Clinical quality performance measurement: An example of a university hospital Klinik kalite performans ölçümü: Bir üniversite hastanesi örneǧi
TAF Preventive Medicine Bulletin, cilt.13, sa.3, ss.201-208, 2014 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 3
- Basım Tarihi: 2014
- Doi Numarası: 10.5455/pmb.1-1392975183
- Dergi Adı: TAF Preventive Medicine Bulletin
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.201-208
- Anahtar Kelimeler: Accountability measures, Clinical quality, Performance evaluation, Quality
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
AIM:In our study, in terms of clinical quality measurement approach, we aimed to focus on whether there was a considerable difference between the treatment received and the treatment required to be taken by patients by using nine packages. METHODS: The research was conducted as retrospective study, which was carried out in a university hospital with 300 beds between January 01 and August 30, 2012. Patient records were determined by a random sampling method. The 9 performance measurement sets developed by were used as a tool of data collection, which consisted of heart attack care, intensive care, Childern's asthma care, pnuemonia care, heart failure care, venous thromboembolism care, stroke care, perinatal care, and inpatient psyciatric care. The findings were analyzed in comparison with the findings of The Joint Commission RESULTS: The mixed compatibility rate of all packages was determined to be 55,33%. Only the pneumonia package package was determined to be incompatible with Turkey. The heart attack package was found to be very close to the average of the findings of The Joint Commission. Paralysis of the package was at least compliance package, which was found to be 20.08%. The average of pre-natal care (48,6 %) was found 0.5 point higher than the average of The Joint Commission. The only a heart attack package (%97,9) passed the threshold of 90 %. CONCLUSİON: We determined that The Accountability Measures of the Joint Commission could be applied in the present conditions of Turkey. Only the Pneumonia package needs new requirements to be specified for Turkey. There is no need for a compatibility studies as for the others. Surgical care, heart attack, perinatal and venous thromboembolism packages are the ideal packages for Turkey.