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International Journal for Quality in Health Care

Ann E Vandenberg, Camille P Vaughan, Melissa Stevens, Susan N Hastings, James Powers, Alayne Markland, Ula Hwang, William Hung, Katharina V Echt
QUALITY PROBLEM OR ISSUE: Clinical decision support (CDS) may improve prescribing for older adults in the Emergency Department (ED) if adopted by providers. INITIAL ASSESSMENT: Existing prescribing order entry processes were mapped at an initial Veterans Administration Medical Center site, demonstrating cognitive burden, effort and safety concerns. CHOICE OF SOLUTION: Geriatric order sets incorporating 2012 Beers guidelines and including geriatric prescribing advice and prepopulated order options were developed...
November 16, 2016: International Journal for Quality in Health Care
John Øvretveit
'Does it work?' is not the only question that practical improvers have of those investigating of quality improvements. They also want to know, 'Will it work here? What conditions do we need to implement and sustain it? Can we adapt it? How much will it cost and save? Is there enough evidence to spread it?'This perspectives article describes methods that investigators can use to answer these questions about improvement changes and improvement methods. It suggests that one reason why research is underused by improvers is because there is little research that answers these questions that would enable improvers to decide whether or how to implement an improvement in their local setting...
November 10, 2016: International Journal for Quality in Health Care
Ghulam Farooq Mansoor, Paata Chikvaidze, Sherin Varkey, Ariel Higgins-Steele, Najibullah Safi, Adela Mubasher, Khaksar Yusufi, Sayed Alisha Alawi
OBJECTIVE: To assess quality of the national Integrated Management of Childhood Illness (IMCI) program services provided for sick children at primary health facilities in Afghanistan. DESIGN: Mixed methods including cross-sectional study. SETTING: Thirteen (of thirty-four) provinces in Afghanistan. PARTICIPANTS: Observation of case management and re-examination of 177 sick children, exit interviews with caretakers and review of equipment/supplies at 44 health facilities...
November 10, 2016: International Journal for Quality in Health Care
Yinhuan Hu, Zixia Zhang, Jinzhu Xie, Guanping Wang
OBJECTIVE: The objective of this study is to describe the development of the Outpatient Experience Questionnaire (OPEQ) and to assess the validity and reliability of the scale. DESIGN: Literature review, patient interviews, Delphi method and Cross-sectional validation survey. SETTING: Six comprehensive public hospitals in China. PARTICIPANTS: The survey was carried out on a sample of 600 outpatients. MAIN OUTCOME MEASURES: Acceptability of the questionnaire was assessed according to the overall response rate, item non-response rate and the average completion time...
November 10, 2016: International Journal for Quality in Health Care
Salma M Khaled, Bethany Shockley, Hanan F Abdul Rahim
OBJECTIVE: To explore the role of citizenship status as a predictor of general satisfaction with healthcare services in Qatar, including potential interaction with utilization and health insurance coverage type. DESIGN: A cross-sectional survey conducted in 2012. SETTING: A household survey in the State of Qatar in the Arab Gulf. PARTICIPANTS: A nationally representative sample of 2750 citizens and noncitizens aged 18 years and older...
November 10, 2016: International Journal for Quality in Health Care
Pedro J Saturno Hernández, María Fernández Elorriaga, Ofelia Poblano Verástegui, José De Jesús Vértiz Ramírez
PURPOSE: To provide a comparative description of the structure, function and activities of quality agencies around the world and describe the published evidence of their impact on the health system. DATA SOURCES: A narrative review was conducted using the information found on websites, articles, books and gray literature in English and Spanish. STUDY SELECTION: The search process included three complementary approaches: (i) websites of agencies, ministries of health and quality-related official institutions; (ii) evaluations, reports, audits or documents regarding quality agencies; and (iii) scientific articles and gray literature found (key word: quality agency) using Ebsco databases...
November 10, 2016: International Journal for Quality in Health Care
Usman Iqbal, Yu-Chuan Jack Li
No abstract text is available yet for this article.
