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International Journal for Quality in Health Care

Yu-Chi Tung, Hsien-Yen Chang, Guann-Ming Chang
Objective: Establishing one price for all bundled services for a particular illness, which has become the key to healthcare reform efforts, is designed to encourage health professionals to coordinate their care for patients. Limited information is available, however, concerning whether bundled payments are associated with changes in patient outcomes. Nationwide longitudinal population-based data were used to examine the effect of bundled payments on hip fracture outcomes. Design: An interrupted time series design with a comparison group...
November 29, 2017: International Journal for Quality in Health Care
Lisa A Calder, Abhi Bhandari, George Mastoras, Kathleen Day, Kathryn Momtahan, Matthew Falconer, Brian Weitzman, Benjamin Sohmer, A Adam Cwinn, Stanley J Hamstra, Avi Parush
Importance: Emergency resuscitation of critically ill patients can challenge team communication and situational awareness. Tools facilitating team performance may enhance patient safety. Objectives: To determine resuscitation team members' perceptions of the Situational Awareness Display's utility. Design: We conducted focus groups with healthcare providers during Situational Awareness Display development. After simulations assessing the display, we conducted debriefs with participants...
November 29, 2017: International Journal for Quality in Health Care
Jennifer Dunsford, Laura E Reimer
Continuous improvement efforts, recognized in much literature as Lean management techniques have been used in efforts to improve efficiency in democratic health care contexts for some time to varying degrees of success. The complexity of the health care system is magnified by the sheer number of processes and sub processes required to deliver value within a bureaucratic environment, while maintaining some level of compassionate and personalized care. There is inherent tension between what is required to be efficient and what is required to be caring and this conflict presses against Lean practice at the level of delivery...
November 28, 2017: International Journal for Quality in Health Care
Cynthia Khanji, Céline Bareil, Eveline Hudon, Johanne Goudreau, Fabie Duhamel, Marie-Thérèse Lussier, Sylvie Perreault, Gilles Lalonde, Alain Turcotte, Djamal Berbiche, Élisabeth Martin, Lise Lévesque, Marie-Mireille Gagnon, Lyne Lalonde
Objective: To assess a selection of psychometric properties of the TRANSIT indicators. Design: Using medical records, indicators were documented retrospectively during the 14 months preceding the end of the TRANSIT study. Setting: Primary care in Quebec, Canada. Participants: Indicators were documented in a random subsample (n = 123 patients) of the TRANSIT study population (n = 759). Interventions: For every patient, the mean compliance to all indicators of a category (subscale score) and to the complete set of indicators (overall scale score) were established...
November 28, 2017: International Journal for Quality in Health Care
Hanan H Edrees, Mohd Nasir Mohd Ismail, Bernadette Kelly, Christine A Goeschel, Sean M Berenholtz, Peter J Pronovost, Ali Abdul Kareem Al Obaidli, Sallie J Weaver
Objective: Assess perceived barriers to speaking up and to provide recommendations for reducing barriers to reporting adverse events and near misses. Design, setting, participants, intervention: A six-item survey was administered to critical care providers in 19 Intensive Care Units in Abu Dhabi as part of an organizational safety and quality improvement effort. Main outcome measures: Questions elicited perspectives about influences on reporting, perceived barriers and recommendations for conveying patient safety as an organizational priority...
November 23, 2017: International Journal for Quality in Health Care
John Øvretveit, Lynn Garofalo, Brian Mittman
Faster and more widespread implementation could help more patients to benefit more quickly from known effective treatments. So could more effective implementation of better assessment methods, service delivery models, treatments and services. Implementation at scale and 'descaling' are ways for hospitals and health systems to respond to rising demands and costs. The paper proposes ways to provide leaders with the information that would help them to decide whether and how to scale up a proven improvement. We draw on our knowledge of the improvement and implementation literature on the subject and on our experience of scale up programs in Kaiser Permanente, in Swedish county health systems, and in international health...
