Impact of Complex Quality-Interventions on Patient Outcome: A Systematic Overview of Systematic Reviews

Impact of Complex Quality-Interventions on Patient Outcome: A Systematic Overview of Systematic Reviews

Blog Article

Quality of care and the increasing strategies to its promotion, especially in inpatient settings, led to the question which quality-interventions work best and which do not.The aim was to summarize and critically appraise the evidence on the effects of structure- and/or process-related quality-interventions on patient outcome in predominantly controlled and inpatient settings.A systematic overview of systematic reviews after electronic Cardamom searches in Medline, Embase, Cinahl, and PsycINFO, supplemented by hand search and expert survey, was conducted.

From a total of 1559 identified records, 37 reviews fulfilled the inclusion criteria.26 reviews assessed process-related quality-interventions, 6 structure-related quality-interventions, and 5 Partitions combined structure- and process-related quality-interventions.In all, 19 reviews reported pooled effect estimates (meta-analysis).

Based on the evidence of this systematic overview, stroke units and pathways can be recommended.Although patient-relevant improvements for interprofessional approaches and discharge planning have been reported, pooled effect estimated evidence are currently missing for these and other quality-interventions.