
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- Patient Experience Shows Little Relationship with Hospital Quality Management Strategies.PloS one · 2015Article
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- The associations between organizational culture, organizational structure and quality management in European hospitals.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- Evidence-based organization and patient safety strategies in European hospitals.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- 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
- The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals.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
- 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
- The Impact of Applying Quality Management Practices on Patient Centeredness in Jordanian Public Hospitals: Results of Predictive Modeling.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
objectiveThe aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries.
designQuestionnaire development was facilitated through expert opinion, literature review and earlier empirical research. A cross-sectional online survey utilizing the questionnaire was undertaken between May 2011 and February 2012. We used psychometric methods to explore the factor structure, reliability and validity of the instrument. SETTING AND
participantsAs part of the Deepening our Understanding of Quality improvement in Europe (DUQuE) project, we invited a random sample of 188 hospitals in 7 countries. The quality managers of these hospitals were the main respondents.
main outcome measureThe extent of implementation of QMSs.
resultsFactor analysis yielded nine scales, which were combined to build the Quality Management Systems Index. Cronbach's reliability coefficients were satisfactory (ranging from 0.72 to 0.82) for eight scales and low for one scale (0.48). Corrected item-total correlations provided adequate evidence of factor homogeneity. Inter-scale correlations showed that every factor was related, but also distinct, and added to the index. Construct validity testing showed that the index was related to recent measures of quality. Participating hospitals attained a mean value of 19.7 (standard deviation of 4.7) on the index that theoretically ranged from 0 to 27.
conclusionAssessing QMSs across Europe has the potential to help policy-makers and other stakeholders to compare hospitals and focus on the most important areas for improvement.
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