Indicador sintético de cumplimiento de estándares para Unidades de Calidad de centros sanitarios y estudio de pilotaje prospectivo multicéntrico

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
A. Aloy-Duch , M. Santiñà Vila , F. Ramos-d’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya
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引用次数: 0

Abstract

Background and objective

In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.

Materials and methods

The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance. The tool was tested in a prospective multicenter pilot study, in which coordinators of Quality Units from different health centers and care settings participated, to evaluate the usefulness of the tool and compliance with the standards, in addition to analyzing the content validity of each standard.

Results

The formulas for the structured computer algorithms were developed, consecutively, in a «PLAN-DO-CHECK-ACT» improvement cycle for the 9 categories of standards, resulting in a single synthetic indicator of compliance. Twenty-one Quality Units participated in the piloting. The overall average compliance rate for the synthetic indicator was 55.63% with differences between centers (P = .002) and between categories (P < .0001), but not by autonomous communities (P = .86) or by areas (P = .97). Content validity was ensured through the variable of «understanding» of the standards (P < .001), and through their «justification» with documentary evidence (P < .001).

Conclusions

The computer tool with the synthetic indicator have allowed for the evaluation of standard compliance in Quality Units of healthcare centers.

[医疗中心质量单位达标综合指标和多中心前瞻性试点研究]。
背景和目的在西班牙,质量单位在为医疗中心提供医疗质量方法建议方面发挥着关键而独特的作用。这项研究的目的是开发计算机算法,以获得质量单位标准符合性的合成指标,并在这些单位中试行。材料和方法使用 Excel 程序建立评估算法,对各类标准进行定量关联和加权,作为计算机评估工具,建立持续改进循环系统,并提供符合性的全球合成指标。该工具在一项前瞻性多中心试点研究中进行了测试,来自不同医疗中心和医疗机构的质量单位协调员参加了测试,除了分析每项标准的内容有效性外,还评估了该工具的实用性和标准的合规性。结果在 "计划-执行-检查-行动 "的改进周期中,针对 9 类标准连续开发了结构化计算机算法公式,从而形成了一个单一的合规性合成指标。21 个质量单位参加了试点工作。合成指标的总体平均达标率为 55.63%,不同中心(P = .002)和不同类别(P < .0001)之间存在差异,但不同自治区(P = .86)或不同地区(P = .97)之间不存在差异。通过对标准的 "理解 "变量(P <.001)以及通过文件证据对标准的 "解释 "变量(P <.001),确保了内容的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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