French Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 6, 2019 Category: International Medicine & Public Health Source Type: research

Layman's summary †
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 20, 2019 Category: International Medicine & Public Health Source Type: research

Portuguese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 24, 2019 Category: International Medicine & Public Health Source Type: research

Spanish Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 10, 2019 Category: International Medicine & Public Health Source Type: research

Challenges of patient ’s safety, satisfaction and quality of care in developing and developed counties
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - April 29, 2019 Category: International Medicine & Public Health Source Type: research

Managers ’ perceptions of the effects of a national mandatory accreditation program in Danish hospitals. A cross-sectional survey
ConclusionWhile the DDKM had some perceived benefits for quality improvement, it was ultimately considered time-consuming and outdated or having served its purpose. Including managers, particularly middle managers, in refinements to the new quality improvement model could capitalize on the benefits while redressing the problems with the terminated accreditation program. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 22, 2018 Category: International Medicine & Public Health Source Type: research

Patient perspectives on medication self-management in rural Kenya: a cross-sectional survey
ConclusionsAll questions on the MeDS survey had statistically significant correlations with the overall score, while gender and age did not. The MeDS questionnaire showed to be an effective tool to evaluate risk of long-term non-adherence globally in rural populations. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 19, 2018 Category: International Medicine & Public Health Source Type: research

A framework to support risk assessment in hospitals
AbstractQuality problem or issueA 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 assessmentWe used a V system developmental model, in conjunction with mixed methods, including interviews and document analysis to identify user needs and requirements.Choice of solutionOne way to address current challenges is through providing...
Source: International Journal for Quality in Health Care - September 1, 2018 Category: International Medicine & Public Health Source Type: research

Lowered obesity indicator cutoff points more effectively predict 5-year incidence of hypertension in premenopausal women
ConclusionsTo avoid too many cutoff points for practitioners to adopt and memorize, the proposed new cutoff points were recommended preferentially to prevent the incidence of HT and DM in premenopausal women. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 28, 2018 Category: International Medicine & Public Health Source Type: research

Opportunities for intervention: stroke treatments, disability and mortality in urban Tanzania
AbstractObjectiveGiven 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.DesignProspective cohort study.SettingMuhimbili National Hospital (MNH) in Dar es Salaam, July 2016 –March 2017.ParticipantsAdults with new-onset stroke (
Source: International Journal for Quality in Health Care - August 28, 2018 Category: International Medicine & Public Health Source Type: research

Validity of World Health Organisation prescribing indicators in Namibia ’s primary healthcare: findings and implications
ConclusionWHO/INRUD indicators showed poor accuracy in assessing prescribing practices in ambulatory care in Namibia. There is need for appropriate models and/or criteria to optimize medicine use in ambulatory care in the future. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 28, 2018 Category: International Medicine & Public Health Source Type: research

Cost-effectiveness of a mentorship and quality improvement intervention to enhance the quality of antenatal care at rural health centers in Rwanda
ConclusionsMESH-QI could be an affordable and effective intervention to improve the quality of antenatal care at health centers in low-resource settings. Cost savings would increase if MESH-QI mentors were integrated into the existing healthcare systems and deployed to sites with higher volume of antenatal care visits. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 25, 2018 Category: International Medicine & Public Health Source Type: research

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study
ConclusionsAnticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 25, 2018 Category: International Medicine & Public Health Source Type: research

Differences in healthcare outcomes between teaching and non teaching hospitals for patients with delirium: a retrospective cohort study
ConclusionsPatients with delirium admitted to non-teaching hospitals had comparable clinical and process outcomes achieved at lower costs. Further research can be conducted to explore the contextual issues and reasons for these differences in healthcare costs. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 25, 2018 Category: International Medicine & Public Health Source Type: research

An international systems-theoretic comparison of hospital accreditation: developing an implementation typology
ConclusionsThe implementation typology of hospital accreditation could serve as a roadmap for refining hospital accreditation systems toward an integrative approach for continuous quality improvement. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 25, 2018 Category: International Medicine & Public Health Source Type: research

Risk of health morbidity for the uninsured: 10-year evidence from a large hospital center in Boston, Massachusetts
ConclusionsPatients with no insurance coverage were at higher risk of death and of admission for physical and substance-related injury. We did not observe a higher risk for acute life-threatening diseases such as myocardial infarction or kidney failure. The lower CCI observed in the uninsured may be explained by under diagnosis or voluntary withdrawal from coverage in the pre-Affordable Care Act era. Replication of findings is warranted in other populations, among those with government-subsidized insurance and in the procedure/prescription domains. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 18, 2018 Category: International Medicine & Public Health Source Type: research

Japanese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 7, 2018 Category: International Medicine & Public Health Source Type: research

Portuguese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 4, 2018 Category: International Medicine & Public Health Source Type: research

