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International Journal for Quality in Health Care

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https://www.readbyqxmd.com/read/28651345/prioritizing-quality-measure-concepts-at-the-interface-of-behavioral-and-physical-healthcare
#1
Harold Alan Pincus, Mingjie Li, Deborah M Scharf, Brigitta Spaeth-Rublee, Matthew L Goldman, Parashar P Ramanuj, Erin K Ferenchick
Objective: Integrated healthcare models can increase access to care, improve healthcare quality, and reduce cost for individuals with behavioral and general medical healthcare needs, yet there are few instruments for measuring the quality of integrated care. In this study, we identified and prioritized concepts that can represent the quality of integrated behavioral health and general medical care. Design: We conducted a literature review to identify candidate measure concepts...
June 23, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28651340/linking-quality-indicators-to-clinical-trials-an-automated-approach
#2
Enrico Coiera, Miew Keen Choong, Guy Tsafnat, Peter Hibbert, William B Runciman
Objective: Quality improvement of health care requires robust measurable indicators to track performance. However identifying which indicators are supported by strong clinical evidence, typically from clinical trials, is often laborious. This study tests a novel method for automatically linking indicators to clinical trial registrations. Design: A set of 522 quality of care indicators for 22 common conditions drawn from the CareTrack study were automatically mapped to outcome measures reported in 13 971 trials from ClinicalTrials...
June 23, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28637191/value-added-strategy-models-to-provide-quality-services-in-senior-health-business
#3
Ya-Ting Yang, Neng-Pai Lin, Shyi Su, Ya-Mei Chen, Yao-Mao Chang, Yujiro Handa, Hafsah Arshed Ali Khan, Yi-Hsin Elsa Hsu
Objective: The rapid population aging is now a global issue. The increase in the elderly population will impact the health care industry and health enterprises; various senior needs will promote the growth of the senior health industry. Most senior health studies are focused on the demand side and scarcely on supply. Our study selected quality enterprises focused on aging health and analyzed different strategies to provide excellent quality services to senior health enterprises. Design: We selected 33 quality senior health enterprises in Taiwan and investigated their excellent quality services strategies by face-to-face semi-structured in-depth interviews with CEO and managers of each enterprise in 2013...
June 20, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28633453/a-multifaceted-quality-improvement-strategy-reduces-the-risk-of-catheter-associated-urinary-tract-infection
#4
Cecelia N Theobald, Matthew J Resnick, Thomas Spain, Robert S Dittus, Christianne L Roumie
Objective: Catheter-associated urinary tract infections (CAUTIs) are common and preventable hospital-acquired infections, yet their rate continues to rise nationwide. We describe the implementation of a multifaceted program to reduce catheter use and CAUTI rates while simultaneously addressing barriers to long-term success. Design/Setting/Participants: Pre-post study of medical inpatient veterans between December 2012 and February 2015. Intervention: Five component intervention: (i) a bedside catheter reminder; (ii) multidisciplinary educational campaign; (iii) structured catheter order set with clinical decision support; (iv) automated catheter discontinuation orders; and (v) protocol for post-catheter removal care...
June 17, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28586442/the-relationship-between-shared-decision-making-and-health-related-quality-of-life%C3%A2-among-patients-in-hong-kong-sar-china
#5
Richard H Xu, Annie W L Cheung, Eliza L Y Wong
Objective: To elucidate the association between health-related quality of lifeĀ and shared decision-making among patients in Hong Kong after adjustment for potential confounding variables. Design: A telephone survey was conducted with patients attending all public specialist outpatient clinics in Hong Kong between July and December 2014. The Specialist Outpatient Patient Experience Questionnaire and EQ-5D questionnaire were used to evaluate shared decision-making and quality of life, respectively...
June 6, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28586441/the-development-and-testing-of-the-person-centred-practice-inventory-staff-pcpi-s
#6
Paul Slater, Tanya McCance, Brendan McCormack
Objective: The aim of the study was to develop and test an instrument, underpinned by a recognized theoretical framework, that examines how staff perceive person-centred practice, using proven methods of instrument design and psychometric analysis. Design: The study used a mixed method multiphase research design involving: two Delphi studies to agree definitions and items to measure the constructs aligned to the person-centred practice theoretical framework (Phase 1); and a large-scale quantitative cross-sectional survey (Phase 2)...
June 6, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28586419/evaluating-quality-improvement-methods-and-economics-of-preventable-adverse-events-in-the-healthcare-from-africa-to-europe
#7
(no author information available yet)
No abstract text is available yet for this article.
