IQ Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
School of Health, Saxion University of Applied Sciences, Enschede, The Netherlands.
BMJ Open Qual. 2020 Jun;9(2). doi: 10.1136/bmjoq-2019-000812.
International hospital accreditation instruments, such as Joint Commission International (JCI) and Qmentum, focus mainly on hospital policy and procedures and do not specifically cover a profession such as hospital-based physiotherapy. This justifies the need for a quality system to which hospital-based physiotherapy can better identify, based on a common framework of quality indicators for effective quality management.
This study aimed to identify the most important quality indicators of a hospital-based physiotherapy department in the eyes of hospital-based physiotherapists and their managers.
Based on input from three focus groups and a structured literature review, a first set of quality indicators for hospital physiotherapy was assembled. After checking this set for duplicates and for overlap with JCI and Qmentum, it formed the starting point of a modified Delphi procedure. In two rounds, 17 hospital-based physiotherapy experts rated the quality indicators on relevance through online surveys. In a final consensus meeting, quality indicators were established, classified in quality themes and operationalised by describing for each theme the rationale, specifications, domain and type of indicator.
Three focus groups provided 120 potential indicators, which were complemented with 18 potential indicators based on literature. After duplicate and overlap check and the Delphi procedure, these 138 potential indicators were reduced to a set of 56 quality indicators for hospital-based physiotherapy. Finally, these 56 indicators were condensed into 7 composite indicators, each representing a quality theme based on definitions of the European Foundation for Quality Management.
A set of 56 quality indicators, condensed into 7 composite indicators each representing a quality theme, was developed to assess the quality of a hospital-based physiotherapy department.
国际医院认证工具，如国际联合委员会（JCI）和 Qmentum，主要侧重于医院政策和程序，而不专门涵盖医院物理治疗等专业。这证明需要建立一个质量体系，使医院物理治疗师能够更好地根据有效的质量管理的质量指标共同框架来识别。
本研究旨在确定医院物理治疗部门在医院物理治疗师及其管理人员眼中最重要的质量指标。
基于三个焦点小组和结构化文献回顾的输入，组装了一套医院物理治疗的初始质量指标。在检查了该组是否有重复项，并与 JCI 和 Qmentum 重叠后，它成为修改后的 Delphi 程序的起点。在两轮在线调查中，17 名医院物理治疗专家根据相关性对质量指标进行了评分。在最终的共识会议上，确定了质量指标，按质量主题进行分类，并通过描述每个主题的基本原理、规格、域和指标类型，将其操作化。
三个焦点小组提供了 120 个潜在指标，结合文献提供了 18 个潜在指标。经过重复项和重叠检查以及 Delphi 程序，这 138 个潜在指标被减少到一组 56 个用于医院物理治疗的质量指标。最后，这 56 个指标被压缩成 7 个综合指标，每个指标代表一个基于欧洲质量管理基金会定义的质量主题。
开发了一组 56 个质量指标，压缩成 7 个综合指标，每个指标代表一个质量主题，用于评估医院物理治疗部门的质量。
