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Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

Author

Listed:
  • Rafael Manzanera

    (Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain)

  • Diego Moya

    (Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain)

  • Mercedes Guilabert

    (Health Psychology Department, Universidad Miguel Hernández, 03202 Elche, Spain)

  • Manel Plana

    (Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain)

  • Gloria Gálvez

    (Patient Attention and Social Work Department, Vall d’Hebron University General Hospital, 08035 Barcelona, Spain)

  • Jordi Ortner

    (Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain)

  • José Joaquín Mira

    (Health Psychology Department, Universidad Miguel Hernández, 03202 Elche, Spain
    Alicante-Sant Joan Health District, 03013 Alicante, Spain)

Abstract

Objective: To analyze whether the results on quality assurance and safety culture in a healthcare organization are related to and affected by the actions implemented. Setting: Health Insurance of Work-related Accidents and Occupational Diseases. Methods: The study was conducted as a longitudinal observational study that analyzed the relationship of the Safety Culture and Quality Assurance measurements. Participants who were involved came from small centers with less than eight workers ( N = 52), big centers (eight and more workers) ( N = 707), and those centers with quality coordinators ( N = 91). Data were collected during the years 2015 and 2016. Results: A total of 595 healthcare professionals responded in 2015 and 491 in 2016. The scores showed a positive progression both in Quality Assurance ( T -test = 3.5, p = 0.001) and in Safety Culture ( T -test = 5.6, p < 0.0001). Hence, the gradient of improvement in quality (average 5.5%) was greater compared to that of the safety culture (2.1%). Conclusions: The assessments of the quality assurance goals were consistent with the safety culture assessment. Hence, the results on Safety Culture were observed to be more stable over time.

Suggested Citation

  • Rafael Manzanera & Diego Moya & Mercedes Guilabert & Manel Plana & Gloria Gálvez & Jordi Ortner & José Joaquín Mira, 2018. "Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis," IJERPH, MDPI, vol. 15(8), pages 1-8, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1568-:d:159733
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    References listed on IDEAS

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    1. Fernando García-Alfranca & Anna Puig & Carles Galup & Hortensia Aguado & Ismael Cerdá & Mercedes Guilabert & Virtudes Pérez-Jover & Irene Carrillo & José Joaquín Mira, 2018. "Patient Satisfaction with Pre-Hospital Emergency Services. A Qualitative Study Comparing Professionals’ and Patients’ Views," IJERPH, MDPI, vol. 15(2), pages 1-31, January.
    2. Manli Wang & Hongbing Tao, 2017. "How Does Patient Safety Culture in the Surgical Departments Compare to the Rest of the County Hospitals in Xiaogan City of China?," IJERPH, MDPI, vol. 14(10), pages 1-18, September.
    3. Marie E. Ward & Aoife De Brún & Deirdre Beirne & Clare Conway & Una Cunningham & Alan English & John Fitzsimons & Eileen Furlong & Yvonne Kane & Alan Kelly & Sinéad McDonnell & Sinead McGinley & Brend, 2018. "Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture," IJERPH, MDPI, vol. 15(6), pages 1-17, June.
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    Cited by:

    1. Diego Moya & Mercedes Guilabert & Rafael Manzanera & Gloria Gálvez & Marta Torres & Adriana López-Pineda & María Lourdes Jiménez & José Joaquín Mira, 2023. "Differences in Perception of Healthcare Management between Patients and Professionals," IJERPH, MDPI, vol. 20(5), pages 1-18, February.
    2. Doriam E. Camacho-Rodríguez & Deibys A. Carrasquilla-Baza & Karen A. Dominguez-Cancino & Patrick A. Palmieri, 2022. "Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 19(21), pages 1-23, November.
    3. Daria Schneider-Matyka & Natalia Świątoniowska-Lonc & Jacek Polański & Małgorzata Szkup & Elżbieta Grochans & Beata Jankowska-Polańska, 2023. "Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    4. Marcus Gumpert & Jens-Peter Reese, 2019. "Quality Management Systems in the Ambulant Sector: An Analytical Comparison of Different Quality Management Systems," IJERPH, MDPI, vol. 16(3), pages 1-17, February.
    5. Diego Moya & Mar Iglesias & Rafael Manzanera & Fernanda de la Torre & Manel Plana & Gloria Gálvez & Mercedes Guilabert, 2019. "Experience of Good Practice in an Occupational Accident Mutual Insurance Society, Based on the Voice of Patients and Professionals," IJERPH, MDPI, vol. 16(20), pages 1-12, October.
    6. Miguel Ángel Ulibarrena & Leire Sainz de Vicuña & Ignacio García-Alonso & Pablo Lledo & Marta Gutiérrez & Asier Ulibarrena-García & Víctor Echenagusia & Borja Herrero de la Parte, 2021. "Evolution of Culture on Patient Safety in the Clinical Setting of a Spanish Mutual Insurance Company: Observational Study between 2009 and 2017 Based on AHRQ Survey," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

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