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International Journal of Health Care Quality Assurance

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https://read.qxmd.com/read/30415627/environmental-impact-reduction-as-a-new-dimension-for-quality-measurement-of-healthcare-services
#1
Amin Esmaeili, Charles McGuire, Michael Overcash, Kamran Ali, Seyed Soltani, Janet Twomey
PURPOSE: The purpose of this paper is to provide a detailed accounting of energy and materials consumed during magnetic resonance imaging (MRI). DESIGN/METHODOLOGY/APPROACH: The first and second stages of ISO standard (ISO 14040:2006 and ISO 14044:2006) were followed to develop life cycle inventory (LCI). The LCI data collection took the form of observations, time studies, real-time metered power consumption, review of imaging department scheduling records and review of technical manuals and literature...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415626/patients-satisfaction-as-a-dimension-of-quality-a-survey-on-outpatients-care-in-dubai
#2
Bassam Mahboub, Ahmad Mawasi, Souzan Ali, Chiara Spina
PURPOSE: The last few years have seen a stronger emphasis on patient-centred care within the international healthcare setting. Patient-centred care is clearly perceived to be important to optimise the satisfaction and well-being of patients. The purpose of this paper is to review current patient-centred practices for outpatients in both private clinics and public hospitals in Dubai. Such a comparison contributes to the identification of best management practices as a means of enhancing healthcare delivery...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415625/effects-of-job-resources-factors-on-nurses-job-performance-mediating-role-of-work-engagement
#3
Muhammad Awais Bhatti, Norazuwa Mat, Ariff Syah Juhari
PURPOSE: The purpose of this paper is to examine the mediating role of work engagement (vigor and dedication) between job resources (job characteristics, supervisor and co-worker support, participation in decision making and job security) and job performance (task and contextual) rated by the supervisor. DESIGN/METHODOLOGY/APPROACH: A sample of 364 nurses and their supervisors was used. Structural equation modeling with Amos 17 was used to obtain a model fit with path significance of work engagement as the mediator between job resources and job performance...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415624/iatrogenic-emergency-medicine-procedure-complications-and-associated-trouble-shooting-strategies
#4
Rami A Ahmed, Patrick G Hughes, Ambrose H Wong, Kaley M Gray, Derek Ballas, Ahmad Khobrani, Robert D Selley, Colleen McQuown
PURPOSE: The purpose of this paper is to provide a consolidated reference for the acute management of selected iatrogenic procedural injuries occurring in the emergency department (ED). DESIGN/METHODOLOGY/APPROACH: A literature search was performed utilizing PubMed, Scopus, Web of Science and Google Scholar for studies through March of 2017 investigating search terms "iatrogenic procedure complications," "error management" and "procedure complications," in addition to the search terms reflecting case reports involving the eight below listed procedure complications...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415623/investigating-health-information-systems-induced-errors
#5
Maryati Yusof, Mohamad Norzamani Sahroni
PURPOSE: The purpose of this paper is to present a review of health information system (HIS)-induced errors and its management. This paper concludes that the occurrence of errors is inevitable but it can be minimised with preventive measures. The review of classifications can be used to evaluate medical errors related to HISs using a socio-technical approach. The evaluation could provide an understanding of errors as a learning process in managing medical errors. DESIGN/METHODOLOGY/APPROACH: A literature review was performed on issues, sources, management and approaches to HISs-induced errors...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415622/improving-hospital-food-menu-quality-an-experimental-approach
#6
Jorunn Lindholm, Yasaman Vadoudi, Håvard Hansen
PURPOSE: The purpose of this paper is to examine whether the negative impressions consumers hold toward institutional food can be remedied by subtle changes in menu descriptions. While an expectancy-disconfirmation explanation would suggest this, a negativity bias explanation would suggest otherwise. DESIGN/METHODOLOGY/APPROACH: The authors test the research question using an experimental 2 × 2 full factorial design, with data collected from 100 university students...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415621/development-of-the-persian-patient-satisfaction-questionnaire
#7
Mahdi Nouri, Saeideh Ghaffarifar, Homayoun Sadeghi-Bazargani
