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Standardiserade mätverktyg inom slutenvården – om möjligt, med betoning på röntgenverksamheter: En analys
Jönköping University, School of Health and Welfare.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Standardized measurement tools in inpatient care - if possible, with emphasis on radiology operations : A comparative analysis (English)
Abstract [sv]

Att mäta och dokumentera kliniskt vårdarbetet har inte prioriterats inom röntgenverksamheter. Tillgång till jämförelsedata skulle möjliggöra olika former av standardisering för förbättrad vårdkvalitet och patientsäkerhet. Att SPC- diagram (statistisk process styrning diagram)  inte uppmärksammas får effekt på patientsäkerhetsarbetet. Aktuell studie avser att öka kunskapen om vilka mätverktyg som finns att tillgå, vilka svar de kan ge och deras användbarhet. Syftet var jämföra och analysera olika standardiserade mätverktyg som kan användas inom somatisk slutenvård, för att förbättra vårdkvalitet och patientsäkerhet. Om möjligt, med betoning på röntgenverksamheter. En syntetiserande (integrativ) litteraturöversikt, av typen systematisk litteraturstudie, i avsaknad av metaanalys, valdes. Metoden är kvalitativ med induktiv ansats, mixad med kvantitativ metod. Fjorton olika mätverktyg presenteras i denna studie. Mätverktygen Shewhart- (styr-) diagram, flödesscheman och orsak-och-verkan diagram beskrivs mest frekvent. Alla, i studien medtagna mätverktyg, förbättrar noggrannheten vid beslutsprocesser. Shewhart- (styr-) diagram visar på variation (slöseri) över tid och om en process är stabil eller instabil. Flödesscheman och orsak-och-verkan diagram visar var förbättringsinsatser bör fokuseras i första hand.  Mätverktygen Lean, WMS (workflow management system), RFMEA (radiology failure mode and effect analysis) är unika genom sin mångsidighet. Att använda standardiserade mätverktyg ger tillgång till kvalitativ och betydelsefull information som förbättrar vårdens kvalitet, patienternas säkerhet samt förenklar analysen av data.

Abstract [en]

Measuring and documenting clinical care work has not been prioritized in radiology operations. Access to comparative data would allow for different forms of standardization for improved quality of care and patient safety. That SPC charts (statistical process control charts) are not noticed affects patient safety work. This study aims to increase knowledge about measurement tools available, what answers they can provide and their usefulness. The purpose was to compare and analyze various standardized measuring tools that can be used in somatic in-patients care, to increase the quality of care and patient safety. If possible, with emphasis on radiology operations. A synthesizing (integrative) literature review, of the type systematic literature review, in absence of meta-analysis, was chosen. Method is qualitative inductive approach, mixed with quantitative method. Fourteen different measuring tools are presented in this study. Shewhart (control) charts, flow charts and cause-and-effect charts are most frequently described. All measurement tools, included in the study, improves the accuracy at decision making processes. Shewhart (control) chart shows variation (waste) over time and whether a process is stable or unstable. Flow charts and cause-and-effect charts show where improvement efforts should be focused primarily. The Lean measurement tools, WMS (workflow management system), RFMEA (radiology failure mode and effect analysis) are unique through their versatility. Using standardized measurement tools provides access to qualitative and meaningful information that improves quality of care, patient safety, and simplifies data analysis.

Place, publisher, year, edition, pages
2017. , p. 42
Keywords [en]
data analysis, documenting, patient safety, quality of care, SPC
Keywords [sv]
data analys, dokumentera, patientsäkerhet, vårdkvalitet, SPC
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-37238ISRN: JU-HHJ-KVA-2-20170064OAI: oai:DiVA.org:hj-37238DiVA, id: diva2:1139659
Subject / course
HHJ, Quality improvement and leadership in health and welfare services
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Available from: 2017-09-18 Created: 2017-09-08 Last updated: 2017-09-18Bibliographically approved

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Citation style
  • apa
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