PMID- 29912469
OWN - NLM
STAT- MEDLINE
DCOM- 20200323
LR  - 20200323
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Print)
IS  - 1353-4505 (Linking)
VI  - 31
IP  - 7
DP  - 2019 Aug 1
TI  - Effects of patient safety auditing in hospital care: results of a mixed-method 
      evaluation (part 1).
PG  - 8-15
LID - 10.1093/intqhc/mzy134 [doi]
AB  - OBJECTIVE: To evaluate the effectiveness of internal auditing in hospital care 
      focussed on improving patient safety. DESIGN, SETTING AND PARTICIPANTS: A 
      before-and-after mixed-method evaluation study was carried out in eight 
      departments of a university medical center in the Netherlands. INTERVENTION(S): 
      Internal auditing and feedback focussed on improving patient safety. MAIN OUTCOME 
      MEASURE(S): The effect of internal auditing was assessed 15 months after the 
      audit, using linear mixed models, on the patient, professional, team and 
      departmental levels. The measurement methods were patient record review on 
      adverse events (AEs), surveys regarding patient experiences, safety culture and 
      team climate, analysis of administrative hospital data (standardized mortality 
      rate, SMR) and safety walk rounds (SWRs) to observe frontline care processes on 
      safety. RESULTS: The AE rate decreased from 36.1% to 31.3% and the preventable AE 
      rate from 5.5% to 3.6%; however, the differences before and after auditing were 
      not statistically significant. The patient-reported experience measures regarding 
      patient safety improved slightly over time (P < 0.001). The SMR, patient safety 
      culture and team climate remained unchanged after the internal audit. The SWRs 
      showed that medication safety and information security were improved (P < 0.05). 
      CONCLUSIONS: Internal auditing was associated with improved patient experiences 
      and observed safety on wards. No effects were found on adverse outcomes, safety 
      culture and team climate 15 months after the internal audit.
CI  - (c) The Author(s) 2018. Published by Oxford University Press in association with 
      the International Society for Quality in Health Care.
FAU - Hanskamp-Sebregts, Mirelle
AU  - Hanskamp-Sebregts M
AD  - Radboud University Medical Center, Institute of Quality Assurance and Patient 
      Safety, PO Box 9101 (internal code 628), Nijmegen, the Netherlands.
FAU - Zegers, Marieke
AU  - Zegers M
AD  - Department of Intensive Care Medicine, Radboud Institute for Health Sciences, 
      Radboud University Medical Center, Nijmegen, the Netherlands.
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, 
      Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, the 
      Netherlands.
FAU - Westert, Gert P
AU  - Westert GP
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, 
      Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, the 
      Netherlands.
FAU - Boeijen, Wilma
AU  - Boeijen W
AD  - Department of Quality and Safety, Radboud University Medical Center, Nijmegen, 
      the Netherlands.
FAU - Teerenstra, Steven
AU  - Teerenstra S
AD  - Department for Health Evidence, Group Biostatistics, Radboud Institute for Health 
      Sciences, Nijmegen, the Netherlands.
FAU - van Gurp, Petra J
AU  - van Gurp PJ
AD  - Department of Internal Medicine, Radboud University Medical Center, Nijmegen, the 
      Netherlands.
FAU - Wollersheim, Hub
AU  - Wollersheim H
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, 
      Scientific Center for Quality of Healthcare (IQ healthcare), Nijmegen, the 
      Netherlands.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Hospitals, Teaching/*standards/statistics & numerical data
MH  - Humans
MH  - Linear Models
MH  - Medical Audit/*methods
MH  - Medical Errors/prevention & control/statistics & numerical data
MH  - Medical Records
MH  - Netherlands
MH  - Patient Safety/*statistics & numerical data
MH  - Quality Improvement
MH  - Quality Indicators, Health Care/statistics & numerical data
MH  - Safety Management
MH  - Surveys and Questionnaires
PMC - PMC6839373
OTO - NOTNLM
OT  - audit
OT  - effect evaluation study
OT  - hospitals
OT  - patient safety
EDAT- 2018/06/19 06:00
MHDA- 2020/03/24 06:00
PMCR- 2018/06/15
CRDT- 2018/06/19 06:00
PHST- 2017/10/22 00:00 [received]
PHST- 2018/04/30 00:00 [revised]
PHST- 2018/05/27 00:00 [accepted]
PHST- 2018/06/19 06:00 [pubmed]
PHST- 2020/03/24 06:00 [medline]
PHST- 2018/06/19 06:00 [entrez]
PHST- 2018/06/15 00:00 [pmc-release]
AID - 5038514 [pii]
AID - mzy134 [pii]
AID - 10.1093/intqhc/mzy134 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2019 Aug 1;31(7):8-15. doi: 10.1093/intqhc/mzy134.