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International Journal for Quality in Health Care

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https://www.readbyqxmd.com/read/29462325/unpacking-the-black-box-of-improvement
#1
Rohit Ramaswamy, Julie Reed, Nigel Livesley, Victor Boguslavsky, Ezequiel Garcia Ellorio, Sylvia Sax, Diarra Houleymata, Leighann Kimble, Gareth Parry
During the Salzburg Global Seminar Session 565-'Better Health Care: How do we learn about improvement?', participants discussed the need to unpack the 'black box' of improvement. The 'black box' refers to the fact that when quality improvement interventions are described or evaluated, there is a tendency to assume a simple, linear path between the intervention and the outcomes it yields. It is also assumed that it is enough to evaluate the results without understanding the process of by which the improvement took place...
February 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447410/practical-recommendations-for-the-evaluation-of-improvement-initiatives
#2
Gareth Parry, Astou Coly, Don Goldmann, Alex Rowe, Vijay Chattu, Deneil Logiudice, Mihajlo Rabrenovic, Bejoy Nambiar
A lack of clear guidance for funders, evaluators and improvers on what to include in evaluation proposals can lead to evaluation designs that do not answer the questions stakeholders want to know. These evaluation designs may not match the iterative nature of improvement and may be imposed onto an initiative in a way that is impractical from the perspective of improvers and the communities with whom they work. Consequently, the results of evaluations are often controversial, and attribution remains poorly understood...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447405/the-representation-of-vulnerable-populations-in-quality-improvement-studies
#3
Asaph Rolnitsky, Maksim Kirtsman, Hanna R Goldberg, Michael Dunn, Chaim M Bell
Purpose: A mapping review to quantify representation of vulnerable populations, who suffer from disparity and often inequitable healthcare, in quality improvement (QI) research. Data sources: Studies published in 2004-2014 inclusive from Medline, Embase and Cochrane databases for English language research with the terms 'quality improvement' or 'quality control' or 'QI' and 'plan-do-study-act' or 'PDSA' in the years 2004-2014 inclusively. Study selection: Published clinical research that was a QI-themed, as identified by its declared search terms, MESH terms, abstract or title...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447364/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
#4
M Rashad Massoud, Leighann E Kimble, Don Goldmann, John Ovretveit, Nancy Dixon
A fundamental question for the field of healthcare improvement is the extent to which the results achieved can be attributed to the changes that were implemented and whether or not these changes are generalizable. Answering these questions is particularly challenging because the healthcare context is complex, and the interventions themselves tend to be complex and multi-dimensional. The Salzburg Global Seminar Session 565-'Better Health Care: How do we learn about improvement?' was convened to address questions of attribution, generalizability and rigor, and to think through how to approach these concerns in the field of quality improvement...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447362/eq-5d-y-for-the-assessment-of-health-related-quality-of-life-among-taiwanese-youth-with-mild-to-moderate-chronic-kidney-disease
#5
Chien-Ning Hsu, Hsiang-Wen Lin, A Simon Pickard, You-Lin Tain
Objective: To assess if health-related quality of life (HRQOL) of children with chronic kidney disease (CKD) and different comorbid conditions can be identified based on the EQ-5D child-friendly version (EQ-5D-Y). Design: Prospective cross-sectional study. Setting: A tertiary care medical center in Taiwan. Study participants: All CKD patients aged 7-18 years treated at the center between May 2014 and December 2016. Main Outcome Measures: HRQOL assessment was done using EQ-5D-Y...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447353/association-of-strategic-management-with-vaccination-in-the-terms-of-globalization
#6
Mihajo Rabrenovic, Marija Cukanovic Karavidic, Ivana Stosic
Globalization is having an ever growing impact on the field of vaccine production and distribution in the world and domestically. In this article we examine the impact of taking a strategic approach to vaccination programmes by all the relevant actors: WHO, UNICEF, national immunization programmes, and vaccine manufacturers and distributors. The review of the relevant literature indicates that there are commonalities to the worldwide vaccination programmes. A comparative analysis of various vaccination strategies recommended by WHO and the immunization calendars of certain European countriesis made as well as an analysis of the Serbian vaccination programme...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447352/improvement-of-emergency-department-patient-flow-using-lean-thinking
#7
Miquel Sánchez, Montse Suárez, María Asenjo, Ernest Bragulat
Objective: To apply lean thinking in triage acuity level-3 patients in order to improve emergency department (ED) throughtput and waiting time. Design: A prospective interventional study. Setting: An ED of a tertiary care hospital. Participants: Triage acuity level-3 patients. Intervention(s): To apply lean techniques such as value stream mapping, workplace organization, reduction of wastes and standardization by the frontline staff...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447351/research-versus-practice-in-quality-improvement-understanding-how-we-can-bridge-the-gap
#8
Lisa R Hirschhorn, Rohit Ramaswamy, Mahesh Devnani, Abraham Wandersman, Lisa A Simpson, Ezequiel Garcia-Elorrio
The gap between implementers and researchers of quality improvement (QI) has hampered the degree and speed of change needed to reduce avoidable suffering and harm in health care. Underlying causes of this gap include differences in goals and incentives, preferred methodologies, level and types of evidence prioritized and targeted audiences. The Salzburg Global Seminar on 'Better Health Care: How do we learn about improvement?' brought together researchers, policy makers, funders, implementers, evaluators from low-, middle- and high-income countries to explore how to increase the impact of QI...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29444249/improvements-scale-up-and-rapid-response-systems-in-the-hospitals
#9
Usman Iqbal, Yu-Chuan Jack Li
No abstract text is available yet for this article.
