Holger Pfaff

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INTRODUCTION AND OBJECTIVE This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods(More)
BACKGROUND Since 2000, systemic thrombolysis has been the only approved curative and causal treatment for acute ischemic stroke. In 2009, the guidelines of the German Society for Neurology were updated and the therapeutic window for performing thrombolysis was extended. The implementation of new therapies is influenced by many factors. We analyzed the(More)
OBJECTIVE The aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries. DESIGN Questionnaire development was facilitated through expert opinion, literature review and earlier empirical research. A cross-sectional online survey utilizing the questionnaire was undertaken(More)
In Germany e-health cards will be distributed nationwide to over 80 million patients. Given the impending mandatory introduction of the e-health technology, the objective of this study was to examine the determinants of primary care physicians' acceptance of the technological innovation. The study was conducted prior to the introduction of the e-health(More)
OBJECTIVE To describe hospitals' organizational arrangements relevant to the abstraction of administrative data, to report on the completeness of administrative data collected and to assess associations between organizational arrangements and completeness of data submission. DESIGN A cross-sectional STUDY DESIGN utilizing administrative data. SETTING(More)
OBJECTIVE To define a checklist that can be used to assess the performance of a department and evaluate the implementation of quality management (QM) activities across departments or pathways in acute care hospitals. DESIGN We developed and tested a checklist for the assessment of QM activities at department level in a cross-sectional study using on-site(More)
OBJECTIVE To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. DESIGN A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. SETTING(More)
OBJECTIVE To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals. DESIGN Mixed-method multilevel cross-sectional design in seven countries as part of the European(More)
The patient-reported assessment of physician empathy can be indicated for outcome research, at interventions and in medical practice. The aim of this investigation is the evaluation of the psychometric properties of the German version of the "Consultation and Relational Empathy" (CARE) measure on the example of inpatient cancer patients (N = 326). The(More)
OBJECTIVE To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals. DESIGN A quantitative, mixed method, cross-sectional study in seven European countries in 2011 surveying CEOs and quality managers and data from(More)