A Checklist for Patient Safety Rounds at the Care Pathway Level

Citation

Wagner, Cordula; Thompson, Caroline A.; Arah, Onyebuchi A.; Groene, Oliver; Klazinga, Niek S.; Dersarkissian, Maral; & Suñol, Rosa (2014). A Checklist for Patient Safety Rounds at the Care Pathway Level. International Journal for Quality in Health Care, 26(Suppl. 1), 36-46. PMCID: PMC4001694

Abstract

OBJECTIVE: To define a checklist that can be used to assess the performance of a department and evaluate the implementation of quality management (QM) activities across departments or pathways in acute care hospitals.
DESIGN: We developed and tested a checklist for the assessment of QM activities at department level in a cross-sectional study using on-site visits by trained external auditors.
SETTING AND PARTICIPANTS: A sample of 292 hospital departments of 74 acute care hospitals across seven European countries. In every hospital, four departments for the conditions: acute myocardial infarction (AMI), stroke, hip fracture and deliveries participated.
MAIN OUTCOME MEASURES: Four measures of QM activities were evaluated at care pathway level focusing on specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies and clinical review (CR).
RESULTS: Participating departments attained mean values on the various scales between 1.2 and 3.7. The theoretical range was 0-4. Three of the four QM measures are identical for the four conditions, whereas one scale (EBOP) has condition-specific items. Correlations showed that every factor was related, but also distinct, and added to the overall picture of QM at pathway level.
CONCLUSION: The newly developed checklist can be used across various types of departments and pathways in acute care hospitals like AMI, deliveries, stroke and hip fracture. The anticipated users of the checklist are internal (e.g. peers within the hospital and hospital executive board) and external auditors (e.g. healthcare inspectorate, professional or patient organizations).

URL

http://dx.doi.org/10.1093/intqhc/mzu019

Reference Type

Journal Article

Year Published

2014

Journal Title

International Journal for Quality in Health Care

Author(s)

Wagner, Cordula
Thompson, Caroline A.
Arah, Onyebuchi A.
Groene, Oliver
Klazinga, Niek S.
Dersarkissian, Maral
Suñol, Rosa

Article Type

Regular

PMCID

PMC4001694

Continent/Country

Europe
Czech Republic
France
Germany
Poland
Portugal
Spain
Turkey

ORCiD

Thompson, C. - 0000-0001-9990-9756