Evidence map›Paper›PMID 30594193›Full record

SynthesisBMC health services research2018

Health outcomes measurement and organizational readiness support quality improvement: a systematic review.

Nynke A Kampstra, Nina Zipfel, Paul B van der Nat, Gert P Westert, Philip J van der Wees, A Stef Groenewoud

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
14.1field-weighted citation impact, top 1% of its field
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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  20. Health Outcomes Management Evaluation-A National Analysis of Dutch Heart Care.European heart journal. Quality of care & clinical outcomes · 2022
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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

6 authors at 2 institutions in 1 country.

Nynke A KampstraDepartment of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, the Netherlands. n.kampstra@antoniusziekenhuis.nl.ORCID http://orcid.org/0000-0001-8789-3291
Nina ZipfelDepartment of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, the Netherlands.
Paul B van der NatDepartment of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, the Netherlands.
Gert P WestertRadboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Radboud university medical center, Nijmegen, the Netherlands.
Philip J van der WeesRadboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Radboud university medical center, Nijmegen, the Netherlands.
A Stef GroenewoudRadboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Radboud university medical center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLSt. Antonius Ziekenhuis · NL

Funding

ZonMw 842001005
6 · The paper itself

Abstract

backgroundUsing outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor QI initiatives. The second objective is to identify a) facilitators and/or barriers that contribute to the realization of QI efforts, and b) how outcomes are being used as a catalyst to change outcomes over time.

methodsWe searched the PubMed, EMBASE and Cochrane databases for relevant articles published between January 1995 and March 2017. We used a standardized data abstraction form. Studies were included when the following three criteria were fulfilled: 1) they relied on structural data collection, 2) when a structural and comprehensive QI intervention had been implemented and evaluated, and 3) impact on improving clinical and/or patient-reported outcomes was described. Data on QI strategies, QI initiatives and the impact on outcomes was extracted using standardized assessment tools.

resultsWe included 21 articles, of which eight showed statistically significant improvements on outcomes using data from clinical registries. Out of these eight studies, the Chronic Care Model, IT application as feedback, benchmarking and the Collaborative Care Model were used as QI methods. Encouraging trends in realizing improved outcomes through QI initiatives were observed, ranging from improving teamwork, implementation of clinical guidelines, implementation of physician alerts and development of a decision support system. Facilitators for implementing QI initiatives included a high quality database, audits, frequent reporting and feedback, patient involvement, communication, standardization, engagement, and leadership.

conclusionThis review suggests that outcomes collected in clinical registries are supportive to realize QI initiatives. Organizational readiness and an active approach are key in achieving improved outcomes.

Indexed as

HumansLeadershipObservational Studies as TopicOutcome Assessment, Health CareQuality ImprovementQuality Indicators, Health CareRegistriesClinical registriesImprovement scienceQuality improvementValue-based healthcare

Identifiers

PMID30594193
PMCPMC6311059
OpenAlexW2908302033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.