PURPOSE: The purpose of this paper is to explore the validity and reliability of the Persian version of the patient satisfaction questionnaire (PVPSQ). The study addressed the communication skills section of the PSQ specifically. DESIGN/METHODOLOGY/APPROACH: This cross-sectional study was conducted in 2015 to determine the validity and reliability of the Persian version of the patient satisfaction questionnaire (PSQ). In total, 538 patients (ten in pilot, 488 in tests, 40 in retest), 14 experts and 198 residents participated...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415620/effect-of-lean-six-sigma-on-quality-performance-in-malaysian-hospitals
#8
Selim Ahmed, Noor Hazilah Abd Manaf, Rafikul Islam
PURPOSE: The purpose of this paper is to investigate the effects of Lean Six Sigma (LSS) and workforce management on the quality performance of Malaysian hospitals. This paper also investigates the direct and indirect relationships between top management commitment and quality performance of the healthcare organisations in Malaysia. DESIGN/METHODOLOGY/APPROACH: This study applied stratified random sampling to collect data from 15 different hospitals in Peninsular Malaysia...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415619/registered-nurses-knowledge-and-care-practices-regarding-patients-with-dysphagia-in-saudi-arabia
#9
Manal Abdullah Khoja
PURPOSE: The purpose of this paper is to assess the knowledge and practices of nursing staff caring for patients with dysphagia to determine any needs for further education programmes. DESIGN/METHODOLOGY/APPROACH: A self-administered questionnaire with close-ended questions was completed by nurses at a tertiary hospital in Saudi Arabia to measure the depth of their dysphagia knowledge. FINDINGS: From 316 potential participants, a sample of 174 nurses completed the questionnaire...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415618/identification-of-factors-influencing-the-rise-of-cesarean-sections-rates-in-pakistan-using-mcdm
#10
Yousaf Ali, Muhammad Waseem Khan, UbaidUllah Mumtaz, Aneel Salman, Noor Muhammad, Muhammad Sabir
PURPOSE: The rate of cesarean sections has been rapidly increased in the last few decades in all the developing as well as developed countries. The rate of cesarean sections determined by the World Health Organization has been crossed by many countries, like Brazil, India, China, USA, Australia, etc. Similarly, this rate has also increased in Pakistan. The purpose of this paper is to explore and identify the factors that are responsible for the rising rate of cesarean sections in Pakistan...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415617/health-care-complaint-journeys-for-system-comparison
#11
Marie Nagy, Mary Chiarella, Belinda Bennett, Merrilyn Walton, Terry Carney
PURPOSE: The "patient journey" technique is one that has been used by health care providers to investigate the strengths and weaknesses of their service delivery. The purpose of this paper is to discuss the experience of adapting this approach for use in an atypical context - the comparison of two systems for managing health care complaints and notifications. It highlights a number of relevant considerations and provides suggestions for similar studies. DESIGN/METHODOLOGY/APPROACH: The design and methods of the study are described, with commentary on the success of key aspects and challenges encountered...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415616/a-strategic-and-good-governance-perspective-on-handling-patient-complaints
#12
Sanna Pauliina Ryynänen, Risto Harisalo
PURPOSE: The patient complaint is one of the main procedures of exercising patient's rights in the Finnish health care system. Such complaints typically concern the quality of care and/or patient safety. The purpose of this paper is to examine the types of patient complaints received by a specialized medical care organization and the kinds of responses given by the organization's personnel. The organization's strategy and good governance principles provide the framework for understanding the organization's action...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415615/surgical-audit-are-we-not-closing-the-loop
#13
Declan Dunne, Nikhil Lal, Nagarajan Pranesh, Michael Spry, Christopher Mcfaul, Paul Rooney
PURPOSE: A clinical audit is a key component of the clinical governance framework. The rate of audit completion in general surgery has not been investigated. The purpose of this paper is to assess the rates of audit activity and completion and explore the barriers to successful audit completion. DESIGN/METHODOLOGY/APPROACH: This was a multi-centre study evaluating current surgical audit practice. A standardised audit proforma was designed. All clinical audits in general surgery during a two-year period were identified and retrospectively reviewed...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415614/intravenous-fluid-delivery-time-improvement-application-of-cross-docking-system
#14
Sasan T Khorasani, Maryam Keshtzari, Md Saiful Islam, Ramyar Feizi
