Assessing healthcare service quality using routinely collected data: Linking information systems in emergency care.
J Med Syst
; 44(6): 113, 2020 May 08.
Article
em En
| MEDLINE
| ID: mdl-32385607
ABSTRACT
Emergency departments need to continuously calculate quality indicators in order to perform structural improvements, improvements in the daily routine, and ad-hoc improvements in everyday life. However, many different actors across multiple disciplines collaborate to provide emergency care. Hence, patient-related data is stored in several information systems, which in turn makes the calculation of quality indicators more difficult. To address this issue, we aim to link and use routinely collected data of the different actors within the emergency care continuum. In order to assess the feasibility of linking and using routinely collected data for quality indicators and whether this approach adds value to the assessment of emergency care quality, we conducted a single case study in a German academic teaching hospital. We analyzed the available data of the existing information systems in the emergency continuum and linked and pre-processed the data. Based on this, we then calculated four quality indicators (Left Without Been Seen, Unplanned Reattendance, Diagnostic Efficiency, and Overload Closure). Lessons learned from the calculation and results of the discussions with staff members that had multiple years of work experience in the emergency department provide a better understanding of the quality of the emergency department, the related challenges during the calculation, and the added value of linking routinely collected data.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Gestão da Qualidade Total
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Serviços Médicos de Emergência
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Serviço Hospitalar de Emergência
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Tratamento de Emergência
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Med Syst
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Alemanha