Understanding and using quality information for quality improvement

The effect of information presentation

N.C. Zwijnenberg, M. Hendriks, D. Delnoij, A.J. De Veer, P. Spreeuwenberg, C. Wagner

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective
To examine how information presentation affects the understanding and use of information for quality improvement.
Design
An experimental design, testing 22 formats, and showing information on patient safety culture. Formats differed in visualization, outcomes and benchmark information.Intervention(s)Respondents viewed three randomly selected presentation formats in an online survey, completing several tasks per format.
Setting
The hospital sector in the Netherlands.
ParticipantsA volunteer sample of healthcare professionals, mainly nurses, working in hospitals. 
Main Outcome Measure(s): 
The degree to which information is understandable and usable (accurate choice for quality improvement, sense of urgency to change and appraisal of one's own performance).
Results
About 115 healthcare professionals participated (response rate 25%), resulting in 345 reviews.
Understandability
Information in tables (P = 0.007) and bar charts (P < 0.0001) was better understood than radars. Presenting outcomes on a 5-point scale (P < 0.001) or as ‘% positive responders’ (P < 0.001) was better understood than ‘% negative responders’. Formats without benchmarks were better understood than formats with benchmarks. Use: Bar charts resulted in more accurate choices than tables (P = 0.003) and radars (P < 0.001). Outcomes on a 5-point scale resulted in more accurate choices than ‘% negative responders’ (P = 0.007). Presenting ‘% positive responders’ resulted in a higher sense of urgency to change than outcomes on a 5-point scale (P = 0.002). Benchmark information had inconsistent effects on the appraisal of one's own performances.
Conclusions
Information presentation affects healthcare professionals’ understanding and use of quality information. Our findings supplement the further understanding on how quality information can be best communicated to healthcare professionals for realizing quality improvements.understanding and using information, presentation approach, healthcare professionals
Original languageEnglish
Pages (from-to)689-697
JournalInternational Journal for Quality in Health Care
Volume28
Issue number6
DOIs
Publication statusPublished - 2016

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Benchmarking
Delivery of Health Care
Netherlands
Volunteers
Nurses
Surveys and Questionnaires

Cite this

Zwijnenberg, N.C. ; Hendriks, M. ; Delnoij, D. ; De Veer, A.J. ; Spreeuwenberg, P. ; Wagner, C. / Understanding and using quality information for quality improvement : The effect of information presentation. In: International Journal for Quality in Health Care. 2016 ; Vol. 28, No. 6. pp. 689-697.
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abstract = "ObjectiveTo examine how information presentation affects the understanding and use of information for quality improvement.DesignAn experimental design, testing 22 formats, and showing information on patient safety culture. Formats differed in visualization, outcomes and benchmark information.Intervention(s)Respondents viewed three randomly selected presentation formats in an online survey, completing several tasks per format.SettingThe hospital sector in the Netherlands.ParticipantsA volunteer sample of healthcare professionals, mainly nurses, working in hospitals. Main Outcome Measure(s): The degree to which information is understandable and usable (accurate choice for quality improvement, sense of urgency to change and appraisal of one's own performance).ResultsAbout 115 healthcare professionals participated (response rate 25{\%}), resulting in 345 reviews.UnderstandabilityInformation in tables (P = 0.007) and bar charts (P < 0.0001) was better understood than radars. Presenting outcomes on a 5-point scale (P < 0.001) or as ‘{\%} positive responders’ (P < 0.001) was better understood than ‘{\%} negative responders’. Formats without benchmarks were better understood than formats with benchmarks. Use: Bar charts resulted in more accurate choices than tables (P = 0.003) and radars (P < 0.001). Outcomes on a 5-point scale resulted in more accurate choices than ‘{\%} negative responders’ (P = 0.007). Presenting ‘{\%} positive responders’ resulted in a higher sense of urgency to change than outcomes on a 5-point scale (P = 0.002). Benchmark information had inconsistent effects on the appraisal of one's own performances.ConclusionsInformation presentation affects healthcare professionals’ understanding and use of quality information. Our findings supplement the further understanding on how quality information can be best communicated to healthcare professionals for realizing quality improvements.understanding and using information, presentation approach, healthcare professionals",
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Understanding and using quality information for quality improvement : The effect of information presentation. / Zwijnenberg, N.C.; Hendriks, M.; Delnoij, D.; De Veer, A.J.; Spreeuwenberg, P.; Wagner, C.

