Evidence map›Paper›PMID 25192876›Full record

SynthesisBMJ open2014

The role of hospital managers in quality and patient safety: a systematic review.

Anam Parand, Sue Dopson, Anna Renz, Charles Vincent

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02410408 (Designing Guides and Tools to Reduce the Impact That Adverse Events Also Have Among Professionals and Health Institutions), which is not on this map. Cited by 80 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 5 pooled it
–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.

NCT02410408 nacompletednot on this mapstarted 2016, after this paper: background citation

Designing Guides and Tools to Reduce the Impact That Adverse Events Also Have Among Professionals and Health Institutions

TypeinterventionalSponsorUniversidad Miguel Hernandez de ElcheRan2016 to 2016Enrolled84ConditionsOccupational DiseasesArmsApps Root Cause Analysis or patient safety ISO certification, information package
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Milestones and turning points in the experience of physical activity throughout cancer care: a qualitative study to inform physical activity promotion.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  19. Article
  20. Article

20 more citing papers are in PubMed but not listed here.

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

4 authors.

Anam ParandDepartment of Surgery & Cancer, Imperial College London, London, UK.
Sue DopsonSaid Business School, University of Oxford, Oxford, UK.
Anna RenzDepartment of Surgery & Cancer, Imperial College London, London, UK.
Charles VincentDepartment of Experimental Psychology, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review the empirical literature to identify the activities, time spent and engagement of hospital managers in quality of care.

designA systematic review of the literature.

methodsA search was carried out on the databases MEDLINE, PSYCHINFO, EMBASE, HMIC. The search strategy covered three facets: management, quality of care and the hospital setting comprising medical subject headings and key terms. Reviewers screened 15,447 titles/abstracts and 423 full texts were checked against inclusion criteria. Data extraction and quality assessment were performed on 19 included articles.

resultsThe majority of studies were set in the USA and investigated Board/senior level management. The most common research designs were interviews and surveys on the perceptions of managerial quality and safety practices. Managerial activities comprised strategy, culture and data-centred activities, such as driving improvement culture and promotion of quality, strategy/goal setting and providing feedback. Significant positive associations with quality included compensation attached to quality, using quality improvement measures and having a Board quality committee. However, there is an inconsistency and inadequate employment of these conditions and actions across the sample hospitals.

conclusionsThere is some evidence that managers' time spent and work can influence quality and safety clinical outcomes, processes and performance. However, there is a dearth of empirical studies, further weakened by a lack of objective outcome measures and little examination of actual actions undertaken. We present a model to summarise the conditions and activities that affect quality performance.

Indexed as

Hospital AdministratorsProfessional RoleHospitalsHumansPatient SafetyQuality of Health CareHEALTH SERVICES ADMINISTRATION & MANAGEMENTLeadershipPatient SafetySystematic literature review

Identifiers

PMID25192876
PMCPMC4158193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.