样式: 排序: IF: - GO 导出 标记为已读
-
Process management program to prevent falls in hospitalized patients with neuropsychiatric disorders: a quality improvement program Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-04-15 Hua XU, Zhao-hong CHEN, Juan SHE, Yan-hong ZHANG
Background: Falls were among the most common adverse nursing events. The incidence of falls in patients with neuropsychiatric disorders was high, and the occurrence of falls not only caused physical and psychological harm to patients but also led to medical disputes. Therefore, interventions for falls prevention were essential, but evaluations of the intervention process were lacking. Methods: In this
-
A multi-phase, multi-centre development and validation of two maturity tools assessing the implementation of the FlaQuM co-creation roadmap Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-04-15 Fien Claessens, Charlotte Van der Auwera, Deborah Seys, Dirk De Ridder, Astrid Van Wilder, Kris Vanhaecht
Background: As part of the new Flanders Quality Model (FlaQuM) towards sustainable quality management systems, a co-creation roadmap with six primary drivers and 19 building blocks that guides healthcare organisations has been developed. Currently, no assessment tool is available to monitor hospitals’ quality management systems implementation according to this co-creation roadmap. Therefore, we aimed
-
Assessing quality of critical care during an ongoing health emergency in a resource-limited setting: A novel approach to evaluate the quality of care in Lebanese public ICUs during the COVID-19 pandemic. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-04-03 Karim AbouNader
Background Quality of care has been systematically monitored in hospitals in high-income countries to ensure adequate care. However, in low- and middle-income countries, quality indicators are not readily measured. The primary aim of this study was to assess to what extent it was feasible to monitor the quality of Intensive care in an ongoing health emergency, and the secondary aim was to assess a
-
The impact of elective surgery postponement during COVID-19 on emergency bellwether procedures in a large tertiary centre in Singapore Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-03-20 Sze Ling Chan, Alwin Yaoxian Zhang, Sean Shao Wei Lam, Vijaya Rao, Devendra Kanagalingam, Hiang Khoon Tan, Pierce Kah Hoe Chow, Sachin Mathur
The coronavirus disease 2019 (COVID-19) pandemic drove many healthcare systems worldwide to postpone elective surgery to increase healthcare capacity, manpower, and reduce infection risk to staff. The aim of this study was to assess the impact of an elective surgery postponement policy in response to the COVID-19 pandemic on surgical volumes and patient outcomes for three emergency bellwether procedures
-
Co-design of an intervention to improve patient participation in discharge medication communication Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-03-16 Georgia Tobiano, Sharon Latimer, Elizabeth Manias, Andrea P Marshall, Megan Rattray, Kim Jenkinson, Trudy Teasdale, Kellie Wren, Wendy Chaboyer
Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication
-
Increasing venous thromboembolism risk assessment through a whole hospital-based intervention: a pre-post service evaluation to demonstrate quality improvement Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-03-12 Juliana Abboud, Niaz Shaikh, Musthafa Moosa, Martin Dempster, Pauline Adair
Venous thromboembolism (VTE) is a primary cause of morbidity and mortality in hospitalized patients. VTE risk assessment is a crucial part of the VTE prevention guideline. However, VTE risk assessment was not consistently undertaken for admitted patients. The aim of this study was to identify whether a quality improvement project implemented to change documentation of VTE risk assessment for hospitalized
-
How are we handling protein drugs in hospitals? A Human Factors and Systems Engineering Approach to compare two hospitals and suggest a best practice Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-03-07 Clàudia Sabaté-Martínez, Mattias Paulsson, Silvia González-Suárez, Ulla Elofsson, Anna Millqvist Fureby, Marie Wahlgren, Carmen López-Cabezas
Background Biopharmaceuticals are complex biological molecules that require careful storage and handling to ensure medication integrity. In this study, a work system analysis of real-world protein drug (PD) handling was performed with the following goals: identify main barriers and facilitators for successful adherence to accepted recommendations in PD handling, analyse differences in two organisations