February 12, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29438504/potentially-inappropriate-medication-and-hospitalization-emergency-department-visits-among-the-elderly-in-korea
#10
Ha-Lim Jeon, Juhee Park, Euna Han, Dong-Sook Kim
Objective: To investigate the association between potentially inappropriate medicine (PIM) use, defined using the American Geriatric Society (AGS) 2012 Beers criteria, and the risk of hospitalization or emergency department (ED) visits in elderly patients, and to examine the most frequently used PIMs among patients with adverse outcomes. Design/Setting: This was a retrospective study using National Health Insurance claims data from 2010 to 2012. Intervention(s): Elderly patients who took PIMs are compared to those who were not taking PIMs...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29432612/loss-of-job-related-right-to-healthcare-is-associated-with-reduced-quality-and-clinical-outcomes-of-diabetic-patients-in-mexico
#11
Svetlana V Doubova, Víctor Hugo Borja-Aburto, Germán Guerra-Y-Guerra, V Nelly Salgado-de-Snyder, Miguel Ángel González-Block
Objectives: The Mexican Institute of Social Security (IMSS) provides a package of health, economic and social benefits to workers employed in private firms within the formal labour market and to their economic dependants. Affiliates have a right to these benefits only while they remain contracted, thus posing a risk for the continuity of healthcare. This study evaluates the association between the time (in days) without the right to healthcare due to job loss in the formal labour market and the quality of healthcare and clinical outcomes among IMSS affiliates with Type 2 diabetes mellitus (T2DM)...
February 8, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29432585/quality-of-care-and-clinical-outcomes-of-chronic-obstructive-pulmonary-disease-in-patients-with-schizophrenia-a-danish-nationwide-study
#12
Mette Jørgensen, Jan Mainz, Peter Lange, Søren Paaske Johnsen
Objective: To examine the association between schizophrenia and the quality of care and clinical outcomes of chronic obstructive pulmonary disease (COPD). Design: A Danish nationwide population-based cohort study using comprehensive information from Danish registries between 2008 and 2013. Setting: Public Danish hospitals. Participants: 72 692 COPD patients with hospital contacts including 621 with schizophrenia. Intervention: COPD care...
February 8, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29432554/measuring-care-transitions-in-sweden-validation-of-the-care-transitions-measure
#13
Maria Flink, Mesfin Tessma, Milada Cvancarova Småstuen, Marléne Lindblad, Eric A Coleman, Mirjam Ekstedt
Objective: To translate and assess the validity and reliability of the original American Care Transitions Measure, both the 15-item and the shortened 3-item versions, in a sample of people in transition from hospital to home within Sweden. Design: Translation of survey items, evaluation of psychometric properties. Setting: Ten surgical and medical wards at five hospitals in Sweden. Participants: Patients discharged from surgical and medical wards...
