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Accreditation in stroke units of 6 European regions / Ömer R. Saka in Cerebrovascular Diseases, 35(2013)Suppl.3 ([05/01/2013])  

[article] Accreditation in stroke units of 6 European regions : One name different realities [printed text] / Ömer R. Saka, Author ; Ying Sun, Author ; D Michiels, Author ; Vincent Thijs, Author ; Dimitri Hemelsoet, Author ; Marijke Eyssen , Author ; Dominique Paulus , Author . - 2013 . - 481. Languages : English (eng) in Cerebrovascular Diseases > 35(2013)Suppl.3 [05/01/2013] . - 481 Descriptors: Classification W 1 Serials. Periodicals Indexation 2011-20 ; Belgium ; Cardiac Resynchronization Therapy Devices ; Emergency Treatment ; Journal Article ; Peer Review ; R181 ; Stroke Abstract: Background: ESO guidelines aim to promote standardised care of high quality in Europe but the organisation of acute care in stroke units (SU) largely differs between countries. This study aimed to scrutinize the accreditation or certification procedures of SU in 6 countries/regions: Scotland, Sweden, The Netherlands, France, Germany and the “London Stroke Services” (LSS). Methods: the information was collected with standardised questionnaires (25 pages) sent by mail to 12 experts from the 6 countries/regions. The research team analyzed the answers and clarified further issues by interviews. Results: an official mandatory accreditation procedure (organized and paid by governmental agencies) exists in Scotland, in LSS and in France. In Germany this procedure exists (private organizations) but is not mandatory. The accreditation process always implies at least site-visits and patient data review. Accreditation is renewed on a 1-, 3-, or 5-year basis. Some countries differentiate between types of SU (e.g. primary, comprehensive SU). The study further listed the criteria that SU must fulfil and the indicators measured for their accreditation (structure, process and outcome). Few of them refer to outcomes e.g. mortality, complications and recurrence. Incentives to encourage better quality differ between countries: public reporting of the results of the accreditation procedure, support to poor performers, benchmarking between hospitals, financial consequences. Conclusion: this exhaustive analysis gives an overview of the accreditation procedures in selected European countries. Care of high quality relies on a common evidence base but the quality assurance procedures, the indicators used as well as the consequences of the measurement largely differ between the countries. The question is to know if these various accreditation procedures result in differences in patients' outcomes. Link for e-copy: http://dx.doi.org/10.1159/000353129 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3779 [article]

Development and validation of nursing resource weights for the Belgian Nursing Minimum Dataset in general hospitals / Walter Sermeus in International journal of nursing studies, 46(2009)02 ([02/02/2009])  

[article] Development and validation of nursing resource weights for the Belgian Nursing Minimum Dataset in general hospitals = a Delphi questionnaire survey approach [printed text] / Walter Sermeus, Author ; Pierre Gillet, Author ; Daniel Gillain, Author ; J Grietens, Author ; N Laport, Author ; D Michiels, Author ; G Vanden Boer, Author ; Pieter Van Herck, Author ; Koen Van Den Heede , Author . - 2009 . - 256-67. Languages : English (eng) in International journal of nursing studies > 46(2009)02 [02/02/2009] . - 256-67 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Delphi Technique ; Great Britain ; Hospitals, General ; Journal Article ; Nursing Staff, Hospital ; Peer Review ; Questionnaires Abstract: BACKGROUND: Internationally, nursing is not well represented in hospital financing systems. In Belgium a nursing weight system exists to adjust budget allocation for differences in nurse staffing requirements, but there is a need for revision. Arguments include the availability of a nursing minimum dataset and the adverse consequences of the current historically based nursing weight system. OBJECTIVES: The development and validation of nursing resource weights for the revised Belgium nursing minimum dataset (NMDS). DESIGN: Two independent cross sectional Delphi-surveys. SETTING AND PARTICIPANTS: A convenience sample of 222 head nurses from 69 Belgian hospitals participated in the cross sectional survey methods. To assess validity 112 patient case records from 61 nursing wards of 35 Belgian general hospitals representing general, surgical, pediatric, geriatric and intensive care were selected. METHODS: Nursing resource weights were constructed based on Delphi survey results by NMDSII intervention. The patient case Delphi survey results were used as the primary source for validation. A series of additional validation measures were calculated, based on the different patient classification systems. Finally, three validated nursing resource weighting systems were compared to the constructed NMDSII weighting system: the use of 'Closon', 'Ghent' and WIN weights. RESULTS: A coherent set of nursing resource weights was developed. The comparison of nurse resource weights, based on the survey per NMDS intervention versus the survey on patient cases, yielded high correlations: r=0.74 to r=0.97 (p<0.01) between three case rating questions, as an indication of reliability in terms of internal consistency, and r=0.90 (p<0.01) between summed intervention weights and patient case weights, as an indication of criterion validity in terms of concurrent validity. Other concurrent validity measures based on summed intervention weights versus patient classification dependency weights showed a correlation ranging from r=0.14 to r=0.74. The correlation of summed intervention weights with the Closon, Ghent and WIN weights ranged from r=0.93 to r=0.96 (p<0.01), as a third indication of concurrent validity. CONCLUSIONS: A system of valid nursing resource weights has been developed. The system should be further validated within an international context. Link for e-copy: http://tiny.cc/rkpji Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2279 [article]