-
‘The big value of it is getting the patient seen by the right person at the right time’: clinician perceptions of the value of allied health primary contact models of care Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-03-05 Caitlin Brandenburg, Elizabeth C Ward, Maria Schwarz, Michelle Palmer, Carina Hartley, Joshua Byrnes, Anne Coccetti, Rachel Phillips, Laurelie R Wishart
Allied health primary contact clinic models of care have increasingly been used as a strategy to increase public health service capacity. A recent systematic review found little consistency or agreement on how primary contact clinics are evaluated. The concept of value of primary contact clinics, which has important implications for evaluation, has not yet been explored in-depth. To explore allied
-
Implications of absenteeism of health workers on achieving universal health coverage in Nigeria: exploring lived experiences in primary healthcare Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-02-29 Prince Agwu, Aloysius Odii, Charles Orjiakor, Pamela Ogbozor, Chinyere Mbachu, Obinna Onwujekwe
Primary healthcare facilities are the bedrock for achieving universal health coverage (UHC) because of their closeness to the grassroots and provision of healthcare at low cost. Unfortunately, in Nigeria, the access and quality of health services in public primary healthcare centres (PHCs) are suboptimal, linked with persistent occurrence of absenteeism of health workers. We used a UHC framework developed
-
Factors influencing the indication of coronary angiography in patients presenting with chest pain unspecified: an analysis of two decades (1994–2014) Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-02-26 Abel E Moreyra, Chirag Mehta, Nora M Cosgrove, Stavros Zinonos, Davit Sargsyan, Alex Gold, Mihir Trivedi, John B Kostis, Javier Cabrera, William J Kostis
Guidelines for cardiac catheterization in patients with non-specific chest pain (NSCP) provide significant room for provider discretion, which has resulted in variability in the utilization of invasive coronary angiograms (CAs) and a high rate of normal angiograms. The overutilization of CAs in patients with NSCP and discharged without a diagnosis of coronary artery disease is an important issue in
-
Are SMART goals fit-for-purpose? Goal planning with mental health service-users in Australian community pharmacies Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-02-21 Victoria Stewart, Sara S McMillan, Jie Hu, Jack C Collins, Sarira El-Den, Claire L O’Reilly, Amanda J Wheeler
Goal planning is an important element in brief health interventions provided in primary healthcare settings, with specific, measurable, achievable, realistic/relevant, and timed (SMART) goals recommended as best practice. This study examined the use of SMART goals by Australian community pharmacists providing a brief goal-oriented wellbeing intervention with service-users experiencing severe and persistent
-
Effects of Gait Adaptation Training on Augmented Reality Treadmill for Patients with Stroke in Community Ambulation Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-02-09 Yang Hang, Gao Zhenzhen, Zhou Ye, Liao Zhenyi, Song Caiping, Mao Yajun
Background: Gait adaptability is essential for stroke survivors to achieve efficient and safe community ambulation. However, conventional treadmill rehabilitation is only a repetitive practice of leg movement. This study compared the effects of augmented reality (AR) treadmill-based gait adaptation training with regular treadmill programs for patients with stroke. Methods: Forty patients with stroke
-
Improving Compliance with Personal Protective Equipment among anaesthetists through behaviour changing interventions during the COVID-19 Pandemic Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-01-22 P Chia, L Tang, G Tse, Molly How, lt Wong, M Mok, sy Chong
Background Since 2020, the COVID-19 pandemic has seen many changes in our daily infection prevention behaviours so as to reduce healthcare-associated transmission of COVID-19 in patients and healthcare workers. In the early phases of the COVID-19 pandemic of 2020, there was much emphasis on compliant Personal Protective Equipment (PPE) utilization in the operating theatres (OT) for COVID-19 positive
-
Reduction in use of MRI and arthroscopy among patients with degenerative knee disease in independent treatment centers versus general hospitals – a time series analysis Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-01-22 Laurien S Kuhrij, Perla J Marang-van de Mheen, Lisanne van Lier, Razia Alimahomed, Rob g.h.h Nelissen, Leti van Bodegom-Vos
