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2017 | OriginalPaper | Hoofdstuk

15. Organisatorische implementatiestrategieën

Auteurs : Prof. dr. Michel Wensing, Dr. Miranda Laurant, Dr. Hub Wollersheim

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Geplande verandering in een of meer aspecten van de organisatie van de patiëntenzorg kan een belangrijke bijdrage leveren aan het succes van implementatie. Het overnemen van taken van artsen door verpleegkundigen en andere niet-artsen in de zorg (aanpassing van professionele rollen) leidt meestal tot kwaliteit van minimaal hetzelfde niveau, terwijl de effecten op de kosten van zorg gemengd zijn. Versterking van patiëntenzorgteams door middel van training, verbeterde coördinatie of uitbreiding van expertise kan positieve effecten kan hebben op zorgverlening en mogelijk ook op doelmatigheid. Professioneel handelen en patiëntuitkomsten kunnen worden verbeterd door beter gebruik van computers in de patiëntenzorg, vooral voor patiëntdossiers, herinneringen en beslissingsondersteuning. Geïntegreerde zorg (waaronder ketenzorg en zorgpaden) heeft duidelijk positieve effecten op de kwaliteit en de kosten van zorg. De interventies die in de zorgprogramma’s worden gehanteerd, verschillen onderling sterk. De effectiviteit van kwaliteitsmanagement op professioneel handelen en patiëntuitkomsten is niet overtuigend aangetoond. De invloed van cultuur en leiderschap op professioneel handelen en uitkomsten lijkt plausibel, maar is evenmin goed aangetoond.

vorige hoofdstuk Patiëntgerichte strategieën

volgende hoofdstuk Strategieën voor bevordering van patiëntveiligheid

Biezen M van der, Schoonhoven L, Wijers N, Burgt R van der, Wensing M, Laurant M. Substitution of general practitioners by nurse practitioners in out-of-hours primary care: a quasi-experimental study. J Adv Nurs. 2016;72(8):1813–24.CrossRef

Blalock SJ, Roberts AW, Lauffenburger JC, et al. The effect of community pharmacy-based interventions on patient health outcomes. Med Care Res Rev. 2013;70:235–66.CrossRef

Bosch M, Faber MJ, Cruijsberg J, et al. Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. Med Care Res Rev. 2009;66(Suppl 6):5S–35.CrossRef

Buurman B, Parlevliet J, Allore H, Blok W, Deelen D van, Charante E moll van, Haan R de, Rooij S de. Comprehensive geriatric assessment and transitional care in acutely hospitalized patients: the transitional care bridge randomized clinical trial. JAMA Intern Med. 2016;176:302–9.CrossRef

Campanella P, Lovoto E, Marone C, et al. The impact of electronic health records on the healthcare quality: a systematic review and meta-analysis. Eur J Publ Health. 2015;26:60–4.CrossRef

Cummings G, Lee H, Macgregor T, et al. Factors contributing to nursing leadership: a systematic review. J Health Serv Res Policy. 2008;13(4):240–8.CrossRef

Curley C, McEachern E, Sperof T. A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Med Care. 1998;36:AS4–12.CrossRef

Davy C, Bleasel J, Liu H, et al. Factors influencing the implementation of chronic care models: a systematic literature review. BMC Fam Prac. 2015;16:102.CrossRef

Fiander M, McGowan J, Grad R et al. Interventions to increase the use of electronic health information by health practitioners to improve clinical practice and health outcomes. Cochrane Database Syst Rev. 2015;(3):CD004749.

Flodgren G, Rachas A, Farmer AJ et al. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;(9):CD002098.

Franx G, Dixon L, Wensing M, Pincus H. Implementation strategies for collaborative primary care-mental health models. Curr Opin Psychiatry. 2013;26:502–10.CrossRef

Freund T, Everett C, Griffiths P, Hudon C, Naccarella L, Laurant M. Skill mix, roles and remuneration in the primary care workforce: who are the healthcare professionals in the primary care teams across the world? Int J Nurs Stud. 2015;52(3):727–43.CrossRef

Gagnon MP, Légaré F, Labrecque M, et al. Interventions for promoting information and communication technologies adoption in healthcare professionals. Cochrane Database Syst Rev. 2009;(1):CD006093.

Gillespie BM, Marshall A. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implem Sci. 2015;10:137.CrossRef

Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362:1225–30.CrossRef

Harkness EF, Bower PJ. On-site mental health workers delivering psychological therapy and psychological interventions to patients in primary care: effects on the professional practice of primary care providers. Cochrane Database Syst Rev. 2009;(1):CD000532.

Hesselink G, Schoonhoven L, Barach P, et al. Improving hand-overs in hospital to primary care: a systematic review. Ann Intern Med. 2012;157:417–28.CrossRef

Holleman G, Poot E, Mintjes-de Groot J, Achterberg T van. The relevance of team characteristics and team directed strategies in the implementation of nursing innovations: a literature review. Int J Nursing Studies. 2009;46:1256–64.CrossRef

Jackson GL, Powers BJ, Chatterjee R, et al. The patient-centred medical home: a systematic review. Ann Intern Med. 2013;158:169–78.CrossRef

Jordhoy MS, Fayers P, Saltnes T, et al. A palliative-care intervention and death at home: a cluster randomised trial. Lancet. 2000;356:888–93.CrossRef

Kringos DS, Sunol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. BMC Health Serv Res. 2015;15:277.CrossRef

Laurant M, Reeves D, Hermens R, Braspenning J, Grol R, Sibbald B. Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev. 2005;(2):CD001271.

