International journal for quality in health care : journal of the International Society for Quality in Health Care
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Int J Qual Health Care · Jun 2014
Multicenter Study Comparative StudyDoes public reporting improve the quality of hospital care for acute myocardial infarction? Results from a regional outcome evaluation program in Italy.
To evaluate whether public reporting of performance data was associated with a change over time in quality indicators for acute myocardial infarction (AMI) in Italian hospitals. ⋯ Public reporting may have contributed to increasing the proportion of STEMI patients treated with timely PCI. The mortality outcomes should be interpreted with caution. Changes in AMI diagnostic and coding systems should also be considered. Risk-adjusted quality indicators represent a fundamental instrument for monitoring and potentially enhancing quality of care.
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Int J Qual Health Care · Jun 2014
Learning from the design and development of the NHS Safety Thermometer.
Research indicates that 10% of patients are harmed by healthcare but data that can be used in real time to improve safety are not routinely available. ⋯ It is feasible to obtain national data through standardized reporting by site coordinators at the point of care. Some caution is required in interpreting data and work is required locally to ensure data collection systems are robust and data collectors were trained. Sampling is an important strategy to optimize efficiency and reduce the burden of measurement.
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Int J Qual Health Care · Jun 2014
Observational StudyImproved incident reporting following the implementation of a standardized emergency department peer review process.
Incident reporting is an important component of health care quality improvement. The objective of this investigation was to evaluate the effectiveness of an emergency department (ED) peer review process in promoting incident reporting. ⋯ The implementation of a non-punitive peer review process that provides timely feedback and is perceived as being valuable for error identification and education can lead to increased incident reporting by HCPs.