Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
RESEARCH ARTICLE   (Open Access)

Global Trends in Key Hospital Performance Indicators: A Decade of Research Insights (2014-2023)

Ilham Hariyadi 1* , Qurratul Aini 1

+ Author Affiliations

Journal of Angiotherapy 8(7) 1-13 https://doi.org/10.25163/angiotherapy.879701

Submitted: 14 May 2024  Revised: 21 July 2024  Published: 23 July 2024 

Abstract

Background: Hospital Key Performance Indicators (KPIs) are essential metrics used to evaluate the quality of healthcare services, assess organizational efficiency, and support sustainable hospital operations. Despite the importance of KPIs in enhancing patient care and hospital management, there remain gaps in the comprehensive assessment and application of these indicators across various healthcare settings. Methods: This study employs a qualitative methodology with a bibliometric analysis to examine the trajectory of research on hospital KPIs from 2014 to 2023. A comprehensive literature review was conducted using the Scopus database, selecting 111 relevant documents based on specific keywords and criteria. The data was analyzed using VOSviewer software, focusing on Network Analysis, Overlay Visualization, and Density Visualization to map the development of KPIs in hospital research, identify key themes, and explore the evolution of these studies over the years. Results: Results from network and density analysis using VOSviewer identified four main clusters of research themes, including hospital management, quality of care, emergency services, and hospital discharge processes. Keywords such as "quality indicator" and "hospital management" were identified as emerging areas with potential for future research. Furthermore, citation analysis revealed that the most referenced studies focused on developing KPIs to enhance clinical pharmacy practice and holistic hospital management. Conclusion: The study underscores the growing global interest in hospital KPIs, with a notable concentration of research in specific areas like hospital efficiency, quality of care, and operational metrics. The analysis highlights key trends and identifies emerging research opportunities, particularly in the areas of quality indicators and hospital management practices. These insights are crucial for guiding future research and improving the implementation of KPIs in hospital settings to enhance patient care and operational efficiency.

Keywords: Key Performance Indicators (KPIs), Hospital Management, Healthcare Quality, Publication Trends, Scopus Database

References

Aini, Q. (2018). Motivation, commitment and leadership skill in affecting performance hospital managers. Journal of Social Sciences Research, 4(12), 707–710. https://doi.org/10.32861/jssr.412-707-710

Aini, Q. (2023a). Bibliometric and visual analysis of global research: Hospital inpatient satisfaction. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 8(2), 909–916. https://doi.org/10.30604/jika.v8i3.1990

Aini, Q. (2023b). Human Resource Performance in Hospital: A Bibliometric Study. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 8(2), 511–518. https://doi.org/10.30604/jika.v8i2.1961

Al-Jazairi, A. S., & Alnakhli, A. O. (2021). Quantifying Clinical Pharmacist Activities in a Tertiary Care Hospital Using Key Performance Indicators. Hospital Pharmacy, 56(4), 321–327. https://doi.org/10.1177/0018578719897074

Alavi, N., Khawaja, A., Asif, M., Ejaz, A., Abeer, & Jaffar, R. (2021). Dashboard utilization for improvement in Key Performance Indicators (KPI) in Clinical Laboratory of Tertiary Care Hospital, Lahore Pakistan. BMJ Leader, 7(3), 168–174. https://doi.org/10.1136/leader-2021-000568

Alfajri, A., Handayani, S. D., & Dewi, A. (2021). Development of Performance Indicators Based on The Balanced Scorecard Method For Clinics in Surakarta. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 6, 247–254. https://doi.org/10.30604/jika.v6is1.796

Allison, S., Bastiampillai, T., Looi, J. C. L., Copolov, D., & Lakra, V. (2022). Real-world performance of Victorian hospitals during the COVID-19 lockdowns. Australasian Psychiatry, 30(2), 239–242. https://doi.org/10.1177/10398562221079281

Aujirapongpan, S., Meesook, K., Theinsathid, P., & Maneechot, C. (2020). Performance evaluation of community hospitals in Thailand: An analysis based on the balanced scorecard concept. Iranian Journal of Public Health, 49(5), 906–913. https://doi.org/10.18502/ijph.v49i5.3207

De’Ath, H. D., Nagendram, S., Smith, E., Ramadan, M., Veeramootoo, D., & Singh, S. (2022). A high-volume ERCP service led by surgeons is associated with good outcomes and meets national key performance indicators: results from a British district general hospital. Surgical Endoscopy, 36(8), 6016–6023. https://doi.org/10.1007/s00464-021-08978-x

Fanaei, S., Zareiyan, A., Shahraki, S., & Mirzaei, A. (2023). Determining the key performance indicators of human resource management of military hospital managers; a TOPSIS study. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02007-7

Fernandes, O., Gorman, S. K., Slavik, R. S., Semchuk, W. M., Shalansky, S., Bussières, J.-F., Doucette, D., Bannerman, H., Lo, J., Shukla, S., Chan, W. W. Y., Benninger, N., MacKinnon, N. J., Bell, C. M., Slobodan, J., Lyder, C., Zed, P. J., & Toombs, K. (2015). Development of Clinical Pharmacy Key Performance Indicators for Hospital Pharmacists Using a Modified Delphi Approach. Annals of Pharmacotherapy, 49(6), 656–669. https://doi.org/10.1177/1060028015577445

