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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
Nicolas Senn, Christine Cohidon, Jean-Christophe Zuchuat
OBJECTIVE: To define a typology of primary care (PC) practices based on a mixed inductive/deductive approach that uses a large number of variables describing organizational and demographic characteristics of practices and a priori hierarchical structuring of the data. DESIGN: Secondary analysis of the Swiss part of the QUALICOPC study using a multiple factor analysis approach incorporating 74 variables hierarchically structured and including information on infrastructures, clinical care, workforces, accessibility and geographic location of PC practices...
September 12, 2016: International Journal for Quality in Health Care
Ningyan Wong, Siang Jin Terrance Chua, Fei Gao, Sok Tiang Rosalind Sim, David Matchar, Sung Lung Aaron Wong, Khung Keong Yeo, Wei Chieh Jack Tan, Chee Tang Chin
OBJECTIVE: We sought to analyse the impact of a care coordination protocol on transiting patients with coronary artery disease who had undergone percutaneous coronary intervention (PCI) to primary care and its effect on cardiovascular risk factor control. DESIGN: A prospective observational study involving 492 patients who had undergone PCI either electively or after an acute coronary syndrome. SETTING: A tertiary institution in Singapore...
September 12, 2016: International Journal for Quality in Health Care
Marian Smeulers, Hester Vermeulen
OBJECTIVE: Standardization of the handover process is deemed necessary to ensure continuity and safety of care. However, local context is considered of equal importance to improve the handover process. Our objective was to determine what recommendations on standardized shift handover nurses make, if we combine evidence from the literature with the local context of the nurses. DESIGN: A RAND-modified Delphi consensus process that combines evidence from systematic reviews with expert opinion of local nurses and an evaluation of the consensus process with a survey...
September 12, 2016: International Journal for Quality in Health Care
Jeffrey Michael Smith, Shivam Gupta, Emma Williams, Kate Brickson, Keth Ly Sotha, Navuth Tep, Anthony Calibo, Mary Christine Castro, Bernabe Marinduque, Mark Hathaway
OBJECTIVE: To determine whether a simple quality improvement initiative consisting of a technical update and regular audit and feedback sessions will result in increased use of antenatal corticosteroids among pregnant women at risk of imminent preterm birth delivering at health facilities in the Philippines and Cambodia. DESIGN: Non-randomized, observational study using a pre-/post-intervention design conducted between October 2013 and June 2014. SETTING: A total of 12 high volume facilities providing Emergency Obstetric and Newborn Care services in Cambodia (6) and Philippines (6)...
September 10, 2016: International Journal for Quality in Health Care
Liuyi Zhang, Fang Wang, Yao Cheng, Ping Zhang, Yuan Liang
OBJECTIVE: To determine the effect of work characteristics on the psychological symptoms of general practitioners' (GPs) and community nurses. DESIGN, SETTING AND PARTICIPANTS: A stratified sampling cross-sectional survey was performed at the 12 community health services centres involved 233 GPs and 202 community nurses in three cities of Hubei Province in central China. The independent variables were career prospects, superior recognition, salary fairness, professional-patient relationship and self-perceived workload...
September 10, 2016: International Journal for Quality in Health Care
Pia Kjaer Kristensen, Theis Muncholm Thillemann, Kjeld Søballe, Søren Paaske Johnsen
OBJECTIVES: To examine the association between process performance measures and clinical outcome among patients with hip fracture. DESIGN: Nationwide, population-based follow-up study. SETTING: Public Danish hospitals. PARTICIPANTS: A total of 25 354 patients 65 years or older who were admitted with a hip fracture in Denmark between 2010 and 2013. INTERVENTION: The process performance measures, including systematic pain assessment, early mobilization, basic mobility assessment at arrival and at discharge, post-discharge rehabilitation program, anti-osteoporotic medication and prevention of future fall accidents measures, were analysed individually as well as an opportunity-based score defined as the proportion of all relevant performance measures fulfilled for the individual patient (0-50%, 50-75% and 75-100%)...
September 2, 2016: International Journal for Quality in Health Care
Nicolien C Zwijnenberg, Michelle Hendriks, Diana M J Delnoij, Anke J E de Veer, Peter Spreeuwenberg, Cordula Wagner
OBJECTIVE: To examine how information presentation affects the understanding and use of information for quality improvement. DESIGN: An experimental design, testing 22 formats, and showing information on patient safety culture. Formats differed in visualization, outcomes and benchmark information. INTERVENTIONS: Respondents viewed three randomly selected presentation formats in an online survey, completing several tasks per format. SETTING: The hospital sector in the Netherlands...
September 2, 2016: International Journal for Quality in Health Care
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