Mean scores for the domains and dimensions of the European Practice Assessment instrument
| Domains and dimension* | Number of indicators | T1 (n=45) | T2 (n=45) | T3 (n=45) | Time effect F (p value)† |
|---|---|---|---|---|---|
| Quality and safety | 44 | 77.6 | 86.2 | 88.4 | 22.81 (<0.01) |
| Complaint management | 5 | 66.7 | 88.9 | 99.3 | 19.72 (<0.01) |
| Analysis of critical incidents | 3 | 83.0 | 92.6 | 99.7 | 8.726 (0.01) |
| Labour | 4 | 89.7 | 93.1 | 89.2 | 1.200 (0.31) |
| Safety of staff and patients, hygiene, infection control | 17 | 97.6 | 95.8 | 98.2 | 0.617 (0.54) |
| Quality development, quality policy | 9 | 65.2 | 68.8 | 77.0 | 9.358 (<0.01) |
| Detection of quality and safety problems | 6 | 67.0 | 78.2 | 75.9 | 4.173 (0.02) |
| Infrastructure | 34 | 67.3 | 70.9 | 71.8 | 1.822 (0.17) |
| Accessibility and availability | 6 | 78.6 | 82.8 | 83.7 | 1.196 (0.31) |
| Disabled access | 4 | 68.7 | 73.4 | 72.9 | 0.463 (0.63) |
| Premises | 6 | 91.5 | 93.0 | 94.0 | 0.469 (0.63) |
| Medical equipment including drugs | 12 | 44.1 | 55.7 | 56.7 | 3.675 (0.03) |
| Non-medical equipment | 1 | 27.3 | 22.7 | 22.7 | 0.138 (0.87) |
| IT security | 5 | 93.8 | 98.4 | 99.3 | 1.411 (0.25) |
| Information | 43 | 72.3 | 75.7 | 85.5 | 27.901 (<0.01) |
| Confidentiality and privacy | 2 | 70.6 | 65.0 | 79.1 | 7.653 (<0.01) |
| Prevention | 3 | 45.2 | 50.4 | 68.1 | 3.565 (0.04) |
| Clinical data, patient records | 11 | 79.9 | 79.9 | 85.1 | 1.639 (0.21) |
| Information for staff | 3 | 96.3 | 92.6 | 95.6 | 0.827 (0.44) |
| Information for patients on medical care | 3 | 67.4 | 77.8 | 81.5 | 3.671 (0.03) |
| Use of computers | 4 | 80.0 | 78.3 | 85.6 | 1.706 (0.19) |
| Communication with other healthcare providers | 6 | 84.4 | 91.9 | 91.9 | 2.747 (0.08) |
| Information for patients on practice, practice policy and community resources | 11 | 30.6 | 43.0 | 52.0 | 6.535 (0.01) |
| Finance | 8 | 71.2 | 75.6 | 81.4 | 4.073 (0.02) |
| Financial leadership and responsibilities | 4 | 93.3 | 97.8 | 98.9 | 3.470 (0.04) |
| Financial planning | 1 | 28.9 | 28.9 | 49.0 | 2.633 (0.08) |
| Annual report (retrospective) | 3 | 91.5 | 100 | 96.3 | 6.863 (0.01) |
| Total | 129 | 76.9 | 81.2 | 88.2 | 33.864 (<0.01) |
*Please find more information about the meaning of each dimension within Götz et al.15
†Statistical significance of differences p<0.05; T1 First assessment, T2 Reassessment, T3 Re-reassessment.