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Using Quality Measures for Quality Improvement: The Perspective of Hospital Staff

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Listed:
  • Asgar Aghaei Hashjin
  • Hamid Ravaghi
  • Dionne S Kringos
  • Uzor C Ogbu
  • Claudia Fischer
  • Saeid Reza Azami
  • Niek S Klazinga

Abstract

Research objective: This study examines the perspectives of a range of key hospital staff on the use, importance, scientific background, availability of data, feasibility of data collection, cost benefit aspects and availability of professional personnel for measurement of quality indicators among Iranian hospitals. The study aims to facilitate the use of quality indicators to improve quality of care in hospitals. Study design: A cross-sectional study was conducted over the period 2009 to 2010. Staff at Iranian hospitals completed a self-administered questionnaire eliciting their views on organizational, clinical process, and outcome (clinical effectiveness, patient safety and patient centeredness) indicators. Population studied: 93 hospital frontline staff including hospital/nursing managers, medical doctors, nurses, and quality improvement/medical records officers in 48 general and specialized hospitals in Iran. Principal findings: On average, only 69% of respondents reported using quality indicators in practice at their affiliated hospitals. Respondents varied significantly in their reported use of organizational, clinical process and outcome quality indicators. Overall, clinical process and effectiveness indicators were reported to be least used. The reported use of indicators corresponded with their perceived level of importance. Quality indicators were reported to be used among clinical staff significantly more than among managerial staff. In total, 74% of the respondents reported to use obligatory indicators, while this was 68% for voluntary indicators (p

Suggested Citation

  • Asgar Aghaei Hashjin & Hamid Ravaghi & Dionne S Kringos & Uzor C Ogbu & Claudia Fischer & Saeid Reza Azami & Niek S Klazinga, 2014. "Using Quality Measures for Quality Improvement: The Perspective of Hospital Staff," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-13, January.
    • Handle: RePEc:plo:pone00:0086014
    DOI: 10.1371/journal.pone.0086014
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    References listed on IDEAS

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    1. de Vos, M.L.G. & Graafmans, W.C. & Kooistra, M. & Meijboom, B.R. & van der Voort, P.H. & Westert, G.P., 2009. "Using quality indicators to improve hospital care : A review of the literature," Other publications TiSEM 5f462bc9-0ac0-47f7-8f97-7, Tilburg University, School of Economics and Management.
    2. Berg, Marc & Meijerink, Yvonne & Gras, Marit & Goossensen, Anne & Schellekens, Wim & Haeck, Jan & Kallewaard, Marjon & Kingma, Herre, 2005. "Feasibility first: Developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals," Health Policy, Elsevier, vol. 75(1), pages 59-73, December.
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