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International Journal of Health Care Quality Assurance

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https://www.readbyqxmd.com/read/28470138/editorial
#1
Ian Callanan
No abstract text is available yet for this article.
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470137/waste-in-health-information-systems-a-systematic-review
#2
Nadia Awang Kalong, Maryati Yusof
Purpose The purpose of this paper is to discuss a systematic review on waste identification related to health information systems (HIS) in Lean transformation. Design/methodology/approach A systematic review was conducted on 19 studies to evaluate Lean transformation and tools used to remove waste related to HIS in clinical settings. Findings Ten waste categories were identified, along with their relationships and applications of Lean tool types related to HIS. Different Lean tools were used at the early and final stages of Lean transformation; the tool selection depended on the waste characteristic...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470136/reducing-patients-falls-rate-in-an-academic-medical-center-amc-using-six-sigma-dmaic-approach
#3
Ahmed Al Kuwaiti, Arun Vijay Subbarayalu
Purpose The purpose of this paper is to evaluate the impact of adopting the Six Sigma define, measure, analyze, improve and control (DMAIC) approach in reducing patients fall rate in an Academic Medical Center, Saudi Arabia. Design/methodology/approach A prospective study design was adopted and this study was conducted at King Fahd Hospital of the University (KFHU) during the year 2014. Based on the historical data of the patients' falls reported at KFHU during the year 2013, the goal was fixed to reduce the falls rate from 7...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470135/a-decade-of-health-assessments-in-appalachia
#4
E Scott Sills, Xiang Li
Purpose The purpose of this paper is to describe standardized clinical process of care and quality performance metrics at Roane Medical Center (RMC) and compare data from 2005 to 2015. Design/methodology/approach Information was extracted from a nationwide sample of short-term acute care hospitals using the Hospital Quality Alliance (HQA) database, evaluating multiple parameters measured at RMC. HQA data from RMC were matched against state and national benchmarks; findings were also compared with similar reports from the same facility in 2005...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470134/standardized-icu-to-or-handoff-increases-communication-without-delaying-surgery
#5
Thomas J Caruso, Juan Luis Sandin Marquez, Melanie S Gipp, Stephen P Kelleher, Paul J Sharek
Purpose No studies have examined preoperative handoffs from the intensive care unit (ICU) to OR. Given the risk of patient harm, the authors developed a standardized ICU to OR handoff using a previously published handoff model. The purpose of this paper is to determine whether a standardized ICU to OR handoff process would increase the number of team handoffs and improve patient transport readiness. Design/methodology/approach The intervention consisted of designing a multidisciplinary, face-to-face handoff between sending ICU providers and receiving anesthesiologist and OR nurse, verbally presented in the I-PASS format...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470133/exploring-the-advantages-of-using-social-network-sites-snss-in-dental-medicine-organisations
#6
Mário Franco, Leonor Pais
Purpose The purpose of this paper is to deepen and contribute to knowledge of the use of social network sites (SNSs) in organisations, and more precisely, identify the advantages. Design/methodology/approach To reach this objective, a cross-section study was adopted based on application of a questionnaire, the final sample consisting of 78 dental medicine organisations in Portugal. Findings The results obtained lead to the conclusion that a great number of the organisations studied are connected to SNSs, particularly Facebook...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470132/value-based-hr-practices-i-deals-and-clinical-error-control-with-csr-as-a-moderator
#7
Tuan Luu, Chris Rowley, Sununta Siengthai, Vo Thanh Thao
Purpose Notwithstanding the rising magnitude of system factors in patient safety improvement, "human factors" such as idiosyncratic deals (i-deals) which also contribute to the adjustment of system deficiencies should not be neglected. The purpose of this paper is to investigate the role of value-based HR practices in catalyzing i-deals, which then influence clinical error control. The research further examines the moderating role of corporate social responsibility (CSR) on the effect of value-based HR practices on i-deals...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470131/implementation-strategies-for-guidelines-at-icus-a-systematic-review
