Evidence-based re-engineering: re-engineering the evidence--a systematic review of the literature on business process redesign (BPR) in hospital care.
Int J Health Care Qual Assur Inc Leadersh Health Serv
; 19(6-7): 477-99, 2006.
Article
en En
| MEDLINE
| ID: mdl-17100219
PURPOSE: Business process redesign (BPR) is used to implement organizational transformations towards more customer-focused and cost-effective care. Ideally, these innovations should be carefully described and evaluated so that "best practices" can be re-applied. To investigate this, available evidence was collected on patient care redesign projects. DESIGN/METHODOLOGY/APPROACH: The Ebsco Business Source Premier, Embase and Medline databases were searched. Studies on innovations related to re-engineering patient care that used before-after design as minimum prerequisites were selected. General characteristics, logistic parameters and other outcome measures to determine the objectives and results and interventions used were looked at. FINDINGS: A total of 86 studies that conformed to the criteria were found: a minority mentioned measurable parameters in their objectives. In the majority of studies, multiple interventions were combined within single studies, making it impossible to compare the effects of individual interventions. Only three randomized controlled trials were found. Furthermore, inconsistencies were noted between the study objectives and the reported results. Many more issues were reported in the results than were mentioned in the study aims. It would appear that publications were hard to find owing to a lack of specific MeSH headings. Nearly 7,500 abstracts were scanned and from these it was concluded that clear and univocal research methods, terms and reporting guidelines are advisable and must be developed in order to learn and benefit from BPR innovations in health care organizations. ORIGINALITY/VALUE: This appears to be the first time available evidence about redesign projects in hospitals has been systematically collected and assessed.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Dirigida al Paciente
/
Medicina Basada en la Evidencia
/
Administración Hospitalaria
Tipo de estudio:
Clinical_trials
/
Guideline
/
Systematic_reviews
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Health Care Qual Assur Inc Leadersh Health Serv
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
Año:
2006
Tipo del documento:
Article
País de afiliación:
Países Bajos
Pais de publicación:
Reino Unido