The impact of redesigning care processes on quality of care: a systematic review

BMC Health Services Research
Janneke E van Leijen-ZeelenbergDirk Ruwaard

Abstract

This literature review evaluates the current state of knowledge about the impact of process redesign on the quality of healthcare. Pubmed, CINAHL, Web of Science and Business Premier Source were searched for relevant studies published in the last ten years [2004-2014]. To be included, studies had to be original research, published in English with a before-and-after study design, and be focused on changes in healthcare processes and quality of care. Studies that met the inclusion criteria were independently assessed for excellence in reporting by three reviewers using the SQUIRE checklist. Data was extracted using a framework developed for this review. Reporting adequacy varied across the studies. Process redesign interventions were diverse, and none of the studies described their effects on all dimensions of quality defined by the Institute of Medicine. The results of this systematic literature review suggests that process redesign interventions have positive effects on certain aspects of quality. However, the full impact cannot be determined on the basis of the literature. A wide range of outcome measures were used, and research methods were limited. This review demonstrates the need for further investigation of the impact of ...Continue Reading

References

Dec 19, 2002·Quality & Safety in Health Care·J Øvretveit, D Gustafson
Feb 7, 2003·Quality & Safety in Health Care·M E J L HulscherR P T M Grol
Jan 6, 2005·The Journal of Cardiovascular Nursing·Lori PennellJoanne Westerfield
Jan 14, 2005·Health Affairs·Kaveh G Shojania, Jeremy M Grimshaw
Nov 15, 2005·Health Affairs·Victor R Fuchs, Ezekiel J Emanuel
Jan 4, 2006·American Journal of Obstetrics and Gynecology·Stephen S RaabDavid J Dabbs
Jul 18, 2006·Emergency Medicine Australasia : EMA·Diane L KingJane Bassham
Aug 30, 2006·American Journal of Clinical Pathology·Stephen S RaabColleen M Vrbin
Nov 15, 2006·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·S G ElkhuizenN S Klazinga
Nov 30, 2006·Psychology, Health & Medicine·UNKNOWN The National Institute Of Mental Health Multisite HIV Prevention Trial Group
Feb 3, 2007·Australian Health Review : a Publication of the Australian Hospital Association·Anne-Maree KellyDamien Jolley
Feb 3, 2007·The Journal of Nursing Administration·Nancy Shendell-FalikBernard J Mohr
Nov 9, 2007·Joint Commission Journal on Quality and Patient Safety·Richard P ShannonSteven J Spear
Jun 26, 2008·BMJ : British Medical Journal·Loes M T SchoutenRichard P T M Grol
Oct 30, 2008·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Douglas L WoodNicholas F Larusso
Jul 23, 2009·BMJ : British Medical Journal·David MoherUNKNOWN PRISMA Group
Aug 21, 2010·Quality & Safety in Health Care·Pamela MazzocatoJohan Thor
Jul 1, 2007·Journal of Oncology Practice·Christopher S KimTheodore S Lawrence
Dec 15, 2010·Archives of Internal Medicine·Andrew D AuerbachMitchel S Berger
Feb 2, 2012·The Journal of Perinatal & Neonatal Nursing·Cynthia F KreningCandace Garko
May 26, 2012·Journal of the American College of Surgeons·Ryan M CollarCarol R Bradford
Jan 11, 2013·BMJ : British Medical Journal·Iain ChalmersFiona Godlee
Feb 5, 2013·Annals of Internal Medicine·George L JacksonJohn W Williams

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Citations

Oct 8, 2015·Health Economics, Policy, and Law·Michael R Richards, Daniel Polsky
Oct 3, 2019·BMJ : British Medical Journal·Mary Dixon-Woods
Nov 7, 2018·BMJ Open Quality·Tamar L KutzCassie Jaeger
Jun 24, 2021·Revista da Escola de Enfermagem da U S P·Simone Aparecida TrovóMárcia Galan Perroca

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SQUIRE
Business Source Premier
Web Premier Source host

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