Quality assurance in Swiss University Hospitals: a survey among clinical department heads.

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State: Public
Version: author
Serval ID
serval:BIB_5293
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Quality assurance in Swiss University Hospitals: a survey among clinical department heads.
Journal
International Journal for Quality in Health Care
Author(s)
Graz B., Vader J.P., Burnand B., Paccaud F.
ISSN
1353-4505
ISSN-L
1353-4505
Publication state
Published
Issued date
1996
Peer-reviewed
Oui
Volume
8
Number
3
Pages
271-277
Language
english
Notes
licence nationale
Abstract
OBJECTIVE: To obtain information to help design and implement quality improvement programmes. DESIGN: Questionnaire survey. SETTING: Swiss University Hospitals. STUDY PARTICIPANTS: Clinical Department heads. MAIN OUTCOME MEASURES: Attitudes towards quality assurance and percentage of departments with procedures for measurement and improvement of structure, process and outcome of medical care. RESULTS: Among 138 departments responding, 69 indicated a designated person or group in charge of quality and 57 were involved in collaborative quality improvement programmes. Mortality data at the level of the department was unavailable to 33% of respondents, and data on adverse treatment effects to 67% of them. Most respondents (69%) favoured the use of outcome indicators for quality control; only 13% favoured indicators pertaining to process or structure of care. Among indicators of outcome, patient satisfaction was the preferred indicator (25% of respondents), followed by morbidity (16%) and mortality (12%) data. CONCLUSION: Although the quality of medical care in Switzerland enjoys an excellent reputation, this study highlights important gaps in the information system and the processes necessary to evaluate quality.
Keywords
Adult, Aged, Attitude of Health Personnel, Health Care Surveys, Hospitals, University, Humans, Middle Aged, Outcome and Process Assessment (Health Care), Physician Executives, Quality Assurance, Health Care, Questionnaires, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
19/11/2007 12:41
Last modification date
20/08/2019 14:07
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