Background The use of MRI and arthroscopy are considered low-value care in most patients with degenerative knee disease. To reduce these modalities, there have been multiple efforts to increase awareness. Reductions have been shown for general hospitals (GH), but it is unclear whether this may be partly explained by a shift of patients receiving these modalities in independent treatment centers (ITCs)
-
Constructing nursing quality indicators for intraoperative acquired pressure injury in cancer patients based on guidelines Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-01-04 Yu Zhou, Lu Liu, Rong Rong, Li Guo, Yuquan Pei, Xiuying Lu
Background: Cancer patients have a high incidence of intraoperatively acquired pressure injury. Constructing intraoperatively acquired pressure injury quality indicators can reduce the incidence of pressure injury, but there are a lack of these indicators targeting cancer patients.Based on this, study develop a system of quality indicators for intraoperatively acquired pressure injury. Methods: Thirty-four
-
The global, regional, and national burden and quality of care index (QCI) of kidney cancer; a Global Burden of Disease systematic analysis 1990–2019 Int. J. Qual. Health Care (IF 2.6) Pub Date : 2024-01-02 Mohamad Mehdi Khadembashiri, Erfan Ghasemi, Mohammad Amin Khadembashiri, Sina Azadnajafabad, Sahar Saeedi Moghaddam, Mohamad Eslami, Mohammad-Mahdi Rashidi, Mohammadreza Naderian, Zahra Esfahani, Naser Ahmadi, Nazila Rezaei, Sahar Mohammadi Fateh, Farzad Kompani, Bagher Larijani, Farshad Farzadfar
Background: Kidney cancer is a prevalent cancer worldwide. The incidence and mortality rates of Kidney Cancer (KC) have risen in recent decades. The quality of care provided to KC patients is a Concern for public health. Considering the importance of KC, in this study, we aim to assess the burden Of the disease, gender and age disparities globally, regionally and nationally to evaluate the quality
-
Effects of the care given to intensive care patients using an evidence model on the prevention of central line-associated bloodstream infections Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-29 Deniz Şanlı, Aklime Sarıkaya, Peter J Pronovost
It is important to put evidence-based guidelines into practice in the prevention of central line-associated bloodstream infections in intensive care patients. In contrast to expensive and complex interventions, a care bundle that includes easy-to-implement and low-cost interventions improves clinical outcomes. The compliance of intensive care nurses with guidelines is of great importance in achieving
-
Variations in Surgical Practice and Short-term Outcomes for Degenerative Lumbar Scoliosis and Spondylolisthesis: Do Surgeon Training and Experience Matter? Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-29 Kanaka D Shetty, Peggy G Chen, Harsimran S Brara, Neel Anand, David L Skaggs, Vinicius F Calsavara, Nabeel S Qureshi, Rebecca Weir, Karma McKelvey, Teryl K Nuckols
Background For diverse procedures, sizeable geographic variation exists in rates and outcomes of surgery, including for degenerative lumbar spine conditions. Little is known about how surgeon training and experience are associated with surgeon-level variations in spine surgery practice and short-term outcomes. Methods This retrospective observational analysis characterized variations in surgical operations
-
Adapting lean management to prevent healthcare-associated infections: a low-cost strategy involving Kamishibai cards to sustain bundles’ compliance Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-29 Marco Antonio Saavedra Bravo, Guilherme Cesar Silva Dias Santos, Ademir Jose Petenate, Patrick Jacobsen Westphal, Luciana Gouvea de Albuquerque Souza, Roberta Gonçalves Marques, Erica Deji Moura Morosov, Andrea Keiko Fujinami Gushken, Flavia Fernanda Franco, Wladimir Garcia Silva, Rafaela Moraes de Moura, Andreia Lopes de Lima, Renata Gonsalez dos Santos, Karina de Carvalho Andrade, Andreza Pivato
Lean healthcare visual management has been successfully integrated into infection control programs, leading to lower healthcare-associated infection (HAI) rates and greater provider compliance with evidence-based prevention practices; however, its implementation during quality improvement (QI) initiatives in limited-resource settings has not yet been well exploited. We aimed to describe a low-cost
-
Best practice: Quality assessment outcomes of the Practice Enhancement Program among family physicians in Saskatchewan, Canada Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-29 James Macaskill, Rhonda Bryce, Andries Muller
