Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

Rafael Manzanera, Diego Moya, Mercedes Guilabert, Manel Plana, Gloria Gálvez, Jordi Ortner and José Joaquín Mira
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Rafael Manzanera: Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain
Diego Moya: Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain
Mercedes Guilabert: Health Psychology Department, Universidad Miguel Hernández, 03202 Elche, Spain
Manel Plana: Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain
Gloria Gálvez: Patient Attention and Social Work Department, Vall d’Hebron University General Hospital, 08035 Barcelona, Spain
Jordi Ortner: Health and Economic Benefits Department, MC-Mutual, 08037 Barcelona, Spain
José Joaquín Mira: Health Psychology Department, Universidad Miguel Hernández, 03202 Elche, Spain

IJERPH, 2018, vol. 15, issue 8, 1-8

Abstract: Objective: To analyze whether the results on quality assurance and safety culture in a healthcare organization are related to and affected by the actions implemented. Setting: Health Insurance of Work-related Accidents and Occupational Diseases. Methods: The study was conducted as a longitudinal observational study that analyzed the relationship of the Safety Culture and Quality Assurance measurements. Participants who were involved came from small centers with less than eight workers ( N = 52), big centers (eight and more workers) ( N = 707), and those centers with quality coordinators ( N = 91). Data were collected during the years 2015 and 2016. Results: A total of 595 healthcare professionals responded in 2015 and 491 in 2016. The scores showed a positive progression both in Quality Assurance ( T -test = 3.5, p = 0.001) and in Safety Culture ( T -test = 5.6, p < 0.0001). Hence, the gradient of improvement in quality (average 5.5%) was greater compared to that of the safety culture (2.1%). Conclusions: The assessments of the quality assurance goals were consistent with the safety culture assessment. Hence, the results on Safety Culture were observed to be more stable over time.

Keywords: quality assurance; patient safety; healthcare organization (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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