Japanese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 4, 2018 Category: International Medicine & Public Health Source Type: research

Traditional Chinese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 4, 2018 Category: International Medicine & Public Health Source Type: research

Simplified Chinese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 4, 2018 Category: International Medicine & Public Health Source Type: research

Spanish Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 4, 2018 Category: International Medicine & Public Health Source Type: research

Portuguese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research

Japanese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research

Traditional Chinese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research

Simplified Chinese Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research

Spanish Abstracts*
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 4, 2018 Category: International Medicine & Public Health Source Type: research

Providing meaning to quality assessment work
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - May 30, 2018 Category: International Medicine & Public Health Source Type: research

Monitor, reduce and prevent the adverse outcomes for ensuring patient safety
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - May 26, 2018 Category: International Medicine & Public Health Source Type: research

Decreasing triage time: effects of implementing a step-wise ESI algorithm in an EHR †
AbstractObjectivesTo determine if adapting a widely-used triage scale into a computerized algorithm in an electronic health record (EHR) shortens emergency department (ED) triage time.DesignBefore-and-after quasi-experimental study.SettingUrban, tertiary care hospital ED.ParticipantsConsecutive adult patient visits between July 2011 and June 2013.InterventionA step-wise algorithm, based on the Emergency Severity Index (ESI-5) was programmed into the triage module of a commercial EHR.Main Outcome MeasuresDuration of triage (triage interval) for all patients and change in percentage of high acuity patients (ESI 1 and 2) comp...
Source: International Journal for Quality in Health Care - April 25, 2018 Category: International Medicine & Public Health Source Type: research

Quality improvement and emerging global health priorities
This article makes the case for addressing shortfalls of previous agendas by articulating the critical role of quality improvement in the Sustainable Development Goal era. Quality improvement can stimulate convergence between health security and health systems; address global health security priorities through participatory quality improvement approaches; and improve health outcomes at all levels of the health system. Entry points for action include the linkage with antimicrobial resistance and the contentious issue of the health of migrants. The work required includes focussed attention on the continuum of national qualit...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Learning about improvement to address global health and healthcare challenges —lessons and the future
AbstractThis perspectives' paper highlights some of the learning from the seminar that the author considers to have particular relevance for improvement practitioners and for investigators seeking to maximize the usefulness of their investigations. The paper discusses the learning under four themes and also notes the future learning needed to enable faster and lower-cost improvement and innovative methods for this learning. The four themes are: describing and reporting improvement interventions; the theme of increasing our certainty about attributing effects to implemented improvement changes; the theme of generalizing the...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Research versus practice in quality improvement? Understanding how we can bridge the gap
AbstractThe gap between implementers and researchers of quality improvement (QI) has hampered the degree and speed of change needed to reduce avoidable suffering and harm in health care. Underlying causes of this gap include differences in goals and incentives, preferred methodologies, level and types of evidence prioritized and targeted audiences. The Salzburg Global Seminar on ‘Better Health Care: How do we learn about improvement?’ brought together researchers, policy makers, funders, implementers, evaluators from low-, middle- and high-income countries to explore how to increase the impact of QI. In this pa...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Adapting improvements to context: when, why and how?
We describe methods for assessi ng whether adaptation is necessary or likely to reduce the effectiveness of an improvement intervention, which adaptations might be required, and methods for collecting data to assess whether the adaptations are successful. We also note areas where research is most needed in order to enable more eff ective scale up of quality improvements changes and wider take up and use of the methods. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Unpacking the black box of improvement
AbstractDuring the Salzburg Global Seminar Session 565 —‘Better Health Care: How do we learn about improvement?’, participants discussed the need to unpack the ‘black box’ of improvement. The ‘black box’ refers to the fact that when quality improvement interventions are described or evaluated, there is a tendency to assume a simple, linear path between the intervention and the outcomes it yields. It is also assumed that it is enough to evaluate the results without understanding the process of by which the improvement took place. However, quality improvement interventions are comple...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

A framework for learning about improvement: embedded implementation and evaluation design to optimize learning
This article provides a framework and guidance on how improvers and evaluators can work together to design, implement and learn about improvement interventions more effectively. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Practical recommendations for the evaluation of improvement initiatives
AbstractA lack of clear guidance for funders, evaluators and improvers on what to include in evaluation proposals can lead to evaluation designs that do not answer the questions stakeholders want to know. These evaluation designs may not match the iterative nature of improvement and may be imposed onto an initiative in a way that is impractical from the perspective of improvers and the communities with whom they work. Consequently, the results of evaluations are often controversial, and attribution remains poorly understood. Improvement initiatives are iterative, adaptive and context-specific. Evaluation approaches and des...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Salzburg Global Seminar Session 565 —‘Better Health Care: how do we learn about improvement?’
AbstractA fundamental question for the field of healthcare improvement is the extent to which the results achieved can be attributed to the changes that were implemented and whether or not these changes are generalizable. Answering these questions is particularly challenging because the healthcare context is complex, and the interventions themselves tend to be complex and multi-dimensional. The Salzburg Global Seminar Session 565 —‘Better Health Care: How do we learn about improvement?’ was convened to address questions of attribution, generalizability and rigor, and to think through how to approach these...
Source: International Journal for Quality in Health Care - April 20, 2018 Category: International Medicine & Public Health Source Type: research

