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International Journal for Quality in Health Care

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https://www.readbyqxmd.com/read/29767795/quality-measurement-in-physician-staffed-emergency-medical-services-a-systematic-literature-review
#1
Helge Haugland, Oddvar Uleberg, Pål Klepstad, Andreas Krüger, Marius Rehn
Purpose: Quality measurement of physician-staffed emergency medical services (P-EMS) is necessary to improve service quality. Knowledge and consensus on this topic are scarce, making quality measurement of P-EMS a high-priority research area. The aim of this review was to identify, describe and evaluate studies of quality measurement in P-EMS. Data sources: The databases of MEDLINE and Embase were searched initially, followed by a search for included article citations in Scopus...
May 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29767747/the-use-of-privacy-protected-computer-vision-to-measure-the-quality-of-healthcare-worker-hand-hygiene
#2
Sari Awwad, Sanjay Tarvade, Massimo Piccardi, David J Gattas
Objectives: (i) To demonstrate the feasibility of automated, direct observation and collection of hand hygiene data, (ii) to develop computer visual methods capable of reporting compliance with moment 1 (the performance of hand hygiene before touching a patient) and (iii) to report the diagnostic accuracy of automated, direct observation of moment 1. Design: Observation of simulated hand hygiene encounters between a healthcare worker and a patient. Setting: Computer laboratory in a university...
May 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29767742/bed-management-team-with-kanban-web-based-application
#3
Hermano Alexandre Lima Rocha, Ana Kelly Lima da Cruz Santos, Antônia Celia de Castro Alcântara, Carmen Sulinete Suliano da Costa Lima, Sabrina Gabriele Maia Oliveira Rocha, Roberto Melo Cardoso, Jair Rodrigues Cremonin
Objective: To measure the effectiveness of the bed management process that uses a web-based application with Kanban methodology to reduce hospitalization time of hospitalized patients. Design: Before-after study was performed. Setting: The study was conducted between July 2013 and July 2017, at the Unimed Regional Hospital of Fortaleza, which has 300 beds, of which 60 are in the intensive care unit (ICU). It is accredited by International Society for Quality in Healthcare...
May 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29767725/advancing-the-health-of-women-and-newborns-predictors-of-patient-satisfaction-among-women-attending-antenatal-and-maternity-care-in-rural-rwanda
#4
Christine Mutaganzwa, Leah Wibecan, Hari S Iyer, Evrard Nahimana, Anatole Manzi, Francois Biziyaremye, Merab Nyishime, Fulgence Nkikabahizi, Lisa R Hirschhorn, Hema Magge
Objective: Identify predictors of patient satisfaction with antenatal care (ANC) and maternity services in rural Rwanda. Design: Cross-sectional. Setting: Twenty-six health facilities in Southern Kayonza (SK) and Kirehe districts. Participants: Sample of women ≥ 16 years old receiving antenatal and delivery care between November and December 2013. Intervention: Survey of patient satisfaction with antenatal and delivery care to inform quality improvement (QI) initiatives aimed at reducing neonatal mortality...
May 15, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29762660/quality-indicators-and-their-regular-use-in-clinical-practice-results-from-a-survey-among-users-of-two-cardiovascular-national-registries-in-sweden
#5
Beatrix Algurén, Boel Andersson-Gäre, Johan Thor, Ann-Christine Andersson
Objective: To examine the regular use of quality indicators from Swedish cardiovascular National Quality Registries (NQRs) by clinical staff; particularly differences in use between the two NQRs and between nurses and physicians. Design: Cross-sectional online survey study. Setting: Two Swedish cardiovascular NQRs: (a) Swedish Heart Failure Registry and (b) Swedeheart. Participants: Clinicians (n =185; 70% nurses, 26% physicians) via the NQRs' email networks...
May 14, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29757412/development-of-a-provincial-initiative-to-improve-glucose-control-in-critically-ill-patients
#6
Peter Dodek, Shari McKeown, Eric Young, Vinay Dhingra
Objective: To describe the development, implementation and initial evaluation of an initiative to improve glucose control in critically ill patients. Design: Glucose control in critically ill patients was chosen by critical care leaders as a target for improvement. This was an observational study to document changes in processes and measures of glucose control in each intensive care unit (ICU). ICU nurse educators were interviewed to document relevant changes between April 2012 and April 2016...
May 11, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29757385/adapting-improvements-to-context-when-why-and-how
#7
John Ovretveit, Lisa Dolan-Branton, Michael Marx, Amy Reid, Julie Reed, Bruce Agins
No abstract text is available yet for this article.
