| dc.description.abstract | Abstract:
Background and Aim: Evaluating the performance in Clinical Governance (CG) activities
requires specific and appropriate national indicators. The aim of this study was to develop
and assess CG indicators of risk management and clinical effectiveness in East Azerbaijan
Cardiac Care Units.
Materials and Methods: The present study was conducted through a seven-step process
including; a) A comprehensive literature review to identify potential indicators. b) Panel of
Experts (100 Person - hours). c) Four Semi-structured interviews. d) Two-round Delphi
survey (with 33 experts). e) Final expert panel (with7 experts).f) Developing CCU indicators
(using comprehensive literature review, Panel of Experts, Semi-structured interviews, Two
round Delphi survey).g) Assessing CCU indicators based on 2000 cardiovascular patient
medical record files and 20 CCUs in 17 East Azerbaijan hospitals
Results: Through the literature review, 361 indicators were identified (129 risk management
indicators in 4 dimensions, and 232 clinical effectiveness indicators in 18 dimensions). After
holding experts panel and interviews, the count of indicators was reduced to 168 (65 risk
management indicators in 4 dimensions and 103 clinical effectiveness indicators in 12
dimensions).After running two rounds of Delphi, 4 other indicators were eliminated and after
the final experts panel 113 indicators (43 risk management indicators in 4 dimensions and 70
clinical effectiveness indicators in 11 dimensions) were finalized. After determining CG
indicators, 40 indicators were developed using literature review, an expert panel, two
interviews and 2 rounds of Delphi survey to investigate service quality provided for
cardiovascular admissions in CCUs
Men comprised 57.2%of the studied patients. Myocardial Infarction (MI) was the most
common cause of hospitalization. Overall, 202 )%10/1( deaths had happened. Hypertension
and diabetes were the most common co-morbidities. Mean time from hospitalization to death
was 1.28 days. Mean time Interval between the onsets of symptoms to hospitalization was
623minuts.
Discussion: A set of indicators for risk management and clinical effectiveness dimensions of
CG were developed to be used as a standard list by providers of healthcare in an effort to
continuously evaluate and improve their performance. Assessing indicators of the service
quality developed for CVD Patients admitted to CCUs showed that there is need to quality
improvement interventions in this setting.
Key words: Developing, Accessing, Clinical Governance, Indicators, Risk Management,
Clinical Effectiveness, Cardiac Care Units | |
