International Journal for Quality in Health Care, 2018, 30(5), 331 doi: 10.1093/intqhc/mzy131 Advance Access Publication Date: 30 May 2018 Editorial Editorial Measurement is key to being able to manage quality. Healthcare sys- about their care. This study therefore adds to the accumulating evi- tems have therefore developed measurement strategies to assess dence calling for more patient involvement and helps to identify con- structures, processes and outcomes, often with the important aim of crete improvement interventions for the hospitals of New South stimulating continuous improvement. Sometimes, however, meas- Wales (Australia). It may also inspire changes internationally. urement and assessment do not lead to quality improvement. This These two studies illustrate the potential of well-designed quality can happen when they are only used for judgement (for example for measurement activities, whether accreditation, patient surveys or licensing or ﬁnancing decisions) or research (one cycle only ‘plan- other strategies, to add meaning to quality management work. In do-study-publish’). These activities are important, but enhanced these cases, the meaning was provided by showing the improved meaning comes only when measurement is used to lead to improve- clinical outcome or identifying clear improvement actions, but it ment. Activities such as accreditation and patient experience surveys may also be generated in many other ways. can provide meaning by leading to improvement. Falstie-Jensen et al.  have built on a previous study exploring the link between mortality and hospital accreditation in References Denmark, extending their research to a second consecutive cycle of 1. Falstie-Jensen AM, Bogh SB, Johnsen SP. Consecutive cycles of hospital accreditation. They have separated hospitals with high compliance accreditation: persistent low compliance associated with higher mortality (awarded at least one full accreditation over the two cycles) and low and longer length of stay. Int J Qual Health Care 2018;30. 10.1093/ compliance (obtaining only partial accreditation across both cycles). intqhc/mzy037. They found that both 30-day mortality and length of stay were sig- 2. Falstie-Jensen AM, Larsson H, Hollnagel E et al. Compliance with hos- niﬁcantly higher in low-compliance hospitals. These are important pital accreditation and patient mortality: a Danish nationwide ﬁndings that help to answer the question about whether accredit- population-based study. Int J Qual Health Care 2015;27:165–74. doi:10. ation is associated with improved clinical outcomes for patients. Of 1093/intqhc/mzv023. course, this study alone is not conclusive evidence, but it certainly 3. Harrison R, Walton M, Kelly P et al. Hospitalization from the patient adds a meaningful piece to the body of knowledge, suggesting that perspective: a data linkage study of adults in Australia. Int J Qual Health improvement is closely linked to accreditation work. Care 2018;30. 10.1093/intqhc/mzy024. In their survey of patient experience of hospital care in Australia, 1,2 ANTHONY STAINES Harrison et al.  managed to link data from experience and patient Institute for Education and Research on Social and Health admissions. This allowed them to show that unplanned admissions Organizations (IFROSS), University of Lyon 3, 18 Rue and adverse events were associated with poorer experience scores. Chevreul, 69007 Lyon, France, and As in many patient experience surveys, this study broadly showed Hospital Federation of Vaud, Bois de Cery, 1008 Prilly, very positive patient experiences. However, it also identiﬁed clear Switzerland improvement opportunities, showing that 14.4% of respondents Address reprint requests to: Anthony Staines, Hospital ‘felt that doctors spoke in front of them as if they were not there’ Federation of Vaud, Bois de Cery, 1008 Prilly, Switzerland. , 17.5% received conﬂicting information from different providers Tel: +41-21-643-73-53; E-mail: firstname.lastname@example.org and 39.3% expressed the wish to be more involved in decisions © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: email@example.com 331 Downloaded from https://academic.oup.com/intqhc/article-abstract/30/5/331/5025591 by Ed 'DeepDyve' Gillespie user on 20 June 2018
International Journal for Quality in Health Care – Oxford University Press
Published: May 30, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera