Subject Study
Constructing theory model for medical quality and safety management based on grounded theory
Dong Siping, Liu Tingfang, Shang Zhao, Zhuo Lijun, Fan Zixuan, Du Yonghui
Published 2023-04-02
Cite as Chin J Hosp Admin, 2023, 39(4): 263-268. DOI: 10.3760/cma.j.cn111325-20221215-01074
Abstract
ObjectiveTo construct future-oriented theoretical management model for medical quality and patient safety.
MethodsProcedure grounded theory was applied to code data including 30 expert interview records from July 2021 to June 2022 and the qualitative analysis results of 71 core literatures in Chinese and English, and then the theoretical model was constructed.
ResultsAfter three-level coding, 555 reference points, 249 initial concepts, 41 categories, 27 main categories and 7 core categories related to medical quality and safety management were sorted out, and the theoretical model of SQ (I-SPORT) matrix for medical quality and safety management was constructed. This model extended the traditional dimension in quality and safety management.
ConclusionsRegarding medical quality and safety management, on one hand, should focus on the systematic improvement of structure, process, results, reengineering, education and training in terms of management functions; on the other hand, it is necessary to improve the organization, employees, resources, technology and tools, and patient experience in terms of management elements.
Key words:
Medical quality; Patient safety; Theoretical model; Grounded theory
Contributor Information
Dong Siping
National Institute of Hospital Administration, National Health Commission, Beijing 100083, China
Liu Tingfang
School of Health Management Policy, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Shang Zhao
School of Health Management, Fujian Medical University, Fuzhou 350122, China
Zhuo Lijun
School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science &
Technology, Wuhan 430030, China
Fan Zixuan
School of Health Management Policy, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Du Yonghui
Medical Department, Linyi People′s Hospital, Dezhou 251500, China