Efficacy of acute stroke units / Ömer R. Saka in Cerebrovascular Diseases, 35(2013)Suppl.3 ([05/01/2013])  

[article] Efficacy of acute stroke units : Updated meta-analysis [printed text] / Ömer R. Saka, Author ; Ying Sun, Author ; D Michiels, Author ; Vincent Thijs, Author ; Dimitri Hemelsoet, Author ; Marijke Eyssen , Author ; Dominique Paulus , Author ; Johan Maervoet, Author . - 2013 . - 824. Languages : English (eng) in Cerebrovascular Diseases > 35(2013)Suppl.3 [05/01/2013] . - 824 Descriptors: Classification W 1 Serials. Periodicals Indexation 2011-20 ; Belgium ; Journal Article ; Peer Review ; R181 ; Randomized Controlled Trials ; Stroke Abstract: Background A Cochrane review (2009) has concluded that the provision of care in stroke units (SU) improves stroke outcomes significantly. This study aimed to update the Cochrane review on acute SU care. We performed a meta-analysis on the benefit of acute SUs against alternatives. Methods Clinical trials published before 2006 were identified via the Cochrane review. Trials after 2006 were identified through a thorough electronic database search. For meta-analysis dichotomous outcomes were estimated by odds ratio (OR) and continuous outcomes were estimated by standardized mean difference. Weight of a study was calculated based on inverse variance. Results After two screenings 20 trials were included in the study: 12 compared SUs with alternative, 5 compared SUs with a specific protocol versus conventional SU care, 3 compared SUs followed by specific interventions versus SUs followed by conventional follow-up. Acute SU care significantly improved patient outcomes in terms of institutional care (OR=0.61, 95% confidence interval (CI) 0.47 to 0.79, P=0.0002); death or institutional care (OR=0.70, 95% CI 0.60 to 0.83, P<0.0001), death or dependency (OR=0.81, 95% CI 0.69 to 0.96, P=0.01; (4) length of hospital stay, standardized mean difference=-0.27 day, 95% CI -0.36 to -0.19, P<0.0001). The effect of SUs on mortality was around bottom-line statistical significance (OR=0.84, 95% CI 0.71 to 1.00, P=0.05). The benefit of SUs on mortality can be easily altered by changing the inclusion criteria (e.g. randomized controlled trials only, use of unpublished data). Effect of SUs on dependency was not significant (OR=0.92, 95% CI 0.74 to 1.13, P= 0.42). Conclusion This update confirmed the findings of the previous Cochrane review in general. Yet it showed that the benefit of SUs was more significant on composite outcomes (e.g. death or dependency, death or institutional care) than on individual outcomes (e.g. death, dependency). Link for e-copy: http://dx.doi.org/10.1159/000353129 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3780 [article]

Financement des soins infirmiers hospitaliers / Walter Sermeus / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

Financement des soins infirmiers hospitaliers [printed text] / Walter Sermeus, Author ; Pierre Gillet, Author ; W Tambeur, Author ; Daniel Gillain, Author ; J Grietens, Author ; N Laport, Author ; D Michiels, Author ; O Thonon, Author ; G Vanden Boer, Author ; P Van Herck, Author ; Nathalie Swartenbroekx, Author ; Dirk Ramaekers, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2007 . - xi, 137 p. : ill. ; 30 cm.. - (KCE Reports B. Health Services Research (HSR); 53B) . ISSN : D/2006/10.273/07 : 0 € Etude nr 2005-19 Languages : French (fre) Descriptors: Indexation 2005-19 ; Economics, Hospital ; Evidence-Based Medicine ; Financial Management, Hospital ; Nursing ; Nursing Service, Hospital ; Personnel Management ; R53 Classification WY 125 Institutional nursing. Team nursing Link for e-copy: https://doi.org/10.57598/R53B Format of e-copy: .PDF (1,8 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1638

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Financiering van verpleegkundige zorg in ziekenhuizen / Walter Sermeus / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

Financiering van verpleegkundige zorg in ziekenhuizen [printed text] / Walter Sermeus, Author ; Pierre Gillet, Author ; W Tambeur, Author ; Daniel Gillain, Author ; J Grietens, Author ; N Laport, Author ; D Michiels, Author ; O Thonon, Author ; G Vanden Boer, Author ; P Van Herck, Author ; Nathalie Swartenbroekx, Author ; Dirk Ramaekers, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2007 . - xi, 137 p. : ill. ; 30 cm.. - (KCE Reports A. Health Services Research (HSR); 53A) . 0 € Languages : Dutch (dut) Descriptors: Indexation 2005-19 ; Economics, Hospital ; Evidence-Based Medicine ; Financial Management, Hospital ; Nursing ; Nursing Service, Hospital ; Personnel Management ; R53 Classification WY 125 Institutional nursing. Team nursing Link for e-copy: https://doi.org/10.57598/R53A Format of e-copy: .PDF (1,82 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1391

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Financing of hospital nursing care / Walter Sermeus / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

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Quality indicators for stroke units / Ömer R. Saka in Cerebrovascular Diseases, 35(2013)Suppl.3 ([05/01/2013])  

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Using Nursing Interventions Classification as a Framework to Revise the Belgian Nursing Minimum Data Set / Koen Van Den Heede in International Journal of Nursing Terminologies and Classifications, 20(2009)3 ([07/01/2009])  

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