COVID-19 Inpatient Caseloads in General Hospitals Did Not Affect Quality Indicator Compliance Rates in Israel.

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Olga Bronshtein, Alexander Konson, Michael Kuniavsky, Nethanel Goldschmidt, Shuli Hanhart, Hannah Mahalla-Garashi, Shir Peri, Chana Rosenfelder, Yaron Niv, Shaul Dollberg
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Abstract

Background and objectives: Early in the global COVID-19 pandemic, a concern was raised that potentially high volumes of COVID-19 inpatients in general hospitals might compromise the hospitals' capabilities to maintain high-quality care for routine patients and, thereby, to comply with indicators specifying quality of care. The objective of this study is to evaluate the impact of the surges of COVID-19 inpatients into general hospitals in Israel on the compliance rates for selected quality indicators reported by these hospitals within the Israeli National Program for Quality Indicators (NPQI).

Methods: Compliance rate data were collected from the quality indicators reports made to the NPQI by participating hospitals. COVID-19 inpatient volume data were obtained from the Ministry of Health Digital Technologies and Data Division. Both datasets were analyzed on a week-by-week basis and plotted one alongside the other on a time scale. Association of each quality indicator's compliance rate with the number of COVID-19 inpatients was tested by Pearson's correlation analysis. The study included data from July 1, 2019 through June 30, 2022, spanning the duration of the COVID-19 pandemic in Israel. Five quality indicators included in the study were: Surgical repair of femoral neck fracture within 48 h of admission; Assessment of cerebral ischemic event risk for patients with atrial fibrillation; Duplex carotid ultrasound within 72 h of emergency department admission for patients with suspected transient ischemic attack; Antibiotic prophylaxis for caesarean sections; and Percutaneous coronary intervention within 90 min for patients presenting with ST-elevation myocardial infarction.

Results: Compliance rates for five quality indicators, representing different aspects of routine health care, remained steady - even at times with high volumes of COVID-19 inpatients in general hospitals. This lack of effect was prominent throughout the analyzed period, i.e., general hospitals maintained similar compliance rates for all quality indicators both during the surges of COVID-19 patients and between these periods. Statistical analysis showed no correlation between the quality indicators' compliance rates and the number of COVID-19 inpatients.

Conclusions: Our findings indicate that high volumes of COVID-19 inpatients in general hospitals did not affect the hospitals' capability to comply with routine health care quality indicators. The results of our study imply that general hospitals in Israel were able to withstand the challenges associated with the care of COVID-19 inpatients while preserving high quality of care for routine patients.

COVID-19 以色列综合医院的住院病人数量并未影响质量指标达标率。
背景和目标:在 COVID-19 全球大流行的早期,有人担心综合医院的 COVID-19 住院病人数量过多可能会影响医院为常规病人提供高质量医疗服务的能力,从而影响医疗质量指标的达标率。本研究旨在评估以色列综合医院 COVID-19 住院病人激增对这些医院在以色列国家质量指标计划 (NPQI) 中报告的选定质量指标达标率的影响:方法:从参与医院向 NPQI 提交的质量指标报告中收集达标率数据。COVID-19 住院病人数量数据来自卫生部数字技术和数据司。这两个数据集都是以周为单位进行分析的,并在时间尺度上一一对应。每项质量指标的达标率与 COVID-19 住院病人数量的相关性通过皮尔逊相关分析进行检验。研究包括从 2019 年 7 月 1 日到 2022 年 6 月 30 日的数据,跨越了 COVID-19 在以色列大流行的持续时间。研究中的五项质量指标包括入院 48 小时内的股骨颈骨折手术修复;心房颤动患者的脑缺血事件风险评估;疑似短暂性脑缺血发作患者急诊科入院 72 小时内的双相颈动脉超声;剖腹产的抗生素预防;ST 段抬高型心肌梗死患者 90 分钟内的经皮冠状动脉介入治疗:代表常规医疗保健不同方面的五项质量指标的达标率保持稳定,即使在综合医院 COVID-19 住院病人数量较多的情况下也是如此。这种无影响的情况在整个分析期间都很突出,即在 COVID-19 患者激增期间以及在这两个时期之间,综合医院的所有质量指标达标率都很接近。统计分析显示,质量指标达标率与 COVID-19 住院患者人数之间没有相关性:我们的研究结果表明,综合医院的 COVID-19 住院病人数量多并不影响医院遵守常规医疗质量指标的能力。我们的研究结果表明,以色列的综合医院能够应对与 COVID-19 住院病人护理相关的挑战,同时保持对常规病人的高质量护理。
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来源期刊
Quality Management in Health Care
Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
1.90
自引率
8.30%
发文量
108
期刊介绍: Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.
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