May 11, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29741633/wide-variation-and-patterns-of-physicians-responses-to-drug-drug-interaction-alerts
#8
Insook Cho, Yura Lee, Jae-Ho Lee, David W Bates
Objectives: Providing physicians with alerts about potentially harmful drug-drug interactions (DDIs) is only moderately effective due to high alert override rates. To understand high override behavior on DDI alerts, we investigated how physicians respond to DDIs and their behavior patterns and variations. Design: Retrospective system log data analysis and records review (sampling 2% of total overrides). Setting: A large tertiary academic hospital...
May 8, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29741703/the-impact-of-work-related-stress-on-medication-errors-in-eastern-region-saudi-arabia
#9
Abdul Salam, David M Segal, Munir Ahmad Abu-Helalah, Mary Lou Gutierrez, Imran Joosub, Wasim Ahmed, Rubina Bibi, Elizabeth Clarke, Ali Ahmed Al Qarni
Objective: To examine the relationship between overall level and source-specific work-related stressors on medication errors rate. Design: A cross-sectional study examined the relationship between overall levels of stress, 25 source-specific work-related stressors and medication error rate based on documented incident reports in Saudi Arabia (SA) hospital, using secondary databases. Setting: King Abdulaziz Hospital in Al-Ahsa, Eastern Region, SA...
May 7, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29741672/limit-lean-or-listen-a-typology-of-low-value-care-that-gives-direction-in-de-implementation
#10
Eva W Verkerk, Marit A C Tanke, Rudolf B Kool, Simone A van Dulmen, Gert P Westert
Background: Overuse of unnecessary care is widespread around the world. This so-called low-value care provides no benefit for the patient, wastes resources and can cause harm. The concept of low-value care is broad and there are different reasons for care to be of low-value. Hence, different strategies might be necessary to reduce it and awareness of this may help in designing a de-implementation strategy. Based on a literature scan and discussions with experts, we identified three types of low-value care...
May 7, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29733366/the-use-of-the-patient-assessment-of-chronic-illness-care-pacic-instrument-in-diabetes-care-a-systematic-review-and-meta-analysis
#11
Chantal Arditi, Katia Iglesias, Isabelle Peytremann-Bridevaux
Purpose: The Patient Assessment of Chronic Illness Care (PACIC) was created to assess whether provided care is congruent with the Chronic Care Model, according to patients. We aimed to identify all studies using the PACIC in diabetic patients to explore (i) how overall PACIC scores varied across studies and (ii) whether scores varied according to healthcare delivery, patient and instrument characteristics. Data sources: MEDLINE, Embase, PsycINFO, CINAHL and PubMed Central (PMC), from 2005 to 2016...
May 4, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29733364/longitudinal-variation-in-pressure-injury-incidence-among-long-term-aged-care-facilities
#12
Mikaela Jorgensen, Joyce Siette, Andrew Georgiou, Johanna I Westbrook
Objective: To examine variation in pressure injury (PI) incidence among long-term aged care facilities and identify resident- and facility-level factors that explain this variation. Design: Longitudinal incidence study using routinely-collected electronic care management data. Setting: A large aged care service provider in New South Wales and the Australian Capital Territory, Australia. Participants: About 6556 people aged 65 years and older who were permanent residents in 60 long-term care facilities between December 2014 and November 2016...
May 4, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29733352/adaptation-of-a-hospital-electronic-referral-system-for-antimicrobial-stewardship-prospective-audit-and-feedback-rounds
#13
Matthew D M Rawlins, Edward Raby, Frank M Sanfilippo, Rae Douglass, Jonathan Chambers, Duncan McLellan, John R Dyer
Objective: To evaluate the impact of the adaptation of an existing electronic referral application for use in antimicrobial stewardship prospective audit and feedback rounds (antimicrobial rounds). Design: Retrospective, single-centre observational study between March 2015 and February 2016. Setting: A new quaternary referral centre. Study Participants: Adults referred for antimicrobial rounds outside of the intensive care and haematology units...
May 4, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29718369/medical-practice-variation-public-reporting-a-first-necessary-step-to-spark-change
#14
Gert P Westert, Stef Groenewoud, John E Wennberg, Catherine Gerard, Phil DaSilva, Femke Atsma, David C Goodman
From previous work, we know that medical practice varies widely, and that unwarranted variation signals low value for patients and society. We also know that public reporting helps to create awareness of the need for quality improvement. Despite the availability of rich data, most Western countries have no routine surveillance of the geographic distribution of utilization, costs, and outcomes of healthcare, including trends in variation over time. This paper highlights the role of transparent public reporting as a necessary first step to spark change and reduce unwarranted variation...