November 21, 2017: International Journal for Quality in Health Care
L Desveaux, J I Mitchell, J Shaw, N M Ivers
No abstract text is available yet for this article.
November 21, 2017: International Journal for Quality in Health Care
Wei Ling Chua, Min Ting Alicia See, Helena Legio-Quigley, Daryl Jones, Augustine Tee, Sok Ying Liaw
Purpose: To synthesize factors influencing the activation of the rapid response system (RRS) and reasons for suboptimal RRS activation by ward nurses and junior physicians. Data sources: Nine electronic databases were searched for articles published between January 1995 and January 2016 in addition to a hand-search of reference lists and relevant journals. Study selection: Published primary studies conducted in adult general ward settings and involved the experiences and views of ward nurses and/or junior physicians in RRS activation were included...
November 21, 2017: International Journal for Quality in Health Care
Shinji Nakahara, Tetsuya Sakamoto, Takashi Fujita, Yasuyuki Uchida, Yoichi Katayama, Seizan Tanabe, Yasuhiro Yamamoto
Objective: This study examined the associations between trauma mortality and quality of care indicators currently used in Japan. Design: This is a retrospective two-level discrete-time survival analysis. Quality indicators were derived from the 2012-2013 annual hospital survey conducted by the Ministry of Health, Labour and Welfare. Trauma mortality data were derived from the Japan Trauma Data Bank for the period of April 2012 to March 2013. Setting: Tertiary care centers designated as emergency and critical care centers (ECCCs) in Japan...
November 21, 2017: International Journal for Quality in Health Care
Fergal Connolly, Dara Byrne, Sinéad Lydon, Chloe Walsh, Paul O'Connor
Purpose: To identify the barriers to, and facilitators of, the implementation of physiological track and trigger systems (PTTSs), perceived by healthcare workers, through a systematic review of the extant qualitative literature. Data sources: Searches were performed in PUBMED, CINAHL, PsycInfo, Embase and Web of Science. The reference lists of included studies were also screened. Study selection: The electronic searches yielded 2727 papers...
November 21, 2017: International Journal for Quality in Health Care
Y L Basta, K M A J Tytgat, H H Greuter, J H G Klinkenbijl, P Fockens, J Strikwerda
Quality problem: Patients with gastrointestinal malignancies often need multiple appointments with different medical specialists, causing waiting times to accrue. Initial assessment: In our hospital, care is organized in a sequential manner, causing long waiting times. To reduce this, a fast track outpatient clinic (FTC) was implemented. Choice of solution: The FTC was organized within the hospital's existing structure. Patient centered care was achieved by ensuring that the medical specialists visit the patient, implementing nurse coordinators and considering patient wishes and co-morbidities when formulating a treatment plan...
November 21, 2017: International Journal for Quality in Health Care
Rohit Ramaswamy, Claire Rothschild, Funmi Alabi, Eric Wachira, Faith Muigai, Nick Pearson
Quality problem or issue: Jacaranda Health (JH) is a Kenya-based organization that attempts to provide affordable, high-quality maternal and newborn healthcare through a chain of private health facilities in Nairobi. Initial assessment: JH needed to adopted quality improvement as an organization-wide strategy to optimize effectiveness and efficiency. Choice of solution: Value Stream Mapping, a Lean Management tool, was used to engage staff in prioritizing opportunities to improve clinical outcomes and patient-centered quality of care...
November 9, 2017: International Journal for Quality in Health Care
Anne-Marie Brady, Gobnait Byrne, Mary Brigid Quirke, Aine Lynch, Shauna Ennis, Jaspreet Bhangu, Meabh Prendergast
Objective: This study aimed to evaluate the nature and type of communication and workflow arrangements between nurses and doctors out-of-hours (OOH). Effective communication and workflow arrangements between nurses and doctors are essential to minimize risk in hospital settings, particularly in the out-of-hour's period. Timely patient flow is a priority for all healthcare organizations and the quality of communication and workflow arrangements influences patient safety. Design: Qualitative descriptive design and data collection methods included focus groups and individual interviews...