Fujita, K., Moles, R. J., & Chen, T. F. (2018). Quality indicators for responsible use of medicines: a systematic review. BMJ Open, 8(7), e020437. https://doi.org/10.1136/bmjopen-2017-020437

Gnanaraj, J., Kulkarni, R. G., Sahoo, D., & Abhishekh, B. (2023a). Assessment of the Key Performance Indicator Proposed by NABH in the Blood Centre of a Tertiary Health Care Hospital in Southern India. Indian Journal of Hematology and Blood Transfusion, 39(2), 308–316. https://doi.org/10.1007/s12288-022-01563-9

Gnanaraj, J., Kulkarni, R. G., Sahoo, D., & Abhishekh, B. (2023b). Assessment of the Key Performance Indicator Proposed by NABH in the Blood Centre of a Tertiary Health Care Hospital in Southern India. Indian Journal of Hematology and Blood Transfusion, 39(2), 308–316. https://doi.org/10.1007/s12288-022-01563-9

Gyedu, A., Quainoo, E., Nakua, E., Donkor, P., & Mock, C. (2022). Achievement of Key Performance Indicators in Initial Assessment and Care of Injured Patients in Ghanaian Non-tertiary Hospitals: An Observational Study. World Journal of Surgery, 46(6), 1288–1299. https://doi.org/10.1007/s00268-022-06507-y

Kumpf, O., Braun, J.-P., Brinkmann, A., Bause, H., Bellgardt, M., Bloos, F., Dubb, R., Greim, C., Kaltwasser, A., Marx, G., Riessen, R., Spies, C., Weimann, J., Wöbker, G., Muhl, E., & Waydhas, C. (2017). Quality indicators in intensive care medicine for Germany - third edition 2017. German Medical Science?: GMS e-Journal, 15, Doc10. https://doi.org/10.3205/000251

Lai, J. H. K., Hou, H., Edwards, D. J., & Yuen, P. L. (2022). An analytic network process model for hospital facilities management performance evaluation. Facilities, 40(5–6), 333–352. https://doi.org/10.1108/F-09-2021-0082

Levesque, J.-F., & Sutherland, K. (2020). Combining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework. BMC Health Services Research, 20(1), 23. https://doi.org/10.1186/s12913-019-4807-5

Lloyd, G. F., Singh, S., Barclay, P., Goh, S., & Bajorek, B. (2017). Hospital pharmacists’ perspectives on the role of key performance indicators in australian pharmacy practice. Journal of Pharmacy Practice and Research, 47(2), 87–95. https://doi.org/10.1002/jppr.1156

Losier, M., Doucette, D., Fernandes, O., Mulrooney, S., Toombs, K., & Naylor, H. (2021). Assessment of Canadian Hospital Pharmacists’ Job Satisfaction and Impact of Clinical Pharmacy Key Performance Indicators. Canadian Journal of Hospital Pharmacy, 74(4), 370–377. https://doi.org/10.4212/cjhp.v74i4.3201

Mahmodabadi, A. D., Langarizadeh, M., Mehrjardi, M. H. M., & Emadi, S. (2019). Development of managerial key performance indicators for a hospital pharmacy digital dashboard. Iranian Journal of Pharmaceutical Research, 18(4), 2124–2130. https://doi.org/10.22037/ijpr.2019.1100822

Martinez, D. A., Kane, E. M., Jalalpour, M., Scheulen, J., Rupani, H., Toteja, R., Barbara, C., Bush, B., & Levin, S. R. (2018). An Electronic Dashboard to Monitor Patient Flow at the Johns Hopkins Hospital: Communication of Key Performance Indicators Using the Donabedian Model. Journal of Medical Systems, 42(8). https://doi.org/10.1007/s10916-018-0988-4

Moons, K., Waeyenbergh, G., Pintelon, L., Timmermans, P., & De Ridder, D. (2019). Performance indicator selection for operating room supply chains: An application of ANP. Operations Research for Health Care, 23. https://doi.org/10.1016/j.orhc.2019.100229

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 1–7.

Nabovati, E., Farrahi, R., Sadeqi Jabali, M., Khajouei, R., & Abbasi, R. (2023). Identifying and prioritizing the key performance indicators for hospital management dashboard at a national level: Viewpoint of hospital managers. Health Informatics Journal, 29(4). https://doi.org/10.1177/14604582231221139

Ngan, T.-L., Wong, E. T.-H., Ng, K. L.-S., Jeor, P. K.-S., Law, M. Y.-Y., & Lo, G. G. (2014). Key performance indicators for comparing the performance of portable radiography: Direct digital radiography versus conventional machine computed radiography - A study in a Nonacute hospital. Journal of Medical Imaging and Radiation Sciences, 45(2), 105–114. https://doi.org/10.1016/j.jmir.2013.08.004

