Table 4.
Scale and items of QMCI (range 0–4) | Median (IQR)a | Floor (% with lowest score) | Ceiling (% with highest score) |
---|---|---|---|
Quality Management Compliance Index (QMCI)b (range 0–16) | 10 (3.2) | ||
Quality planning; mean (SD) | 2.9 (1.4) | ||
Q1 The hospital (management) board approved an annual programme for quality improvement in 2010 | 4 (2) | 14 | 58 |
Monitoring of patient/professional opinions; mean (SD) | 2.7 (0.8) | ||
Q2 The results of patient satisfaction surveys were formally reported to the hospital (management) board in 2010 | 4 (2) | 7 | 57 |
Q3 The hospital (management) board received results of surveys of staff satisfaction in 2010 | 2 (4) | 34 | 28 |
Q4 Patients incidents and adverse events are analyzed and evaluated | 3 (3) | 19 | 34 |
Q5 Patients' opinion/perception is measured and evaluated | 4 (1) | 1 | 65 |
Q6 Patient complaint system is available and/or evaluated | 4 (1) | 1 | 69 |
Q7 Professional opinion/perception is measured and evaluated | 2 (4) | 35 | 34 |
Monitoring of quality systems; mean (SD) | 2.1 (1.1) | ||
Q8 The hospital (management) board received regular, formal reports on quality and safety in 2010 | 3 (2) | 14 | 39 |
Q9 Medical leaders received regular, formal reports on quality and safety in 2010 | 3 (2) | 15 | 39 |
Q10 There is an active clinical guidelines register | 2 (4) | 27 | 27 |
Q11 Guidelines application are measured and evaluated | 1 (2) | 32 | 18 |
Improving quality by staff development; mean (SD) | 2.4 (1.0) | ||
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 | 4 (2) | 3 | 61 |
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 | 4 (2) | 3 | 61 |
Q14 The performance of all individual medical staff members is formally reviewed to determine continued competence to provide patient care services | 0 (2) | 61 | 18 |
Q15 The performance of all nursing staff members is formally reviewed to determine continued competence to provide patient care services | 2 (4) | 34 | 38 |
aMedian (IQR) presented for individual question items.
bQMCI is the sum of all 4 sub-scales, range: 0–16.