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International Journal for Quality in Health Care

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https://www.readbyqxmd.com/read/29045684/lean-management-to-support-choosing-wisely-in-healthcare-the-first-evidence-from-a-systematic-literature-review
#1
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
https://www.readbyqxmd.com/read/29045664/understanding-the-impact-of-accreditation-on-quality-in-healthcare-a-grounded-theory-approach
#2
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
https://www.readbyqxmd.com/read/29045661/factors-associated-with-malnutrition-among-children-5-years-old-in-burkina-faso-evidence-from-the-demographic-and-health-surveys-iv-2010
#3
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
https://www.readbyqxmd.com/read/29045653/a-quality-improvement-project-to-reduce-hypothermia-in-preterm-infants-on-admission-to-the-neonatal-intensive-care-unit
#4
Wai Yan Yip, Bin Huey Quek, Mary Choi Wan Fong, Thilagamangai, Sally Siew Gim Ong, Bee Leong Lim, Bo Chu Lo, Pratibha Agarwal
Objective: To study effectiveness of quality improvement interventions in reducing hypothermia in preterm infants on admission to neonatal intensive care unit. Design: Quality improvement methodologies including multidisciplinary planning and implementation of evidence-based interventions. Data during and post-implementation were collected. Setting and participants: In total, 84 preterm infants with birth weights ≤ 1500 g delivered during implementation period (October 2008-April 2009) were compared with 168 historical controls and 947 infants in the subsequent 4 years...
October 17, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29036604/accomplishing-reform-successful-case-studies-drawn-from-the-health-systems-of-60-countries
#5
Jeffrey Braithwaite, Russell Mannion, Yukihiro Matsuyama, Paul Shekelle, Stuart Whittaker, Samir Al-Adawi, Kristiana Ludlow, Wendy James, Hsuen P Ting, Jessica Herkes, Louise A Ellis, Kate Churruca, Wendy Nicklin, Clifford Hughes
Healthcare reform typically involves orchestrating a policy change, mediated through some form of operational, systems, financial, process or practice intervention. The aim is to improve the ways in which care is delivered to patients. In our book 'Health Systems Improvement Across the Globe: Success Stories from 60 Countries', we gathered case-study accomplishments from 60 countries. A unique feature of the collection is the diversity of included countries, from the wealthiest and most politically stable such as Japan, Qatar and Canada, to some of the poorest, most densely populated or politically challenged, including Afghanistan, Guinea and Nigeria...
September 20, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29036295/psychotropic-medications-prescribing-trends-in-adolescents-a-nationwide-population-based-study-in-taiwan
#6
Chin-Yen Tsai, Hsuan-Chia Yang, Mohaimenul Islam, Wan-Shan Hsieh, Shing-Hwa Juan, Jiang-Chen Chen, Hafsah Arshed Ali Khan, Wen-Shan Jian
Objective: To describe psychotropic medications prescription patterns among adolescents in Taiwan; focusing on age, gender, duration of treatments and various classes of psychotropic medications. Design: A retrospective description analysis. Setting: Taiwan National Health Insurance Database. Participants: Twelve to seventeen years' patients treated with psychotropic medications. Intervention: None...
September 20, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025049/senior-services-in-us-hospitals-and-readmission-risk-in-the-medicare-population
#7
Alicia I Arbaje, Qilu Yu, Jiangxia Wang, Bruce Leff
Background: There is a little understanding of the association between hospital organizational characteristics and hospital readmissions. We previously developed a Senior Care Services Scale (SCSS) that describes hospital availability of services relevant to the care of older adults. Objective: Determine whether hospitals' SCSS scores were associated with risk of readmission among Medicare beneficiaries. Design: Retrospective cohort analysis...
September 13, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025123/comparative-epidemiology-of-clostridium-difficile-infection-england-and-the-usa
#8
Alice King, Benjamin H Mullish, Horace R T Williams, Paul Aylin
Objective: To examine whether there is an epidemiological difference between Clostridium difficile infection (CDI) inpatient populations in England and the United States. Design: A cross-sectional study. Setting: National administrative inpatient discharge data from England (Hospital Episode Statistics) and the USA (National Inpatient Sample) in 2012. Participants: De-identifiable non-obstetric inpatient discharges from the national datasets were used to estimate national CDI incidence in the United States and England using ICD9-CM(008...