November 5, 2016: International Journal for Quality in Health Care
Ming-Ta Tsai, Yung-Lin Yen, Chih-Min Su, Chih-Wei Hung, Chia-Te Kung, Kuan-Han Wu, Hsien-Hung Cheng
OBJECTIVE: To investigate the impact of emergency department (ED) crowding (number of ED patients) and number of ED staff on the efficiency of the ED care process for acute stroke patients. DESIGN: Retrospective cohort study conducted from 1 May 2008 to 31 December 2013. SETTING: Largest primary stroke center (3000-bed tertiary academic hospital) in southern Taiwan. PARTICIPANTS: Patients aged 18-80 years presenting to the ED with acute stroke symptoms ≤3 h from symptom onset (n = 1142)...
September 27, 2016: International Journal for Quality in Health Care
Tanya Krämer, Anna Schneider, Erika Spieß, Peter Angerer, Matthias Weigl
OBJECTIVE: Drawing on a sample of hospital physicians, we attempted to determine prospective associations between three job demands, work-related strain and perceived quality of care. DESIGN: Longitudinal follow-up study with with a 1-year time lag. SETTING: Physicians of two acute-care hospitals in Germany (one general urban and one children's hospital). STUDY PARTICIPANTS: Ninety-five physicians filled out a standardized questionnaire...
September 27, 2016: International Journal for Quality in Health Care
Peter D Hibbert, Charlotte J Molloy, Tamara D Hooper, Louise K Wiles, William B Runciman, Peter Lachman, Stephen E Muething, Jeffrey Braithwaite
PURPOSE: This study describes the use of, and modifications and additions made to, the Global Trigger Tool (GTT) since its first release in 2003, and summarizes its findings with respect to counting and characterizing adverse events (AEs). DATA SOURCES: Peer-reviewed literature up to 31st December 2014. STUDY SELECTION: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement...
September 24, 2016: International Journal for Quality in Health Care
Katrin Blondal, Brynja Ingadottir, Hildur Einarsdottir, Dorothea Bergs, Ingunn Steingrimsdottir, Sigrun Steindorsdottir, Gudbjorg Gudmundsdottir, Elin Hafsteinsdottir
OBJECTIVE: To assess the effectiveness of implementation of evidence-based recommendations to reduce catheter-associated urinary tract infections (CAUTIs). DESIGN: Prospective cohort study, conducted in 2010-12, with a before and after design. SETTING: A major referral university hospital. PARTICIPANTS: Data were collected before (n = 244) and 1 year after (n = 255) the intervention for patients who received urinary catheters...
September 24, 2016: International Journal for Quality in Health Care
Alike W van der Velden, Monique Roukens, Ewoudt van de Garde, Marco Lourens, Stephanie Natsch
QUALITY PROBLEM: Inappropriate antibiotic use drives development of antimicrobial resistance. Worldwide, guideline adherence for antibiotic treatment of infectious disease is far from optimal. Insight in prescribing quality is pivotal for healthcare professionals and policy makers to intervene appropriately. INITIAL ASSESSMENTS: European countries uniformly monitor antibiotic use, which is reported yearly by the European Centre for Disease Prevention and Control...
September 24, 2016: International Journal for Quality in Health Care
Juan Carlos Fernández-Domínguez, Albert Sesé-Abad, Jose Miguel Morales-Asencio, Pedro Sastre-Fullana, Sandra Pol-Castañeda, Joan Ernest de Pedro-Gómez
OBJECTIVE: To develop a tool for measuring evidence-based practice (EBP) and to evaluate its content validity by Delphi technique. A five-factor/dimensions latent structure for the EBP construct was defined a priori and operationalized. DESIGN: Online Delphi technique. SETTING AND PARTICIPANTS: A group of 32 national EBP experts from different health professions. INTERVENTION: The experts rated the initial questionnaire items according to adequacy and relevance criteria using four-point Likert scales and including open fields for suggestions, with basic and supplementary criteria consensus established a priori...
September 21, 2016: International Journal for Quality in Health Care
Bruno Michel, Marie Hemery, Marie-Christine Rybarczyk-Vigouret, Pascal Wehrlé, Morgane Beck
OBJECTIVES: To identify both type and frequency of the challenges community pharmacists face when dispensing drugs from hospital discharge prescriptions, to describe the measures undertaken to resolve the issues at stake and to list their consequences. DESIGN: We carried out an observational study in the community pharmacies of the French region of Alsace and asked the community pharmacy staff to review 537 hospital discharge prescriptions in 2013 using anonymous data collection forms...