#8
Portia Jordan, Ferestas Mpasa, Wilma Ten Ham-Baloyi, Candice Bowers
Purpose The purpose of this paper is to critically analyze empirical studies related to the implementation strategies for clinical practice guidelines (CPGs) in intensive care units (ICUs). Design/methodology/approach A systematic review with a narrative synthesis adapted from Popay et al.'s method for a narrative synthesis was conducted. A search using CINAHL, Google Scholar, Academic search complete, Cochrane Register for Randomized Controlled Trials, MEDLINE via PUBMED and grey literature was conducted in 2014 and updated in 2016 (August)...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28470130/impact-of-centor-scores-on-determining-antibiotic-prescribing-in-children
#9
Joseph Freer, Tasneem Ally, Rossa Brugha
Purpose The purpose of this paper is to establish the effect of incorporating Centor scoring into antibiotic prescribing in primary care in London, UK, before and after the introduction of an educational package and prescribing software tool. Design/methodology/approach A quality improvement project with analysis of all sore throat presentations in patients aged 3-14 years, in two phases. Phase 1 (retrospective): 1 January-31 December 2013, followed by an intervention (software tool/education package) and Phase 2 (prospective): 1 March 2014-28 February 2015...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350225/healthcare-seeking-behaviour-among-chinese-elderly
#10
Hui Lu, Wei Wang, Ling Xu, Zhenhong Li, Yan Ding, Jian Zhang, Fei Yan
Purpose The Chinese population is rapidly ageing before they are rich. The purpose of this paper is to describe healthcare seeking behaviour and the critical factors associated with healthcare seeking behaviour. Design/methodology/approach Using a purposive sampling method, the authors recruited 44 adults aged 60 years or older from three provinces, representing the developed (Shanghai), undeveloped (Ningxia) regions and the regions in between (Hubei). From July to September 2008, using a semi-structured guide, the authors interviewed participants in focus group discussions...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350224/failure-mode-and-effect-analysis-improving-intensive-care-unit-risk-management-processes
#11
Roohollah Askari, Milad Shafii, Sima Rafiei, Mohammad Sadegh Abolhassani, Elaheh Salarikhah
Purpose Failure modes and effects analysis (FMEA) is a practical tool to evaluate risks, discover failures in a proactive manner and propose corrective actions to reduce or eliminate potential risks. The purpose of this paper is to apply FMEA technique to examine the hazards associated with the process of service delivery in intensive care unit (ICU) of a tertiary hospital in Yazd, Iran. Design/methodology/approach This was a before-after study conducted between March 2013 and December 2014. By forming a FMEA team, all potential hazards associated with ICU services - their frequency and severity - were identified...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350223/potential-facilitators-and-barriers-to-adopting-standard-treatment-guidelines-in-clinical-practice
#12
Sangeeta Sharma, Ajay Pandit, Fauzia Tabassum
Purpose The purpose of this paper is to assess medicines information sources accessed by clinicians, if sources differed in theory and practice and to find out the barriers and facilitators to effective guideline adoption. Design/methodology/approach In all, 183 doctors were surveyed. Barriers and facilitators were classified as: communication; potential adopters; innovation; organization characteristics and environmental/social/economic context. Findings Most of the clinicians accessed multiple information sources including standard treatment guidelines, but also consulted seniors/colleagues in practice...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350222/nurse-staffing-levels-and-outcomes-mining-the-uk-national-data-sets-for-insight
#13
Alison Leary, Barbara Tomai, Adrian Swift, Andrew Woodward, Keith Hurst
Purpose Despite the generation of mass data by the nursing workforce, determining the impact of the contribution to patient safety remains challenging. Several cross-sectional studies have indicated a relationship between staffing and safety. The purpose of this paper is to uncover possible associations and explore if a deeper understanding of relationships between staffing and other factors such as safety could be revealed within routinely collected national data sets. Design/methodology/approach Two longitudinal routinely collected data sets consisting of 30 years of UK nurse staffing data and seven years of National Health Service (NHS) benchmark data such as survey results, safety and other indicators were used...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350221/the-nice-alcohol-misuse-standard-evaluating-its-impact