In: International Journal for Quality in Health Care, Vol. 28, No. 6, 2016, p. 689-697.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Understanding and using quality information for quality improvement

T2 - The effect of information presentation

AU - Zwijnenberg, N.C.

AU - Hendriks, M.

AU - Delnoij, D.

AU - De Veer, A.J.

AU - Spreeuwenberg, P.

AU - Wagner, C.

PY - 2016

Y1 - 2016

N2 - ObjectiveTo examine how information presentation affects the understanding and use of information for quality improvement.DesignAn experimental design, testing 22 formats, and showing information on patient safety culture. Formats differed in visualization, outcomes and benchmark information.Intervention(s)Respondents viewed three randomly selected presentation formats in an online survey, completing several tasks per format.SettingThe hospital sector in the Netherlands.ParticipantsA volunteer sample of healthcare professionals, mainly nurses, working in hospitals. Main Outcome Measure(s): The degree to which information is understandable and usable (accurate choice for quality improvement, sense of urgency to change and appraisal of one's own performance).ResultsAbout 115 healthcare professionals participated (response rate 25%), resulting in 345 reviews.UnderstandabilityInformation in tables (P = 0.007) and bar charts (P < 0.0001) was better understood than radars. Presenting outcomes on a 5-point scale (P < 0.001) or as ‘% positive responders’ (P < 0.001) was better understood than ‘% negative responders’. Formats without benchmarks were better understood than formats with benchmarks. Use: Bar charts resulted in more accurate choices than tables (P = 0.003) and radars (P < 0.001). Outcomes on a 5-point scale resulted in more accurate choices than ‘% negative responders’ (P = 0.007). Presenting ‘% positive responders’ resulted in a higher sense of urgency to change than outcomes on a 5-point scale (P = 0.002). Benchmark information had inconsistent effects on the appraisal of one's own performances.ConclusionsInformation presentation affects healthcare professionals’ understanding and use of quality information. Our findings supplement the further understanding on how quality information can be best communicated to healthcare professionals for realizing quality improvements.understanding and using information, presentation approach, healthcare professionals

AB - ObjectiveTo examine how information presentation affects the understanding and use of information for quality improvement.DesignAn experimental design, testing 22 formats, and showing information on patient safety culture. Formats differed in visualization, outcomes and benchmark information.Intervention(s)Respondents viewed three randomly selected presentation formats in an online survey, completing several tasks per format.SettingThe hospital sector in the Netherlands.ParticipantsA volunteer sample of healthcare professionals, mainly nurses, working in hospitals. Main Outcome Measure(s): The degree to which information is understandable and usable (accurate choice for quality improvement, sense of urgency to change and appraisal of one's own performance).ResultsAbout 115 healthcare professionals participated (response rate 25%), resulting in 345 reviews.UnderstandabilityInformation in tables (P = 0.007) and bar charts (P < 0.0001) was better understood than radars. Presenting outcomes on a 5-point scale (P < 0.001) or as ‘% positive responders’ (P < 0.001) was better understood than ‘% negative responders’. Formats without benchmarks were better understood than formats with benchmarks. Use: Bar charts resulted in more accurate choices than tables (P = 0.003) and radars (P < 0.001). Outcomes on a 5-point scale resulted in more accurate choices than ‘% negative responders’ (P = 0.007). Presenting ‘% positive responders’ resulted in a higher sense of urgency to change than outcomes on a 5-point scale (P = 0.002). Benchmark information had inconsistent effects on the appraisal of one's own performances.ConclusionsInformation presentation affects healthcare professionals’ understanding and use of quality information. Our findings supplement the further understanding on how quality information can be best communicated to healthcare professionals for realizing quality improvements.understanding and using information, presentation approach, healthcare professionals

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DO - 10.1093/intqhc/mzw092

M3 - Article

VL - 28

SP - 689

EP - 697

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

IS - 6

ER -