To a Sustainable Quality Policy

Not Applicable

• Conditions: Management Systems; Quality Improvement; Public Health
• Interventions: Other: Implementation of a quality indicator feedback mechanism

• Registration Number: NCT04200209
• Lead Sponsor: KU Leuven

Brief Summary

The investigators need stronger feedback loops and a quality monitoring and management system to improve the quality of care in sustainable way. The Chair Sint-Trudo "To a sustainable quality policy" was established to scientifically develop prerequisites for a sustainable quality of care. In this study protocol, a monocentric mixed-method quasi-experimental study will be used to assess the impact of a rapid-cycle quality indicator feedback mechanism on both patients and professionals.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-12-11
• Study First Submitted QC: 2019-12-12
• Study First Posted: 2019-12-16
• Study Start: 2020-08-15
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-05
• Last Update Posted: 2024-02-07
• Primary Completion: 2025-01-01
• Study Completion: 2026-06-01

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Patients admitted in the hospital for more than one night

Exclusion Criteria

• Patients admitted in the hospital for less than one night

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Hospital	Implementation of a quality indicator feedback mechanism	Twelve wards of the hospital will be evaluated at the same time.

Primary Outcome Measures

Name	Time	Method
Hospital mortality	During admission	In-hospital mortality rate
Failure to rescue rate	During admission	The failure to rescue rate for each patient admitted in the hospital will be evaluated
Readmission rate	30 days after discharge	Readmission within 30 days of each patient admitted in the hospital
Patient experiences	During admission	Experiences of patients will be measures by a validated questionnaire (Flemisch Patient Experience Questionnaire).; Q: Will you recommend our hospital? (scale min 0 until 10 with 0: not and 10: for sure).; For follow questions the scores are 'disagree', 'somewhat agree', 'largely agree', 'totally agree. The higher the score the better the outcome Q: This information was provided by my GP or by healthcare providers in the hospital.; Q: I understand the information I received about the cost of my stay. Q: I received sufficient information about the causes of my condition or about the possible treatment methods for my condition or about the consequences of my disease.; Q: Nurses or doctors explained things in a way I could understand or treated me with courtesy and respect.; Q: My privacy was respected during conversations with caregivers or during examinations, treatment and care.; Q: Before any treatment my identity was checked. Q: Hospital staff always introduced themselves
In-hospital length of stay	During admission	Length of stay of each patient in the hospital
Adverse events and adverse outcomes	During admission	Each adverse event and following adverse outcomes will be measured: urinary tract infections, pressure ulcers, hospital-acquired pneumonia, shock/cardiac arrest, upper-gastrointestinal bleeding, hospital-acquired sepsis, deep venous thrombosis, central nervous system complications, surgical wound infection, pulmonary failure, metabolic derangement, methicillin-resistant Staphylococcus aureus, vancomycin resistant Enterococcus, central line associated bloodstream infections, carbapenemase producing Enterobacteriaceae

Trial Locations

Locations (1)

Sint-Trudo Ziekenhuis; 🇧🇪 Sint-Truiden, Belgium