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Hospital quality indicators: a systematic review
Juliana Zeni Breyer1, Juliana Giacomazzi2, Regina Kuhmmer1
1Hospital Moinhos de Vento, Porto Alegre, Brazil.
International Journal of Health Care Quality Assurance
|April 25, 2019
Summary
This study identified 248 hospital quality indicators across infection, safety, quality, and mortality domains. Standardized indicators are crucial for effective hospital quality benchmarking and performance comparison.
Area of Science:
- Healthcare Quality Management
- Health Services Research
- Clinical Indicators
Background:
- Hospital quality indicators are essential for assessing healthcare performance.
- Existing indicators vary widely in their development and application.
- A comprehensive classification is needed to understand their scope and utility.
Purpose of the Study:
- To identify and describe hospital quality indicators.
- To classify these indicators using Donabedian's structure, process, and outcome model.
- To categorize indicators within quality, safety, infection, and mortality domains for inpatient and emergency services.
Main Methods:
- A systematic review of electronic databases and grey literature was conducted.
- Two independent investigators evaluated identified articles and documents.
- 35 relevant documents were included in the final systematic review.
Main Results:
- A total of 248 hospital-based indicators were identified and classified into four domains.
- A significant proportion of indicators lacked detailed calculation methods or validation studies.
- Most indicators originated from technical reports and government publications rather than peer-reviewed scientific journals.
Conclusions:
- The review identified numerous structure, process, and outcome quality indicators used in practice.
- Comparing healthcare organization performance is challenging due to indicator variability.
- Establishing common clinical care standards is vital for robust hospital quality benchmarking.
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