Evidence map›Paper›PMID 24671121›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014

The use of on-site visits to assess compliance and implementation of quality management at hospital level.

C Wagner, O Groene, M Dersarkissian, C A Thompson, N S Klazinga, O A Arah, R Suñol, DUQuE Project Consortium

Abstract readValidation Study
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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 · 2014
    Article
  5. 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 · 2014
    Article
  6. 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 · 2014
    Article
  7. 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 · 2014
    Article
  8. 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 · 2014
    Article
  9. A checklist for patient safety rounds at the care pathway level.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014
    Article
  10. 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 · 2014
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

C WagnerP.O. Box 1568, 3500 BN Utrecht, The Netherlands. c.wagner@nivel.nl.
O Groene
M Dersarkissian
C A Thompson
N S Klazinga
O A Arah
R Suñol
DUQuE Project Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStakeholders of hospitals often lack standardized tools to assess compliance with quality management strategies and the implementation of clinical quality activities in hospitals. Such assessment tools, if easy to use, could be helpful to hospitals, health-care purchasers and health-care inspectorates. The aim of our study was to determine the psychometric properties of two newly developed tools for measuring compliance with process-oriented quality management strategies and the extent of implementation of clinical quality strategies at the hospital level.

designWe developed and tested two measurement instruments that could be used during on-site visits by trained external surveyors to calculate a Quality Management Compliance Index (QMCI) and a Clinical Quality Implementation Index (CQII). We used psychometric methods and the cross-sectional data to explore the factor structure, reliability and validity of each of these instruments. SETTING AND

participantsThe sample consisted of 74 acute care hospitals selected at random from each of 7 European countries.

main outcome measuresThe psychometric properties of the two indices (QMCI and CQII).

resultsOverall, the indices demonstrated favourable psychometric performance based on factor analysis, item correlations, internal consistency and hypothesis testing. Cronbach's alpha was acceptable for the scales of the QMCI (α: 0.74-0.78) and the CQII (α: 0.82-0.93). Inter-scale correlations revealed that the scales were positively correlated, but distinct. All scales added sufficient new information to each main index to be retained.

conclusionThis study has produced two reliable instruments that can be used during on-site visits to assess compliance with quality management strategies and implementation of quality management activities by hospitals in Europe and perhaps other jurisdictions.

Indexed as

Guideline AdherenceHealth Plan ImplementationCross-Sectional StudiesEuropeFactor Analysis, StatisticalHospitalsManagement AuditPsychometricsQuality Assurance, Health CareSurveys and Questionnairesaudithospitalimplementationon-site visitsquality management

Identifiers

PMID24671121
PMCPMC4001692

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.