Background Increased family physician workloads have strained primary care. The objective of this study was to describe the frequency and types of quality concerns identified among Saskatchewan’s family physicians, changes in these concerns over time, associated physician characteristics, and recommendations made for improvement. Methods In this repeated cross-sectional study (1997 to 2020), we examined
-
Effects of a team QI method in a national clinical audit programme of four clinical specialties in Ministry of Health hospitals in Saudi Arabia Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-28 Saleh Alghamdi, Nancy Dixon, Fahmi Al-Senani, Zohair Al Aseri, Shukri Al Saif, Talal AlTahan
Background In 2018, the Ministry of Health (MoH) in Saudi Arabia developed a clinical excellence strategy. An objective was to reduce variation in clinical practices in MoH hospitals, particularly for conditions with high mortality in Saudi Arabia, by applying best practice clinical standards and using the clinical audit process to measure clinical practice. The strategy included working with multi-professional
-
Implementing co-production to enhance patient safety: the introduction of the Patient Safety Consent tool, an example of a simple local solution to a common challenge Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-27 Abdulelah Alhawsawi, David Greenfield
Zero harm is one of the priorities that all healthcare systems are aspiring for. However, more than two decades after ‘To Err is Human’ report, many systems are struggling to identify or implement strategies to achieve this important goal [1]. One of the very powerful, yet underutilized strategies towards transforming patient safety and achieving Zero Harm is ‘co–production’ [2]. Co-production of health
-
Risk identification and prediction of complaints and misconduct against health practitioners: A scoping review Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-26 Yufeng Wang, Sanyogita (Sanya) Ram, Shane Scahill
Background Identifying the risk and predicting complaints and misconduct against health practitioners are essential for healthcare regulators to implement early interventions and develop long-term prevention strategies to improve professional practice and enhance patient safety. This scoping review aims to map out existing literature on the risk identification and prediction of complaints and misconduct
-
The Care Needs of the Elderly in China’s Elderly Care Institutions: A Narrative Synthesis Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-26 Rong Tan, Ruizhe Gao, Jiping Tan, Qunhui Zhu, Hua Liu, Wei lei, Ruofen Yan, Lianmei Yan, Yunhong Lei
Background China’s population is ageing, affecting trends in social development and basic national conditions. More attention must be paid to the lack of care needs assessments for the elderly in China's pension institutions. This paper discusses a systematic evaluation of the care needs of the elderly in China's elderly care institutions. Methods Literature was collected and synthesised after a search
-
Multidisciplinary perspectives on roles of hospital pharmacists in tertiary settings: a qualitative study Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-26 Kyung Min Kirsten Lee, Ivanka Koeper, Michaela E Johnson, Amy Page, Debra Rowett, Jacinta Johnson
Backgrounds In today’s complex healthcare landscape, exacerbated by resource constraints at various levels, optimisation of health professionals’ roles is becoming increasingly paramount. Interprofessional collaboration, underpinned by role recognition and teamwork, leads to improved patient and organisational outcomes. Hospital pharmacists play a pivotal role in multidisciplinary teams, and it is
-
Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-26 Julie Chartrand, Beverley Shea, Brian Hutton, Orvie Dingwall, Anupriya Kakkar, Mariève Chartrand, Ariane Poulin, Chantal Backman
Although patient centredness is part of providing high-quality health care, little is known about the effectiveness of care transition interventions that involve patients and their families on readmissions to the hospital or emergency visits post-discharge. This systematic review (SR) aimed to examine the evidence on patient- and family-centred (PFC) care transition interventions and evaluate their
-
Delayed discharges at a tertiary rehabilitation centre in Saudi Arabia: contributing factors and cost impact Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-20 Bayan Adam Gudal, Salwa Ali Ahmed, Ahmad Zaheer Qureshi, Grace Almacen, Ghassan Azhari, Mostafa Algarras