September 11, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025093/discharge-communication-practices-and-healthcare-provider-and-patient-preferences-satisfaction-and-comprehension-a-systematic-review
#9
Harvey Newnham, Anna Barker, Edward Ritchie, Karen Hitchcock, Harry Gibbs, Sara Holton
Purpose: To systematically review the available evidence about hospital discharge communication practices and identify which practices were preferred by patients and healthcare providers, improved patient and provider satisfaction, and increased patients' understanding of their medical condition. Data sources: OVID Medline, Web of Science, ProQuest, PubMed and CINAHL plus. Study selection: Databases were searched for peer-reviewed, English-language papers, published to August 2016, of empirical research using quantitative or qualitative methods...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025020/doctors-views-of-patient-expectations-of-medical-care-in-zhejiang-province-china
#10
Dan Wu, Tai Pong Lam, Kwok Fai Lam, Xu Dong Zhou, Kai Sing Sun
Objective: Physicians' prescribing patterns may be influenced by how they perceive their patients' expectations of medical care. This study explored doctors' perceptions of patient expectations of medical care. Design: Qualitative interviews and a cross-sectional survey (September 2014-September 2015). Setting: Primary- and tertiary-care facilities in Zhejiang province, China. Participants: Primary care practitioners (PCPs) and hospital specialists...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024984/prevention-of-and-dealing-with-poor-performance-an-interview-study-about-how-professional-associations-aim-to-support-healthcare-professionals
#11
Jan-Willem Weenink, Rudolf B Kool, Gijs Hesselink, Ronald H Bartels, Gert P Westert
Objective: To explore how professional associations of nine healthcare professions aim to support professionals to prevent and deal with poor performance. Design: Qualitative interview study. Setting: The Netherlands. Participants: Representatives of professional associations for dentists, general practitioners, medical specialists, midwives, nurses, pharmacists, physiotherapists, psychologists and psychotherapists. Interventions: During nine face-to-face semi-structured interviews we asked how associations aim to support professionals in prevention of and dealing with poor performance...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024977/safer-paediatric-surgical-teams-a-5-year-evaluation-of-crew-resource-management-implementation-and-outcomes
#12
Carl Savage, F Andrew Gaffney, Laith Hussain-Alkhateeb, Pia Olsson Ackheim, Gunilla Henricson, Irini Antoniadou, Mats Hedsköld, Karin Pukk Härenstam
Objective: Evaluate longitudinal changes in technical and non-technical skills (teamwork, situation monitoring, communication and leadership), safety culture, and clinical outcomes before and after implementation of a crew resource management (CRM) safety program. Design: A multi-level prospective single case study in accordance with the SQUIRE-guidelines for reporting quality improvement efforts. Setting: Large university paediatric surgical service...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024960/how-to-identify-potentially-preventable-readmissions-by-classifying-them-using-a-national-administrative-database
#13
Karin Hekkert, Femke van der Brug, Ine Borghans, Sezgin Cihangir, Cees Zimmerman, Gert Westert, Rudolf B Kool
Importance: Hospital readmissions are being used increasingly as an indicator of quality of care. However, it remains difficult to identify potentially preventable readmissions. Objectives: To evaluate the identification of potentially preventable hospital readmissions by using a classification of readmissions based on administrative data. Design and setting: We classified a random sample of 455 readmissions to a Dutch university hospital in 2014 using administrative data...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024997/evaluation-of-the-effects-of-the-french-pay-for-performance-program-ifaq-pilot-study
#14
Benoît Lalloué, Shu Jiang, Anne Girault, Marie Ferrua, Philippe Loirat, Etienne Minvielle
Objective: Most studies showed no or little effect of pay-for-performance (P4P) programs on different outcomes. In France, the P4P program IFAQ was generalized to all acute care hospitals in 2016. A pilot study was launched in 2012 to design, implement and assess this program. This article aims to assess the immediate impact of the 2012-14 pilot study. Design and setting: From nine process quality indicators (QIs), an aggregated score was constructed as the weighted average, taking into account both achievement and improvement...
