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Are data from national quality registries used in quality improvement at Swedish hospital clinics?
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala University.ORCID iD: 0000-0002-7737-169X
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2017 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, 1-7 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden.

Design: Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level).

Setting and Participants: Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR).

Main Outcome Measure(s): Individual and unit level use of NQRs in local quality improvement, and perceptions on data quality, organizational conditions and user motivation.

Results: Riksstroke data were reported as most extensively used at individual and unit levels (x̅ 17.97 of 24 and x̅ 27.06 of 35). Data quality and usefulness was considered high for the two most developed NQRs (x̅ 19.86 for Riksstroke and x̅ 19.89 for GallRiks of 25). Organizational conditions were estimated at the same level for Riksstroke and GallRiks (x̅ 12.90 and x̅ 13.28 of 20) while the least developed registry, the NLCR, had lower estimates (x̅ 10.32). In Riksstroke, the managers requested registry data more often (x̅ 15.17 of 20).

Conclusions: While there were significant differences between registries in key factors such as management interest, use of NQR data in local quality improvement seems rather prevalent, at least for Riksstroke. The link between the registry's level of development and factors important for routinization of innovations such as NQRs needs investigation.

Place, publisher, year, edition, pages
2017. 1-7 p.
Keyword [en]
audit < external quality assessment, cancers < disease categories, cardiovascular diseases < disease categories, care pathways/disease management < appropriate healthcare, endocrine disorders, hospital care < setting of care, incl. diabetes < disease categories, practice variations < appropriate healthcare, quality improvement < quality management
National Category
Nursing
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-26480DOI: 10.1093/intqhc/mzx132PubMedID: 29077930OAI: oai:DiVA.org:du-26480DiVA: diva2:1153812
Available from: 2017-10-31 Created: 2017-10-31 Last updated: 2017-10-31Bibliographically approved

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Eldh, Ann CatrineWallin, Lars
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CiteExportLink to record
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Cite
Citation style
  • apa
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  • vancouver
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