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International Journal of Health Care Quality Assurance

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https://www.readbyqxmd.com/read/29954278/service-quality-and-satisfaction-in-healthcare-sector-of-pakistan-the-patients-expectations
#1
Saad Ahmed Javed, Fatima Ilyas
Purpose The purpose of this paper is to assess the influence of patients' expectations from healthcare service quality on their satisfaction with nursing in public and private hospitals of Pakistan. Design/methodology/approach Data ( n=456) were collected from three public sector hospitals and three private sector hospitals of Lahore, the capital of Pakistan's most populous province. Male and female patients who have experience of both sectors were surveyed using a self-administered questionnaire developed using the original SERVQUAL approach...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954277/workplace-violence-prevention-standardization-using-lean-principles-across-a-healthcare-network
#2
Scott A Hutton, Kelly Vance, Jesse Burgard, Susan Grace, Lynn Van Male
Purpose The purpose of this paper is to describe the process used to standardize a Workplace Violence Prevention Program (WVPP) within a five-hospital healthcare system in Veterans Health Administration (VHA). Design/methodology/approach A description of the lean process improvement principles, used to bring the WVPP into compliance with Occupational Safety and Health Administration (OSHA) and other agencies through streamlining/standardizing processes. Findings There was significant standardization in both the threat assessment and education arms of the WVPP...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954276/who-reads-editorials-any-more
#3
Ian Callanan
No abstract text is available yet for this article.
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954275/quality-assurance-in-segmental-neck-of-femur-fractures
#4
Nanjundappa S Harshavardhana, Kalana Rathnayake, Andy Tanagho, Calum Cree
Purpose The purpose of this paper is to report a rare case of segmental neck of femur fracture (SNoFF) and highlight its quality assurance and governance implications with respect to national guidelines, care pathways and best practice tariff. Design/methodology/approach Case report of an SNoFF in a 67-year-old woman treated at a district general hospital (DGH) was used in this study. Findings SNoFF required additional implants that delayed the surgery by five days. The authors were unable to adhere to the British Orthopaedic Association standards for trauma and Scottish Inter-Collegiate Guidelines Network recommendations which indicate that all neck of femur fractures (NoFFs) be fixed within 48 h...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954274/nursing-staff-perceptions-regarding-the-clinical-audit-tool-used-for-relicensing-inspections-within-ethekwini-private-hospitals-in-south-africa
#5
Jamila Chellan, Nokuthula Maureen Sibiya
Purpose The purpose of this paper is to assess nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within private hospitals in eThekwini district. Design/methodology/approach An exploratory sequential mixed method research design was used with a qualitative first phase involving a total population of 40 nurse managers through purposive sampling. Nurse managers ( n=24) were interviewed. This was followed by a quantitative phase in which a structured questionnaire was administered to nurses ( n=270) who were randomly sampled for the study from ( n=4) hospitals...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954273/enabling-continuous-learning-and-quality-improvement-in-health-care
#6
Robert William Smith, Elaina Orlando, Whitney Berta
Purpose The purpose of this paper is to examine how the design and implementation of learning models for performance management can foster continuous learning and quality improvement within a publicly funded, multi-site community hospital organization. Design/methodology/approach Niagara Health's patient flow performance management system, a learning model, was studied over a 20-month period. A descriptive case study design guided the analysis of qualitative observational data and its synthesis with organizational learning theory literature...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954272/implementation-of-an-in-hospital-stroke-simulation-protocol
#7
Johis Ortega, Juan M Gonzalez, Lila de Tantillo, Karina Gattamorta
Purpose A major component of hospital stroke care involves prompt identification of stroke in admitted patients. Delays in recognizing stroke symptoms and initiating treatment for in-hospital stroke can adversely impact patient outcomes. This quality improvement intervention used simulation together with a traditional lecture to instruct nurses at a university hospital about a new stroke protocol being implemented to increase rapid recognition of stroke and meet Joint Commission National Hospital Inpatient Quality Measures...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954271/supply-chain-partnership-assessment-of-a-diabetes-clinic