June 6, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28586414/adverse-events-related-to-hospital-care-a-retrospective-medical-records-review-in-a-swiss-hospital
#8
Patricia Halfon, Anthony Staines, Bernard Burnand
Objective: Retrospective records reviews carried out in several countries have shown substantial rates of adverse events (AE) among hospitalized patients, preventable in half the cases. As no such data have been recorded in Switzerland, we estimated the incidence of AE in one acute care hospital as a basis for a safety improvement program. Design: A two steps retrospective records review (screening criteria and full review of positively screened records). Setting: A medium size community hospital...
June 6, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28486681/healthcare-improvements-from-the-unit-to-system-levels-contributions-to-improving-the-safety-and-quality-evidence-base
#9
David Greenfield, Usman Iqbal, Yu-Chuan Jack Li
No abstract text is available yet for this article.
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28444331/improved-implementation-of-the-risk-adjusted-bernoulli-cusum-chart-to-monitor-surgical-outcome-quality
#10
Matthew J Keefe, Justin B Loda, Ahmad E Elhabashy, William H Woodall
Methodology issue: The traditional implementation of the risk-adjusted Bernoulli cumulative sum (CUSUM) chart for monitoring surgical outcome quality requires waiting a pre-specified period of time after surgery before incorporating patient outcome information. Proposed solution: We propose a simple but powerful implementation of the risk-adjusted Bernoulli CUSUM chart that incorporates outcome information as soon as it is available, rather than waiting a pre-specified period of time after surgery...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28430963/integrated-care-for-older-populations-and-its-implementation-facilitators-and-barriers-a-rapid-scoping-review
#11
Diane E Threapleton, Roger Y Chung, Samuel Y S Wong, Eliza Wong, Patsy Chau, Jean Woo, Vincent C H Chung, Eng-Kiong Yeoh
Purpose: Inform health system improvements by summarizing components of integrated care in older populations. Identify key implementation barriers and facilitators. Data sources: A scoping review was undertaken for evidence from MEDLINE, the Cochrane Library, organizational websites and internet searches. Eligible publications included reviews, reports, individual studies and policy documents published from 2005 to February 2017. Study selection: Initial eligible documents were reviews or reports concerning integrated care approaches in older/frail populations...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28419255/unannounced-versus-announced-hospital-surveys-a-nationwide-cluster-randomized-controlled-trial
#12
Lars Holger Ehlers, Katherina Beltoft Simonsen, Morten Berg Jensen, Gitte Sand Rasmussen, Anne Vingaard Olesen
Objective: To evaluate the effectiveness of unannounced versus announced surveys in detecting non-compliance with accreditation standards in public hospitals. Design: A nationwide cluster-randomized controlled trial. Setting and participants: All public hospitals in Denmark were invited. Twenty-three hospitals (77%) (3 university hospitals, 5 psychiatric hospitals and 15 general hospitals) agreed to participate. Intervention: Twelve hospitals were randomized to receive unannounced surveys (intervention group) and eleven hospitals to receive announced surveys (control group)...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28398589/reducing-the-incidence-of-pressure-ulcers-in-critical-care-units-a-4-year-quality-improvement
#13
Annette Richardson, Joanna Peart, Stephen E Wright, Iain J McCullagh
Quality problem: Critical care patients often have several risk factors for pressure ulceration and implementing prevention interventions have been shown to decrease risk. Initial assessment: We identified a high incidence of pressure ulcers in the four adult critical care units in our organization. Therefore, avoiding pressure ulceration was an important quality priority. Choice of solution: We undertook a quality improvement programme aimed at reducing the incidence of pressure ulceration using an evidence-based bundle approach...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28398580/how-did-market-competition-affect-outpatient-utilization-under-the-diagnosis-related-group-based-payment-system
#14
Seung Ju Kim, Eun-Cheol Park, Sun Jung Kim, Kyu-Tae Han, Sung-In Jang
Objective: Although competition is known to affect quality of care, less is known about the effects of competition on outpatient health service utilization under the diagnosis-related group payment system. This study aimed to evaluate these effects and assess differences before and after hospitalization in South Korea. Design: Population-based retrospective observational study. Setting: We used two data set including outpatient data and hospitalization data from National Health Claim data from 2011 to 2014...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28371903/attributes-of-primary-care-in-relation-to-polypharmacy-a-multicenter-cross-sectional-study-in-japan
