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Quality management and patient safety: Survey results from 102 Hungarian hospitals

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  • Makai, Peter
  • Klazinga, Niek
  • Wagner, Cordula
  • Boncz, Imre
  • Gulacsi, Lászlo

Abstract

Objectives The aim of this study is to describe the development of quality management systems in Hungarian hospitals. It also aims to answer the policy question, whether a separate patient safety policy should be created additional to quality policies, on national as well as hospital level.Method In 2005, a questionnaire survey was conducted to evaluate the existing quality management systems in all Hungarian hospitals. The relationship between the level of the development of quality management systems, the certification status and the current level of patient safety activities was investigated using linear regression. Quality was measured with the quality management system development score (QMSDS), and patient safety by the number of patient safety activities.Results 102 of 134 (76%) of the hospitals have returned the questionnaire. The average hospital has 24.5 of 35 core quality activities, and 4 of 11 patient safety activities. There is a statistically significant but weak relationship between the QMSDS and the number of patient safety activities, explaining 12% of the latter's variance. Certification (International Standards Organisation (ISO) and professional standard based) is not significantly related to patient safety.Conclusions In our study quality by QMSDS is weakly related; however, certification is not significantly related to patient safety. We conclude that separate patient safety policies seem worthwhile to be created for the hospital sector in addition to the ongoing quality improvement efforts in Hungary.

Suggested Citation

  • Makai, Peter & Klazinga, Niek & Wagner, Cordula & Boncz, Imre & Gulacsi, Lászlo, 2009. "Quality management and patient safety: Survey results from 102 Hungarian hospitals," Health Policy, Elsevier, vol. 90(2-3), pages 175-180, May.
    • Handle: RePEc:eee:hepoli:v:90:y:2009:i:2-3:p:175-180
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    References listed on IDEAS

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    1. Sluijs, Emmy M. & Outinen, Maarit & Wagner, Cordula & Liukko, Matti & de Bakker, Dinny H., 2001. "The impact of legislative versus non-legislative quality policy in health care: a comparison between two countries," Health Policy, Elsevier, vol. 58(2), pages 99-119, November.
    2. Hirose, Masahiro & Imanaka, Yuichi & Ishizaki, Tatsuro & Evans, Edward, 2003. "How can we improve the quality of health care in Japan?: Learning from JCQHC Hospital Accreditation," Health Policy, Elsevier, vol. 66(1), pages 29-49, October.
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    1. Gordana Pejović & Jovan Filipović & Ljiljana Tasić & Valentina Marinković, 2016. "Towards medicines regulatory authorities' quality performance improvement: value for public health," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(1), pages 22-40, January.
    2. Lindlbauer, Ivonne & Schreyögg, Jonas & Winter, Vera, 2016. "Changes in technical efficiency after quality management certification: A DEA approach using difference-in-difference estimation with genetic matching in the hospital industry," European Journal of Operational Research, Elsevier, vol. 250(3), pages 1026-1036.

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