[A&F to monitor and promote quality in healthcare during the COVID-19 emergency: the EASY-NET work]

Epidemiol Prev. 2020 Sep-Dec;44(5-6 Suppl 2):88-94. doi: 10.19191/EP20.5-6.S2.106.
[Article in Italian]

Abstract

We are presenting here the findings of the reaction to the COVID-19 epidemic during the period March to June 2020 of those centres participating in the research EASY-NET which is on-going in Italy, funded by the Ministry of Health and co-founded by the Regional Health Authorities. The objective of EASY-NET is to evaluate the effectiveness of the audit and feedback (A&F) strategies in different clinical and organizational settings in seven regions. As a negative consequence of the COVID-19 epidemic, the activities of the project have suddenly slowed down; nevertheless, the COVID-19 epidemic represented an opportunity to apply the A&F methodology and support the healthcare within the regional authorities in order to manage and monitor the impact of this new disease. The reaction to the crisis on behalf of EASY-NET was inconsistent across the participating regions for various reasons. Factors which influenced the reaction levels in relation to the rapidity and efficiency of the implementation of the A&F strategies were as follows: the varying epidemiological impact of the COVID-19 epidemic in the various territories, the different clinical and organizational context and availability of expert research teams together with A&F procedures which had already been tested before the start of the epidemic.

Keywords: audit; feedback; care pathways; indicators; outcomes; COVID-19.

MeSH terms

  • COVID-19 / epidemiology*
  • Chronic Disease / epidemiology
  • Critical Pathways
  • Emergencies / epidemiology
  • Formative Feedback*
  • Geography, Medical
  • Humans
  • Italy / epidemiology
  • Management Audit*
  • Neoplasms / epidemiology
  • Outcome Assessment, Health Care
  • Pandemics*
  • Quality Assurance, Health Care*
  • Quality Improvement
  • SARS-CoV-2*