Quality planning |
|
– |
|
Q1 The hospital (management) board approved an annual programme for quality improvement in 2010 |
– |
|
– |
Monitoring of patient/professional opinions |
|
0.742 |
|
Q2 The results of patient satisfaction surveys were formally reported to the hospital (management) board in 2010 |
0.534 |
|
0.450 |
Q3 The hospital (management) board received results of surveys of staff satisfaction in 2010 |
0.522 |
|
0.411 |
Q4 Patients incidents and adverse events are analysed and evaluated |
0.585 |
|
0.491 |
Q5 Patients' opinion/perception is measured and evaluated |
0.553 |
|
0.474 |
Q6 Patient complaint system is available and/or evaluated |
0.534 |
|
0.440 |
Q7 Professional opinion/perception is measured and evaluated |
0.692 |
|
0.606 |
Monitoring of quality systems |
|
0.783 |
|
Q8 The hospital (management) board received regular, formal reports on quality and safety in 2010 |
0.720 |
|
0.593 |
Q9 Medical leaders received regular, formal reports on quality and safety in 2010 |
0.763 |
|
0.651 |
Q10 There is an active clinical guidelines register |
0.671 |
|
0.607 |
Q11 Guidelines application are measured and evaluated |
0.577 |
|
0.505 |
Improving quality by staff development |
|
0.756 |
|
Q12 The hospital maintains a record for each member of the medical staff that contains a copy of documents related to license, education, experience and certification |
0.876 |
|
0.674 |
Q13 The hospital maintains a record for each member of the nursing staff that contains a copy of documents related to license, education, experience and certification |
0.847 |
|
0.623 |
Q14 The performance of all individual medical staff members is formally reviewed to determine continued competence to provide patient care services |
0.553 |
|
0.545 |
Q15 The performance of all nursing staff members is formally reviewed to determine continued competence to provide patient care services |
0.402 |
|
0.387 |