#8
Vinaytosh Mishra, Cherian Samuel, S K Sharma
Purpose Diabetes is one of the major healthcare challenges in India. The chronic nature of the disease makes the lifetime cost of the treatment exorbitantly high. The medicine cost contributes a major size of expense in diabetes management. To make healthcare available to poorest of the poor, it is imperative to control the rising cost of diabetes treatment. The earlier research works done in this area focuses more on inventory management techniques to control the cost of healthcare. Less interest is shown in the role of better supply chain partnership (SCP) in reducing the cost of procurement of medicine...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954270/factors-affecting-sentinel-events-in-hospital-emergency-department-a-qualitative-study
#9
Rouhollah Zaboli, Zainab Malmoon, Mohammad Reza Soltani-Zarandi, Mohammad Hassani
Purpose A sentinel event is an unexpected occurrence resulting in death or serious physical or psychological injury or the risk thereof. The purpose of this paper is to investigate the influencing factors of sentinel events in the emergency department of a military hospital in Tehran to find out some of the effective solutions. Design/methodology/approach In this qualitative study with content analysis approach, 20 hospital healthcare personnel participated as participants from the fields of medicine and nursing...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954269/doctors-attitudes-towards-medication-errors-at-2002-2015
#10
Naomi Burns, Zina Alkaisy, Elaine Sharp
Purpose The purpose of this paper is to explore the attitudes and beliefs of doctors towards medication error reporting following 15 years of a national patient safety agenda. Design/methodology/approach This is a qualitative descriptive study utilising semi-structured interviews. A group of ten doctors of different disciplines shared their attitudes and beliefs about medication error reporting. Using thematic content analysis, findings were reflected upon those collected by the same author of a similar study 13 years before (2002)...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954268/relationship-marketing-strategy
#11
Augustine Adomah-Afari, Theophilus Maloreh-Nyamekye
Purpose The purpose of this paper is to explore how strategies are put in place to formulate policies regarding the introduction and implementation of relationship marketing (RM) in the health sector, and how RM strategies are designed as part of the curricula for the training of prospective health professionals in Ghana. Design/methodology/approach Data were gathered using interviews and documentary review. A purposive sampling technique was used to recruit policy makers and health educationists in Accra for in-depth interviews...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954267/ensuring-quality-immediate-discharge-letters-from-mental-health
#12
Taylor Watson-Fargie, Ross Cheape
Purpose Immediate discharge letters (IDLs) from the mental health unit at Forth Valley Royal Hospital are vital in ensuring safe patient transfer to primary care. The purpose of this paper is to develop a standardised list of information that should be included in all IDLs, and to assess its use in practice. Design/methodology/approach Three audit cycles analysed IDLs over two-week periods for their inclusion of the standardised list. The data were assessed qualitatively. Findings Baseline measurement showed 48...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954266/performance-evaluation-of-a-coagulation-laboratory-using-sigma-metrics
#13
Muhammad Shariq Shaikh, Sidra Asad Ali, Anila Rashid, Farheen Karim, Bushra Moiz
Purpose Two-thirds of medical decisions are based on laboratory test results. Therefore, laboratories should practice strict quality control (QC) measures. Traditional QC processes may not accurately reflect the magnitude of errors in clinical laboratories. Six Sigma is a statistical tool which provides opportunity to assess performance at the highest level of excellence. The purpose of this paper is to evaluate performance of the coagulation laboratory utilizing Sigma metrics as the highest level of quality...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954265/structural-quality-of-healthcare-facilities-in-india
#14
Bianca Armenta, Naveen Rathi, Nushean Assasnik, Akiko Kamimura
Purpose Although India has a number of health issues, the healthcare facilities in India are insufficient due to poor quality of care. The purpose of this paper is to examine the factors affecting the structural quality of healthcare facilities in India. Design/methodology/approach This study used the medical facility data from the India Human Development Survey-II, 2011-2012 (ICPSR 36151) ( n=4,218). Logistic regression was conducted to predict structural quality of healthcare facilities. Findings The results suggest that it is difficult to have all standard resources available at health care facilities in India...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954264/implementation-of-the-surgical-safety-checklist-in-hospitals-of-iran-operating-room-personnel-s-attitude-awareness-and-acceptance