There are various challenges in discharging hospitalized patients with disabilities. Discharge process for individuals with disabilities is multifactorial and can vary from one health system to another. The current study is aimed to explore the factors contributing to delayed discharges and to determine the number of exceeded bed days and subsequent cost impact at a government rehabilitation facility
-
Nurses’ perception of medication administration errors and factors associated with its reporting in the neonatal intensive care unit Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-13 Josephine Henry Basil, Chandini Menon Premakumar, Adliah Mhd Ali, Nurul Ain Mohd Tahir, Zamtira Seman, Voo Yau Hon, Noraida Mohamed Shah
Background Medication administration is a complex process and nurses play a central role in this process. Errors during administration are associated with severe patient harm and significant economic burden. However, the prevalence of underreporting makes it challenging when analysing the current landscape of medication administration error (MAE) and hinders the implementation of improvements to the
-
Developing quality measures for non-pharmacological prevention and rehabilitation in primary health care for chronic conditions: a consensus study Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-12 Marie Louise Svendsen, Tina Veje Andersen, Hanne Soendergaard
Poor health-related behaviours are root causes of a large number of chronic conditions; however, this study is the first to develop guideline-based quality measures targeting health-related behaviours through generic non-pharmacological secondary prevention and rehabilitation in municipal primary health care for persons with chronic conditions. From January 2020 to September 2021, a consensus study
-
Prevalence and determinants of defensive medicine among physicians: a systematic review and meta-analysis Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-12-07 Junyao Zheng, Yongbo Lu, Wenjie Li, Bin Zhu, Fan Yang, Jie Shen
Defensive medicine, characterized by physicians’ inclination toward excessive diagnostic tests and procedures, has emerged as a significant concern in modern healthcare due to its high prevalence and detrimental effects. Despite the growing concerns among healthcare providers, policymakers, and physicians, comprehensive synthesis of the literature on the prevalence and determinants of defensive medicine
-
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-27 Enrico Scarpis,Peter Cautero,Annarita Tullio,Flavio Mellace,Federico Farneti,Carla Londero,Roberto Cocconi,Laura Brunelli
Clinical record (CR) is a tool for recording details about the patient and the most commonly used source of information for detecting adverse events (AEs). Its completeness is an indicator of the quality of care provided and may provide clues for improving professional practice. The primary aim of this study was to estimate the prevalence of AEs. The secondary aims were to determine the completeness
-
Spanish Abstracts for Volume 34, Issue 3, 2022. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-23
-
Monitoring for adverse drug events of high-risk medications with a computerized clinical decision support system: A prospective cohort study Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-20 Mari Nezu, Mio Sakuma, Tsukasa Nakamura, Tomohiro Sonoyama, Chisa Matsumoto, Jiro Takeuchi, Yoshinori Ohta, Shinji Kosaka, Takeshi Morimoto
Background Monitoring is recommended to prevent severe adverse drug events, but such examinations are often missed. To increase the number of monitoring that should be ordered for high-risk medications, we introduced a clinical decision support system (CDSS) that alerting and ordering the monitoring for high-risk medications in an outpatient setting. Methods We conducted a 2-year prospective cohort
-
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-17 Peter D Hibbert,Sasha Stewart,Louise K Wiles,Jeffrey Braithwaite,William B Runciman,Matthew J W Thomas
Patient harm is a leading cause of global disease burden with considerable morbidity, mortality, and economic impacts for individuals, families, and wider society. Large bodies of evidence exist for strategies to improve safety and reduce harm. However, it is not clear which patient safety issues are being addressed globally, and which factors are the most (or least) important contributors to patient
-
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-17 Michael M Havranek,Florian Rüter,Selina Bilger,Yuliya Dahlem,Leonel Oliveira,Daniela Ehbrecht,Rudolf M Moos,Christian Westerhoff,Thomas Beck,Marie-Annick Le Pogam