Nik Hisamuddin, R., & Tuan Hairulnizam, T. K. (2022). Developing Key Performance Indicators for Emergency Department of Teaching Hospitals: A Mixed Fuzzy Delphi and Nominal Group Technique Approach. Malaysian Journal of Medical Sciences, 29(2), 114–125. https://doi.org/10.21315/mjms2022.29.2.11

Ortiz-Barrios, M., Gul, M., López-Meza, P., Yucesan, M., & Navarro-Jiménez, E. (2020). Evaluation of hospital disaster preparedness by a multi-criteria decision making approach: The case of Turkish hospitals. International Journal of Disaster Risk Reduction, 49. https://doi.org/10.1016/j.ijdrr.2020.101748

Pishnamazzadeh, M., Sepehri, M. M., & Ostadi, B. (2020a). An Assessment Model for Hospital Resilience according to the Simultaneous Consideration of Key Performance Indicators: A System Dynamics Approach. Perioperative Care and Operating Room Management, 20(April), 100118. https://doi.org/10.1016/j.pcorm.2020.100118

Pishnamazzadeh, M., Sepehri, M. M., & Ostadi, B. (2020b). An Assessment Model for Hospital Resilience according to the Simultaneous Consideration of Key Performance Indicators: A System Dynamics Approach. Perioperative Care and Operating Room Management, 20. https://doi.org/10.1016/j.pcorm.2020.100118

Rahman, N. H. N. A., Yaacob, N., Noh, A. Y. M., Bakar, M. A. A., Rahman, A., Fauzi, M. H., & Kamauzaman, T. H. T. (2021). Determination of service key performance indicators for emergency departments of teaching hospitals in malaysia: A fuzzy delphi method. Medical Journal of Malaysia, 76(6), 792–798.

Raitt, J., Hudgell, J., Knott, H., & Masud, S. (2019). Key performance indicators for pre hospital emergency Anaesthesia - A suggested approach for implementation. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(1). https://doi.org/10.1186/s13049-019-0610-x

Rego, I. B., Coelho, S., Semedo, P. M., Cavaco-Silva, J., Teixeira, L., Sousa, S., Reis, J., Dinis, R., Schmitt, F., Afonso, N., Fougo, J. L., Pavão, F., Baptista Leite, R., & Costa, L. (2023). 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal. Current Oncology, 30(7), 6041–6065. https://doi.org/10.3390/curroncol30070451

Rizk, M. M., Zaki, A., Hossam, N., & Aboul-Ela, Y. (2014). Evaluating laboratory key performance using quality indicators in Alexandria University hospital clinical chemistry laboratories. Journal of the Egyptian Public Health Association, 89(3), 105–113. https://doi.org/10.1097/01.EPX.0000453262.85383.70

Ruangsomboon, O., Surabenjawongse, U., Jantataeme, P., Chawaruechai, T., Wangtawesap, K., & Chakorn, T. (2023). Association between cardiopulmonary resuscitation audit results with in-situ simulation and in-hospital cardiac arrest outcomes and key performance indicators. BMC Cardiovascular Disorders, 23(1). https://doi.org/10.1186/s12872-023-03320-w

Si, S.-L., You, X.-Y., Liu, H.-C., & Huang, J. (2017). Identifying key performance indicators for holistic hospital management with a modified DEMATEL approach. International Journal of Environmental Research and Public Health, 14(8), 934.

Souza, T. A., Roehe Vaccaro, G. L., & Lima, R. M. (2020). Operating room effectiveness: a lean health-care performance indicator. International Journal of Lean Six Sigma, 11(5), 987–1002. https://doi.org/10.1108/IJLSS-12-2017-0141

Suriyawongpaisal, P., Kamlungkuea, T., Chiawchantanakit, N., Charoenpipatsin, N., Sriturawanit, P., Kreesang, P., & Thongtan, T. (2019). Relevance of using length of stay as a key indicator to monitor emergency department performance: Case study from a rural hospital in Thailand. EMA - Emergency Medicine Australasia, 31(4), 646–653. https://doi.org/10.1111/1742-6723.13254

Tuangratananon, T., Julchoo, S., Phaiyarom, M., Panichkriangkrai, W., Pudpong, N., Patcharanarumol, W., & Tangcharoensathien, V. (2021). Healthcare providers’ perspectives on integrating NCDs into primary healthcare in Thailand: a mixed method study. Health Research Policy and Systems, 19(1). https://doi.org/10.1186/s12961-021-00791-1

Verga, M., Viganò, G. L., Capuzzo, M., Duri, C., Ignoti, L. M., Picozzi, P., & Cimolin, V. (2023). The digitization process and the evolution of Clinical Risk Management concept: The role of Clinical Engineering in the operational management of biomedical technologies. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1121243

Victor, S., & Farooq, A. (2021). Dashboard visualisation for healthcare performance management: Balanced scorecard metrics. Asia Pacific Journal of Health Management, 16(2), 1–11. https://doi.org/10.24083/APJHM.V16I2.625

Zhang, L., Liu, R., Jiang, S., Luo, G., & Liu, H.-C. (2020). Identification of key performance indicators for hospital management using an extended hesitant linguistic dematel approach. Healthcare (Switzerland), 8(1). https://doi.org/10.3390/healthcare8010007

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