#14
Alec Knight, Peter Littlejohns, Tara-Lynn Poole, Gillian Leng, Colin Drummond
Purpose The purpose of this paper is to explore factors affecting implementing the National Institute for Health and Care Excellence (NICE) quality standard on alcohol misuse (QS11) and barriers and facilitators to its implementation. Design/methodology/approach Qualitative interview study analysed using directed and conventional content analyses. Participants were 38 individuals with experience of commissioning, delivering or using alcohol healthcare services in Southwark, Lambeth and Lewisham. Findings QS11 implementation ranged from no implementation to full implementation across the 13 statements...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350220/embedding-learning-from-adverse-incidents-a-uk-case-study
#15
Cyril Eshareturi, Laura Serrant
Purpose This paper reports on a regionally based UK study uncovering what has worked well in learning from adverse incidents in hospitals. The purpose of this paper is to review the incident investigation methodology used in identifying strengths or weaknesses and explore the use of a database as a tool to embed learning. Design/methodology/approach Documentary examination was conducted of all adverse incidents reported between 1 June 2011 and 30 June 2012 by three UK National Health Service hospitals. One root cause analysis report per adverse incident for each individual hospital was sent to an advisory group for a review...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350219/improving-throughput-in-a-youth-mental-health-service
#16
Dominiek Coates, Deborah Howe
Purpose The discrepancy between increasing demand and limited resources in public mental health is putting pressure on services to continuously review their practices and develop innovative models of care that redress this discrepancy. To ensure the service models continue to meet the needs of all stakeholders, children and young people's mental health (CYPMH) conducts regular reviews of its service models. Accordingly, the youth mental health (YMH) model at CYPMH has evolved significantly over time in response to the needs of young people and service demand...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350218/editorial
#17
Keith Hurst
No abstract text is available yet for this article.
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28350217/patient-non-adherence-an-interpretative-phenomenological-analysis
#18
Vidya Dalvi, Nandakumar Mekoth
Purpose While interpretative phenomenological analysis (IPA) has been used in health psychology research, it has so far not been applied to seek deeper insights into the patients' experiences about treatment. The purpose of this paper is to address this gap by using IPA to understand patient non-adherence. Design/methodology/approach In total, 18 patients with chronic conditions seeking healthcare services in Goa and Karnataka, India, were selected by using the snowball sampling method. In-depth interviews were conducted face to face...
April 18, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28256932/understanding-the-working-relationships-between-national-health-service-clinicians-and-finance-staff
#19
Virginia Minogue, Rebecca McCaffry
Purpose The Department of Health and the National Health Service (NHS) Future Focused Finance (FFF) programme promotes effective engagement between clinical and finance staff. Surveys undertaken by the Department of Health between 2013 and 2015 found few NHS Trusts reported high levels of engagement. The purpose of this paper is to gain a better understanding of current working relationships between NHS clinical and finance professionals and how they might be supported to become more effective. Design/methodology/approach Ipsos MORI were commissioned by the NHS FFF programme to undertake an online survey of NHS clinical and finance staff between June and August 2015...
March 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28256931/barriers-to-discharge-from-inpatient-rehabilitation-a-teamwork-approach
#20
Lisanne Catherine Cruz, Jeffrey S Fine, Subhadra Nori
Purpose In order to prevent adverse events during the discharge process, coordinating appropriate community resources, medication reconciliation, and patient education needs to be implemented before the patient leaves the hospital. This coordination requires communication and effective teamwork amongst staff members. In order to address these concerns, the purpose of this paper is to incorporate the TeamSTEPPS principles to develop a discharge plan that would best meet the needs of the patients as they return to the community...
March 13, 2017: International Journal of Health Care Quality Assurance
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