October 26, 2017: International Journal for Quality in Health Care
Pi-Ling Chou, Kun-Ming Rau, Ta-Wei Yu, Tai-Lin Huang, Jia-Ling Sun, Shu-Yi Wang, Chia-Chin Lin
Objectives: Patient satisfaction can provide a measure of service quality and serve as a predictor of health-related behaviors. Little is known about how patients' satisfaction with clinician-patient interactions affects their adherence to taking analgesics. The purposes of this study were to (1) investigate the predictors of patients' satisfaction with clinicians, and (2) examine whether patients' satisfaction with their clinicians can improve adherence to analgesic use. Design: A cross-sectional and descriptive design was used...
October 26, 2017: International Journal for Quality in Health Care
Mio Fredriksson, Christina Halford, Ann Catrine Eldh, Tobias Dahlström, Sofie Vengberg, Lars Wallin, Ulrika Winblad
Objective: To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden. Design: Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level). Setting and Participants: Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR)...
October 25, 2017: International Journal for Quality in Health Care
Melissa Desmedt, Mirko Petrovic, Jochen Bergs, Dominique Vandijck, Hubertus Vrijhoef, Johan Hellings, Peter Vermeir, Lieselot Cool, Ezra Dessers
Objective: Due to the increasing burden of chronic diseases, a considerable part of care delivery will continue to shift from secondary to primary care, and home care settings. Despite the growing importance of primary care, concerns about the safety of patients in hospitals have thus far driven most research in the field. Therefore, the present study sought to explore patients' perceptions and experiences of the safety of primary chronic care. Design: An observational, cross-sectional study design was applied...
October 25, 2017: International Journal for Quality in Health Care
Milenko Rakic, Tolga Dittrich, Bernice S Elger, David Shaw
Objective: Although clinical trial participants are the most affected by research ethics committee's decisions, they are not formally represented on Swiss committees. We aimed to find out what patients think about the idea of being members of such committees. Design: Latent thematic analysis was used to analyse the interviews. Setting: Patients were recruited in a Swiss university hospital. Participants: The study involved 26 patients suffering from diabetes or gout...
October 25, 2017: International Journal for Quality in Health Care
Maria Crema, Chiara Verbano
Purpose: Choosing Wisely (CW) is an emergent approach to identify and reduce unnecessary care, such as tests and treatments that do not add value for patients and may even cause harm. The purpose of this paper is to investigate whether and how Lean Healthcare Management (LHM) can support CW objectives, focusing on customer needs and on waste elimination. Data sources: A systematic literature review has been performed in Scopus, PubMed and Web of Science. Study selection: Peer reviewed articles published in English language have been selected...
October 17, 2017: International Journal for Quality in Health Care
L Desveaux, J I Mitchell, J Shaw, N M Ivers
Objective: To explore how organizations respond to and interact with the accreditation process and the actual and potential mechanisms through which accreditation may influence quality. Design: Qualitative grounded theory study. Setting: Organizations who had participated in Accreditation Canada's Qmentum program during January 2014-June 2016. Participants: Individuals who had coordinated the accreditation process or were involved in managing or promoting quality...
October 17, 2017: International Journal for Quality in Health Care
Ghislain G Poda, Chien-Yeh Hsu, Jane C-J Chao
Objective: To assess the factors associated with malnutrition among children <5 years in Burkina Faso. Design: This study was based on secondary analysis of cross-sectional population-based data from Burkina-Faso Demographic Health Surveys 2010. Setting: This study was carried out in Burkina Faso, West Africa. Participants: The participants were 6337 children <5 years and their mothers. Main outcome measures: Demographic characteristics, child nutrition and health status, and maternal and household information were collected...
October 17, 2017: International Journal for Quality in Health Care
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