PURPOSE: The cost of pharmaceutical supply chain due to drug waste is one of the current major issues in health care. Drug waste associated with intravenous (IV) fluid form of medication is one of the crucial issues for many pharmacies. The purpose of this paper is to apply a cross-docking model to minimize the IV delivery lead time to reduce drug waste by scheduling staff in a local hospital's inpatient pharmacy. DESIGN/METHODOLOGY/APPROACH: A mixed integer linear programming model is applied to the IV delivery system of a hospital...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415613/factors-associated-with-participation-and-completion-of-a-survey-based-study
#15
Steven H Yale, Hong Liang, John R Schmelzer, Sara Poplau, Lauren Nicole Bell, Hale Z Toklu, Roger L Brown, Eric Williams, Mark Linzer
PURPOSE: The Healthy Work Place (HWP) study investigated methods to improve clinicians' dissatisfaction and burnout. The purpose of this paper is to identify factors that influenced study enrollment and completion and assess effects of initial clinic site enrollment rates on clinician outcomes, including satisfaction, burnout, stress and intent to leave practice. DESIGN/METHODOLOGY/APPROACH: In total, 144 primary care clinicians (general internists, family physicians, nurse practitioners and physician assistants) at 14 primary care clinics were analyzed...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415612/managing-the-essential-medicines-stock-at-rural-healthcare-systems-in-india
#16
Dinesh Kumar, D Kumar
PURPOSE: The purpose of this paper is to eliminate the medicine stock-out problem by building an optimum medicine stock in rural healthcare centers in India. DESIGN/METHODOLOGY/APPROACH: Data associated with inflow and outflow of a specific medicine (folic acid tablets) arer collected from all consecutive supply chain stages during the survey. While conducting the survey, it is found that several medicines are out of stock owing to uncertain lead time and demand...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30415611/effective-quality-systems-implementation-in-australian-public-hospitals
#17
Sandra G Leggat, Cathy Balding
PURPOSE: The purpose of this paper is to review the implementation of seven components of quality systems (QSs) linked with quality improvement in a sample of Australian hospitals. DESIGN/METHODOLOGY/APPROACH: The authors completed a systematic review to identify QS components associated with measureable quality improvement. Using mixed methods, the authors then reviewed the current state of these QS components in a sample of eight Australian hospitals. FINDINGS: The literature review identified seven essential QS components...
October 8, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30354892/porcelain-for-all-a-nursing-home-study
#18
Kai Victor Hansen, Christina Tølbøl Frøiland, Ingelin Testad
PURPOSE: The Porcelain for All project was an initiative by Figgjo AS, a porcelain factory in Norway, which needed more research on different coloured porcelains. The paper aims to discuss this issue. DESIGN/METHODOLOGY/APPROACH: The study aimed to gain new knowledge about how different décor and dinner plate colours can positively influence dementia sufferer food intake and appetite. The intervention period lasted three weeks. Four days were randomly picked during that period...
August 13, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30354891/chinese-residents-educational-disparity-and-social-insurance-coverage
#19
Yen-Han Lee, Timothy Chiang, Mack Shelley, Ching-Ti Liu
PURPOSE: The Chinese society has embraced rapid social reforms since the late twentieth century, including educational and healthcare systems. The Chinese Central Government launched an ambitious health reform program in 2009 to improve service quality and provide affordable health services, regardless of individual socio-economic status. Currently, the Chinese social health insurance includes Urban Employee Basic Medical Insurance, Urban Resident Basic Medical Insurance, and New Cooperative Medical Insurance for rural residents...
August 13, 2018: International Journal of Health Care Quality Assurance
https://read.qxmd.com/read/30354890/quality-improvement-measures-effects-on-rectal-cancer-tissue-biopsy-process
#20
Mansoor Akhtar, Mohamed Boshnaq, Sathyan Nagendram
PURPOSE: Delay in histologically confirming rectal cancer may lead to late treatment as histological confirmation is required prior to chemo-radiotherapy or surgical intervention. Multidisciplinary colorectal meetings indicate that there are patients who require multiple tissue biopsy episodes prior to histologically confirming rectal cancer. The purpose of this paper is to examine a quality improvement (QI) measure's impact on tissue biopsy process diagnostic yield. DESIGN/METHODOLOGY/APPROACH: The authors performed the study in two phases (pre- and post-QI), between February 2012 and April 2014 in a district general hospital...
August 13, 2018: International Journal of Health Care Quality Assurance
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