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BMC Health Services Research

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Open Access 01-12-2016 | Research article

Optimal use of external demands in hospitals - a Delphi study from the Netherlands

Authors: Louise H. K. Blume, Nico J. H. W. van Weert, Jamiu O. Busari, Diana Delnoij

Published in: BMC Health Services Research | Issue 1/2016

Abstract

Background

Regulatory authorities focus on promoting compliance of hospitals with a variety of external demands. Due to the amount of these external demands, hospitals might prioritise to cope with the external demands. In this study, we explore to what extent a risk-based prioritisation system developed by one Dutch hospital, is applicable in other hospitals as well. The specific research question was: can a risk-based prioritisation system help hospitals cope with the pressures of external demands?

Methods

We conducted a Delphi study, containing three rounds with seven quality and safety managers. All participants were experienced in coping with external demands in Dutch hospitals in general and their own hospital specifically. These experts were granted access to a sample selection of a database containing about 1500 external demands (January 2014). Prior to the Delphi study, a baseline measurement was carried out, where all participants answered open-ended questions aimed at identifying existing practices, possible challenges concerning external demands and to prepare the survey for the group Delphi study.

Results

We identified a high level of consensus during our Delphi research. The experts agreed that at present, Dutch hospitals do not cope with external demands systematically. The participants agreed that the database and the risk-based prioritisation system are useful tools to cope with the amount of external demands and indicated that they would also like to use these tools themselves in the future.

Conclusions

In this study, the participants agreed that the database and the risk-based prioritisation system are both applicable and useful tools to cope with the amount of external demands. Further research addressing the use of the risk-based-priority system for specific subsets of external demand is also needed.

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Title: Optimal use of external demands in hospitals - a Delphi study from the Netherlands
Authors: Louise H. K. Blume
Nico J. H. W. van Weert
Jamiu O. Busari
Diana Delnoij
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-016-1315-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Optimal use of external demands in hospitals - a Delphi study from the Netherlands

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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