G-AEP-Kriterien - Deutsche Gesellschaft für Gerontologie und ...

HOSPITAL MANAGEMENT; RETROSPECTIVE STUDY; HUMAN; MALE; FEMALE;
MAJOR CLINICAL STUDY; CONTROLLED STUDY; AGED; ADULT; ARTICLE; PRIORITY
JOURNAL
Sonstige Information
ND: 2002297692
RN: 35
CO: IJQCF
ISSN: 1353-4505
CY: United Kingdom
AL: ENGLISH
DT: Article; Journal
AB: Objectives. To evaluate the effectiveness of feedback to medical staff in reducing
inappropriate hospital days, particularly those attributable to conservative medical discharge
policies. Design. Quasi-experimental pre-test/post-test with non-equivalent control group.
Setting. A publicly funded hospital in industrial belt in Barcelona (Spain), serving a
predominantly urban population of 100 000. Study participants. Two non-equivalent groups:
control group (surgery department) and intervention group (internal medicine department).
Intervention. Meetings between hospital management and medical staff of the intervention
group to inform clinicians of percentages and reasons for inappropriate stays in their
departments. Main outcome measures. Total inappropriate hospital days and percentage
attributable to physicians, measured with the Appropriateness Evaluation Protocol
before, during, and after intervention. Results. There were no relevant differences in the
characteristics of the populations whose stays were reviewed during each of the periods.
The total number of inappropriate stays and the percentage attributable to the doctor in the
control group did not show any differences between the periods. In the intervention group,
inappropriate stays attributable to the doctor decreased from 35.9% in the period prior to
intervention to 27.7% during intervention (relative drop of 22.8%; P < 0.01), and rose to
32.7% after intervention. Differences in total inappropriate days were not significant.
Conclusions. Providing physicians with feedback about percentages of inappropriate
hospital days produced a significant reduction in the number of inappropriate stays
attributable to the doctor, although the impact on overall inappropriate stays is inconclusive.
ET: Public Health, Social Medicine and Epidemiology - 17
Health Policy, Economics and Management - 36
4/25 von 41 DIMDI: EMBASE (EM74) © Elsevier Science B.V. 2002
Titel: Evaluation of quality improvement interventions to reduce inapproapriate hospital
use
Autoren: Kossovsky MP; Chopard P; Bolla F; Sarasin FP; Louis-Simonet M; Allaz A-F; Perneger TV;
Gaspoz J-M
Quelle: International Journal for Quality in Health Care; 14/3 (227-232); 2002
Sprache: ENGLISH
Institution: M.P. Kossovsky, Clinique de Medecine 2, Hopitaux Univ. de Geneve, Department of
Internal Medicine, 1211 Geneve 14; Switzerland; Michel.Picard-Kossovsky@hcuge.ch
Schlagwörter
CT: HOSPITALIZATION*; HEALTH CARE UTILIZATION*; EVALUATION; QUALITY
CONTROL; UNIVERSITY HOSPITAL; SWITZERLAND; RANDOMIZATION; HOSPITAL
ADMISSION; REHABILITATION CENTER; LENGTH OF STAY; STATISTICAL
SIGNIFICANCE; HUMAN; MALE; FEMALE; MAJOR CLINICAL STUDY; CONTROLLED
STUDY; AGED; ADULT; ARTICLE; PRIORITY JOURNAL
Sonstige Information
ND: 2002226924
RN: 12
CO: IJQCF
ISSN: 1353-4505
CY: United Kingdom
AL: ENGLISH
DT: Article; Journal
AB: Objective. To assess the impact of process analyses and modifications on inappropriate
hospital use. Design. Pre-post comparison of inappropriate hospital use after process
modifications. Setting. The Department of Internal Medicine of the Geneva University
Hospitals, Switzerland. Participants. A random sample of 498 patients. Interventions. Two
processes of care (i.e. non-urgent admissions and transfer to a rehabilitation hospital),
G-AEP_Bericht_703.doc-22.08.2003-50