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Are data from national quality registries used in quality improvement at Swedish hospital clinics?
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Dalarna University, Sweden; Uppsala University, Sweden.ORCID iD: 0000-0002-7737-169x
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
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2017 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 29, no 7, p. 909-915Article in journal (Refereed) Published
Abstract [en]

Objective

To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden.

Design

Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level).

Setting and Participants

Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR).

Main Outcome Measure(s)

Individual and unit level use of NQRs in local quality improvement, and perceptions on data quality, organizational conditions and user motivation.

Results

Riksstroke data were reported as most extensively used at individual and unit levels ( x̅ 17.97 of 24 and x̅ 27.06 of 35). Data quality and usefulness was considered high for the two most developed NQRs ( x̅ 19.86 for Riksstroke and x̅ 19.89 for GallRiks of 25). Organizational conditions were estimated at the same level for Riksstroke and GallRiks ( x̅ 12.90 and x̅ 13.28 of 20) while the least developed registry, the NLCR, had lower estimates ( x̅ 10.32). In Riksstroke, the managers requested registry data more often ( x̅ 15.17 of 20).

Conclusions

While there were significant differences between registries in key factors such as management interest, use of NQR data in local quality improvement seems rather prevalent, at least for Riksstroke. The link between the registry’s level of development and factors important for routinization of innovations such as NQRs needs investigation.

Place, publisher, year, edition, pages
Oxford University Press, 2017. Vol. 29, no 7, p. 909-915
Keywords [en]
quality improvement < quality management, audit < external quality assessment, hospital care < setting of care, practice variations < appropriate healthcare, care pathways/disease management < appropriate healthcare, cardiovascular diseases < disease categories, cancers < disease categories, endocrine disorders, incl. diabetes < disease categories
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-146105DOI: 10.1093/intqhc/mzx132ISI: 000418713200005PubMedID: 29077930Scopus ID: 2-s2.0-85040532372OAI: oai:DiVA.org:liu-146105DiVA, id: diva2:1193816
Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-04-17Bibliographically approved

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Eldh, Ann Catrine
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