September 21, 2016: International Journal for Quality in Health Care
Silke Auras, Thomas Ostermann, Werner de Cruppé, Eva-Maria Bitzer, Franziska Diel, Max Geraedts
OBJECTIVE: The study aimed to illustrate the effect of the patients' sex, age, self-rated health and medical practice specialization on patient satisfaction. DESIGN: Secondary analysis of patient survey data using multilevel analysis (generalized linear mixed model, medical practice as random effect) using a sequential modelling strategy. We examined the effects of the patients' sex, age, self-rated health and medical practice specialization on four patient satisfaction dimensions: medical practice organization, information, interaction, professional competence...
September 21, 2016: International Journal for Quality in Health Care
Rong Fu, Han Bao, Shaofei Su, Xinyu Wang, Meiqi Zhang, Meina Liu
OBJECTIVE: To assess the effect of medical insurance on the quality of care for patients with chronic heart failure (CHF). DESIGN: Seven quality indicators were used to assess the association between medical insurance and quality of care. Statistical analyses were conducted using multilevel logistic models for the total population and the subpopulation stratified by sex and age. PARTICIPANTS: In total, 1862 CHF patients who were admitted in 20 tertiary hospitals between 1 January 2009 and 31 October 2010...
September 21, 2016: International Journal for Quality in Health Care
Pietro Guida, Massimo Iacoviello, Andrea Passantino, Domenico Scrutinio
OBJECTIVE: To examine whether a correlation exists in hospitals among 30-day mortality rates for different types of hospitalizations. DESIGN: Cross-sectional study of hospital care based on publically available Italian data from the National Outcome Evaluation Program Edition 2015 of the Italian Agency for Regional Health Services. SETTING AND PARTICIPANTS: Patients hospitalized with a diagnosis of congestive heart failure, acute myocardial infarction, chronic renal failure, chronic obstructive pulmonary disease exacerbation, femoral neck fracture, ischemic stroke and non-variceal upper gastrointestinal bleeding, or those who underwent isolated cardiac valve procedure, isolated coronary artery bypass graft surgery, non-ruptured abdominal aortic aneurysm repair and interventions for the following tumors: colon, kidney, brain, lung, stomach, rectal, liver or pancreatic cancer...
September 21, 2016: International Journal for Quality in Health Care
Edward I Broughton, Martin Muhire, Esther Karamagi, Herbert Kisamba
OBJECTIVE: The chronic care model (CCM) is an integrated, population-based approach for treating those with chronic diseases that involves patient self-management, delivery system design and decision support for clinicians to ensure evidence-based care. We sought to determine effectiveness and cost-effectiveness of implementing the CCM for HIV care in Uganda. DESIGN: This controlled, pre/post-intervention study used difference-in-differences analysis to evaluate effectiveness of the CCM to improve patient adherence to antiretroviral therapy (ART) and CD4 counts...
September 21, 2016: International Journal for Quality in Health Care
Jeffrey Braithwaite, Yukihiro Matsuyama, Russell Mannion, Julie Johnson, David W Bates, Cliff Hughes
Health systems are continually being reformed. Why, and how? To answer these questions, we draw on a book we recently contributed, Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries We analyse the impact that these health-reform initiatives have had on the quality and safety of care in an international context-that is, in low-, middle- and high-income countries-Argentina, Australia, Brazil, Chile, China, Denmark, England, Ghana, Germany, the Gulf states, Hong Kong, India, Indonesia, Israel, Italy, Japan, Mexico, Myanmar, New Zealand, Norway, Oman, Papua New Guinea (PNG), South Africa, the USA, Scotland and Sweden...
September 21, 2016: International Journal for Quality in Health Care
Ju Hyun Yang, Sun Min Kim, Seung Jin Han, Meredith Knaak, Gi Hwa Yang, Kyoo Duck Lee, Young Hee Yoo, Guja Ha, Eun Jung Kim, Myung Sook Yoo
OBJECTIVES: This study aims to analyze the impact of Value Incentive Program (VIP) on the quality improvement of acute stroke care, and to determine the difference of effect by the size of hospitals. INTERVENTIONS: Adopting the VIP on the fifth acute stroke quality assessment. DESIGN/SETTING/PARTICIPANTS: Using paired t-test and student t-test, we compared the quality assessment results of the third assessment, which was publicly reported without the VIP implementation and the fifth assessment, on which the VIP was applied...
September 20, 2016: International Journal for Quality in Health Care
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