1. College Urgentiegeneeskunde Dr. Buylaert Walter Dr. Colson Paul Dr. De Soir Maria Dr. Gillet Jean-Bernard Dr. Hachimi Idrissi-Said Dr. Lheureux Philippe Dr. Vergnion Michel Dr. Vroonen Marie-Christine

2. De volledigheid van het spoedgevallendossier in België La complétude du dossier médical d’urgence en Belgique

3. Benchmarking… Does it work for medical practice in emergency departments?

4. Benchmarking « The continuous process of measuring products, services, and practices against the company’s toughest competitors or those companies renowned as industry leaders. » Camp RC : Milwaukee, Wis, 1989, American Society for Quality Control, Quality Press.

5. Comparison 2000 – 2002: Totals

6. Comparison 2000 – 2002: Matching sites: 38

23. Perception Letter to the GP

24. Do you send systematicaly a medical letter to the GP ? In 1996 : No : 11/52 (21%) Yes : 41/52 (78%) Yes, typed : 8/41 (19%) In 2000 : No : 20/89 (22 %) Yes : 69/89 (78 %) Yes, typed : 28/69 (40%)

25. Reality Letter to the GP

28. Conclusions study 1996-2000 Benchmarking is one of the possible explanations for improvement of some indicators Other factors of influence are not excluded : Federal decree with dedicated regulation on EM in 1998 Inclusion bias due to participation on voluntary base.

29. Conclusions 1) facts Improvement for items in medical records with electronical input possibility No improvement for items that need behavioural change and special efforts Perception of quality does not always reflects reality

30. Conclusions 2) personal interpretation Benchmarking is possibly not a drive for improvement of quality when there are no  Legal implications  Financial implications  Public implications  Public confrontations Guarantee of anonimity = guarantee of honesty (no need for manipulation)