#15
Mobin Sokhanvar, Edris Kakemam, Narges Goodarzi
Purpose The WHO Surgical Safety Checklist (SSC) has improved patient safety effectively. Despite the known benefits of applying the checklist before surgery, its implementation is less than universal in practice. The purpose of this paper is to determine the operating room personnel's attitude, their awareness and knowledge of the SSC, and to evaluate staff acceptance of the SSC (including personal beliefs). Design/methodology/approach This cross-sectional study was conducted in eight tertiary general hospitals in Tehran, Iran...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954263/registered-nurses-use-of-computerised-decision-support-in-medication-reviews
#16
Rose-Marie Johansson-Pajala, Lene Martin, Kerstin Jorsäter Blomgren
Purpose The purpose of this paper is to explore the implications of registered nurses' (RNs) use of a computerized decision support system (CDSS) in medication reviews. Design/methodology/approach The paper employs a quasi-experimental, one-group pre-test/post-test design with three- and six-month follow-ups subsequent to the introduction of a CDSS. In total, 11 RNs initiated and prepared a total of 54 medication reviews. The outcome measures were the number of drug-related problems (DRPs) as reported by the CDSS and the RNs, respectively, the RNs' views on the CDSS, and changes in the quality of drug treatment...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954262/the-success-of-strategic-planning-in-health-care-organizations-of-iran
#17
Parvaneh Esfahani, Ali Mohammad Mosadeghrad, Ali Akbarisari
Purpose Although strategic planning promised to boost organizational performance, many health care managers found it difficult to implement it successfully. The purpose of this paper is to investigate the success of strategic planning in health care organizations of Iran. Design/methodology/approach This descriptive and cross-sectional study was conducted in 2016 using a valid and reliable questionnaire completed by 99 health care managers in Tehran province, Iran. Findings Strategic planning was positively related to organizational performance including employees' and patients' satisfaction and organizational productivity...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954261/public-awareness-of-adverse-drug-reaction-medical-safety
#18
Fatema AlZahra AlHusaini, Muneer Mohammed Saeed Al Mubarak
Purpose The purpose of this paper is to contribute to the literature by assessing factors that typically engender adverse drug reactions (ADRs) jeopardizing medical safety. These factors are population knowledge, clarity in disclosure of the risks inhering ADRs and ADRs incidence. It seeks to minimize negative effect by early identification of drug reactions. Design/methodology/approach On the one hand, the study employs a model that shows relationships between various factors, and on the other hand, ADRs medical safety in the public healthcare sector...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29954260/overcoming-public-health-risks-to-staff-during-the-management-of-waste-from-healthcare-facilities
#19
Mentore Vaccari, Andrea Perteghella, Martina Stolfini, Terry Tudor
Purpose The management of public health risks is a key focus for the European Union. One of the key factors that has been shown to pose a public health risk is that of the management of needles from healthcare facilities. The paper aims to discuss this issue. Design/methodology/approach Using audits of two case study hospitals based in northern Italy, this study sought to examine the key factors that resulted in needle stick injuries amongst staff and suggest measures to minimise these risks. Findings The number of needle stick injuries was influenced by various key factors including the time period during the year, the length of time employed, the location within the site, staff category and working hours...
July 9, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29865966/portuguese-university-hospital-patient-satisfaction-and-service-quality
#20
Alexandre Gomes G Silva, Pedro Lopes Ferreira, Fernanda Bento Daniel
Purpose The purpose of this paper is to investigate Portuguese hospital inpatient satisfaction. Design/methodology/approach The study was conducted at a major university hospital in Portugal. Using the IAQH-IA mailed questionnaire, data were collected over three months (March to June 2015) from patients and families. From 1,500 former inpatients, 434 participated (29 percent response rate). Using the structural equation modeling, the authors derived satisfaction models and analyzed the relationship between quality, satisfaction and patient attitudes...
June 11, 2018: International Journal of Health Care Quality Assurance
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