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International Journal for Quality in Health Care

Yolanda Agra, Víctor García-Álvarez, Carlos Aibar-Remón, Jesús Aranaz, Yuri Villán, Miguel Recio
Quality problem: E-learning methodology is a good alternative to more traditional methods when economical restrictions and geographical dispersion are important. However, there is still little knowledge about its utility in the development of patient safety (PS) improvement projects. Initial assessment: Evaluation of the acceptability and utility of an e-learning risk management (RM) course for healthcare professionals to develop PS improvement projects in different clinical settings...
November 8, 2018: International Journal for Quality in Health Care
Deborah Heke, Denise Wilson, Heather Came
Objective: To critically examine, within the New Zealand context, the regulated-health practitioners' cultural competencies, their readiness to deliver culturally responsive health services to Māori (Indigenous peoples) and identify areas for development. Design: A mixed methods critical analysis of the regulatory bodies' cultural competency standards for health practitioners from their websites. Setting: The New Zealand regulated-health workforce, legislated by the Health Practitioners' Competency Assurance Act 2003 and the Medical Practitioners Act 2007, requires practitioners to regularly demonstrate cultural competence...
November 8, 2018: International Journal for Quality in Health Care
Amédé Gogovor, Marie-France Valois, Gillian Bartlett, Sara Ahmed
Objective: Patient-centred care is recommended to transform healthcare delivery to improve the quality and safety of healthcare. This study aimed to assess the determinants of support for attributes of patient-centred care (PCC) from Canadian public and professionals' perspectives. Design: A national population-based survey, the Health Care in Canada Survey. Setting: None. Participants: One-thousand Canadian adults, 101 doctors, 100 nurses, 100 pharmacists and 104 administrators, randomly selected from online panels based on multiple source recruitment...
November 8, 2018: International Journal for Quality in Health Care
Katja Schrøder, Hanan H Edrees, René dePont Christensen, Jan Stener Jørgensen, Ronald Frances Lamont, Niels Christian Hvidt
Objective: To describe midwives' and obstetricians' experiences on the level of support from colleagues and managers in Danish labor wards following adverse events. Design, setting and participants: A 2012 National survey of Danish obstetricians and midwives was conducted to assess the level of support received in the workplace. Main outcome measures: Scales on social community at work, social support from colleagues and immediate superiors, and use of support mechanisms on labor wards after serious adverse events were assessed...
November 8, 2018: International Journal for Quality in Health Care
I Verbeek-van Noord, M Smits, N C Zwijnenberg, P Spreeuwenberg, C Wagner
Quality Problem or Issue: Patient safety is an important topic within healthcare systems. A favourable safety culture might promote safety. We examined whether a nation-wide patient safety programme (PSP) improved patient safety culture. Initial Assessment: We initially measured patient safety culture among 3779 healthcare providers in 45 hospitals in the Netherlands, using the Hospital Survey on Patient Safety Culture. Choice of Solution: A PSP based on two pillars: the implementation of a safety management system and the focus on 10 themes in which harm to patients appeared highly preventable...
November 5, 2018: International Journal for Quality in Health Care
Maria Michela Gianino, Jacopo Lenzi, Marco Bonaudo, MariaPia Fantini, Roberta Siliquini, Walter Ricciardi, Gianfranco Damiani
Objective: To analyse the trajectories of hip-fracture surgery rates within 2 days of admission to the hospital and the ratios of procedures initiated within the same day (Day 0) and the following day (Days 0-1) to procedures performed on the 2nd day. To study the association between socioeconomic, health input variables and early surgery. Design: A pooled, cross-sectional, time-series analysis was used to evaluate secondary data from 15 European countries, during 2000-13...
November 5, 2018: International Journal for Quality in Health Care
Zhu-Ming Jiang, Si-Yan Zhan, Li Zuo, Xiao-Wei Jia, Hai Fang, Xiao-Xiao Li, Xin Ye, Run-Lin Gao
Quality problem or issue: Chinese medical institutions need clinical guidelines to improve healthcare quality. Unfamiliarity with clinical methodology and procedures leads to poor quality. Initial assessment: This study examined 327 clinical guidelines made in China during the period of 2006-10 and found these clinical guidelines have many problems in terms of guideline making procedures-compliant process, conflicts of interest disclosure. Choice of solution: Chinese Medical Association organized a working group in 2014 to make a national [Guideline for Clinical Guidelines Constitution/Amendment] and invited multidiscipline experts to prove its possibility...
