A REVIEW ON HEALTHCARE QUALITY INDICATORS AND UNEXPECTED EVENTS APPROACHES IN GERMANY AND TÜRKİYE

Yıl 2024, Cilt: 33 Sayı: 1, 145 - 153, 01.04.2024

Oğuzhan Özmen , Hatice Semrin Timlioğlu İper

https://doi.org/10.34108/eujhs.1332514

Öz

Evaluation of quality studies in order to ensure patient safety is possible by measuring quality. "Quality Indicators" are used for this. In order to determine indicators and for realistic measurements, detecting and reporting unexpected events that have arisen on the basis of these indicators reveal invaluable results for the development of health systems.Germany, which is a developed country and a member of the European Union, and Turkey, which is a developing country on the way to the European Union, were compared in the focus of quality indicators and unexpected events in focus of “Quality Practices in Healthcare” in study.It is aimed to recognize the Quality of Health Care as a result of comparative evaluation, to discuss the positive and negative aspects of the two countries' quality indicators and their approaches to unexpected events, and to suggest alternative methods for application updates.In conclusion; In Germany, the Quality Program can be defined as a "Data-Based Quality Program with Wide Participation". Hospitals are encouraged for Unexpected Event Notifications in Germany, they are directed towards quality, and quality competition which created in healthcare services. However, when the payments and financial concerns are taken into consideration, it is felt that this competition cannot be achieved only by publishing the quality indicators to the public. Although a very good level has been achieved in the system that will enable the use of quality indicators in Turkey, there are problems in unexpected event notification, use of quality indicators and sharing of results.

Anahtar Kelimeler

health care quality, health care quality indicators, unexpected event

ALMANYA VE TÜRKİYE’DE SAĞLIKTA KALİTE İNDİKATÖRLERİ VE BEKLENMEYEN OLAY YAKLAŞIMLARI ÜZERİNE BİR DERLEME

Öz

Hasta güvenliğini sağlamak amacıyla kalite çalışmalarının değerlendirilmesi kalitenin ölçülmesi ile mümkün olmaktadır. Kalitenin ölçülmesi için “Kalite İndikatörleri” kullanılmaktadır. Kalite indikatörlerinin belirlenmesi ve gerçekçi ölçümlerin yapılabilmesi için ise bu indikatörler temelinde ortaya çıkmış olan beklenmeyen olayların tespit edilmesi ve bildirilmesi neticesinde kalitenin ölçülmesinin mümkün hale gelmesi sağlık sistemlerinin geliştirilmesi için çok değerli sonuçlar ortaya koymaktadır. Bu çalışmada “Sağlıkta Kalite Uygulamaları” kalite indikatörleri ve beklenmeyen olaylar odağında, Avrupa Birliği üyesi ve gelişmiş ülke konumundaki Almanya ile Avrupa Birliği yolunda ilerleyen ve gelişmekte olan bir ülke konumundaki Türkiyekarşılaştırılmıştır. Çalışmada Sağlıkta Kalite Uygulamalarının karşılaştırmalı değerlendirme neticesinde tanınması, iki ülkenin kalite indikatörleri ve beklenmeyen olaylara yaklaşımlarının olumlu ve olumsuz yönlerinin tartışılması ve uygulama güncellemeleri için alternatif olabilecek yöntemler önerilmesi amaçlanmıştır. Sonuç olarak; Almanya’da Kalite Programı “Geniş Katılımlı Veri Temelli Kalite Programı” olarak tanımlanabilir. Almanya’da Beklenmeyen Olay Bildirimleri için hastaneler özendirilmekte, kaliteye yöneltilmekte, sağlık hizmetinde kalite rekabeti oluşturulmaktadır. Ancak ödemeler ve finansal kaygılar göz önüne alındığında bu rekabetin sadece kalite göstergelerinin halka ulaştırılmasıyla sağlanamayacağı hissedilmektedir. Türkiye’de kalite indikatörlerinin kullanılmasını sağlayacak sistemde çok iyi bir seviye yakalanmış olmasına rağmen beklenmeyen olay bildirimi, kalite indikatörlerinin işletilmesi ve sonuçların paylaşılması hususlarında aksaklıklar hissedilmektedir.

Anahtar Kelimeler

sağlıkta kalite, sağlıkta kalite indikatörleri, beklenmeyen olay

Kaynakça

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