Document Detail

Towards hospital standardization in Europe.
MedLine Citation:
PMID:  20576789     Owner:  NLM     Status:  MEDLINE    
QUALITY PROBLEM: There is no simple tool to assess compliance with common national and European directives, guidance and professional advice on the management of healthcare institutions. Despite evidence of unacceptable variations in the protection of patient and staff safety little attention has been given to harmonizing the way services are organized and managed.
INITIAL ASSESSMENT: Existing systems which define organizational standards, or assess compliance with them, are not in a position to extend this activity into or across national borders in Europe. Certification, accreditation and licensing programmes are too variable to provide a common basis for consistent assessment. Consensual standards would inevitably be minimal if they were to achieve acceptance by all or a majority of member state governments; they would not be standards for excellence or help the majority of organizations to improve performance.
PROPOSED SOLUTION: This paper proposes the development of a framework and measurement tool, initially for hospitals, which could be used for self-assessment or peer review to demonstrate compliance with European legislation, guidance and public expectations without infringing national responsibilities. A common code of management practice could be developed through a process similar to that adopted for clinical practice guidelines by the European commission-funded project on appraisal of guidelines research and evaluation.
CONCLUSIONS: In practice, the legal relationships between member states and intergovernmental organizations inhibit the harmonization of management practice across-borders. Faster progress to higher levels of performance would be achieved by voluntary, non-regulatory cooperation of enthusiasts to define, measure and improve the quality of healthcare in European hospitals.
Charles Shaw; Charles Bruneau; Basia Kutryba; Guido de Jongh; Rosa Suñol
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Publication Detail:
Type:  Journal Article     Date:  2010-06-24
Journal Detail:
Title:  International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua     Volume:  22     ISSN:  1464-3677     ISO Abbreviation:  Int J Qual Health Care     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-11-09     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9434628     Medline TA:  Int J Qual Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  244-9     Citation Subset:  IM    
European Society for Quality in Healthcare, Limerick, Ireland.
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MeSH Terms
Accreditation / organization & administration,  standards
Certification / organization & administration,  standards
European Union / organization & administration
Health Plan Implementation / methods
Hospitals / standards*
Quality Assurance, Health Care / organization & administration,  standards
Quality Indicators, Health Care / standards
World Health Organization / organization & administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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