Abstract
Objectives:
Clinica Governance
provides
a
framework
for
assessing
and
improving
clinical
quality
into
a
single
coherent
program.
Organisational
appropriateness
is
aimed
to
the
best
health
outcomes
and
a
proper
use
of
resources.
This
study
aims
to
verify
the
likely
relationship
between
Clinical
Governance
and
appropriateness
of
hospital
stay.
Methods:
A
cross-‐sectional
study
was
conducted
in
2012
in
an
Italian
Teaching
Hospital.
The
OPTIGOV©
(OptimisingHealthCareGovernance)
methodology
was
used
to
quantify
the
level
of
implementation
of
Clinical
Governance
and
its
main
dimensions.
Organisational
appropriateness
was
measured
retrospectively
by
analysing
through
the
Italian
version
of
the
Appropriateness
Evaluation
Protocol
1460
medical
records
random
selected.
Spearman-‐correlation
and
multiple
linear
regression
were
used
to
test
the
relationship
between
the
percentage
of
inappropriate
days
of
hospital
stay
and
the
Clinical
Governance
implementation
levels.
Results:
47
Hospital
Units
were
assessed.
The
percentage
of
inappropriate
days
of
hospital
stay
showed
an
inverse
correlation
with
all
the
main
Clinical
Governance
dimensions,
except
Risk
Management.
Adjusted
multiple
regression
analysis
showed
a
significant
association
between
the
percentage
of
inappropriate
days
and
the
overall
Clinical
Governance
score
(β=-‐0.28;p<0.001;R-‐squared=0.8).
EBM
and
Clinical
Audit
represented
the
Clinical
Governance
dimensions
most
associated
with
organisational
appropriateness.
Conclusion:
The
study
suggests
that
the
evaluation
of
both
Clinical
Governance
and
appropriateness
through
standardised
and
repeatable
tools,
such
as
OPTIGOV
and
AEP,
is
a
key
strategy
for
healthcare
quality.
The
relationship
between
them
underlines
the
central
role
of
Clinical
Governance,
and
especially
of
EBM
and
Clinical
Audit,
in
determining
a
rationale
improvement
of
appropriateness
levels.
| Lingua originale | English |
|---|---|
| Titolo della pubblicazione ospite | Proceedings of 31st International Conference of The International Society for Quality in Health Care “Quality and Safety along the Health and Social Care Continuum” |
| Pagine | N/A |
| Stato di pubblicazione | Pubblicato - 2014 |
| Evento | 31st International Conference of The International Society for Quality in Health Care “Quality and Safety along the Health and Social Care Continuum” - Rio De Janeiro Durata: 5 ott 2014 → 8 ott 2014 |
Convegno
| Convegno | 31st International Conference of The International Society for Quality in Health Care “Quality and Safety along the Health and Social Care Continuum” |
|---|---|
| Città | Rio De Janeiro |
| Periodo | 5/10/14 → 8/10/14 |
Keywords
- Appropriateness
- Clinical Governance
- Hospital