February 8, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29408970/assessing-quality-of-health-services-with-the-servqual-model-in-iran-a-systematic-review-and-meta-analysis
#14
Saeed Hosseini Teshnizi, Teamur Aghamolaei, Kobra Kahnouji, Seyyed Mehrdad Hosseini Teshnizi, Jalil Ghani
Purpose: The five-dimension service quality (SERVQUAL) scale is one of the most common tools for evaluating gaps between clients' perceptions and expectations. This study aimed to assess the quality of health services in Iran through a meta-analysis of all Iranian studies which used the SERVQUAL tool. Data sources: A systematic literature review has been performed in Web of Science, PubMed, Scopus, Google Scholar, Iran Medex, Magiran and Scientific Information Database...
February 2, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29401323/de-freezing-frozen-patient-management
#15
Ayala Kobo-Greenhut, Amin Shnifi, Eran Tal-Or, Racheli Magnezi, Amos Notea, Meir Ruach, Erez Onn, Ayala Cohen, Etti Doveh, Izhar Ben Shlomo, Yonatan Hasin
No abstract text is available yet for this article.
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29401300/short-and-long-term-effects-of-clinical-pathway-on-the-quality-of-surgical-non-small-cell-lung-cancer-care-in-china-an-interrupted-time-series-study
#16
Xinyu Wang, Shaofei Su, Hao Jiang, Jiaying Wang, Xi Li, Meina Liu
Objective: To examine the short- and long-term effect of clinical pathway for non-small cell lung cancer surgery on the length of stay, the compliance of quality indicators and risk-adjusted post-operative complication rate. Design: A retrospective quasi-experimental study from June 2011 to October 2015. Setting: A tertiary cancer hospital in China. Participants: Patients diagnosed as non-small cell lung cancer who underwent curative resection...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29401263/contractual-health-services-performance-agreements-for-responsive-health-systems-from-conception-to-implementation-in-the-case-of-qatar
#17
Huda Al-Katheeri, Fadi El-Jardali, Nour Ataya, Noura Abdulla Salem, Nader Abbas Badr, Diana Jamal
Objective: Despite their use worldwide, strategy-based performance management is limited in the Eastern Mediterranean Region. This article explores Qatar's experience, the first from the Region, in implementing contractual agreements between healthcare providers and the regulator-Ministry of Public Health-to align strategy, performance and accountabilities. Design: mixed-methods including tools development and pilot-testing, guided by performance management cycle with a focus on knowledge translation and key principles: feasibility; mandatory participation; participatory approach through Steering Committee...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29394354/the-spectrum-of-ethical-issues-in-a-learning-health-care-system-a-systematic-qualitative-review
#18
Stuart McLennan, Hannes Kahrass, Susanne Wieschowski, Daniel Strech, Holger Langhof
Purpose: To determine systematically the spectrum of ethical issues that is raised for stakeholders in a 'Learning Health Care System' (LHCS). Data sources: The systematic review was conducted in PubMed and Google Books between the years 2007 and 2015. Study selection: The literature search retrieved 1258 publications. Each publication was independently screened by two reviewers for eligibility for inclusion. Ethical issues were defined as arising when a relevant normative principle is not adequately considered or two principles come into conflict...
January 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29385461/using-statistical-process-control-methods-to-trace-small-changes-in-perinatal-mortality-after-a-training-program-in-a-low-resource-setting
#19
Estomih R Mduma, Hege Ersdal, Jan Terje Kvaloy, Erling Svensen, Paschal Mdoe, Jeffrey Perlman, Hussein Lessio Kidanto, Eldar Soreide
Objective: To trace and document smaller changes in perinatal survival over time. Design: Prospective observational study, with retrospective analysis. Setting: Labor ward and operating theater at Haydom Lutheran Hospital in rural north-central Tanzania. Participants: All women giving birth and birth attendants. Intervention: Helping Babies Breathe (HBB) simulation training on newborn care and resuscitation and some other efforts to improve perinatal outcome...
January 27, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29385457/cross-sectional-study-of-characteristics-of-clinical-registries-in-australia-a-resource-for-clinicians-and-policy-makers
#20
Dewan Md Emdadul Hoque, Rasa Ruseckaite, Paula Lorgelly, John J McNeil, Sue M Evans
Objectives: To investigate the attributes of Australian clinical quality registries (CQR). Design and setting: Survey of 40 CQRs between September 2015 and April 2016. Participants: CQR lead investigators/project managers. Intervention: None. Main outcome measures: Registry organization, geographical coverage, data quality, management, characteristics, output and outcomes. Results: Of those who responded (34/40; 85...
January 27, 2018: International Journal for Quality in Health Care
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