Table 2 Mean scores* for the domains and dimensions of the European practice assessment instrument
From: Effectiveness of a quality management program in dental care practices
Domain | No of indicators | Intervention group (n = 45) | Change in score (95% CI) | Score for comparison group2(n = 56) | Between-group difference in scores3(95% CI) | |
|---|---|---|---|---|---|---|
Score at first assessment | Score at second assessment | |||||
Infrastructure | 77 | 90.8 | 94.2 | 3.4 (−1.9; 8.7) | 84.0 | 10.2 (2.3; 18.1)* |
Accessibility and availability | 15 | 76.9 | 85.5 | 8.6 (0.4; 16.8) | 76.1 | 9.4 (1.8; 17.0)* |
Disabled access | 5 | 55.0 | 59.2 | 4.2 (−1.7; 10.1) | 57.3 | 1.9 (−1.7; 5.5) |
Premises | 20 | 89.4 | 92.8 | 3.4 (−1.9; 8.7) | 88.6 | 4.2 (−1.1; 9.5) |
Medical equipment, including drugs | 14 | 89.7 | 91.7 | 2.0 (−2.1; 6.1) | 83.5 | 8.2 (1.0; 15.4)* |
Nonmedical equipment | 3 | 83.4 | 90.9 | 7.5 (−0.2; 15.2) | 83.0 | 7.9 (0.8; 15.0)* |
Material management | 5 | 95.9 | 97.7 | 1.8 (−2.1; 5.7) | 98.9 | −1.2 (−4.1; 1.7) |
Laboratory management | 9 | 94.7 | 95.1 | 0.4 (−1.4; 2.2) | 90.4 | 4.7 (−0.8; 10.2) |
IT-security | 6 | 90.8 | 94.2 | 3.4 (−1.9; 8.7) | 90.5 | 3.7 (−1.2; 8.6) |
People | 79 | 79.9 | 82.3 | 2.4 (−2.1; 6.9) | 78.1 | 4.2 (−1.1; 9.5) |
Perspective of patients | 33 | 87.3 | 87.3 | --- | 87.7 | −0.4 (−2.1; 1.3) |
Perspective of dental staff on working conditions | 15 | 77.5 | 79.4 | 1.9 (−2.1; 5.9) | 76.7 | 2.7 (−1.5; 6.9) |
Perspective of dentists on working conditions | 12 | 83.0 | 82.0 | −1.0 (−3.9; 1.9) | 78.7 | 3.3 (−1.4; 8.0) |
Staff management | 10 | 64.9 | 77.5 | 12.6 (2.9; 22.2) | 60.2 | 17.3 (7.4; 27.2)* |
Education and training | 9 | 69.7 | 74.0 | 4.3 (−1.6; 10.2) | 64.7 | 9.3 (1.7; 16.9) |
Information | 56 | 82.6 | 89.0 | 6.4 (−0.7; 13.6) | 82.0 | 7.0 (0.3; 13.7) |
Confidentiality and privacy | 6 | 85.6 | 93.6 | 8.0 (0.01; 15.9) | 82.3 | 11.3 (3.0; 19.6)* |
Prevention | 8 | 75.7 | 79.9 | 4.2 (−1.7; 10.1) | 67.6 | 12.3 (3.7; 20.9)* |
Clinical data, patients records | 7 | 91.6 | 95 .7 | 4.1 (−1.7; 9.9) | 91.3 | 4.4 (−0.9; 9.8) |
Information for staff | 3 | 81.6 | 89.5 | 7.9 (0.01; 15.9) | 86.2 | 3.3 (−1.4; 8.0) |
Information for patients on medical care | 16 | 91.9 | 94.6 | 2.7 (−2.0; 7.4) | 91.4 | 3.2 (−1.4; 7.8) |
Use of computers | 2 | 77.8 | 87.6 | 9.8 (1.1; 18.5) | 82.9 | 4.7 (−0.8; 10.2) |
Communication with other health care providers | 5 | 79.9 | 92.7 | 12.8 (3.3; 22.6)* | 84.1 | 8.6 (1.3; 15.9)* |
Information for patients on practice, practice policy and community resources | 9 | 66.3 | 76.8 | 10.5 (1.5; 19.5) | 67.8 | 9.0 (1.5; 16.5)* |
Finance | 10 | 83.2 | 86.3 | 3.1 (−1.9; 8.2) | 78.2 | 8.1 (0.9; 15.2) |
Financial leadership and responsibilities | 6 | 90.2 | 91.3 | 1.1 (−1.9; 4.1) | 87.7 | 3.6 (−1.3; 8.5) |
Financial planning | 1 | 42.2 | 48.9 | 6.7 (−0.6; 14.0) | 33.3 | 15.6 (6.1; 25.1)* |
Annual report (retrospective) | 3 | 82.9 | 88.9 | 6.0 (−0.9; 12.9) | 73.5 | 15.4 (5.9; 24.9)* |
Quality & Safety | 59 | 82.4 | 88.7 | 6.3 (−0.7; 13.4) | 78.1 | 10.6 (2.5; 18.7)* |
Quality development, quality policy | 10 | 76.1 | 80.5 | 4.4 (−1.6; 10.4) | 69.1 | 11.4 (3.1; 19.7)* |
Detection of quality and safety problems | 11 | 83.1 | 88.7 | 5.6 (−1.1; 12.3) | 77.4 | 11.3 (3.0; 19.6)* |
Safety of staff and patients, hygiene, infection control | 24 | 93.2 | 97.0 | 3.8 (−1.8; 9.4) | 91.4 | 5.6 (−0.4; 11.6) |
Provisions for emergency situations | 6 | 74.2 | 83.3 | 9.1 (0.7; 17.5) | 68.7 | 14.6 (5.4; 23.8)* |
Complaint management | 5 | 54.4 | 74.4 | 20.0 (8.3; 31.7)* | 48.7 | 25.7 (14.3; 37.1)* |
Analysis of critical incidents | 3 | 78.1 | 83.3 | 5.2 (−1.3; 11.7) | 72.0 | 11.3 (3.0; 19.6)* |
Total | 281 | 82.7 | 87.1 | 4.4 (−1.0; 9.8) | 80.5 | 6.6 (0.1; 13.1) |