#15
Takuya Aoki, Tatsuyoshi Ikenoue, Yosuke Yamamoto, Morito Kise, Yasuki Fujinuma, Shingo Fukuma, Shunichi Fukuhara
Objective: To investigate the association between attributes of primary care and polypharmacy. Design: Cross-sectional study. Setting: A primary care practice-based research network in Japan (28 primary care clinics). Participants: Adult outpatients filled out a standardized questionnaire. Main outcome measure: Polypharmacy defined as the use of five or more concurrent prescription or over-the-counter medications...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28371889/development-and-implementation-of-a-risk-identification-tool-to-facilitate-critical-care-transitions-for-high-risk-surgical-patients
#16
Rebecca L Hoffman, Jason Saucier, Serena Dasani, Tara Collins, Daniel N Holena, Meghan Fitzpatrick, Boris Tsypenyuk, Niels D Martin
Quality problem: Patients recently discharged from the intensive care unit (ICU) are at high risk for clinical deterioration. Initial assessment: Unreliable and incomplete handoffs of complex patients contributed to preventable ICU readmissions. Respiratory decompensation was responsible for four times as many readmissions as other causes. Choice of solution: Form a multidisciplinary team to address care coordination surrounding the transfer of patients from the ICU to the surgical ward...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28371865/assessing-archetypes-of-organizational-culture-based-on-the-competing-values-framework-the-experimental-use-of-the-framework-in-japanese-neonatal-intensive-care-units
#17
Hatoko Sasaki, Naohiro Yonemoto, Rintaro Mori, Toshihiko Nishida, Satoshi Kusuda, Takeo Nakayama
Objective: To assess organizational culture in neonatal intensive care units (NICUs) in Japan. Design: Cross-sectional survey of organizational culture. Setting: Forty NICUs across Japan. Participants: Physicians and nurses who worked in NICUs (n = 2006). Main Outcome Measures: The Competing Values Framework (CVF) was used to assess the organizational culture of the study population. The 20-item CVF was divided into four culture archetypes: Group, Developmental, Hierarchical and Rational...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28371823/assessing-the-impact-of-diabetes-on-quality-of-life-validation-of-the-chinese-version-of-the-19-item-audit-of-diabetes-dependent-quality-of-life-for-taiwan
#18
Huey-Fen Wang, Clare Bradley, Tien-Jyun Chang, Lee-Ming Chuang, Mei Chang Yeh
Objective: To examine the reliability and validity of the Chinese version of the 19-item Audit of Diabetes-Dependent Quality of Life for Taiwan (ADDQoL-CnTW). Methods: Linguistic validation procedures for patient-reported outcome measures were used to translate the Taiwan version from the original 19-item UK-English ADDQoL. The psychometric properties of the ADDQoL-CnTW were evaluated in a convenience sample, recruited from outpatient facilities, of 260 patients diagnosed with diabetes mellitus...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28371819/the-effects-of-patient-education-on-patient-safety-can-we-change-patient-perceptions-and-attitudes-lessons-from-the-armed-forces-capital-hospital-in-korea
#19
JinOk An, Seung Ju Kim, Sohee Park, Ki Tae Moon, Eun-Cheol Park
Objective: Strategies to promote patient involvement in medical error prevention have been implemented, but little is known about the effects of education on changes in perceptions and attitudes about patients' own safety. Design: We administered a survey to military personnel admitted to the Armed Forces Capital Hospital. Responses were classified according to perception and attitude. Setting: Single military hospital in Korea. Participants: A total of 483 completed surveys were included in our study; 252 of the respondents received safety education at admission...
June 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28340250/improving-safety-culture-in-hospitals-facilitators-and-barriers-to-implementation-of-systemic-falls-investigative-method-sfim
#20
Aleksandra A Zecevic, Alvin Ho-Ting Li, Charity Ngo, Michelle Halligan, Anita Kothari
Objective: The purpose of this study was to assess the facilitators and barriers to implementation of the Systemic Falls Investigative Method (SFIM) on selected hospital units. Design: A cross-sectional explanatory mixed methods design was used to converge results from a standardized safety culture survey with themes that emerged from interviews and focus groups. Findings were organized by six elements of the Ottawa Model of Research Use framework. Setting: A geriatric rehabilitation unit of an acute care hospital and a neurological unit of a rehabilitation hospital were selected purposefully due to the high frequency of falls...
June 1, 2017: International Journal for Quality in Health Care
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