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International Journal for Quality in Health Care

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https://www.readbyqxmd.com/read/30204865/effectiveness-of-adherence-to-recommended-clinical-examinations-of-diabetic-patients-in-preventing-diabetes-related-hospitalizations
#1
Giovanni Corrao, Federico Rea, Mirko DI Martino, Adele Lallo, Marina Davoli, Rossana DE Palma, Laura Belotti, Luca Merlino, Paola Pisanti, Lucia Lispi, Edlira Skrami, Flavia Carle
Objective: To validate a set of indicators for quality of diabetes care through their relationship with measurable clinical outcomes. Design: A retrospective cohort study was carried out from 2010 to 2015. Setting: Population-based study. Data were retrieved from healthcare utilization databases of three Italian regions (Lombardy, Emilia Romagna and Lazio) on the whole covering 20 million citizens. Participants: The 77 285 individuals who were newly taken in care for diabetes during 2010 entered into the cohort...
September 11, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30202866/patient-clinician-relationship-seems-to-affect-adherence-to-analgesic-use-in-cancer-patients-a-cross-sectional-study-in-a-taiwanese-population
#2
Pi-Ling Chou, Kun-Ming Rau, Ta-Wei Yu, Tai-Lin Huang, Jia-Ling Sun, Shu-Yi Wang, Chia-Chin Lin
No abstract text is available yet for this article.
September 7, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30184204/sustainability-of-clinical-pathway-guided-care-in-cardiac-surgery-icu-patients-9-years-experience-in-over-7500-patients
#3
B M van der Kolk, M van den Boogaard, J G van der Hoeven, L Noyez, P Pickkers
Objective: To determine trends over time regarding inclusion of post-operative cardiac surgery intensive care unit (ICU) patients in a clinical pathway (CP), and the association with clinical outcome. Design: Retrospective cohort study. Setting: ICU of an academic hospital. Participants: All cardiac surgery patients operated between 2007 and 2015. Measures and Results: A total of 7553 patients were operated...
September 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30184151/a-framework-to-support-risk-assessment-in-hospitals
#4
Gulsum Kubra Kaya, James R Ward, P John Clarkson
Quality problem or issue: A number of challenges have been identified with current risk assessment practice in hospitals, including: a lack of consultation with a sufficiently wide group of stakeholders; a lack of consistency and transparency; and insufficient risk assessment guidance. Consequently, risk assessment may not be fully effective as a means to ensure safety. Initial assessment: We used a V system developmental model, in conjunction with mixed methods, including interviews and document analysis to identify user needs and requirements...
September 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30169780/clustered-domestic-model-of-residential-care-is-associated-with-better-consumer-rated-quality-of-care
#5
Emmanuel S Gnanamanickam, Suzanne M Dyer, Rachel Milte, Enwu Liu, Julie Ratcliffe, Maria Crotty
Objective: To compare consumer rated quality of care among individuals living long-term in homelike clustered domestic and standard models of residential care in Australia. Design: Cross-sectional study. Setting: Seventeen residential aged care facilities in four Australian states providing alternative models of care. Study participants: A sample of individuals with high prevalence of cognitive impairment living in residential care for 12 months or longer, not immediately in palliative care and having a proxy available to provide consent and assist with data collection...
August 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30169688/validity-of-world-health-organisation-prescribing-indicators-in-namibia-s-primary-healthcare-findings-and-implications
#6
Q Niaz, B Godman, A Massele, S Campbell, A Kurdi, H R Kagoya, D Kibuule
Objective: World Health Organization/International Network of Rational use of Drugs (WHO/INRUD) indicators are widely used to assess medicine use. However, there is limited evidence on their validity in Namibia's primary health care (PHC) to assess the quality of prescribing. Consequently, our aim was to address this. Design, setting, participants and interventions: An analytical cross-sectional survey design was used to examine and validate WHO/INRUD indicators in out-patient units of two PHC facilities and one hospital in Namibia from 1 February 2015 to 31 July 2015...