August 30, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025125/how-well-do-general-practitioners-manage-laboratory-test-results-for-patients-with-diabetes-mellitus-and-cardiovascular-disease-a-systematic-review
#15
Euan J McCaughey, Julie Li, Tony C Badrick, Johanna I Westbrook, Andrew Georgiou
Purpose: To evaluate how well general practitioners (GPs) manage and respond to laboratory results for patients with diabetes mellitus (DM) and cardiovascular disease (CVD). Data sources: MEDLINE, CINAHL, Embase, EBM reviews, ProQuest and Scopus. Study selection: Peer-reviewed journal articles published between 2000 and 2015 that assessed GPs' management of laboratory results for patients with DM or CVD. Data extraction: Study design and demographics, laboratory tests and key findings relating to GP management of laboratory results were extracted from studies...
August 28, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025143/cost-effectiveness-of-the-pharmacist-assisted-warfarin-monitoring-program-at-a-medical-center-in-taiwan
#16
Jen-Yu Chang, Chi-Chuan Wang, Hao-Cheng Kang, Li-Jiuan Shen, Chih-Fen Huang
Objective: To investigate the cost-effectiveness of the first patient self-paying pharmacist-assisted warfarin monitoring (PAWM) program in Taiwan. Design: A Markov model with a 1-month cycle length and a 20-year time horizon was employed in this study. The model is composed of the following eight states: three no-event states (i.e. 'subtherapeutic,' 'within therapeutic' and 'supratherapeutic' states), two serious adverse events (AEs) (i.e. bleeding and thromboembolism), two sequelae states and death...
August 22, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025074/the-impact-of-centralization-of-services-on-treatment-delay-in-ovarian-cancer-a-study-on-process-quality
#17
F A Eggink, M C Vermue, C Van der Spek, H J Arts, M J Apperloo, H W Nijman, G C Niemeijer
Objective: Emphasis on improving healthcare quality has led to centralization of services for patients suspected of ovarian cancer. As centralization of services may induce treatment delays, we aimed to assess compliance with health system interval guidelines in patients suspected of ovarian cancer. Design: Evaluation of health system intervals, comparison between direct and indirect referrals and between 2013 and 2014. Setting: A managed clinical network (MCN) comprising 11 hospitals in the Netherlands...
August 22, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025001/using-patient-reported-outcome-measurement-to-improve-patient-care
#18
John Øvretveit, Lisa Zubkoff, Eugene C Nelson, Susan Frampton, Janne Lehmann Knudsen, Eyal Zimlichman
Patients at the center of care is often the stated focus of clinicians and healthcare services. The quality and safety movement has shown that effective organization of care is needed, in addition to professional skills. This movement has provided professionals and others with methods to improve both organization and practice for patients. These methods include measurement to give those carrying out improvement feedback about the effects of their changes. New types of measures that enable patients to report treatment outcomes can now be use in quality improvement and quality reporting to bring a renewed focus on making care more patient-centered...
August 22, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29025066/supply-and-demand-application-of-lean-six-sigma-methods-to-improve-drug-round-efficiency-and-release-nursing-time
#19
Maríosa Kieran, Mary Cleary, Aoife De Brún, Aileen Igoe
Objective: To improve efficiency, reduce interruptions and reduce the time taken to complete oral drug rounds. Design: Lean Six Sigma methods were applied to improve drug round efficiency using a pre- and post-intervention design. Setting: A 20-bed orthopaedic ward in a large teaching hospital in Ireland. Participants: Pharmacy, nursing and quality improvement staff. Intervention(s): A multifaceted intervention was designed which included changes in processes related to drug trolley organization and drug supply planning...
August 19, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29024954/physical-activity-a-primary-health-quality-determinant-among-community-dwelling-geriatric-women-in-taiwan
#20
Ching Hwa Hsu, Heng-Hsin Tung, Daniel L Clinciu, Liang-Kung Chen, Wei-Hsian Yin, Usman Iqbal, Tsae-Jyy Wang
Objective: To investigate the associations between frailty, physical activity and depression in community-dwelling geriatric women. Design: A cross-sectional research design. Setting: Community geriatric women in Illan County, Taiwan. Study participants: Of note 216 participants, 65 years and older with full mobility, independent and able to communicate in Mandarin or Taiwanese Hokkien. Main Outcome Measures: An average weekly physical activity score International Physical Activity Questionnaire-Short Form (IPAQ-SF) and Taiwan Geriatric Depression Scale...
August 19, 2017: International Journal for Quality in Health Care
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