A5084089914- Healthcare Quality and Management
- Medical Malpractice and Liability Issues
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Diabetes Management and Education
- Healthcare Policy and Management
- Healthcare Systems and Technology
- Health Policy Implementation Science
- Quality and Safety in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Mental Health and Patient Involvement
- Mental Health Treatment and Access
- Delphi Technique in Research
- Interprofessional Education and Collaboration
- Occupational Health and Safety Research
- Heart Failure Treatment and Management
- Emergency and Acute Care Studies
- Patient-Provider Communication in Healthcare
- Innovations in Medical Education
- Migration, Health and Trauma
- Global Healthcare and Medical Tourism
Universitat Autònoma de Barcelona
2014-2025
Red de Investigación en Actividades Preventivas y Promoción de la Salud
2022-2025
Centro de Investigación Biomédica en Red
2012-2023
Spanish Clinical Research Network
2023
Fundación Progreso y Salud
1999-2022
Research Network (United States)
2019-2021
Hospital Universitario de Maracaibo
2021
Weatherford College
2021
Aalborg University
2014
Amsterdam UMC Location University of Amsterdam
2014
There is a growing impetus to reorganize the hospital discharge process reduce avoidable readmissions and costs. The aim of this study was provide insight into problems underlying causes, give an overview solutions that guide providers policy-makers in improving discharge. Intervention Mapping framework used. First, problem analysis studying scale, consequences ineffective carried out. based on primary data from 26 focus group interviews 321 individual with patients relatives, involved...
To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. A mixed method multi-level cross-sectional design seven countries. External teams assessed clinical services on use of systems, illustrated by four pathways. Seventy-three acute care hospitals with a total 291 managing myocardial infarction (AMI), hip fracture, stroke obstetric deliveries, Czech Republic, France, Germany, Poland, Portugal, Spain Turkey. Four...
Hospital accreditation and International Standardisation Organisation (ISO) certification offer alternative mechanisms for improving safety quality, or as a mark of achievement. There is little published evidence on their relative merits. To identify systematic differences in quality management between hospitals that were accredited, certificated, neither. Analysis compliance with measures 89 six countries, assessed by external auditors using standardized tool, part the EC-funded Methods...
Background Handover practices at hospital discharge are relatively under-researched, particularly as regards the specific risks and additional requirements for handovers involving vulnerable patients with limited language, cognitive social resources. Objective To explore handover to focus on patients’ role in potential patients. Methods We conducted qualitative interviews patients, professionals primary care two hospitals their associated centres Catalonia, Spain. Results identified that...
This paper provides an overview of the DUQuE (Deepening our Understanding Quality Improvement in Europe) project, first study across multiple countries European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The describes conceptual framework methods applied, highlighting novel features this study.DUQuE was designed as a multi-level cross-sectional with data collection hospital, pathway, professional level eight countries.We aimed collect for...
This study aimed to investigate the associations of quality management systems with teamwork and safety climate, describe compare differences in perceptions climate among clinical leaders frontline clinicians. We used a multi-method, cross-sectional approach collect survey data perceived climate. Our analyses included descriptive multilevel regression methods. Data on implementation system from seven European countries were evaluated including patient culture surveys 3622 4903 Perceived...
<h3>Context:</h3> This study was part of the Methods Assessing Response to Quality Improvement Strategies (MARQuIS) research project investigating impact quality improvement strategies on hospital care in various countries European Union (EU), relation specific needs cross-border patients. <h3>Aim:</h3> paper describes how EU hospitals have applied seven previously defined by MARQuIS study: organisational management programmes; systems for obtaining patients' views; patient safety systems;...
Hospitals in European countries apply a wide range of quality improvement strategies. Knowledge the effectiveness these strategies, implemented as part an overall hospital system, is limited. We propose to study relationships among organisational systems, patient empowerment, culture, professionals' involvement with care, including clinical effectiveness, safety and involvement. will employ cross-sectional, multi-level design which patient-level measurements are nested departments, turn...
<h3>Background:</h3> There is growing recognition of patients' contributions to setting objectives for their own care, improving health outcomes and evaluating care. <h3>Objective:</h3> To quantify the extent which European hospitals have implemented strategies promote a patient-centred approach, assess whether these are associated with hospital characteristics development hospital's quality improvement system. <h3>Design:</h3> Cross-sectional survey 351 managers professionals. <h3>Main...
To better understand associations between organizational culture (OC), management structure (OS) and quality in hospitals. A multi-method, multi-level, cross-sectional observational study. As part of the DUQuE project (Deepening our Understanding Quality improvement Europe), a random sample 188 hospitals 7 countries (France, Poland, Turkey, Portugal, Spain, Germany Czech Republic) participated comprehensive questionnaire survey one-day on-site surveyor audit. Respondents for this study (n =...
Objectives Patient-reported experience measures are increasingly being used to routinely monitor the quality of care. With increasing attention on such measures, hospital managers seek ways systematically improve patient across departments, in particular where outcomes for public reporting or reimbursement. However, it is currently unclear whether hospitals with more mature management systems stronger focus involvement and patient-centered care strategies perform better patient-reported...
Introduction In view of growing populations with chronic conditions, many countries are redesigning their health systems. However, little information is available about how systems perform from the perspective people living conditions. The Organisation for Economic Co-operation and Development (OECD) Member States therefore mandated OECD to initiate International Survey People Living Chronic Conditions (PaRIS survey), which aims provide insight in outcomes experiences care as reported by...
<h3>Context:</h3> This study was part of the Methods Assessing Response to Quality Improvement Strategies (MARQuIS) research project on patients crossing borders, a investigate quality improvement strategies in healthcare systems across European Union (EU). <h3>Aim:</h3> To explore association between implementation hospitals and hospitals' success meeting defined requirements that are considered intermediate outputs care process. <h3>Methods:</h3> Data regarding seven (accreditation,...
<h3>Context:</h3> This study is part of the Methods Assessing Response to Quality Improvement Strategies (MARQuIS) research project on cross-border care, investigating quality improvement strategies in healthcare systems across European Union (EU). <h3>Aim:</h3> To explore what extent a sample acute care hospitals have implemented patient safety and mechanisms whether implementation related type hospital. <h3>Methods:</h3> Data were collected structures 389 eight EU countries using web-based...
Service accreditation is a structured process of recognising and promoting performance adherence to standards. Typically, agencies either receive standards from an authorized body or develop new upgrade existing through research expert views. They then apply standards, criteria indicators, testing their effects, monitoring compliance with them. The has been widely adopted. international investments in are considerable. However, reliable evidence its efficiency effectiveness achieving...
The objective of this study was to describe the involvement patients or their representatives in quality management (QM) functions and assess associations between levels implementation patient-centred care strategies.A cross-sectional, multilevelthat surveyed managers department heads data from an organizational audit.Randomly selected hospitals (n = 74) seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain Turkey).Hospital clinical departments 262) charge...
Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. in terms of patient health, quality care efficiency outcomes supposed to benefit their involvement. However, international comparative evidence supporting idea limited. Just a few studies indicate there may be positive relationship between medical...
The use of the European Foundation for Quality Management (EFQM) Model in health care has found that this model is useful promoting quality improvement, but its organizations challenging because being a generic model, it does not cover clinical aspects or specifics field. For reason, article aims to bring EFQM fundamental concepts excellence closer care, using specific as reference field: Performance Assessment Tool improvement Hospitals (PATH) conceptual framework, developed by WHO Regional...