The validity of the Agency for Healthcare Research and Quality's Patient Safety Indicators (PSIs) has been established in the USA and Canada. However, these indicators are also used for hospital benchmarking and cross-country comparisons in other nations with different health-care settings and coding systems as well as missing present on admission (POA) flags in the administrative data. This study
-
Association between patient choice of provider and patient-reported experience Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-10 Do Hee Kim, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
Background Health providers are striving to create a more positive, patient-centred experience. However, existing scholarly research about the association between determinants of patient choice of provider and patient-reported experience remains insufficient to effectively promote patient-centredness in healthcare systems. Methods This study used a sample from the nationally representative 2020 Healthcare
-
Single-use negative pressure wound therapy to prevent surgical site complications in high-risk patients undergoing caesarean sections: a real-world study Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-06 Mendinaro Imcha, Nyan Chin Liew, Arthur McNally, Davor Zibar, Mairead O’Riordan, Aoife Currie, Tim Styche, Jacqui Hughes, Catherine Whittall
Surgical site complications (SSCs), including surgical site infection (SSI), are common following C-sections. Management of the post-operative incision with single-use negative pressure wound therapy (sNPWT) has been shown to reduce the risk of SSC in high-risk individuals. This study explored the outcomes of routine, real-world use of sNPWT in high-risk patients undergoing C-sections. An observational
-
Design and validation of indicators for the comprehensive measurement of quality of care for type 2 diabetes and acute respiratory infections in ambulatory health services Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-11-02 Hortensia Reyes-Morales, Sergio Flores-Hernández, Sandra Patricia Díaz-Portillo, Edson Serván-Mori, André Escalante-Castañón, Jennifer Hegewisch-Taylor, Anahí Dreser-Mansilla
Developing ambulatory health services (AHS) of optimal quality is a pending issue for many health systems at a global level, especially in middle- and low-income countries. An effective health response requires indicators to measure the quality of care that are context-specific and feasible for routine monitoring. This paper aimed to design and validate indicators for assessing the technical and interpersonal
-
Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-26 Peter D Hibbert,Ruby Ash,Charlotte J Molloy,Johanna Westbrook,Ian D Cameron,Andrew Carson-Stevens,Leonard C Gray,Richard L Reed,Alison Kitson,Jeffrey Braithwaite
Residents of aged care services can experience safety incidents resulting in preventable serious harm. Accreditation is a commonly used strategy to improve the quality of care; however, narrative information within accreditation reports is not generally analysed as a source of safety information to inform learning. In Australia, the Aged Care Quality and Safety Commission (ACQSC), the sector regulator
-
Care in the future-reconciling health system and individual resilience. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-25 Siri Wiig,Hilda Bø Lyng,David Greenfield,Jeffrey Braithwaite
-
Measuring quality of care for universal health coverage in the Western Pacific. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-25 Arianna Maever Loreche,Veincent Christian F Pepito,Kenneth Y Hartigan-Go,Manuel M Dayrit
To deliver on the promise of universal health coverage, regions and countries need to invest in high-quality health systems and put quality of care at the forefront of priority setting and agenda. The Western Pacific Region and its member countries should establish measurements and standards to ensure delivery of high-quality services. In order to effectively do so, individual and system capacities
-
Coproduction of healthcare services-from concept to implementation. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-24 Paul Batalden,Peter Lachman,Christian von Plessen,Julie K Johnson,Ezequiel García-Elorrio
-
'Virtually daily grief'-understanding distress in health practitioners involved in a regulatory complaints process: a qualitative study in Australia. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-20 Susan Biggar,Anna van der Gaag,Pat Maher,Jacinta Evans,Lakshmi Bondu,Manaan Kar Ray,Rachel Phillips,Anne Tonkin,Catherine Schofield,Kym Ayscough,Matthew Hardy,Sarah Anderson,Eva Saar,Martin Fletcher
