دورية أكاديمية
Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial.
| العنوان: | Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. |
|---|---|
| المؤلفون: | Ehlers LH; Danish Center for Healthcare Improvements, Department of Business and Management, Fibigerstraede 11, DK-9220, Aalborg University, Aalborg, Denmark., Simonsen KB; Danish Center for Healthcare Improvements, Department of Business and Management, Fibigerstraede 11, DK-9220, Aalborg University, Aalborg, Denmark., Jensen MB; Danish Center for Healthcare Improvements, Department of Business and Management, Fibigerstraede 11, DK-9220, Aalborg University, Aalborg, Denmark.; Center for Research in Econometric Analysis of Time Series, Department of Economics and Business, Aarhus University, Fuglesangs Allé 4, DK-8210 Aarhus V, Denmark., Rasmussen GS; The Danish Institute for Quality and Accreditation in Healthcare, Olof Palmes Allé 13, 1.th., DK-8200 Aarhus N, Denmark., Olesen AV; Danish Center for Healthcare Improvements, Department of Business and Management, Fibigerstraede 11, DK-9220, Aalborg University, Aalborg, Denmark. |
| المصدر: | International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2017 Jun 01; Vol. 29 (3), pp. 406-411. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9434628 Publication Model: Print Cited Medium: Internet ISSN: 1464-3677 (Electronic) Linking ISSN: 13534505 NLM ISO Abbreviation: Int J Qual Health Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Oxford University Press Original Publication: Kidlington, Oxford, UK ; Tarrytown, NY : Pergamon, c1994- |
| مواضيع طبية MeSH: | Accreditation/*statistics & numerical data , Hospitals, Public/*statistics & numerical data , Quality Assurance, Health Care/*statistics & numerical data , Quality Indicators, Health Care/*standards, Accreditation/standards ; Denmark ; Guideline Adherence/statistics & numerical data ; Hospitals, Public/standards ; Patient Safety/standards ; Quality Assurance, Health Care/standards ; Surveys and Questionnaires |
| مستخلص: | Objective: To evaluate the effectiveness of unannounced versus announced surveys in detecting non-compliance with accreditation standards in public hospitals. Design: A nationwide cluster-randomized controlled trial. Setting and Participants: All public hospitals in Denmark were invited. Twenty-three hospitals (77%) (3 university hospitals, 5 psychiatric hospitals and 15 general hospitals) agreed to participate. Intervention: Twelve hospitals were randomized to receive unannounced surveys (intervention group) and eleven hospitals to receive announced surveys (control group). We hypothesized that the hospitals receiving the unannounced surveys would reveal a higher degree of non-compliance with accreditation standards than the hospitals receiving announced surveys. Nine surveyors trained and employed by the Danish Institute for Quality and Accreditation in Healthcare (IKAS) were randomized into teams and conducted all surveys. Main Outcome Measure: The outcome was the surveyors' assessment of the hospitals' level of compliance with 113 performance indicators-an abbreviated set of the Danish Healthcare Quality Programme (DDKM) version 2, covering organizational standards, patient pathway standards and patient safety standards. Compliance with performance indicators was analyzed using binomial regression analysis with bootstrapped robust standard errors. Results: In all, 16 202 measurements were acceptable for data analysis. The risk of observing non-compliance with performance indicators for the intervention group compared with the control group was statistically insignificant (risk difference (RD) = -0.6 percentage points [-2.51-1.31], P = 0.54). A converged analysis of the six patient safety critical standards, requiring 100% compliance to gain accreditation status revealed no statistically significant difference (RD = -0.78 percentage points [-4.01-2.44], P = 0.99). Conclusions: Unannounced hospital surveys were not more effective than announced surveys in detecting quality problems in Danish hospitals. Trial Registration Number: ClinicalTrials.gov NCT02348567, https://clinicaltrials.gov/ct2/show/NCT02348567?term=NCT02348567. (© The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care.) |
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| فهرسة مساهمة: | Keywords: certification/accreditation of hospitals; experimental research; measurement of quality |
| سلسلة جزيئية: | ClinicalTrials.gov NCT02348567 |
| تواريخ الأحداث: | Date Created: 20170419 Date Completed: 20180220 Latest Revision: 20220316 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC5890868 |
| DOI: | 10.1093/intqhc/mzx039 |
| PMID: | 28419255 |
| قاعدة البيانات: | MEDLINE |
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