The general objective of the project is to improve patient safety and quality of hospital care through the promotion of DS best practices and standards. This project intends to elucidate main issues concerning ambulatory surgery, investigating DS at different levels of MSs health systems, and also offer realistic solutions, recommending evidence-based best practices and standards identified through benchmarking.
This initiative aims to provide some relevant, practical and flexible answers to European health systems increasingly facing an ethical and political dilemma regarding how to assure sustainable and equitable access to safe and high quality health care.
This initiative will study, review, identify and promote essential components of DS systems and units, i.e. structures, clinical and patients management processes. The project will compare, select and systematically promote best practices and standards. It will also develop measurement instruments to gauge patients compliance with protocols and DS managers and providers conformity with standard inputs and processes.
This project has deep implications for EU citizens because it can improve the safety of several of the most frequent surgical procedures. This project will fill the current knowledge gap about safety and quality of ambulatory surgery within MSs. The approach to DS investigation will be both systematic and strategic, i.e. it will look at current situation, identify benchmarks, and promote specific, practical, and flexible options about DS best practices and standards.
This project will offer a substantial contribution towards the attainment of the following Second Health Programme Priority: Improving Patient safety through high-quality and safe health care. It can also contribute to the attainment of the Programme’s aims, promoting solidarity through the sharing of best practices collected from the most excellent DS systems and enhancing prosperity through the reduction of surgical complications, shorter hospital stays and reduced direct and indirect costs for a vast set of very frequent procedures.
The project will use methods drawn from different disciplines, in particular Clinical Research, Clinical Epidemiology, Health Economics and Health Systems Research. The principles and techniques from such disciplines will be applied both to build evidence and develop recommendations. Best practices and tools will cover inputs, implementation and outcomes, i.e. the three key central domains necessary to offer managers and providers guidance on how to design, manage and evaluate DS services.
The assessment of DS organization and performance will be conducted through semi-structured in depth telephone, face-to-face interviews and focus groups with key informants. Information will also be collected through questionnaires. A set of indicators compiled from routine data will illuminate DS safety and quality issues. The project will use a combination of quantitative and qualitative methods. Data will play a critical role in the analysis of performance, preventing ideologies and interests to dominate. Besides data-driven analysis, the project will consider the broader milieu.
The project will enhance DS which represents a crucial strategic approach toward the improvement of health services safety and quality, including patients satisfaction, together with technical efficiency and, possibly, equity. The project will make policy-makers at EU and MSs levels knowledgeable about factors constraining DS performance, from operational aspects, such as faulty patient management processes and inadequately designed infrastructures, to strategic issues, like limited allocation of financial resources and poor strategic planning.
Best practices and standards will clarify key topics and make easier the progress toward implementation. The project expects to move forwards decision-makers, managers and staff from lack of knowledge to awareness and thorough understanding. Such process will lead to better prepared personnel ready to accept responsibilities for the organization and delivery of DS services and to be accountable for the results.