Laurant M, Harmsen M, Wollersheim H, Grol R, Faber M, Sibbald B. The impact of nonphysician clinicians: do they improve the quality and cost-effectiveness of health care services? Med Care Res Rev. 2009;66(Suppl 6):36S–89.CrossRef

Laurant M, Biezen M van der, Wijers N, Watananirun K, Kontopantelis E, Vught A van. Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev. 2016 (in press).

Littlejohns P, Wyatt JC, Garvican L. Evaluating computerised health information systems: hard less still to be learnt. BMJ. 2003;326:860–3.CrossRef

Maier CB, Aiken LH. Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study. Eur J Public Health. 2016. pii: ckw098 (Epub).

Martinez-Gonzalez N, Djalali S, Tandjung R, et al. Substitution of physicians by nurses in primary care: a systematic review and meta-analysis. BMC Health Serv Res. 2014;13:214.CrossRef

Millar R, Mannion R, Freeman T, Davies HTO. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Milbank Quaterly. 2013;91:738–70.CrossRef

Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22:11–8.CrossRef

Mumford V, Forde K, Greenfield D, et al. Health services accreditation: what is the evidence that the benefits justify the costs? Int J Qual Health Care. 2013;25:606–20.CrossRef

Ouwens MM, Hermens RR, Hulscher MM, et al. Impact of an integrated care program for patients with head and neck cancer on the quality of care. Head Neck. 2009;31(7):902–10.CrossRef

Øvretveit J. The leaders role in quality and safety improvement: a review of research and guidance. Stockholm: Association of County Councils (Lanstingsforbundet); 2004.

Pannick S, Davis R, Ashrafian H, et al. Effects of interdisciplinary team care interventions on general medical wards: a systematic review. JAMA Intern Med. 2015;175:1288–98.CrossRef

Parmelli E, Flodgren G, Schaafsma ME et al. The effectiveness of strategies to change organisational culture to improve healthcare performance. Cochrane Database Syst Rev. 2011;(1):CD008315.

Prades J, Remue E, Hoof E van, Borras JM. Is it worth reorganizing cancer services on the basis of multidisciplinairy teams (MDTs)? A systematic review of the objectives and organization of MDTs and their impact on patient outcomes. Health Policy. 2015;119:464–79.CrossRef

Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy. Ann Intern Med. 2013;158:433–40.CrossRef

Rudin RS, Motala A, Goldzweig CL, et al. Usage and effect of health information exchange: a systematic review. Ann Intern Med. 2014;161:803–11.CrossRef

Scott T, Mannion R, Marshall M, Davies H. Does organisational culture influence healthcare performance? A review of the evidence. J Health Serv Res Policy. 2003;8:105–17.CrossRef

Shekelle PG. Nurse-patient ratios as a patient safety strategy. Ann Intern Med. 2013;158:404–9.CrossRef

Shortell S, Jones R, Rademaker A, et al. Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients. Med Care. 2000;38:207–17.CrossRef

Stokes J, Panagioti M, Alam R, et al. Effectiveness of case management for ‘at risk’ patients in primary care: a systematic review and meta-analysis. PLOS One. 2015;10:e0132340.CrossRef

Stunnenberg L, Adriaandsen M. Onderzoek zorg op afstand: de oplossing een kantelende zorgomgeving. TvZ. 2015;2015(4):48–52.

Tricco AC, Ivers NM, Grimshaw JM, et al. Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis. Lancet. 2012;379:2252–61.CrossRef

Urquhart C, Currell R, Grant MJ, Hardiker NR. Nursing record systems: effects on nursing practice and healthcare outcomes. Cochrane Database of Syst Rev. 2009;1:CD002099.

Wallenburg I, Janssen M, Bont A de. Taakherschikking: zelf regisseren. Lessen voor verdere professionalisering. Dé Verpleegkundig Specialist. 2016;10:4–7.CrossRef

Weaver SJ, Lubomski LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy. Ann Intern Med. 2013;158:369–74.CrossRef

Weir R, Stewart L, Browne G, et al. The efficacy and effectiveness of process consultation in improving staff morale and absenteeism. Med Care. 1997;35:334–53.CrossRef

Wijers N, Burgt R van der, Laurant M. Verpleegkundig specialist biedt kansen. Onderzoeksrapport naar de inzet van de verpleegkundig specialist op de spoedpost in Eindhoven. Nijmegen/Eindhoven: IQ healthcare, Radboudumc/Stichting KOH; 2013.

Wong CA, Cummings GG. The relationship between nursing leadership and patient outcomes: a systematic review. J Nurs Manag. 2007;15:508–21.CrossRef

Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009;(3):CD000072.

Titel: Organisatorische implementatiestrategieën
Auteurs: Prof. dr. Michel Wensing
Dr. Miranda Laurant
Dr. Hub Wollersheim
Uitgeverij: Bohn Stafleu van Loghum
Boek: Implementatie
Print ISBN: 978-90-368-1731-8

Elektronisch ISBN: 978-90-368-1732-5

Copyright: 2017
DOI: https://doi.org/10.1007/978-90-368-1732-5_15

Bohn Stafleu van Loghum

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