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International Journal for Quality in Health Care

Dorota Raczkiewicz, Jakub Owoc, Jan Krakowiak, Cezary Rzemek, Alfred Owoc, Iwona Bojar
Objective: To examine patient safety culture in primary healthcare centers in Poland. Design: A cross-sectional survey conducted in 2017 using the questionnaire based on the 'Medical Office Survey on Patient Safety Culture' from Agency for Healthcare Research and Quality (AHRQ). Setting: Three hundred thirty-seventy primary healthcare centers in Poland. Participants: Family physician practices in Poland selected from the population of 5400 using systematic random sampling...
February 12, 2019: International Journal for Quality in Health Care
Feng Jiang, Tingfang Liu, Huixuan Zhou, Jeffrey J Rakofsky, Huanzhong Liu, Yuanli Liu, Yi-Lang Tang
Objectives: To develop a medical record-based, comprehensive system of healthcare quality indicators for psychiatric hospitals in China. Design: A modified Delphi process with analytic hierarchy process (AHP) was used. Participants: Twenty nationally-recognized experts were invited to participate in two rounds of Delphi expert consultation and AHP. Methods: Fifty potential indicators were included based on literature review, and 20 experts were asked to rate the importance of each indicator using two rounds of email surveys...
February 12, 2019: International Journal for Quality in Health Care
Usman Iqbal, Ayesha Humayun, Yu-Chuan Jack Li
No abstract text is available yet for this article.
February 8, 2019: International Journal for Quality in Health Care
Sheuwen Chuang, Peter P Howley, Shawon S Gonzales
No abstract text is available yet for this article.
January 23, 2019: International Journal for Quality in Health Care
Stephen Flaherty, E David Zepeda, Koenraad Mortele, Gary J Young
Objective: To quantify the level of adherence to imaging guidelines for three common clinical indications for a commercially insured population. Design: Retrospective analysis of administrative claims data for commercially insured individuals with diagnostic imaging claims (MRI and X-ray) for either uncomplicated low back pain, non-traumatic knee pain or non-traumatic shoulder pain. Setting: The State of Massachusetts for 2010 and 2013. Participants: Adults with no chronic conditions and without evidence of prior management in the 12 months preceding to the initial office visit for each of the clinical indications...
January 23, 2019: International Journal for Quality in Health Care
Kimlin Tam Ashing, Lenna Dawkins-Moultin, Marshalee George, Gerard M Antoine, Marcella Nunez-Smith, Eliseo J Pérez-Stable
Immigrant clinicians make up 20-28% of the health workforce in many high-income countries, including Australia, Britain, Canada and the USA. Yet, the preserved culture of immigrant clinicians remains largely invisible in the medical literature and discourse. Research on immigrant clinicians primarily attends to medical professional requirements for the adopted country (medical board examination eligibility, fellowship training and licensing). Cultural preservation among immigrant clinicians has not been adequately considered or studied...
January 11, 2019: International Journal for Quality in Health Care
Carl Savage, Staffan Bjessmo, Oleg Borisenko, Henrik Larsson, Jacob Karlsson, Pamela Mazzocato
Objective: To explore how the See-and-Treat concept can be applied in primary care and its effect on volume and productivity. Design: An explanatory single-case study design with a mixed methods approach and presented according to the SQUIRE 2.0 guidelines. Setting: A publicly-funded, private primary care provider within the Stockholm County, which caters to a diverse patient population in terms of ethnicity, religion, socioeconomic status and care needs...
January 9, 2019: International Journal for Quality in Health Care
Pasquale G Frisina, Sara T Ingraffia, Tanesha R Brown, Esther N Munene, Jonathan R Pletcher, John Kolligian
Objective: Despite its 'best practice' status as an intervention to combat healthcare-related influenza, many healthcare personnel (HCP) do not seek vaccinations themselves. The objective of this study was to achieve the Healthy People [HP] 2020's influenza vaccination goal of 90% among our HCP. Design: The study utilized the model for improvement, consisting of Plan-Do-Study-Act (PDSA) cycles. Each influenza season served as a PDSA cycle until the HP 2020 vaccination goal was achieved...
