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[Quality management in anaesthesia practice: chance and challenge]
1Institut für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Mannheim, Fakultät für Klinische Medizin der Universität Heidelberg.
Der Anaesthesist
|February 9, 2000
Summary
Quality management is now integral to healthcare costs, focusing on structure, process, and outcomes. Guidelines and quality management systems like ISO 9001 and EFQM are crucial for cost containment and evaluating care effectiveness.
Area of Science:
- Healthcare Management
- Quality Assurance
- Health Economics
Context:
- Healthcare quality and costs are increasingly interconnected.
- Resource consumption is now a key indicator of healthcare quality.
- Quality management was not a significant factor 30 years ago but is now central.
Purpose:
- To explore the integration of quality of care and cost management in healthcare.
- To examine the role of clinical guidelines and quality management systems (QMS) in cost containment.
- To evaluate the effectiveness of different QMS frameworks (ISO 9001, EFQM) in assessing healthcare quality.
Summary:
- Healthcare quality is defined by structure, process, and results, with resource consumption being a critical outcome.
- Clinical practice guidelines are emerging as tools for cost containment and may be integrated into QMS.
- European QMS standards like DIN EN ISO 9000f and EFQM, including ISO 9001 and the European Quality Award, are common evaluation bases for certification.
Impact:
- ISO 9001 focuses on QMS but not achieved quality, while the European Quality Award reflects the process.
- Guidelines are essential for demonstrating the cost-effectiveness of quality control and assurance measures.
- Excessive quality control can increase resource consumption, potentially reducing care quality if budgets are constrained.