Abstract
BackgroundRegulatory authorities focus on promoting compliance of hospitals with a variety of external demands. Due to the amount of these external demands, hospitals might prioritise to cope with the external demands. In this study, we explore to what extent a risk-based prioritisation system developed by one Dutch hospital, is applicable in other hospitals as well. The specific research question was: can a risk-based prioritisation system help hospitals cope with the pressures of external demands?MethodsWe conducted a Delphi study, containing three rounds with seven quality and safety managers. All participants were experienced in coping with external demands in Dutch hospitals in general and their own hospital specifically. These experts were granted access to a sample selection of a database containing about 1500 external demands (January 2014). Prior to the Delphi study, a baseline measurement was carried out, where all participants answered open-ended questions aimed at identifying existing practices, possible challenges concerning external demands and to prepare the survey for the group Delphi study.ResultsWe identified a high level of consensus during our Delphi research. The experts agreed that at present, Dutch hospitals do not cope with external demands systematically. The participants agreed that the database and the risk-based prioritisation system are useful tools to cope with the amount of external demands and indicated that they would also like to use these tools themselves in the future.ConclusionsIn this study, the participants agreed that the database and the risk-based prioritisation system are both applicable and useful tools to cope with the amount of external demands. Further research addressing the use of the risk-based-priority system for specific subsets of external demand is also needed.
Highlights
Regulatory authorities focus on promoting compliance of hospitals with a variety of external demands
Departing from the risk-based prioritisation system that has been developed in Zuyderland MC, we aim to investigate whether other Dutch hospitals are subject to similar problems and whether the risk-based prioritisation system developed in Zuyderland MC could help them in coping with external demands, too
Results baseline measurement Participants declared that they did not have an overview of all existing external demands, especially not when it came to the clinical guidelines developed by professional associations
Summary
Regulatory authorities focus on promoting compliance of hospitals with a variety of external demands. Due to the amount of these external demands, hospitals might prioritise to cope with the external demands. The specific research question was: can a risk-based prioritisation system help hospitals cope with the pressures of external demands?. Hospitals have to deal with many external demands These external demands are specific requirements and expectations that healthcare institutions must adhere to in order to obtain or renew licensure to practice. A large amount of external demands are clinical guidelines, which were originally developed to synthesize scientific evidence, professional experience and patient preferences. They were meant to promote the use of. Research around the world has been devoted to investigate the implementation of, and adherence to, guidelines in various healthcare organisations. Failure to implement guidelines has been reported in the literature for instance in the UK for fragility fracture prevention
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