January 9, 2019: International Journal for Quality in Health Care
Chih Yuan Wu, Chih-Wei Huang, Hsuan-Chia Yang, Yu-Chuan Jack Li
Due to the low ratio of medical decisions made upon solid scientific evidence (4%) and the low efficiency of deploying knowledge in practice (17 years), the concept of a learning health system (LHS) was initiated to speed up knowledge generation and adoption and systematically approach continuous improvement in clinical practice. This concept can be illustrated by a so-called learning health cycle. This cycle, the first version as well as its variants, provides a framework for discussion on a common basis and has been well-accepted by the medical communities...
January 4, 2019: International Journal for Quality in Health Care
Bereket Yakob, Anna Gage, Tsinuel Girma Nigatu, Sarah Hurlburt, Seifu Hagos, Girmaye Dinsa, Diana Bowser, Peter Berman, Margaret E Kruk, Ephrem Tekle
Objective: To assess the quality and effective coverage (EC) of family planning (FP) and antenatal care (ANC) services in Ethiopia. Design: Secondary analyses of the 2014 Ethiopia Service Provision Assessment Plus Survey and 2016 Ethiopia Demographic and Health Survey data. Setting and Participants: Women using FP and ANC. Main Outcome Measures: Quality indices are created as a proportion of recommended clinical actions done in observations of ANC and FP visits...
January 4, 2019: International Journal for Quality in Health Care
Ming Tsuey Lim, Yvonne Mei Fong Lim, Xin Rou Teh, Yi Lin Lee, Siti Aminah Ismail, Sheamini Sivasampu
Objective: To determine the extent of self-management support (SMS) provided to primary care patients with type 2 diabetes (T2D) and hypertension and its associated factors. Design: Cross-sectional survey conducted between April and May 2017. Setting: Forty public clinics in Malaysia. Participants: A total of 956 adult patients with T2D and/or hypertension were interviewed. Main Outcome Measures: Patient experience on SMS was evaluated using a structured questionnaire of the short version Patient Assessment of Chronic Illness Care instrument, PACIC-M11...
January 4, 2019: International Journal for Quality in Health Care
Andreas Perren, Bernard Cerutti, Mark Kaufmann, Hans Ulrich Rothen
Background: There is no gold standard to assess data quality in large medical registries. Data auditing may be impeded by data protection regulations. Objective: To explore the applicability and usefulness of funnel plots as a novel tool for data quality control in critical care registries. Method: The Swiss ICU-Registry from all 77 certified adult Swiss ICUs (2014 and 2015) was subjected to quality assessment (completeness/accuracy). For the analysis of accuracy, a list of logical rules and cross-checks was developed...
January 4, 2019: International Journal for Quality in Health Care
Rodolfo Burruni, Beatrice Cuany, Massimo Valerio, Patrice Jichlinski, Gerit Kulik
Quality problem: As discharge letters (DL) hold important information for healthcare professionals and especially for general practitioners, rapid and efficient finalization is required. We describe a project aiming to reduce DL submission within 8 days in our Urology Department (UD), as required by the local Hospital Board (HB). Initial assessment and choice of solution: A team was built in UD with staff members and one external expert to study the root causes of delayed DL creation and develop sustainable strategies to improve and monitor the process, including habits changing, training and application of Little's Law...
January 4, 2019: International Journal for Quality in Health Care
Pia Kjær Kristensen, Rikke Søgaard, Theis Muncholm Thillemann, Kjeld Søballe, Søren Paaske Johnsen
Objective: To examine whether fulfilment of process performance measures reflecting national guidelines is associated with in-hospital costs among hip fracture patients. Design: Nationwide, population-based follow-up study. Setting: Public hospitals in Denmark. Participants: A total of 20 458 patients 65 years or older admitted with a hip fracture between 2010 and 2013. Intervention: Quality of care defined as fulfilment of process performance measures reflecting recommendations from national clinical guidelines, which previously have been shown to be associated with lower mortality and readmission risk...