November 2, 2018: International Journal for Quality in Health Care
Alba Llop-Gironés, Mireia Julià, Sergio Chicumbe, Janeth Dulá, Anita Aunda Pedro Odallah, Francesc Alvarez, Ivan Zahinos, Elisio Mazive, Joan Benach
Objectives: To assess the inequalities in the access to and quality of care and its related direct payments. Design: Secondary analysis of the cross-sectional Mozambican Household Budget Survey (HBS). Setting: Nationally-representative sample of households in Mozambique. Participants: 11 480 households (58 118 individuals) interviewed during HBS 2014/15. Intervention: None. Main Outcome Measures: Equity, utilization of healthcare, access to quality care and direct payments...
November 2, 2018: International Journal for Quality in Health Care
Khurram Nasir, Victor Okunrintemi
Objectives: To determine whether optimal patient experiences with healthcare is associated with enhanced and efficient use of healthcare resources and cost. Design: Retrospective cohort study. Setting and participants: The study population consisted of pooled participants from the 2010-13 Medical Expenditure Panel Survey cohort of adults ≥18 years with a regular healthcare provider and ≥1 visit to a healthcare provider within the survey year...
October 31, 2018: International Journal for Quality in Health Care
Pietro Guida, Massimo Iacoviello, Andrea Passantino, Domenico Scrutinio
Objective: To measure competition amongst providers and to examine whether a correlation exists with hospitals mortality for congestive heart failure (CHF), acute myocardial infarction (AMI), isolated-coronary artery bypass graft (CABG) or valve surgery. Design: Cross-sectional study based on publically available data from the National Outcome Evaluation Program (Edition 2016) of the Italian Agency for Regional Health Services. Setting and participants: Patients discharged during 2015 for CHF or AMI, and between 2014 and 2015 for cardiac surgery (respectively, from 662, 395 and 91 hospitals)...
October 31, 2018: International Journal for Quality in Health Care
Anna Råberus, Inger K Holmström, Kathleen Galvin, Annelie J Sundler
Objective: The aim of this study was to explore the nature, potential usefulness and meaning of complaints lodged by patients and their relatives. Design: A retrospective, descriptive design was used. Setting: The study was based on a sample of formal patient complaints made through a patient complaint reporting system for publicly funded healthcare services in Sweden. Participants: A systematic random sample of 170 patient complaints was yielded from a total of 5689 patient complaints made in a Swedish county in 2015...
October 20, 2018: International Journal for Quality in Health Care
Yuda Chongpison, Pawinee Rerknimitr, Cameron Hurst, Pungjai Mongkolpathumrat, Sirinoot Palapinyo, Leena Chularojanamontri, Yuttana Srinoulprasert, Ticha Rerkpattanapipat, Kumutnart Chanprapaph, Wareeporn Disphanurat, Panlop Chakkavittumrong, Napatra Tovanabutra, Chutika Srisuttiyakorn, Chonlaphat Sukasem, Papapit Tuchinda, Ilaria Baiardini, Jettanong Klaewsongkram
Objective: To adapted the Drug Hypersensitivity Quality of Life (DrHy-Q) Questionnaire from Italian into Thai and assessed its validity and reliability. Design: Prospectively recruited during January 2012-May 2017. Setting: Multicenter; six Thai tertiary university hospitals. Study Participants: Total of 306 patients with physician-diagnosed drug hypersensitivity. Interventions: Internal consistency and test-retest reliability were evaluated among 68 participants using Cronbach's ɑ and intra-class correlation coefficient (ICC)...
October 20, 2018: International Journal for Quality in Health Care
Kjersti Mevik, Tonje E Hansen, Ellen C Deilkås, Alexander M Ringdal, Barthold Vonen
Objectives: To evaluate a modified Global Trigger Tool (GTT) method with manual review of automatic triggered records to measure adverse events. Design: A cross-sectional study was performed using the original GTT method as gold standard compared to a modified GTT method. Setting: Medium size hospital trust in Northern Norway. Participants: One thousand two hundred thirty-three records selected between March and December 2013...
October 8, 2018: International Journal for Quality in Health Care
Peter Borusiak, Karin A Hameister, Dennis Jozwiak, Inga M Saatz, Lutz Mathea, Stephan Schilling, Johannes Buckard, Armin Wegener
Quality issue: Quality assessment is challenging in children with developmental disorders. Previously, a set of quality indicators (QIs) was developed and analyzed in terms of feasibility of use with patients with attention-deficit/hyperactivity disorder (ADHD). QI assessment turned out to be possible but highly complex. Thus, we compared different technologies for automated extraction of data for assessment of QIs. Choice of solution: Four automated extraction technologies (regular expressions, Apache Solr, Apache Mahout, Apache OpenNLP) were compared with respect to their properties regarding the complexity of implementing the QI, the complexity of implementing a check module, the reliability and quality of results, the complexity of preparation of interdisciplinary medical reports, and the complexity of deployment and installation...
