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Performance measures for a dialysis setting.

Xiuzhu Gu1, Kenji Itoh1

  • 1Department of Industrial Engineering and Economics, Tokyo Institute of Technology, School of Engineering, Tokyo, Japan.

Journal of Renal Care
|December 15, 2017
PubMed
Summary
This summary is machine-generated.

Dialysis managers and staff find performance measures highly useful, particularly for safety and patient satisfaction. However, managers perceive usefulness more than staff, highlighting a need for balanced management systems in healthcare.

Keywords:
Dialysis therapyHolistic managementPerformance indicatorPerformance measurement

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Dialysis Care

Background:

  • Effective dialysis unit management is crucial for patient outcomes and operational efficiency.
  • Previous research identified general healthcare performance measures, but their applicability to specialized settings like dialysis requires investigation.

Purpose of the Study:

  • To extract and characterize performance measures for dialysis unit management from the perspectives of healthcare professionals.
  • To assess the perceived usefulness and validity of these performance measures within the dialysis setting.

Main Methods:

  • Two surveys were conducted using self-administered questionnaires with dialysis managers and staff.
  • Participants rated the usefulness of 44 performance indicators relevant to dialysis unit operations.

Main Results:

  • Eight key performance measures were identified: safety, operational efficiency, quality of working life, financial effectiveness, employee development, mortality, patient/employee satisfaction, and patient-centered healthcare.
  • Both managers and staff found measures like safety, mortality, and patient satisfaction highly useful.
  • Managers reported significantly higher perceptions of usefulness compared to staff.

Conclusions:

  • The study yielded guidelines for designing holistic management systems in healthcare settings.
  • A balanced approach to performance measures, considering both outcomes and performance shaping factors (PSFs), is recommended.
  • While a common set of measures can be applied across healthcare, specific indicators should be tailored to the setting, and causal relationships between PSFs and outcomes warrant further exploration.