August 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165650/opportunities-for-intervention-stroke-treatments-disability-and-mortality-in-urban-tanzania
#7
Robert W Regenhardt, Maijo R Biseko, Agness F Shayo, Theoflo N Mmbando, Sara J Grundy, Ai Xu, Altaf Saadi, Leah Wibecan, G Abbas Kharal, Robert Parker, Joshua P Klein, Farrah J Mateen, Kigocha Okeng'o
Objective: Given the high post-stroke mortality and disability and paucity of data on the quality of stroke care in Sub-Saharan Africa, we sought to characterize the implementation of stroke-focused treatments and 90-day outcomes of neuroimaging-confirmed stroke patients at the largest referral hospital in Tanzania. Design: Prospective cohort study. Setting: Muhimbili National Hospital (MNH) in Dar es Salaam, July 2016-March 2017. Participants: Adults with new-onset stroke (<14 days), confirmed by head CT, admitted to MNH...
August 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165634/lowered-obesity-indicator-cutoff-points-more-effectively-predict-5-year-incidence-of-hypertension-in-premenopausal-women
#8
Fu-Ling Chu, Chii Jeng
Objective: To compare proposed new cutoff points for four obesity indicators-waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR) and body mass index (BMI)-with their current cutoff points to determine which are better standards predicting 5-year incidence of hypertension (HT) and diabetes mellitus (DM) among premenopausal women. Design: Data were obtained from the 2002 and 2007 Survey on the Prevalence of HT, Hyperglycemia and Hyperlipidemia in Taiwan conducted by the Ministry of Health and Welfare, Taiwan...
August 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165546/medication-related-quality-of-care-in-residential-aged-care-an-australian-experience
#9
Jodie B Hillen, Agnes Vitry, Gillian E Caughey
No abstract text is available yet for this article.
August 28, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165702/overview-of-quality-management-models-for-inpatient-healthcare-settings-a-scoping-review
#10
Roxanne Maritz, Anke Scheel-Sailer, Klaus Schmitt, Birgit Prodinger
Purpose: This scoping review aimed to generate an overview of existing quality management (QM) models for inpatient healthcare published in peer-reviewed literature. Data sources: Peer-reviewed publications published until June 2016 were retrieved from the databases Medline, PubMed, CINAHL and Cochrane Library using search terms related to QM and models. Study selection: Publications mentioning a QM model for general application in healthcare or inpatient care in their title or abstract were included...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165654/the-korean-triage-and-acuity-scale-associations-with-admission-disposition-mortality-and-length-of-stay-in-the-emergency-department
#11
Hyuksool Kwon, Yu Jin Kim, You Hwan Jo, Jae Hyuk Lee, Jin Hee Lee, Joonghee Kim, Ji Eun Hwang, Joo Jeong, Yoo Jin Choi
Objective: The Korean Triage and Acuity Scale (KTAS) was implemented in our emergency department (ED) in May 2016 and is fully integrated into the electronic medical record (EMR) system. Our objective was to determine whether the KTAS is associated with changes in admissions to the hospital, admission disposition, inpatient mortality and length of stay (LOS). Design: Quasi-experimental, uncontrolled before-and-after study. Setting: The urban tertiary teaching hospital with 1100 beds and receives approximately annual 90 000 ED visits...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165637/an-international-systems-theoretic-comparison-of-hospital-accreditation-developing-an-implementation-typology
#12
Sheuwen Chuang, Peter H Howley, Shawon S Gonzales
Objective: The integration of quality indicators into the accreditation process has been recognized as a promising strategy worldwide. This study was to explore the implementation patterns of hospital accreditation through the lens of a systems-theory based model, and determine an international accreditation implementation typology. Design: A qualitative comparative study of five established international hospital accreditation systems was undertaken based on a systems-theoretic holistic healthcare systems relationship model...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165628/cost-effectiveness-of-a-mentorship-and-quality-improvement-intervention-to-enhance-the-quality-of-antenatal-care-at-rural-health-centers-in-rwanda
#13
Anatole Manzi, Jean Claude Mugunga, Laetitia Nyirazinyoye, Hari S Iyer, Bethany Hedt-Gauthier, Lisa R Hirschhorn, Joseph Ntaganira