Protection of the public is the paramount aim for health practitioner regulation, yet there has been growing concern globally on the association between regulatory complaints processes and practitioner mental health and wellbeing. The objective was to understand the experience, particularly distress, of health practitioners involved in a regulatory complaints process to identify potential strategies
-
Facilitators and Barriers to The Implementation of Surgical Safety Checklist (SSC): An Integrative Review Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-17 Petrina Jia Hui LIM, Lin CHEN, Serene SIOW, LIM Siew Hoon
Background Surgical procedures pose an immense risk to patients, which can lead to various complications and adverse events. In order to safeguard patients’ safety, the World Health Organisation (WHO) initiated the implementation of the WHO Surgical Safety Checklist (SSC) in operating theatres (OT) worldwide. The aim of this integrative review was to summarise and evaluate the use and implementation
-
The impact of hospital command centre on patient flow and data quality: findings from the UK National Health Service. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-10 Teumzghi F Mebrahtu,Ciaran D McInerney,Jonathan Benn,Carolyn McCrorie,Josh Granger,Tom Lawton,Naeem Sheikh,Ibrahim Habli,Rebecca Randell,Owen Johnson
In the last 6 years, hospitals in developed countries have been trialling the use of command centres for improving organizational efficiency and patient care. However, the impact of these command centres has not been systematically studied in the past. It is a retrospective population-based study. Participants were patients who visited the Bradford Royal Infirmary hospital, Accident and Emergency (A&E)
-
Can guidelines rein in oxygen use? A retrospective cross-sectional study using routinely collected data. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-10-05 Usman Talat,Kelly A Schmidtke,Saval Khanal,Alice M Turner,Ivo Vlaev
Oxygen is one of the most commonly used emergency therapies. Like other therapies, oxygen can cause harm if used inappropriately. During the COVID-19 pandemic, guidelines were released to optimize oxygen and medication use. In the current study, we examine whether oxygen and medication use during the first wave of the COVID-19 pandemic was in concordance with new guidelines. A retrospective cross-sectional
-
Low-value’ clinical care in general practice: a cross-sectional analysis of low value care in early-career GPs’ practice. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-27 Anna Ralston, Alison Fielding, Elizabeth Holliday, Jean Ball, Amanda Tapley, Mieke van Driel, Andrew Davey, Rachel Turner, Dominica Moad, Kristen FitzGerald, Neil Spike, Ben Mitchell, Michael Tran, Katie Fisher, Parker Magin
Background Non-evidence-based and ‘low value’ clinical care and medical services are ‘questionable’ clinical activities that are more likely to cause harm than good or whose benefit is disproportionately low compared with its cost. This study sought to establish general practitioner (GP), patient, practice, and in-consultation associations of an index of key non-evidence-based or low-value ‘questionable’
-
EPERCAS Study. Strategies for Preventing Medication Administration Errors in Nursing Homes. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-26 Esther Laso Lucas, Alex Ferro Uriguen, Adriana E San Juan Muñoz, Borja Ollo Tejero, Idoia Beobide Telleria
Background Medication administration errors are one of the most frequent types of errors. There are different safety guides and recommendations to prevent medication errors (MEs) generally directed to the hospital environment. However, specific recommendations for the management process in the residential care environment are lacking. The main objective of this study was to develop a list of recommendations
-
Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-25 Karla Seaman, Isabelle Meulenbroeks, Amy Nguyen, Sandun Silva, Nasir Wabe, Guogui Huang, Peter Hibert, Pramilia Paudel, Johanna Westbrook
Background Falls in residential aged care facilities (RACFs) are common and can have significant health consequences. Understanding how and why falls occur in RACFs is an essential step to design targeted fall prevention and intervention programs; however, little is known about falls’ mechanisms in RACFs. This study aims to use international incident classification systems and novel analysis techniques
