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International Journal for Quality in Health Care

Saurabh Saluja, Swagoto Mukhopadhyay, Julia R Amundson, Allison Silverstein, Jessica Gelman, Hillary Jenny, Yihan Lin, Anthony Moccia, Ramy Rashad, Rachita Sood, Nakul P Raykar, Mark G Shrime
Purpose: Quality of care is an emerging area of focus in the surgical disciplines. However, much of the emphasis on quality is limited to high-income countries. To address this gap, we conducted a systematic review of the literature on the quality of essential surgical care in low- and middle- income countries (LMIC). Data sources: We searched PubMed, Cinahl, Embase and CAB Abstracts using three domains: quality of care, surgery and LMIC. Study selection: We limited our review to studies of essential surgeries that pertained to all three search domains...
July 18, 2018: International Journal for Quality in Health Care
Sara Alves, Laetitia Teixeira, Maria João Azevedo, Mafalda Duarte, Oscar Ribeiro, Constança Paúl
Objective: To examine the unmet needs of older clients with perceived mental health problems who attend primary healthcare services. Design: Unmet needs were derived from (i) the health concerns and caregiver network availability provided by a General Practitioner (GPs) and from (ii) a qualitative analysis of an open question about needs completed by informal caregivers (ICs) of those clients. Participants: The sample comprised 436 clients with mean age of 75...
July 18, 2018: International Journal for Quality in Health Care
Sarah Berdot, Cécile Blanc, Delphine Chevalier, Yvonnick Bezie, Laetitia Minh Maï Lê, Brigitte Sabatier
Objective: To compare the costs and benefits of an automated-drug dispensing cabinet (ADC) versus traditional floor stock storage (TFSS). Design: A quasi-experimental multicenter study conducted during 2015. Setting: A teaching hospital (814 beds) equipped with 43 ADCs and a not-for-profit teaching hospital (643 beds) equipped with 38 TFSS systems, in Paris, France. Participants: All the wards of the two hospitals were included in the study...
July 18, 2018: International Journal for Quality in Health Care
Zalika Klemenc-Ketis, Igor Švab, Aleksander Stepanovic, Antonija Poplas Susic
In Slovenia, quality of care at the primary healthcare level is formally a priority, but the legislation to ensure quality in this area is proceeding very slowly. The first steps towards a systematic quality control system in Slovenian family medicine were implemented with the initiation of an ongoing project of renewed family medicine practices in 2011 and the introduction of quality indicators. In 2017, an initiative by the Ministry of Health and the Department of Family Medicine at the Faculty of Medicine, the University of Ljubljana, aimed to develop a new approach to quality assurance and an improvement...
July 13, 2018: International Journal for Quality in Health Care
Sarah Berdot, Virginie Korb-Savoldelli, Emmanuel Jaccoulet, Vincent Zaugg, Patrice Prognon, Laetitia Minh Maï Lê, Brigitte Sabatier
Objectives: To evaluate the return on investment (ROI) and quality improvement after implementation of a centralized automated-dispensing system after 8 years of use. Design: Prospective evaluation of ROI; before and after study to evaluate dispensing errors; user satisfaction questionnaire after 8 years of use. Setting: The study was conducted at a French teaching hospital in the pharmacy department, which is equipped with decentralized automated medication cabinets in the wards...
July 11, 2018: International Journal for Quality in Health Care
Che-Ming Yang
No abstract text is available yet for this article.
July 11, 2018: International Journal for Quality in Health Care
Usman Iqbal, Yu-Chuan Jack Li, Kung-Pei Tang, Hui-Chen Chien, Ya-Ting Yang, Yi-Hsin Elsa Hsu
Objective: The impact of natural disasters on medical utilization is largely unknown and often overlooked how it affects bereaving and non-bereaving survivors. The aim of this study is to determine the medical utilization between both survivor groups and long-term effects. Study design: A 10-year 1999-2009 population-based retrospective study by using the National Health Insurance claim database and the Household Registration database from the Department of Health, Executive Yuan, Taiwan...
