两个成熟度工具的多阶段,多中心开发和验证,评估FlaQuM联合创建路线图的实施情况
Fien Claessens1, Charlotte Van der Auwera1, Deborah Seys1
1Leuven Institute for Healthcare Policy-Department of Public Health and Primary Care, KU Leuven-University of Leuven, Kapucijnenvoer 7, Leuven 3000, Belgium.
概括
新的成熟度工具评估了弗兰德斯质量模型 (FlaQuM) 路线图在医院中的实施情况. 这些工具可以监测质量管理系统的进展和战略改进规划.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 组织发展组织发展.
背景情况:
- 佛兰德斯质量模型 (FlaQuM) 建立了一个共同创建的路线图,用于医疗保健中可持续的质量管理系统.
- 现有的评估工具没有有效监测医院FlaQuM路线图的实施情况.
研究的目的:
- 开发和验证成熟度工具,以衡量FlaQuM联合创建路线图在医院中的实施情况.
- 为医疗保健组织提供一种评估和监测其质量管理进展的方法.
主要方法:
- 一个三阶段的共同设计方法,涉及19家医院,文献审查,内容专家,重点小组和Delphi轮.
- 开发了两个成熟度工具:成熟度矩阵 (52个子组件) 和共创扫描 (19个语句).
- 验证包括内容有效性指数,用于构造有效性的确认因素分析,以及用于收有效性的Spearman ρ.
主要成果:
- 开发和验证了两个全面的成熟度工具 (成熟度矩阵和共同创作扫描).
- 实现了高尺度内容有效性指数 (93.3%的相关性,90.0%的清晰度) 和显著的收有效性 (84.2%的假设).
- 因素分析显示了工具的六个因素结构,表明测量FlaQuM路线图实施的可行性.
结论:
- 开发的成熟度工具可用于测量和监测医院FlaQuM联合创建路线图的实施.
- 这些工具为描述当前实施状况和告知战略改进计划提供了基础.
- 使用这些工具进行定期监测可以支持医疗保健组织的可持续质量管理系统.
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