-
The Use of Natural Language Processing (NLP) in Detecting and Predicting Falls Within the Healthcare Setting: A Systematic Review Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-25 Vincent Quoc-Nam Trinh, Steven Zhang, Joshua Kovoor, Aashray Gupta, Weng Onn Chan, Toby Gilbert, Stephen Bacchi
Background Falls are a common problem associated with significant morbidity, mortality, and economic costs. Current fall prevention policies in local healthcare settings are often guided by information provided by fall risk assessment tools, incident reporting and coding data. This review was conducted with the aim of identifying studies which utilised Natural Language Processing (NLP) for the automated
-
Improving the quality of hospital sterilization process using FMEA, fuzzy logic and machine learning: Experience in tertiary dental centre Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-25 Amine En-Naaoui, Aicha Aguezzoul, Mohammed Kaicer
Background Activities practiced in the hospital generates several types of risks. Therefore, performing the risk assessment is one of the quality improvement keys in the healthcare sector. For this reason, healthcare managers need to design and perform efficient risk assessment processes. Methods Failure Modes and Effects Analysis (FMEA) is one of the most used risk assessment methods. The FMEA is
-
Mainland China and Taiwan province burden of ischemic stroke from 1990-2019: with forecast for the next 11 years Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-25 Jia Yu, Fude Liu, Yawen Cheng, Jianyi Wang, Wenlong Ma, Chen Chen, Peng Sun, Suhang Shang
Background Ischemic stroke is featured with high incidence, mortality and disability. The aim of this study is to use Global Burden of Disease (GBD) database to describe and compare the burden of ischemic stroke in mainland China and Taiwan province, and to further predict the expected changes in the next 11 years using statistical modeling methods. Methods Information on ischemic stroke incidence
-
-
Outcomes of completed quality activities in an Australian tertiary hospital 2015-2019 Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-19 Qun Catherine Li, Jonathan Karnon, Jim Codde
Background Quality activities including quality assurance (QA) and quality improvement (QI) are an integral part of safety and quality (S&Q) governance for hospitals. Previous studies identified that (1) majority are for QA and knowledge-acquiring purposes; (2) adherence to the quality cycle as well as impact on patient-related outcomes at the hospital level are unclear, neither associated costs. This
-
Leveraging collaborative learning for improved heart failure care: insights from Argentina. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-16 Mohummad Hassan Raza Raja,Tariq Ahmad,Zainab Samad
-
The crisis of physician well-being in Nepal: a multifaceted dilemma demanding urgent intervention. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-13 Bivek Singh
The healthcare system in Nepal faces challenges despite the establishment of numerous medical colleges and an increasing number of doctors. The distribution of medical colleges is disproportionately concentrated in urban areas, leaving rural populations without quality health care. The mental well-being of physicians is a growing concern, with studies indicating high levels of burnout, stress, and
-
Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-06 Delphine Teigné, Lucie Cazet, Gabriel Birgand, Leila Moret, Jean-Claude Maupetit, Guillaume Mabileau, Noémie Terrien
Background Few studies have investigated interruptions to the work of professionals practicing in inpatient hospitals, and even fewer take account of the functions that make up the system. Safety of care can be improved by considering avoidable interruptions during interactions between managerial and care delivery functions. The present study describes the characteristics of interruptions to the work
-
Suicide and stigma: connections and challenges. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-01 Yu Xiao,Zhou Zhang,Na Du
-
Patient-centered care: the North Star to guide us during uncertainty into a better day. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-09-01 Susan B Frampton,Michael Giuliano
-
A comparison of end-of-shift reports to an incident reporting system for reporting incidents in the intensive care unit. Int. J. Qual. Health Care (IF 2.6) Pub Date : 2023-08-29 Ishita Gupta,Winston Cheung,Manoj Saxena,Mark Kol,Asim Shah,Atul Wagh,Rhiannon Hunt,Katina Skylas,Alison Brannelly,Kathleen Brennan