THEME-I RATIONALE | |
Sub-Category | Key Points |
Adaptation & Flexibility | The new Quality Improvement Regulation was elaborated and adapted to meet the needs from the services: • Modernized by adding management and quality improvement • Designed around a PDSA structure • The obligation to delegate tasks in daily work was specified • One new substantial provision was added: The obligation to systematically evaluate risk management and quality improvement measures (yearly) The Quality Improvement Regulation per se is flexible in its non-detailed, regulatory design, because: • The rules can be adapted to any hospital organization |
THEME-II EXPECTATIONS | |
Sub-Category | Key Points |
Adaptation & Flexibility | The Government expected hospital managers to: • implement risk reducing- and quality improvement measures based on specific context, size, activities and risk picture Design-wise, the Quality Improvement Regulation may be flexible as it leaves the regulatees to decide on details for implementation, but: • this does not necessarily mean that it encourages adaptive behavior in actual hospital work practices • it is challenging to make the Quality Improvement Regulation relevant for the right clinical level The Government did: • not have a clear vision of how hospital managers would adapt it to their practical work • suspect a disconnection between what the top-level managers prioritize and what is done at the level where clinical work unfolds |
Anticipation | The Government expected hospital managers to: • obtain an overview of- and reveal risk factors prior to failure |