Medical directors’ perspectives on strengthening hospital quality and safety
Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews wi...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Rachel Canaway [verfasserIn] |
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| Format: |
Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Rechteinformationen: |
Nutzungsrecht: © Emerald Publishing Limited |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Journal of health organization and management - Bingley : Emerald Group Publishing Limited, 2003, 31(2017), 7/8, Seite 696-712 |
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| Übergeordnetes Werk: |
volume:31 ; year:2017 ; number:7/8 ; pages:696-712 |
| Links: |
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| DOI / URN: |
10.1108/JHOM-05-2017-0109 |
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OLC1999373057 |
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| 520 | |a Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. | ||
| 540 | |a Nutzungsrecht: © Emerald Publishing Limited | ||
| 650 | 4 | |a Contextual factors | |
| 650 | 4 | |a Quality of care | |
| 650 | 4 | |a Performance evaluation | |
| 650 | 4 | |a Patient safety | |
| 650 | 4 | |a Hospital administration | |
| 650 | 4 | |a Jurisdiction | |
| 650 | 4 | |a Safety | |
| 650 | 4 | |a Approaches | |
| 650 | 4 | |a Facilitators | |
| 650 | 4 | |a Quality management | |
| 650 | 4 | |a Accreditation | |
| 650 | 4 | |a Health care policy | |
| 650 | 4 | |a Attitudes | |
| 650 | 4 | |a Inconsistency | |
| 650 | 4 | |a Health care | |
| 650 | 4 | |a Computerized medical records | |
| 650 | 4 | |a Medical records | |
| 650 | 4 | |a Public sector | |
| 650 | 4 | |a Clinical standards | |
| 650 | 4 | |a Learning styles | |
| 650 | 4 | |a Consumers | |
| 650 | 4 | |a Governance | |
| 650 | 4 | |a Hospitals | |
| 650 | 4 | |a Medical directors | |
| 700 | 0 | |a Marie Bismark |4 oth | |
| 700 | 0 | |a David Dunt |4 oth | |
| 700 | 0 | |a Margaret Kelaher |4 oth | |
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10.1108/JHOM-05-2017-0109 doi PQ20171228 (DE-627)OLC1999373057 (DE-599)GBVOLC1999373057 (PRQ)e1342-37c8e03396f6e004ede7e498828c5a4faa93e408d080133219b8cb7259c34c720 (KEY)0157233420170000031000700696medicaldirectorsperspectivesonstrengtheninghospita DE-627 ger DE-627 rakwb eng 610 DE-600 44.04 bkl 44.00 bkl Rachel Canaway verfasserin aut Medical directors’ perspectives on strengthening hospital quality and safety 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. Nutzungsrecht: © Emerald Publishing Limited Contextual factors Quality of care Performance evaluation Patient safety Hospital administration Jurisdiction Safety Approaches Facilitators Quality management Accreditation Health care policy Attitudes Inconsistency Health care Computerized medical records Medical records Public sector Clinical standards Learning styles Consumers Governance Hospitals Medical directors Marie Bismark oth David Dunt oth Margaret Kelaher oth Enthalten in Journal of health organization and management Bingley : Emerald Group Publishing Limited, 2003 31(2017), 7/8, Seite 696-712 (DE-627)363769676 (DE-600)2108289-3 (DE-576)47789321X 1477-7266 nnns volume:31 year:2017 number:7/8 pages:696-712 http://dx.doi.org/10.1108/JHOM-05-2017-0109 Volltext http://www.emeraldinsight.com/doi/abs/10.1108/JHOM-05-2017-0109 https://search.proquest.com/docview/1970188206 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 44.04 AVZ 44.00 AVZ AR 31 2017 7/8 696-712 |
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10.1108/JHOM-05-2017-0109 doi PQ20171228 (DE-627)OLC1999373057 (DE-599)GBVOLC1999373057 (PRQ)e1342-37c8e03396f6e004ede7e498828c5a4faa93e408d080133219b8cb7259c34c720 (KEY)0157233420170000031000700696medicaldirectorsperspectivesonstrengtheninghospita DE-627 ger DE-627 rakwb eng 610 DE-600 44.04 bkl 44.00 bkl Rachel Canaway verfasserin aut Medical directors’ perspectives on strengthening hospital quality and safety 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. Nutzungsrecht: © Emerald Publishing Limited Contextual factors Quality of care Performance evaluation Patient safety Hospital administration Jurisdiction Safety Approaches Facilitators Quality management Accreditation Health care policy Attitudes Inconsistency Health care Computerized medical records Medical records Public sector Clinical standards Learning styles Consumers Governance Hospitals Medical directors Marie Bismark oth David Dunt oth Margaret Kelaher oth Enthalten in Journal of health organization and management Bingley : Emerald Group Publishing Limited, 2003 31(2017), 7/8, Seite 696-712 (DE-627)363769676 (DE-600)2108289-3 (DE-576)47789321X 1477-7266 nnns volume:31 year:2017 number:7/8 pages:696-712 http://dx.doi.org/10.1108/JHOM-05-2017-0109 Volltext http://www.emeraldinsight.com/doi/abs/10.1108/JHOM-05-2017-0109 https://search.proquest.com/docview/1970188206 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 44.04 AVZ 44.00 AVZ AR 31 2017 7/8 696-712 |
