Evidence map›Paper›PMID 35771777›Full record

ReviewPloS one2022

A co-creation roadmap towards sustainable quality of care: A multi-method study.

Fien Claessens, Deborah Seys, Jonas Brouwers, Astrid Van Wilder, Anneke Jans, Eva Marie Castro, Luk Bruyneel, Dirk De Ridder, Kris Vanhaecht

Abstract readReview
In one paragraph

Review in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Development of the National Strategy for Quality of Care and Patient Safety for Greece: co-creation process and lessons learnt.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
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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

9 authors.

Fien ClaessensLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.ORCID 0000-0001-6404-5660
Deborah SeysLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Jonas BrouwersLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Astrid Van WilderLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Anneke JansLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Eva Marie CastroLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Luk BruyneelLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.
Dirk De RidderLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.ORCID 0000-0001-6914-0077
Kris VanhaechtLeuven Institute for Healthcare Policy-Department of Public Health, KU Leuven-University of Leuven, Leuven, Flanders, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHospitals demonstrated increased efforts into quality improvement over the past years. Their growing commitment to quality combined with a heterogeneity in perceptions among healthcare stakeholders cause concerns on the sustainable incorporation of quality into the daily workflow. Questions are raised on the drivers for a sustainable hospital quality policy. We aimed to identify drivers and incorporate them into a new, unique roadmap towards sustainable quality of care in hospitals.

designA multi-method design guided by an eight-phase approach to develop a conceptual framework consists of multiple, iterative phases of data collection, synthesis and validation. Starting with a narrative review followed by a qualitative in-depth analysis and including feedback of national and international healthcare stakeholders.

settingHospitals.

resultsThe narrative review included 59 relevant papers focusing on quality improvement and the sustainability of these improved quality results. By integrating, synthesising and resynthesizing concepts during thematic and content analysis, the narrative review evolved to an integrated, co-creation roadmap. The Flanders Quality Model (FlaQuM) is presented as a driver diagram that features six primary drivers for a sustainable quality policy: (1) Quality Design and Planning, (2) Quality Control, (3) Quality Improvement, (4) Quality Leadership, (5) Quality Culture and (6) Quality Context. Six primary drivers are described in 19 building blocks (secondary drivers) and 104 evidence-based action fields.

conclusionsThe framework suggests that a manageable number of drivers, building blocks and action fields may support the sustainable incorporation of quality into the daily workflow. Therefore, FlaQuM can serve as a useful roadmap for future sustainable quality policies in hospitals and for future empirical and theoretical work in sustainable quality management.

Indexed as

Delivery of Health CareHospitalsQuality of Health Care

Identifiers

PMID35771777
PMCPMC9246114

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.