Implementation of a quality management system according to 9001 standard in a hospital in the home unit: changes and achievements
| Autor: | Ana Poza-Montoro, Amaia Iñurrieta-Romero, Eddita Fernandez-Diaz, Matilde Rodríguez-Cerrillo |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
MEDLINE Home Care Services Hospital-Based Certification Environment Patient Readmission Health administration Unit (housing) Patient satisfaction Hospital Administration Medicine Humans Quality of Health Care Total quality management business.industry Health Policy medicine.disease General Business Management and Accounting Quality management system Patient Satisfaction Scale (social sciences) Emergency medicine Equipment Failure Medical emergency business Total Quality Management |
| Zdroj: | International journal of health care quality assurance. 25(6) |
| ISSN: | 0952-6862 |
| Popis: | PurposeThe purpose of this paper is to describe changes and results obtained after implementation of a quality management system (QMS) according to ISO standards in a Hospital in the Home (HIH) Unit.Design/methodology/approachThe paper describes changes made and outcomes achieved. This took part in the HiH Unit, Clinico Hospital, Madrid, Spain, and looked at admissions, mean stay, patient satisfaction, adverse events, returns to hospital, no admitted referrals, complaints, compliance to protocols, equipment failures and resolution of urgent consultations.FindingsIn June 2008, HiH Unit, Clinico Hospital obtained ISO certification. The main results achieved are as follows. There was an increase in patients' satisfaction – in June 2008, assessment of the quality of care provided by staff was scored at 4.7 (on a scale of 1 to 5); in 2010 it has been scored at 4.96. Patient satisfaction rate has increased from 92 percent to 98.8 percent. No complaints from patients were received. Unscheduled returns to hospital have decreased from 7 percent to 3 percent. There were no medical equipment failures. External suppliers' performance has improved. Material and medication needed by staff was available when necessary. The number of admissions has increased. Compliance to protocols has reached 97 percent. Inappropriate referrals have decreased by 8 percent. Six medications‐related incidents were detected; in two cases the incident was not due to an error. In the other four cases error could have been detected before reaching the patient.Originality/valueImplementations of an ISO quality management system allow improved quality of care and patient satisfaction in a HIH Unit. |
| Databáze: | OpenAIRE |
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