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10.1108/JHOM-05-2017-0109 doi PQ20171228 (DE-627)OLC1999373057 (DE-599)GBVOLC1999373057 (PRQ)e1342-37c8e03396f6e004ede7e498828c5a4faa93e408d080133219b8cb7259c34c720 (KEY)0157233420170000031000700696medicaldirectorsperspectivesonstrengtheninghospita DE-627 ger DE-627 rakwb eng 610 DE-600 44.04 bkl 44.00 bkl Rachel Canaway verfasserin aut Medical directors’ perspectives on strengthening hospital quality and safety 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. Nutzungsrecht: © Emerald Publishing Limited Contextual factors Quality of care Performance evaluation Patient safety Hospital administration Jurisdiction Safety Approaches Facilitators Quality management Accreditation Health care policy Attitudes Inconsistency Health care Computerized medical records Medical records Public sector Clinical standards Learning styles Consumers Governance Hospitals Medical directors Marie Bismark oth David Dunt oth Margaret Kelaher oth Enthalten in Journal of health organization and management Bingley : Emerald Group Publishing Limited, 2003 31(2017), 7/8, Seite 696-712 (DE-627)363769676 (DE-600)2108289-3 (DE-576)47789321X 1477-7266 nnns volume:31 year:2017 number:7/8 pages:696-712 http://dx.doi.org/10.1108/JHOM-05-2017-0109 Volltext http://www.emeraldinsight.com/doi/abs/10.1108/JHOM-05-2017-0109 https://search.proquest.com/docview/1970188206 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 44.04 AVZ 44.00 AVZ AR 31 2017 7/8 696-712 |
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10.1108/JHOM-05-2017-0109 doi PQ20171228 (DE-627)OLC1999373057 (DE-599)GBVOLC1999373057 (PRQ)e1342-37c8e03396f6e004ede7e498828c5a4faa93e408d080133219b8cb7259c34c720 (KEY)0157233420170000031000700696medicaldirectorsperspectivesonstrengtheninghospita DE-627 ger DE-627 rakwb eng 610 DE-600 44.04 bkl 44.00 bkl Rachel Canaway verfasserin aut Medical directors’ perspectives on strengthening hospital quality and safety 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. Nutzungsrecht: © Emerald Publishing Limited Contextual factors Quality of care Performance evaluation Patient safety Hospital administration Jurisdiction Safety Approaches Facilitators Quality management Accreditation Health care policy Attitudes Inconsistency Health care Computerized medical records Medical records Public sector Clinical standards Learning styles Consumers Governance Hospitals Medical directors Marie Bismark oth David Dunt oth Margaret Kelaher oth Enthalten in Journal of health organization and management Bingley : Emerald Group Publishing Limited, 2003 31(2017), 7/8, Seite 696-712 (DE-627)363769676 (DE-600)2108289-3 (DE-576)47789321X 1477-7266 nnns volume:31 year:2017 number:7/8 pages:696-712 http://dx.doi.org/10.1108/JHOM-05-2017-0109 Volltext http://www.emeraldinsight.com/doi/abs/10.1108/JHOM-05-2017-0109 https://search.proquest.com/docview/1970188206 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 44.04 AVZ 44.00 AVZ AR 31 2017 7/8 696-712 |
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10.1108/JHOM-05-2017-0109 doi PQ20171228 (DE-627)OLC1999373057 (DE-599)GBVOLC1999373057 (PRQ)e1342-37c8e03396f6e004ede7e498828c5a4faa93e408d080133219b8cb7259c34c720 (KEY)0157233420170000031000700696medicaldirectorsperspectivesonstrengtheninghospita DE-627 ger DE-627 rakwb eng 610 DE-600 44.04 bkl 44.00 bkl Rachel Canaway verfasserin aut Medical directors’ perspectives on strengthening hospital quality and safety 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. Nutzungsrecht: © Emerald Publishing Limited Contextual factors Quality of care Performance evaluation Patient safety Hospital administration Jurisdiction Safety Approaches Facilitators Quality management Accreditation Health care policy Attitudes Inconsistency Health care Computerized medical records Medical records Public sector Clinical standards Learning styles Consumers Governance Hospitals Medical directors Marie Bismark oth David Dunt oth Margaret Kelaher oth Enthalten in Journal of health organization and management Bingley : Emerald Group Publishing Limited, 2003 31(2017), 7/8, Seite 696-712 (DE-627)363769676 (DE-600)2108289-3 (DE-576)47789321X 1477-7266 nnns volume:31 year:2017 number:7/8 pages:696-712 http://dx.doi.org/10.1108/JHOM-05-2017-0109 Volltext http://www.emeraldinsight.com/doi/abs/10.1108/JHOM-05-2017-0109 https://search.proquest.com/docview/1970188206 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-WIW SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_26 44.04 AVZ 44.00 AVZ AR 31 2017 7/8 696-712 |
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Medical directors’ perspectives on strengthening hospital quality and safety |
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Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. |
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Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. |
| abstract_unstemmed |
Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies. |
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