July 4, 2018: International Journal for Quality in Health Care
Farra Kahalnik, Katherine Sanchez, Afrida Faria, Bruce Grannemann, Manish Jha, Corey Tovian, E Will Clark, Sara Levinson, Ronny Pipes, Meaghan Pederson, Madhukar H Trivedi
Quality problem: Despite its global burden and prevalence, Major Depressive Disorder often goes undetected and untreated, and is particularly pervasive in the primary care setting. Initial assessment: One in four Texans lack health insurance, and people with behavioral health disorders are disproportionately affected. It is possible to provide high-quality depression treatment in primary care settings with outcomes equal to those provided by specialty care. The Center for Depression Research and Clinical Care offered an opportunity to transform service delivery practices in underserved primary care practices to improve quality, health status, patient experience and coordination...
July 4, 2018: International Journal for Quality in Health Care
Katja Goetz, Marianne Jossen, Thomas Rosemann, Sigrid Hess, Marc Brodowski, Paula Bezzola
Objective: The study aimed to evaluate quality of care and to determine which aspects are associated with the willingness to recommend the general practitioner (GP) as a part of patient loyalty. Design: This was an exploratory study which collected patient data from ambulatory care in the German part of Switzerland between 2013 and 2016. Setting: Primary care in Switzerland. Participants: Included patients from 79 primary care practices who volunteered to participate in the quality management system European Practice Assessment...
July 3, 2018: International Journal for Quality in Health Care
Kim J Verhaegh, Patricia Jepma, Suzanne E Geerlings, Sophia E de Rooij, Bianca M Buurman
Quality problem: Unplanned hospital readmissions frequently occur and have profound implications for patients. This study explores chronically ill patients' experiences and perceptions of being discharged to home and then acutely readmitted to the hospital to identify the potential impact on future care transition interventions. Initial assessment and implementation: Twenty-three semistructured interviews were conducted with chronically ill patients who had an unplanned 30-day hospital readmission at a university teaching hospital in the Netherlands...
June 25, 2018: International Journal for Quality in Health Care
Ilya Kagan, Nurit Porat, Sivia Barnoy
Objective: To explore the disparities between patients' and health care workers' perception of the quality and safety culture and to explore the relationship between patient perceptions, and engagement in, and satisfaction with their care and treatment. Design: A cross-sectional study was conducted in medical-surgical wards of four Israeli general hospitals. Data were collected using a self-administered questionnaire. Setting: Fourteen medical-surgical wards of the four hospitals where data were collected...
June 21, 2018: International Journal for Quality in Health Care
Julie Considine, Maryann Street, Tracey Bucknall, Helen Rawson, Anastasia F Hutchison, Trisha Dunning, Mari Botti, Maxine M Duke, Mohammadreza Mohebbi, Alison M Hutchinson
Objective: To describe characteristics and outcomes of emergency interhospital transfers from subacute to acute hospital care and develop an internally validated predictive model to identify features associated with high risk of emergency interhospital transfer. Design: Prospective case-time-control study. Setting: Acute and subacute healthcare facilities from five health services in Victoria, Australia. Participants: Cases were patients with an emergency interhospital transfer from subacute to acute hospital care...
June 20, 2018: International Journal for Quality in Health Care
Christine M McDonald, Sarah West, David Dushenski, Stephen E Lapinsky, Christine Soong, Kate van den Broek, Melanie Ashby, Gillian Wilde-Friel, Carrie Kan, Mark McIntyre, Andrew Morris
Objective: To develop a triage-based screening algorithm and treatment order-sets aimed at improving the quality of care of all patients with sepsis presenting to our emergency department (ED). Design: Retrospective cohort study conducted during a pre-intervention period from 1 April 2010 to 31 March 2011 and a post-intervention period from 1 September 2014 to 30 April 2015. Setting: A large teaching hospital located in Toronto, Ontario, Canada with a 35-bed ED...
