Contexts of Hospital Management, Quality of Care Provided and Impacts of Nosocomial Diseases

Research background: To discover why known practices in the management of health care facilities have not been implemented successfully in the proper time after specific new knowledge is gained is the main context of the research. Elucidating the gap between the quality of care provided and possible quality improvements stemming from existing knowledge is the key which might lead to higher quality of care provided and significant cost savings in the health care system. Purpose of the article: Hospitals are, in many cases, large companies whose management significantly impacts the quality of provided care. Management and management systems play a crucial role in selecting the areas for improvement and are also a fundamental source of disparity in the results achieved. Individual hospitals implement measures with dissimilar content and results in the field of quality. These measures are a combination of human behavior and processes and depend on quality leadership in the organization. Methods: Through a literature review and in-depth interviews with representatives of hospitals, as well as quantitative analysis, the primary foci were identified. Findings & Value added: There is an unexpected finding that significant discrepancy in quality awareness between reality and reporting within individual hospitals, as well as across hospitals. The increased transparency and efficacy, particularly in nosocomial disease detection where the reality shows 3,98 times higher than officially reported results, can improve patient care and significantly contribute to transforming the healthcare industry toward delivering higher patient value. It is desirable to verify how targeted interventions might lead to significant quality improvements and economic advatages, which deserves a closer examination in future research.