Rosario García-Vicuña1, María Montoro2, César Antonio Egües Dubuc3, Sagrario Bustabad Reyes4, Antonio Gómez-Centeno5, Santiago Muñoz-Fernández6, Eva Pérez Pampín7, Jose Andrés Román Ivorra8, Alejandro Balsa9, Estíbaliz Loza10. 1. Servicio de Reumatología, Hospital Universitario La Princesa, IISP, Madrid, España. Electronic address: vicuna111@gmail.com. 2. Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: mariamontor1@hotmail.com. 3. Servicio de Reumatología, Hospital Universitario de Donostia, San Sebastián, Guipúzcoa, España. Electronic address: tonoeguesdubuc@hotmail.com. 4. Servicio de Reumatología, Hospital Universitario de Canarias, Santa Cruz de Tenerife, España. Electronic address: sagrario.bustabad@gmail.com. 5. Servicio de Reumatología, Hospital de Sabadell, Corporació Parc Taulí, Sabadell, Barcelona, España. Electronic address: agomez@tauli.cat. 6. Sección de Reumatología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España. Electronic address: santiago.munoz@salud.madrid.org. 7. Servicio de Reumatología, Hospital Clínico Universitario, Santiago de Compostela, La Coruña, España. Electronic address: evappampin@gmail.com. 8. Servicio de Reumatología, Hospital Universitario y Politécnico La Fe, Valencia, España. Electronic address: roman_jan@gva.es. 9. Servicio de Reumatología, Hospital Universitario La Paz, IdiPaz, Madrid, España. Electronic address: alejandro.balsa@salud.madrid.org. 10. Instituto de Salud Musculoesquelética, Madrid, España. Electronic address: estibaliz.loza@inmusc.eu.
Abstract
BACKGROUND: In recent years, the Rheumatology Day-Care Hospital Units (DHU have undergone extensive development. However, the quality standards are poorly documented and mainly limited to structure items rather than including broad and specific areas of this specialty. OBJECTIVE: To develop specific quality standards for Rheumatology DHU. METHODS: After a systematic review of the literature and related documents, a working group (WG) involving 8 DHU-experienced rheumatologists developed an initial proposal of the quality standards, under the supervision of an expert methodologist. A second round was held by the WG group to review the initial proposal and to consider further suggestions. Once the content was agreed upon by consensus, a final report was prepared. RESULTS: 17 structure standards, 25 process standards and 10 results standards were defined, with special emphasis on specific aspects of the Rheumatology DHU. The proposal includes: 1) essential standards to 2) excellent standards, 3) a Rheumatology DHU services portfolio and 4) performance criteria. CONCLUSIONS: The proposed quality standards are the basis for developing the indicators and other management tools for Rheumatology DHU, thereby ensuring a patient-oriented practice based on both the evidence and the experience.
BACKGROUND: In recent years, the Rheumatology Day-Care Hospital Units (DHU have undergone extensive development. However, the quality standards are poorly documented and mainly limited to structure items rather than including broad and specific areas of this specialty. OBJECTIVE: To develop specific quality standards for Rheumatology DHU. METHODS: After a systematic review of the literature and related documents, a working group (WG) involving 8 DHU-experienced rheumatologists developed an initial proposal of the quality standards, under the supervision of an expert methodologist. A second round was held by the WG group to review the initial proposal and to consider further suggestions. Once the content was agreed upon by consensus, a final report was prepared. RESULTS: 17 structure standards, 25 process standards and 10 results standards were defined, with special emphasis on specific aspects of the Rheumatology DHU. The proposal includes: 1) essential standards to 2) excellent standards, 3) a Rheumatology DHU services portfolio and 4) performance criteria. CONCLUSIONS: The proposed quality standards are the basis for developing the indicators and other management tools for Rheumatology DHU, thereby ensuring a patient-oriented practice based on both the evidence and the experience.
Keywords:
Day care hospital; Estándares de calidad; Gestión de la calidad; Hospital de día; Quality Management; Quality standards; Reumatología; Rheumatology
Authors: Joan Miquel Nolla; Esperanza Martín; Pilar Llamas; Javier Manero; Arturo Rodríguez de la Serna; Manuel Francisco Fernández-Miera; Mercedes Rodríguez; José Manuel López; Alexandra Ivanova; Belén Aragón Journal: Ther Clin Risk Manag Date: 2017-03-14 Impact factor: 2.423