June 20, 2018: International Journal for Quality in Health Care
Anton R Kiselev, Alexey S Korotin, Olga M Posnenkova, Yulia V Popova, Mikhail D Prokhorov, Vladimir I Gridnev
Objective: In European Society of Cardiology/European Association for Cardio-Thoracic Surgery (ESC/EACTS) guidelines, six indications have been proposed for making a decision on myocardial revascularization in patients with stable coronary artery disease (CAD). Our aim was to study a discrepancy between the actual clinical situation and ESC/EACTS indications on performing the revascularization in patients with CAD in Russia. Design and setting: We used retrospective clinical data on patients with stable CAD enrolled in the 2012-2015 Russian Registry of Hypertension, Coronary Artery Disease, and Chronic Heart Failure...
June 19, 2018: International Journal for Quality in Health Care
Mondher Letaief, Sana El Mhamdi, Riham El-Asady, Sameen Siddiqi, Ahmed Abdullatif
No abstract text is available yet for this article.
June 19, 2018: International Journal for Quality in Health Care
Cynthia Y Huang, Ron Daniels, Angie Lembo, Christiane Hartog, Jim O'Brien, Thomas Heymann, Konrad Reinhart, H Bryant Nguyen
Objective: In this study, we aim to describe the post-sepsis syndrome from the perspective of the sepsis survivors. Design and Setting: The study is a prospective, observational online international survey. Participants: Sepsis survivors enrolled via social media from 13 September 2014 to 13 September 2016. Interventions: None. Main Outcome Measures: Physiologic, physical and psychological function post-sepsis; and patient satisfaction with sepsis-centered care...
June 19, 2018: International Journal for Quality in Health Care
Pauline Occelli, Jean-Luc Quenon, Marion Kret, Sandrine Domecq, Angélique Denis, Florence Delaperche, Olivier Claverie, Benjamin Castets-Fontaine, René Amalberti, Yves Auroy, Pierre Parneix, Philippe Michel
Objective: To assess the impact of a vignette-based analysis of adverse events (AEs) on the safety climate (SC) of care units. Design: Prospective, open, cluster (a unit) randomised controlled trial. Setting: Eighteen acute care units of seven hospitals in France. Participants: Healthcare providers who worked in the units. Intervention: Vignette-based analyses of AEs were conducted with unit's providers once per month for six consecutive months...
June 18, 2018: International Journal for Quality in Health Care
Gillian E Caughey, Jodie B Hillen, Stephanie Bacon, Nicholas Bullock, Virginia Bullock, Lisa Kalisch Ellett
Initial assessment: Older people are at increased risk of medication-related potentially preventable hospitalizations (MR-PPH) due to the presence of multiple chronic conditions (multimorbidity) and subsequent polypharmacy. Choice of solution: A pilot study was conducted, using evidence-based indicators to detect older patients in a chronic disease management program (CDMP) at risk of hospitalization due to sub-optimal medication use. Implementation: Previously validated indicators for MR-PPH were applied to patients with multimorbidity, aged 65 years or older and who were enrolled in a national community-based CDMP...
June 18, 2018: International Journal for Quality in Health Care
Diego Rios-Zertuche, Paola Zúñiga-Brenes, Erin Palmisano, Bernardo Hernández, Alexandra Schaefer, Casey K Johanns, Alvaro Gonzalez-Marmol, Ali H Mokdad, Emma Iriarte
Objective: Present methods to measure standardized, replicable and comparable metrics to measure quality of medical care in low- and middle-income countries. Design: We constructed quality indicators for maternal, neonatal and child care. To minimize reviewer judgment, we transformed criteria from check-lists into data points and decisions into conditional algorithms. Distinct criteria were established for each facility level and type of care. Indicators were linked to discharge diagnoses...
June 18, 2018: International Journal for Quality in Health Care
Witold H Polanski, K Daniel Martin, Swen Günther, Gabriele Schackert, Lisa Klingelhoefer, Mareike Fauser, Alexander Storch, Stephan B Sobottka
Background: For quality analysis, we applied the Six Sigma concept to define quality indicators and their boundaries as well as to compare treatment-dependent outcome data of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in patients with Parkinson's disease (PD). Methods: The Unified Parkinson Disease Rating Scale (UPDRS) III with on medication and on stimulation, the reduction of daily levodopa equivalence doses (LED), and the stimulation amplitude 1 year after surgery were registered...
June 18, 2018: International Journal for Quality in Health Care
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