To a Sustainable Quality Policy
Study Details
Study Description
Brief Summary
The investigators need stronger feedback loops and a quality monitoring and management system to improve the quality of care in sustainable way. The Chair Sint-Trudo "To a sustainable quality policy" was established to scientifically develop prerequisites for a sustainable quality of care. In this study protocol, a monocentric mixed-method quasi-experimental study will be used to assess the impact of a rapid-cycle quality indicator feedback mechanism on both patients and professionals.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Hospital Twelve wards of the hospital will be evaluated at the same time. |
Other: Implementation of a quality indicator feedback mechanism
Audit and feedback: A summary of clinical performance and hospital safety culture over a specified period of time.
Benchmarking Achievable: benchmarks are calculated from the performance of all members of a peer group and represents a realistic standard of excellence attained by the top performers in that group (i.e. comparing to the top 10% of peers).
Educational outreach: A trained independent person or investigator will meet with health professionals or managers in their practice setting to provide information (e.g. feedback of quality indicators).
Action planning: The purpose of action planning is to support quality improvement efforts by identifying opportunities for improvement, strategies and steps to accomplish the work.
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Outcome Measures
Primary Outcome Measures
- Hospital mortality [During admission]
In-hospital mortality rate
- Patient experiences [During admission]
Experiences of patients will be measures by a validated questionnaire (Flemisch Patient Experience Questionnaire). Q: Will you recommend our hospital? (scale min 0 until 10 with 0: not and 10: for sure). For follow questions the scores are 'disagree', 'somewhat agree', 'largely agree', 'totally agree. The higher the score the better the outcome Q: This information was provided by my GP or by healthcare providers in the hospital. Q: I understand the information I received about the cost of my stay. Q: I received sufficient information about the causes of my condition or about the possible treatment methods for my condition or about the consequences of my disease. Q: Nurses or doctors explained things in a way I could understand or treated me with courtesy and respect. Q: My privacy was respected during conversations with caregivers or during examinations, treatment and care. Q: Before any treatment my identity was checked. Q: Hospital staff always introduced themselves
- In-hospital length of stay [During admission]
Length of stay of each patient in the hospital
- Adverse events and adverse outcomes [During admission]
Each adverse event and following adverse outcomes will be measured: urinary tract infections, pressure ulcers, hospital-acquired pneumonia, shock/cardiac arrest, upper-gastrointestinal bleeding, hospital-acquired sepsis, deep venous thrombosis, central nervous system complications, surgical wound infection, pulmonary failure, metabolic derangement, methicillin-resistant Staphylococcus aureus, vancomycin resistant Enterococcus, central line associated bloodstream infections, carbapenemase producing Enterobacteriaceae
- Failure to rescue rate [During admission]
The failure to rescue rate for each patient admitted in the hospital will be evaluated
- Readmission rate [30 days after discharge]
Readmission within 30 days of each patient admitted in the hospital
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients admitted in the hospital for more than one night
Exclusion Criteria:
- Patients admitted in the hospital for less than one night
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sint-Trudo Ziekenhuis | Sint-Truiden | Belgium |
Sponsors and Collaborators
- KU Leuven
- Sint-Trudo Hospital
Investigators
- Principal Investigator: Kris Vanhaecht, MSc, Professor
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SQP4ST