The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Quality Indicators for Final Analysis
3.2. Quality Indicators before and during Outbreak of COVID-19
3.3. Quality Indicators of Different Regions
3.4. Quality Indicators Focusing on First Quarter of 2020
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
COVID-19 | Coronavirus infectious disease-2019 |
JCT | The Joint Commission of Taiwan |
ISQua | The International Society for Quality in Health Care |
TCPI | Taiwan Clinical Performance Indicator |
SPC | Statistical Process Control |
ANOVA | Analysis of variance |
LSD | Least Significant Difference |
IBM | International Business Machines Corp |
SPSS | Statistical Package for the Social Sciences |
STEMI | ST elevation myocardial infarction |
PPCI | Primary percutaneous coronary intervention |
ER | Emergency room |
DAMA | Discharge against medical advice |
IV-tPA | Intravenous tissue-type plasminogen activator |
SD | Standard deviation |
CI | Confidence interval |
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Category | Number of Quality Indicators |
---|---|
Overall performance | 33 |
Intensive care unit-related | 204 |
Surgery-related | 43 |
Hospitalization-related | 60 |
Pediatric | 61 |
Obstetric | 10 |
Emergency room-related | 39 |
Acute myocardial infarction-related | 16 |
Stroke-related | 22 |
Total | 488 |
Quality Indicator | 2019 (SD) | 2020 (SD) | Difference (95% CI) | p-Value |
---|---|---|---|---|
AMI07 | 92.0 ± 2.4% | 91.8 ± 2.4% | 0.2 (−1.9~2.2) | 0.896 |
EDL01 | 3.00 ± 0.11% | 2.95 ± 0.15% | 0.05 (−0.07~0.15) | 0.431 |
EDR02 | 2.33 ± 0.17% | 2.10 ± 0.14% | 0.23 (0.04~0.15) | 0.002 ** |
HSM02 | 2.12 ± 0.15% | 2.16 ± 0.20% | −0.04 (−0.19~0.10) | 0.546 |
HSUR01 | 1.32 ± 0.08% | 1.23 ± 0.08% | 0.09 (0.03~0.15) | 0.008 ** |
SCM02 | 0.90 ± 0.20‰ | 0.88 ± 0.20‰ | 0.02 (−0.02~0.02) | 0.838 |
SCR01 | 0.72 ± 0.05% | 0.63 ± 0.07% | 0.09 (0.04~0.14) | 0.003 ** |
STK03 | 7.08 ± 1.21% | 8.50 ± 1.08% | −1.42 (−2.40~−0.45) | 0.006 ** |
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Liu, S.-A.; Wu, C.-L.; Chou, I.-J.; Wang, P.-C.; Hsu, C.-L.; Chen, C.-P. The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System. Int. J. Environ. Res. Public Health 2022, 19, 2278. https://doi.org/10.3390/ijerph19042278
Liu S-A, Wu C-L, Chou I-J, Wang P-C, Hsu C-L, Chen C-P. The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System. International Journal of Environmental Research and Public Health. 2022; 19(4):2278. https://doi.org/10.3390/ijerph19042278
Chicago/Turabian StyleLiu, Shih-An, Chieh-Liang Wu, I-Ju Chou, Pa-Chun Wang, Chia-Ling Hsu, and Chia-Pei Chen. 2022. "The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System" International Journal of Environmental Research and Public Health 19, no. 4: 2278. https://doi.org/10.3390/ijerph19042278