ABSTRACT
Objective To explore methods to develop a hospital quality of care index system of county level hospitals based on the homepage of inpatient medical records and examine the validity of this system. Methods By means of literature review, homepage data and panel discussion, along with theories and statistical methods, indexes were identified. The dimensions and indices of the index system were pinpointed. Confirmatory factor analysis and normalization methods were combined to calculate the weights and scores of such indices. Scores were adjusted by Charlson comorbidity index ( CCI) with multi-regression method. The hospitals were ranked by adjusted scores in each dimension. The validity was evaluated by comparing the application results to universally acknowledged standards, such as hospital level and economic level of the geographic areas. Results An index system with 6 dimensions and 25 indices was developed, and the application results proved valid to some extent. The adjustment of CCI also proved effective. The 6 dimensions were correlated yet their directions were not consistent. Conclusions The methods and data used to develop the system have demonstrated strong operability and availability. The application results can reflect medical care quality in different aspects making it applicable among homogeneous hospitals. It is meaningful to assess dimensions respectively.
ABSTRACT
Objective To analyze and minimize iatrogenic hospital acquired conditions (HACs). Methods " Admission conditions" in homepage of medical records was studied to collect iatrogenic problems between 2014 and 2015. Self-inspection of physicians was made to identify causes of iatrogenic HACs for improvement measures. The post-improvement HACs data ( 2015 ) were compared with that of before (2014). Results Physicians came to learn following the self-examination the importance of pre-admission communications, doctor-patient communications and cooperation between the departments in less HACs. Occurrence of HACs in 2015 was significantly lower than 2014. Conclusions Enhanced analysis and management of HACs, especially for iatrogenic problems, significantly contribute to less HACs.
ABSTRACT
Objective To analyze and minimize iatrogenic hospital acquired conditions (HACs). Methods " Admission conditions" in homepage of medical records was studied to collect iatrogenic problems between 2014 and 2015. Self-inspection of physicians was made to identify causes of iatrogenic HACs for improvement measures. The post-improvement HACs data ( 2015 ) were compared with that of before (2014). Results Physicians came to learn following the self-examination the importance of pre-admission communications, doctor-patient communications and cooperation between the departments in less HACs. Occurrence of HACs in 2015 was significantly lower than 2014. Conclusions Enhanced analysis and management of HACs, especially for iatrogenic problems, significantly contribute to less HACs.