April 30, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29718354/effectiveness-of-a-who-safe-childbirth-checklist-coaching-based-intervention-on-the-availability-of-essential-birth-supplies-in-uttar-pradesh-india
#15
Jenny J Maisonneuve, Katherine E A Semrau, Pinki Maji, Vinay Pratap Singh, Kate A Miller, Ian Solsky, Neeraj Dixit, Jigyasa Sharma, Janaka Lagoo, Natalie Panariello, Brandon Neal, Tapan Kalita, Nabihah Kara, Vishwajeet Kumar, Lisa R Hirschhorn
Objective: Evaluate the impact of a World Health Organization Safe Childbirth Checklist coaching-based intervention (BetterBirth Program) on availability and procurement of essential childbirth-related supplies. Design: Matched pair, cluster-randomized controlled trial. Setting: Uttar Pradesh, India. Participants: 120 government-sector health facilities (60 interventions, 60 controls). Supply-availability surveys were conducted quarterly in all sites...
April 30, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29701770/speaking-up-behaviors-and-safety-climate-in-an-austrian-university-hospital
#16
David Schwappach, Gerald Sendlhofer, Lynn Häsler, Veronika Gombotz, Karina Leitgeb, Magdalena Hoffmann, Lydia Jantscher, Gernot Brunner
Objective: To analyze speaking up behavior and safety climate with a validated questionnaire for the first time in an Austrian university hospital. Design: Survey amongst healthcare workers (HCW). Data were analyzed using descriptive statistics, Cronbach's alpha was calculated as a measure of internal consistencies of scales. Analysis of variance and t-tests were used. Setting: The survey was conducted in 2017. Participants: About 2...
April 26, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29697843/assessing-improvement-capability-in-healthcare-organisations-a-qualitative-study-of-healthcare-regulatory-agencies-in-the-uk
#17
Joy Furnival, Ruth Boaden, Kieran Walshe
Objectives: Healthcare regulatory agencies are increasingly concerned not just with assessing the current performance of the organisations they regulate, but with assessing their improvement capability to predict their future performance trajectory. This study examines how improvement capability is conceptualised and assessed by healthcare UK regulatory agencies. Design: Qualitative analysis of data from six UK healthcare regulatory agencies was conducted. Three data sources were analysed using an a priori framework of eight dimensions of improvement capability identified from an extensive literature review...
April 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29697828/feasibility-and-efficacy-of-sepsis-management-guidelines-in-a-pediatric-intensive-care-unit-in-saudi-arabia-a-quality-improvement-initiative
#18
Gamal M Hasan, Ayman A Al-Eyadhy, Mohamed-Hani A Temsah, Ali A Al-Haboob, Mohammad A Alkhateeb, Fahad Al-Sohime
Objectives: Evaluation of feasibility and effectiveness of Surviving Sepsis Campaign (SSC) Guidelines implementation at a Pediatric Intensive Care Unit (PICU) in Saudi Arabia to reduce severe sepsis associated mortality. Design: Retrospective data analysis for a prospective quality improvement (QI) initiative. Settings: PICU at King Saud University Medical City, Saudi Arabia. Participants: Children ≤14 years of age admitted to the PICU from July 2010 to March 2011 with suspected or proven sepsis...
April 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29697806/decreasing-triage-time-effects-of-implementing-a-step-wise-esi-algorithm-in-an-ehr
#19
Stephen Villa, Ellen J Weber, Steven Polevoi, Christopher Fee, Andrew Maruoka, Tina Quon
Objectives: To determine if adapting a widely-used triage scale into a computerized algorithm in an electronic health record (EHR) shortens emergency department (ED) triage time. Design: Before-and-after quasi-experimental study. Setting: Urban, tertiary care hospital ED. Participants: Consecutive adult patient visits between July 2011 and June 2013. Intervention: A step-wise algorithm, based on the Emergency Severity Index (ESI-5) was programmed into the triage module of a commercial EHR...
April 25, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29684158/perceptions-of-patient-safety-culture-among-healthcare-employees-in-tertiary-hospitals-of-heilongjiang-province-in-northern-china-a-cross-sectional-study
#20
Ying Li, Yanming Zhao, Yanhua Hao, Mingli Jiao, Hongkun Ma, Baijun Teng, Kai Yang, Tongbo Sun, Qunhong Wu, Hong Qiao
Objective: Assessing the patient safety culture is necessary for improving patient safety. Research on patient safety culture has attracted considerable attention. Currently, there is little research on patient safety culture in China generally, and in Heilongjiang in northern China specifically. The aim of the study is to explore the perception of healthcare employees about patient safety culture and to determine whether perception differs per sex, age, profession, years of experience, education level and marital status...
April 19, 2018: International Journal for Quality in Health Care
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