Swiss Paraplegic Research, Nottwil, Switzerland.
Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Int J Qual Health Care. 2019 Jul 1;31(6):404-410. doi: 10.1093/intqhc/mzy180.
This scoping review aimed to generate an overview of existing quality management (QM) models for inpatient healthcare published in peer-reviewed literature.
Peer-reviewed publications published until June 2016 were retrieved from the databases Medline, PubMed, CINAHL and Cochrane Library using search terms related to QM and models.
Publications mentioning a QM model for general application in healthcare or inpatient care in their title or abstract were included. Languages considered were: English, French, German, Italian and Spanish.
Data extraction was 3-fold. First, publication characteristics were summarized. Second, the frequency of each identified model was documented and the publications were divided into conceptual and implementation publications. Third, relevant QM models were identified and information regarding the model, including content and relationship with other models, was extracted.
Of 925 retrieved publications, 213 were included. The included publications reported on 64 different QM models that were suitable for or used in inpatient care. Seventeen models were identified as being relevant. The 17 models were then categorized into three different levels: conceptual quality improvement models, concrete application models and country specific adaptations.
This scoping review provides an overview of 17 existing QM models for inpatient care and their relationships with each other. Various types of models with differing aspects and components exist. In searching for QM models, many different concepts like QM system, accreditation or methodologies appeared. For future investigation, concepts of interest should be clarified.
本范围综述旨在生成已发表于同行评议文献中的用于住院医疗保健的现有质量管理 (QM) 模型概述。
使用与 QM 和模型相关的检索词，从 Medline、PubMed、CINAHL 和 Cochrane Library 数据库中检索了截至 2016 年 6 月发表的同行评议出版物。
标题或摘要中提到适用于一般医疗保健或住院护理的 QM 模型的出版物被纳入。考虑的语言有：英语、法语、德语、意大利语和西班牙语。
数据提取分为三部分。首先，总结出版物特征。其次，记录每个已识别模型的出现频率，并将出版物分为概念和实施出版物。第三，确定相关的 QM 模型，并提取有关模型的信息，包括模型的内容及其与其他模型的关系。
在 925 篇检索到的出版物中，有 213 篇被纳入。纳入的出版物报告了 64 种不同的 QM 模型，这些模型适合或用于住院护理。确定了 17 个相关模型。然后，这 17 个模型被分为三个不同的级别：概念性质量改进模型、具体应用模型和特定国家的调整。
本范围综述提供了住院护理中 17 种现有 QM 模型及其相互关系的概述。存在各种具有不同方面和组成部分的模型类型。在寻找 QM 模型时，出现了许多不同的概念，如 QM 系统、认证或方法。未来的研究应澄清感兴趣的概念。
