Anam Parand|Sue Dopson|Anna Renz|Charles Vincent
The role of hospital managers in quality and patient safety: a systematic review
Imperial College London|University of Oxford|Imperial College London|University of Oxford
review empirical literature identify activities time spent engagement hospital managers quality carea systematic review literaturea search carried databases medline psychinfo embase hmic search strategy covered three facets management quality care hospital setting comprising medical subject headings key terms reviewers screened 15447 titlesabstracts 423 full texts checked inclusion criteria data extraction quality assessment performed 19 included articlesthe majority studies set usa investigated boardsenior level management common research designs interviews surveys perceptions managerial quality safety practices managerial activities comprised strategy culture datacentred activities driving improvement culture promotion quality strategygoal setting providing feedback significant positive associations quality included compensation attached quality using quality improvement measures board quality committee however inconsistency inadequate employment conditions actions across sample hospitalsthere evidence managers time spent work influence quality safety clinical outcomes processes performance however dearth empirical studies weakened lack objective outcome measures little examination actual actions undertaken present model summarise conditions activities affect quality performance