The impact of redesigning care processes on quality of care: a systematic review

This literature review evaluates the current state of knowledge about the impact of process redesign on the quality of healthcare. Pubmed, CINAHL, Web of Science and Business Premier Source were searched for relevant studies published in the last ten years [2004-2014]. To be included, studies had to...

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Bibliographic Details
Published in:BMC health services research 2016-01, Vol.16 (19), p.19-19, Article 19
Main Authors: van Leijen-Zeelenberg, Janneke E, Elissen, Arianne M J, Grube, Kerstin, van Raak, Arno J A, Vrijhoef, Hubertus J M, Kremer, Bernd, Ruwaard, Dirk
Format: Article
Language:English
Subjects:
Care and treatment
Checklist
Delivery of Health Care - organization & administration
Delivery of Health Care - standards
Humans
Medical care
Outcome and Process Assessment, Health Care
Outcome Assessment, Health Care
Patients
Quality Improvement
Quality management
Quality of Health Care - organization & administration
Quality of Health Care - standards
Research Design
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Summary:This literature review evaluates the current state of knowledge about the impact of process redesign on the quality of healthcare. Pubmed, CINAHL, Web of Science and Business Premier Source were searched for relevant studies published in the last ten years [2004-2014]. To be included, studies had to be original research, published in English with a before-and-after study design, and be focused on changes in healthcare processes and quality of care. Studies that met the inclusion criteria were independently assessed for excellence in reporting by three reviewers using the SQUIRE checklist. Data was extracted using a framework developed for this review. Reporting adequacy varied across the studies. Process redesign interventions were diverse, and none of the studies described their effects on all dimensions of quality defined by the Institute of Medicine. The results of this systematic literature review suggests that process redesign interventions have positive effects on certain aspects of quality. However, the full impact cannot be determined on the basis of the literature. A wide range of outcome measures were used, and research methods were limited. This review demonstrates the need for further investigation of the impact of redesign interventions on the quality of healthcare.
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-016-1266-0