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Deepening our understanding of quality improvement in Europe

Objective

Context Hospitals in European countries apply a wide range of quality improvement strategies; however, knowledge on the effectiveness of these strategies is limited. Objectives We propose to study the effectiveness of quality improvement systems in European hospitals. Specific research objectives are: a) to develop a maturity classification model for the assessment of organizational quality improvement systems in EU hospitals; b) to investigate associations between the maturity of quality improvement systems and measures of organizational culture, professional involvement and patient empowerment (at hospital level); c) to investigate associations between the maturity of quality improvement systems and measures of clinical effectiveness, patient safety and patient involvement (at patient and departmental level); d) to identify factors influencing the uptake of quality improvement activities by hospitals including external pressure as enforced by accreditation, certification or external assessment programmes. Design DUQUE will apply multi-method approaches to data collection, measurement and analysis. Data will be collected at hospital, departmental, professional and patient level. We will employ a multi-level study design in which patient-level data is nested in hospital departments, which are nested in hospitals in different EU countries. Setting We will collect data at hospital and departmental level in the Czech Republic, France, Germany, Poland, Portugal, Spain, Turkey and the United Kingdom in 30 randomly selected hospitals. In each country, for 12 of these 30 hospitals we will carry out additional data collection at the patient-level. Expected outcomes The products of DUQUE will include a catalogue of instruments to build a department and/or hospital specific quality and safety programme and an appraisal scheme to assess the maturity of the quality improvement system.

Call for proposal

FP7-HEALTH-2009-single-stage
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Funding Scheme

CP-FP - Small or medium-scale focused research project

Coordinator

FUNDACION AVEDIS DONABEDIAN PARA LA MEJORA DE LA CALIDAD ASISTENCIAL
Address
Calle Provenza 293 Pral
08037 Barcelona
Spain
Activity type
Other
EU contribution
€ 859 739
Administrative Contact
Rosa Suñol (Prof.)

Participants (8)

ACADEMISCH MEDISCH CENTRUM BIJ DE UNIVERSITEIT VAN AMSTERDAM
Netherlands
EU contribution
€ 102 174
Address
Meibergdreef 15
1105AZ Amsterdam
Activity type
Higher or Secondary Education Establishments
Administrative Contact
C.C.M. Kranendonk - Van Der Ploeg (Ms.)
STICHTING NEDERLANDS INSTITUUT VOOR ONDERZOEK VAN DE GEZONDHEIDSZORG
Netherlands
EU contribution
€ 813 566
Address
Otterstraat 118-124
3500 BN Utrecht
Activity type
Research Organisations
Administrative Contact
Cordula Wagner (Dr.)
Dr Foster Research Ltd
United Kingdom
EU contribution
€ 198 280
Address
Smithfield Street 12
EC1A 9LA London
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Alex Kafetz (Mr.)
REGION MIDTJYLLAND
Denmark
EU contribution
€ 184 400
Address
Skottenborg 26
8800 Viborg
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Paul Bartels (Dr.)
Towarzystwo Promocji Jakosci Opieki Zdrowotnej w Polsce
Poland
EU contribution
€ 160 208
Address
Morawskiego 5
30-102 Krakow
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Basia Kutryba (Mrs.)
KLINIKUM DER UNIVERSITAET ZU KOELN
Germany
EU contribution
€ 333 778
Address
Kerpener Strasse 62
50937 Koeln
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Holger Pfaff (Prof.)
FEDERATION EUROPEENNE DES HOPITAUX ET DES SOINS DE SANTE
Belgium
EU contribution
€ 93 818
Address
Avenue Marnix 30/17
1000 Bruxelles
Activity type
Other
Administrative Contact
Pascal Garel (Mr.)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
United States
EU contribution
€ 250 226
Address
Franklin Street 1111, 12 Floor
94607 Oakland Ca
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Tamara Combs (Ms.)