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Van meten naar implementeren

15 jaar prevalentiemetingen

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Tijdschrift voor gezondheidswetenschappen Aims and scope

Abstract

Deze rubriek biedt de ruimte voor de bespreking van belangrijke ontwikkelingen rond landelijke en lokale gezondheids- en zorgregistraties, waartoe ook gezondheidsenquêtes en epidemiologische surveys worden gerekend. Voor inlichtingen kunt u terecht bij Margreet Bloemers (bloemers@zonmw.nl) die deze rubriek beheert.

ABSTRACT

From measurement to implementation. Fifteen years prevalence measurements

The Dutch national prevalence measurement of care problems (LPZ) was founded in 1998. It is an annual measurement of the prevalence, prevention, treatment and structure indicators of some relevant care problems in different health care sectors.

In the LPZ all patients of the participating organizations are assessed by two caregivers at the same day. After the measurement each organization receives an overview of its results, together with the aggregated results of comparable organizations for benchmarking. The overall effect of the measurement is that during the years the prevalence of several care problems, such as pressure ulcers and malnutrition, has been reduced. So, the LPZ is not only a monitor of care problems, but stimulates also activities towards improvement of the quality of care. Nowadays, tools and examples of best practices are offered to the organizations to support them in improving their quality of care. Since a few years the LPZ is also conducted in other countries, incl. Austria, Switzerland and New Zealand. Using the same LPZ- instruments and methodology, provides unique possibilities to compare relevant aspects of care problems within and between countries.

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LITERATUUR

  1. Halfens RJG. Registreren van decubitus: een voorstel. Driebegen: Congres Landelijk Stuurgroep Decubitus, 1996.

    Google Scholar 

  2. Bours GJJW, Halfens RJG, Huijer H et al. Prevalence prevention and treatment of pressure ulcers: descriptive study in 89 Institutions in the Netherlands. Res Nurs Health 2002;25:99-110.

    Article  PubMed  Google Scholar 

  3. Kottner J, Halfens R, Dassen T. An interrater reliability study of the assessment of pressure ulcer risk using the Braden scale and the classification of pressure ulcers in a home care setting. Int J Nurs Studies 2009;46:1307-12.

    Article  Google Scholar 

  4. Amir Y, Meijers J, Halfens R. Retrospective study of pressure ulcer prevalence in Dutch general hospitals since 2001. J Wound Care 2011; 20:18-25.

    PubMed  CAS  Google Scholar 

  5. Meijers JMM, Schols JMGA, Van Bokhorst-van der Schueren MAE et al. Malnutrition prevalence in The Netherlands: results of the Annual Dutch National Prevalence Measurement of Care Problems. Br J Nutrition; 2009;101:417-23.

    Article  CAS  Google Scholar 

  6. Donabedian A. Institutional and professional responsibilities in quality assurance. Qual Assur Health Care 1989;1:3-11.

    PubMed  CAS  Google Scholar 

  7. Rogers EM. Diffusion of Innovations. 5th ed. New York: Free Press, 2003.

    Google Scholar 

  8. Tannen A, Dietz E, Dassen T, Halfens R. Explaining the national differences in pressure ulcer prevalence between the Netherlands and Germany : adjusted for personal risk factors and institutional quality indicators. J Eval Clin Pract 2009;15:85-90.

    Article  PubMed  Google Scholar 

  9. Meesterberends E, Halfens RJG, Heinze C et al. Pressure ulcer incidence in Dutch and German nursing homes: design of a prospective multicenter cohort study. BMC Nursing 2001;10:8.

  10. Bours GJJW, de Laat E, Halfens RJG, Lubbers M. Prevalence, risk factors and prevention of pressure ulcers in Dutch intensive care units, results of a cross-sectional survey. Int Care Med 2001;27:1599-1605.

    Article  CAS  Google Scholar 

  11. Meijers JM, Candel MJ, Schols JM et al. Decreasing trends in malnutrition prevalence rates explained by regular audits and feedback. J Nutrition 2009; 139:1381-6.

    Article  CAS  Google Scholar 

  12. Schönherr S, Halfens RJG, Meijers JJM et al. Structural and process indicators of nutritional care: a comparison between Austrian hospitals and nursing homes. Nutrition (in press).

  13. Härlein J, Halfens RJ, Dassen T, Lahmann NA. Falls in older hospital inpatients and the effect of cognitive impairment: a secondary analysis of prevalence studies. J Clin Nursing, 2011;20:175-83.

    Article  Google Scholar 

  14. Tannen A, Dassen T, Halfens RJG. Differences in prevalence of pressure ulcers between the Netherlands and Germany : associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes. J Clin Nursing 2008;17:1237-44.

    Article  Google Scholar 

  15. Van Nie-Visser NC, Meijers JMM, Schols JMGA et al. Comparing quality of nutritional care in Dutch and German nursing homes. J Clin Nursing 2011;20:2501-8.

    Article  Google Scholar 

  16. Bosch M, Halfens RJ, van der Weijden T et al. Organizational culture, team climate, and quality management in an important patient safety issue: nosocomial pressure ulcers. Worldviews Evidence-Based Nursing 2011;8:4-14.

    Article  Google Scholar 

  17. Bours GJJW, Halfens RJG, Berger MPF et al. The development of a model for case-mix adjustment of pressure ulcer prevalence rates. Med Care 2003;41:45-55.

    Article  Google Scholar 

  18. Du Moulin MFMT, Chenault MN, Tan FES et al. Quality systems to improve care in elderly patients with urinary incontinence receiving homecare: do they work? Qual Safety Health Care 2011;19:e18.

  19. Shahin ESM, Meijers JMM, Schols JMGA et al. The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes. Nutrition 2010;26:886-9.

    Article  PubMed  Google Scholar 

  20. Meijers JMM, Halfens RJG, Neyens JCL. Predicting falls in elderly receiving home care: the role of malnutrition and impaired mobility. J Nutr Health Aging (in press).

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Dr. R.J.G Halfens, Department of Health Services Research, Universiteit Maastricht, Postbus 616, 6200 MD Maastricht, tel. 043-3881572, e-mail: r.halfens@maastrichtuniversity.nl

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Halfens, R., Meijers, J., van Nie-Visser, N. et al. Van meten naar implementeren. Tijds. gezondheids.wetenschappen 90, 401–405 (2012). https://doi.org/10.1007/s12508-012-0142-5

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