October 8, 2018: International Journal for Quality in Health Care
Ayala Kobo-Greenhut, Haim Reuveni, Izhar Ben Shlomo, Racheli Megnezi
Objectives: (1) To introduce the Methodical Hazard Identification Checklist (MHIC) for structured brainstorming and the four V&V categories on which it is based, and (2) to compare its efficacy with that of brainstorming (BS) in identifying hazards in healthcare. Design: Comparative analysis of MHIC and team BS results. Setting: Baruch Padeh Medical Center, Poriya, Israel. Study participants: Quality engineering students, facilitators, validation teams and hospital staff who were familiar with the specific processes...
October 5, 2018: International Journal for Quality in Health Care
Lina Sofia Morón-Duarte, Andrea Ramirez Varela, Omar Segura, Mariângela Freitas da Silveira
Purpose: To describe indicators used for the assessment of antenatal care (ANC) quality worldwide under the World Health Organization (WHO) framework and based on a systematic review of the literature. Data sources: Searches were performed in MEDLINE, SciELO, BIREME and Web of Science for eligible studies published between January 2002 and September 2016. Study selection: Original articles describing women who had received ANC, any ANC model and, any ANC quality indicators were included...
October 5, 2018: International Journal for Quality in Health Care
Razieh Sadat Mousavi-Roknabadi, Marzieh Momennasab, Mehrdad Askarian, Abbas Haghshenas, Brahmaputra Marjadi
Objectives: To explore the causes of medical errors (ME) and under-reporting amongst pediatric nurses at an Iranian teaching hospital. Design: A qualitative study, based on individual, in-depth, semi-structured interviews and content analysis approach. Settings: The study was conducted at the Pediatric Department of the largest tertiary general and teaching hospital in Shiraz, southern Iran. Participants: The study population was all pediatrics nurses who work at Pediatric Department and they had been trained on ME, as well as methods to report them through the hospital's ME reporting system...
September 29, 2018: International Journal for Quality in Health Care
Wen-Pei Chang, Yen-Kuang Lin, Chia-Chin Lin
Objective: The Functional Assessment of Cancer Therapy-Lung (FACT-L) consists of the Functional Assessment of Cancer Therapy-General (FACT-G) and the Lung Cancer Subscale. The FACT-L is commonly used to measure quality of life in patients with lung cancer. This study evaluated the reliability and validity of the FACT-L in examining patients with lung cancer in Taiwan. Design: This was a methodology study. Setting: Patients with lung cancer at a regional hospital in Northern Taiwan...
September 29, 2018: International Journal for Quality in Health Care
Shimpei Hanaoka, Kunichika Matsumoto, Takefumi Kitazawa, Shigeru Fujita, Kanako Seto, Tomonori Hasegawa
Objective: To analyze the chronological change in social burden of dementia in Japan for policy implications of appropriate resource allocation and quality improvement. Design: National, population-based, observational study from 2002 to 2014. Setting: Seven nationwide data sets from Japanese official statistics. Method: Comprehensive Cost of Illness method. Main outcome measures: The outcome variables included healthcare services, nursing care services, informal care (unpaid care offered by family and relatives), mortality cost and morbidity cost...
September 29, 2018: International Journal for Quality in Health Care
José Joaquín Mira, Johanna Caro Mendivelso, Irene Carrillo, Javier González de Dios, Guadalupe Olivera, Pastora Pérez-Pérez, Cristina Nebot, Carmen Silvestre, Yolanda Agra, Ana Fernandez, José L Valencia-Martín, Ana Ariztegui, Jesús Aranaz
Objective: To determine the non-adherence to the primary care 'do not do' recommendations (DNDs) and their likelihood to cause harm. Design: Delphi study. Setting: Spanish National Health System. Participants: A total of 128 professionals were recruited (50 general practitioners [GPs], 28 pediatricians [PEDs], 31 nurses who care for adult patients [RNs] and 19 pediatric nurses [PNs]). Interventions: A selection of 27 DNDs directed at GPs, 8 at PEDs, 9 at RNs and 4 at PNs were included in the Delphi technique...
September 25, 2018: International Journal for Quality in Health Care
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