Objective: To estimate cost-effectiveness of Mentorship, Enhanced Supervision for Healthcare and Quality Improvement (MESH-QI) intervention to strengthen the quality of antenatal care at rural health centers in rural Rwanda. Design: Cost-effectiveness analysis of the MESH-QI intervention using the provider perspective. Setting: Kirehe and Rwinkwavu District Hospital catchment areas, Rwanda. Intervention: MESH-QI. Main outcome measures: Incremental cost per antenatal care visit with complete danger sign and vital sign assessments...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165567/differences-in-healthcare-outcomes-between-teaching-and-non-teaching-hospitals-for-patients-with-delirium-a-retrospective-cohort-study
#14
Susrutha Kotwal, Marwan S Abougergi, Scott Wright
Background: The physician workforce at teaching hospitals differs compared to non-teaching hospitals, and data suggest that patient outcomes may also be dissimilar. Delirium is a common, costly disorder among hospitalized patients and approaches to care are not standardized. Objective: This study set out to explore differences in healthcare outcomes between teaching and non-teaching hospitals for patients admitted with delirium. Design: Retrospective cohort analysis...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165484/anticoagulant-medication-errors-in-hospitals-and-primary-care-a-cross-sectional-study
#15
Albert R Dreijer, Jeroen Diepstraten, Vera E Bukkems, Peter G M Mol, Frank W G Leebeek, Marieke J H A Kruip, Patricia M L A van den Bemt
Objective: To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase)...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30165414/utilization-of-the-ghana-national-health-insurance-scheme-and-its-association-with-patient-perceptions-on-healthcare-quality
#16
Nel Jason L Haw
Objective: To determine the association between the utilization of the Ghana National Health Insurance Scheme (NHIS) and patient perceptions of quality of care. Methods: Ghana Demographic and Health Survey (GDHS) 2014 had 19 questions on perceptions of quality of care received during the last reported health visit (n = 4332). These questions were summarized into an overall 100-point perception score using item response theory (IRT). Patients were divided into three utilization categories: those paying with their NHIS card fully, those paying with their card and out-of-pocket (OOP), and those paying fully OOP...
August 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30137381/process-evaluation-of-the-effects-of-patient-safety-auditing-in-hospital-care-part-2
#17
Mirelle Hanskamp-Sebregts, Marieke Zegers, Wilma Boeijen, Hub Wollersheim, Petra J van Gurp, Gert P Westert
Objective: To identify factors that explain the observed effects of internal auditing on improving patient safety. Design setting and participants: A process evaluation study within eight departments of a university medical centre in the Netherlands. Intervention(s): Internal auditing and feedback for improving patient safety in hospital care. Main outcome measure(s): Experiences with patient safety auditing, percentage implemented improvement actions tailored to the audit results and perceived factors that hindered or facilitated the implementation of improvement actions...
August 18, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30137334/risk-of-health-morbidity-for-the-uninsured-10-year-evidence-from-a-large-hospital-center-in-boston-massachusetts
#18
Zhaoyi Chen, Jae Min, Jiang Bian, Mo Wang, Le Zhou, Mattia Prosperi
Objective: To investigate the independent contribution of insurance status toward the risk of diagnosis of specific clinical comorbidities for individuals admitted to intensive care unit (ICU). Design: Retrospective analysis of secondary database. Setting: Ten years of public de-identified ICU electronic medical records from a large hospital in USA. Participants: Patients (18-65 years old) who had private insurance or no insurance were extracted from the database...
August 18, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30124859/response-to-invalid-methods-lead-to-inappropriate-conclusions
#19
Anne Mette Falstie-Jensen, Søren Bie Bogh, Søren Paaske Johnsen
No abstract text is available yet for this article.
August 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/30124854/invalid-methods-lead-to-inappropriate-conclusions
#20
Armand R J Girbes, Harm-Jan de Grooth, Jan G Zijlstra, Lars Hein
No abstract text is available yet for this article.
August 15, 2018: International Journal for Quality in Health Care
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