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[Developing quality indicators in hospitals: the COMPAQH project].

C Grenier-Sennelier1, C Corriol, V Daucourt

  • 1CREGAS - INSERM U537, Hôpital de Bicêtre, 80, rue Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex.

Revue D'Epidemiologie Et De Sante Publique
|December 6, 2005
PubMed
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A panel of French hospitals selected 42 quality indicators (QI) to improve healthcare. This set of QI aims to establish a foundation for a robust quality measurement system in hospitals.

Area of Science:

  • Healthcare Quality Improvement
  • Hospital Management
  • Medical Informatics

Background:

  • The COMPAQH project aimed to select quality indicators (QI) for testing in French hospitals.
  • A panel of 36 hospitals participated in this initiative.

Purpose of the Study:

  • To select a comprehensive set of quality indicators (QI) for implementation and testing in French hospitals.
  • To establish a foundation for a national quality measurement system.

Main Methods:

  • A four-step process was used: identifying national priorities, developing a preliminary list of 81 QI, evaluating these QI based on importance, scientific acceptability, feasibility, and usability, and reaching a consensus using the Delphi method.
  • Hospital representatives ranked QI using a validated evaluation tool.

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Main Results:

  • Eight national priorities for quality improvement were defined, including pain management, continuity of care, and patient safety.
  • A final set of 42 QI was selected, comprising 6 core QI and 7 to 18 specific QI depending on hospital type.

Conclusions:

  • The selected set of 42 QI provides a foundation for developing a quality measurement system in French hospitals.
  • Successful implementation requires a pragmatic approach and alignment between internal and external quality objectives.