University of Twente Student Theses
A general process indicator set for parenteral medication administration in the patient’s home situation: development and pilot benchmark
Hunneman, R.D. (2023) A general process indicator set for parenteral medication administration in the patient’s home situation: development and pilot benchmark.
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Abstract: | Objective: A general organisational structure is needed for the administration of parenteral medication from the hospital to the home situation (PMAH). Despite PMAH being in practice for around two decades and process indicators (PIs) having been developed for specific care pathways related to a particular patient group or medicines, there is a lack of a general assessment tool. In this study, we aimed to develop a general set of PIs to assess and improve the quality of PMAH and evaluate the set in a pilot benchmark between hospitals. Methods: The PIs were developed using a modified RAND/UCLA appropriateness method. A literature review with a systematic search was conducted to develop a general set of PIs. Additionally, the comprehensiveness of the general PI set was verified for the care pathways oncology and antibiotic. The PIs extracted from literature were assessed for their appropriateness by a group of stakeholders (n=19) involved in the PMAH process. After obtaining final approval through consensus among a group of exerts, a pilot benchmark was conducted in three mProve hospitals to assess the performance of the set of PIs. Results: A final set of 31 general, 2 antibiotic, and 2 oncology-related PIs were selected. According to the pilot benchmark, it was found that 34 out of the 35 developed PIs were available in at least one of the three mProve hospitals. Conclusion: The developed general set of PIs can be utilized as an assessment and monitoring tool for the PMAH process, contributing to the improvement of the quality of care. |
Item Type: | Essay (Master) |
Clients: | Isala, Zwolle, Netherlands |
Faculty: | TNW: Science and Technology |
Subject: | 85 business administration, organizational science |
Programme: | Health Sciences MSc (66851) |
Link to this item: | https://purl.utwente.nl/essays/95387 |
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