December 21, 2018: International Journal for Quality in Health Care
Frida Smith, Katrín Ásta Gunnarsdóttir, Anna Genell, Daniel McLinden, Lisa Vaughn, Hege Garelius, Herman Nilsson-Ehle, Ulf Lönqvist, Thomas Björk-Eriksson
Quality problem or issue: Within healthcare, policy documents are often used to strategically standardize, streamline or change how general health issues are managed for a specific patient group or treatment. Despite significant effort in developing policy and strategic planning documents, these may not have the intended impact and their value has long been questioned by practitioners. Choice of solution: To identify barriers and affordances for the implementation and use of a strategic plan for cancer care in the Western Sweden Healthcare Region, we used Concept Mapping; a participatory mixed method approach to inquiry consisting of both qualitative and quantitative tasks intended to elicit and integrate the diverse perspectives of multiple stakeholders...
December 21, 2018: International Journal for Quality in Health Care
Jeffrey Braithwaite, Russell Mannion, Yukihiro Matsuyama, Paul G Shekelle, Stuart Whittaker, Samir Al-Adawi, Kristiana Ludlow, Wendy James, Hsuen P Ting, Jessica Herkes, Elise McPherson, Kate Churruca, Gina Lamprell, Louise A Ellis, Claire Boyling, Meagan Warwick, Chiara Pomare, Wendy Nicklin, Clifford F Hughes
Most research on health systems examines contemporary problems within one, or at most a few, countries. Breaking with this tradition, we present a series of case studies in a book written by key policymakers, scholars and experts, looking at health systems and their projected successes to 2030. Healthcare Systems: Future Predictions for Global Care includes chapters on 52 individual countries and five regions, covering a total of 152 countries. Synthesised, two key contributions are made in this compendium...
December 20, 2018: International Journal for Quality in Health Care
Gaby Anne Wildenbos, Monique Jaspers, Linda Peute
Purpose: This paper reflects on ethical concerns to patient portals design and evaluation approaches and provides a comprehensive overview of methodological considerations to advance patient participation of older patients to patient portal research and development. Reflection: Barriers to the use of current patient portals experienced by older patients are concentrated on access issues and difficulties with interpretation of medical content. As patient portals' functionalities are being expanded by means of co-creation and user-testing such barriers often remain unrecognized...
December 20, 2018: International Journal for Quality in Health Care
Steffan Frosi Stella, Carísi Anne Polanczyk, Marjan Arvandi, Uwe Siebert
Objective: The fractional flow reserve (FFR) versus angiography for multivessel evaluation (FAME) study has demonstrated that FFR substantially reduces major adverse cardiac events and resource utilization in coronary artery disease (CAD) patients. We aimed to assess the cost utility of FFR in percutaneous coronary interventions (PCI) from the perspective of the Brazilian Public Health System (SUS). Design: Patient-level cost-utility analysis along the FAME study...
December 20, 2018: International Journal for Quality in Health Care
Mohy Uddin, Shabbir Syed-Abdul
No abstract text is available yet for this article.
December 12, 2018: International Journal for Quality in Health Care
Helen Lloyd, Ben Fosh, Ben Whalley, Richard Byng, James Close
Background: Measuring patient experiences of healthcare is increasingly emphasized as a mechanism to measure, benchmark and drive quality improvement, clinical effectiveness and patient safety at both national and local NHS level. Person-centred coordinated care (P3C) is the conjunction of two constructs; person-centred care and care coordination. It is a complex intervention requiring support for changes to organizational structure and the behaviour of professionals and patients. P3C can be defined as: 'care and support that is guided by and organized effectively around the needs and preferences of individuals'...
December 1, 2018: International Journal for Quality in Health Care
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