Learning from errors for continuously improving patient safety
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - April 10, 2018 Category: International Medicine & Public Health Source Type: research

Electronic checklists improve referral letters in gastroenterology: a randomized vignette survey
AbstractObjectiveInvestigate whether gastroenterologists rate the quality of referral letters higher if electronic dynamic checklist items are added to a standard free-text referral letter. Assess how this affects the gastroenterologists ’ assessment of the patient’s need for healthcare and the agreement between their assessments.DesignRandomized vignette study.SettingNorwegian primary gastroenterology services.ParticipantsThirty-two Norwegian gastroenterologists.InterventionBetween June 2015 and January 2016, participants were recruited through an open invitation to all members of the Norwegian Society of Gast...
Source: International Journal for Quality in Health Care - April 4, 2018 Category: International Medicine & Public Health Source Type: research

Team dynamics within quality improvement teams: a scoping review
ConclusionsAreas for further research include: interactions between QI teams and clinical microsystems, understanding the role of interprofessional representation on QI teams and exploring interactions between QI team task, composition and process. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 31, 2018 Category: International Medicine & Public Health Source Type: research

The application of Iberoamerican study of adverse events (IBEAS) methodology in Brazilian hospitals
ConclusionsOur results indicate that around 1.3 AE happen in each 10 hospital admissions in Brazil. As patient safety continues to be a Public Health concern worldwide and mainly in developing countries, this would indicate the potential use of prevalence measures for monitoring patient safety in Brazilian context. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 31, 2018 Category: International Medicine & Public Health Source Type: research

Comparison of objective measures and patients ’ perceptions of quality of services in government health facilities in the Democratic Republic of Congo
ConclusionsOverall, patients are not particularly accurate in their assessments of quality because their perceptions are impacted by their expectations and prior experience. Future research should examine whether improving patients ’ knowledge of what they should expect from health services, and the transparency of the facility’s quality data can be a strategy for improving the accuracy of patients’ assessments of the quality of the health services, particularly in low-resourced settings. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 31, 2018 Category: International Medicine & Public Health Source Type: research

Using routinely available data and statistical methods to monitor and evaluate quality of care
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 28, 2018 Category: International Medicine & Public Health Source Type: research

Improving the capacity for learning and improvement in health care
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 27, 2018 Category: International Medicine & Public Health Source Type: research

Certification ISO 9001 in clinical ethics consultation for improving quality and safety in healthcare
AbstractThis paper refers to the quality management process of the Laboratory of Clinical Bioethics (LCB) of the University of Padua (Italy), which has obtained the quality certification to ISO 9001:2008, as a Clinical Ethics Support Service. Its activities consist mainly in clinical ethics consultations and training services, addressed to those who are called to decisions with ethical implications in the clinical setting, proposing a structured approach to identify and analyze the ethical issues that may loom in the relationships between health professionals and patients, and participating in their solution. The expected ...
Source: International Journal for Quality in Health Care - March 24, 2018 Category: International Medicine & Public Health Source Type: research

Evaluating the quality of antenatal care and pregnancy outcomes using content and utilization assessment
AbstractObjectiveTo assess the adequacy of antenatal care (ANC) and its association with pregnancy outcomes using an approach that includes adequacy of both utilization and content.DesignRetrospective cohort study.Setting and ParticipantsWomen attending ANC at public-funded primary health clinics where data were extracted from individual records.MethodsAdequacy of utilization assessment was based on the concept of Adequacy of Prenatal Care Utilization index; adequacy of content assessed the recommended routine care received by the women according to local guidelines. Association between adequacy and pregnancy outcomes was ...
Source: International Journal for Quality in Health Care - March 24, 2018 Category: International Medicine & Public Health Source Type: research

Complex automated medication systems reduce medication administration errors in a Danish acute medical unit
ConclusionsIn line with previous research, this study found that technological interventions in the medication administration process could reduce the occurrence of medication errors. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 24, 2018 Category: International Medicine & Public Health Source Type: research

Improving quality care for diabetes in the community: What do Cypriot patients want?
ConclusionsDiabetic patients value SDM and are willing to support a shift of practice to receive it not only in the private but also in the public sector. The forthcoming National Health Insurance Service would aim to address such developments as anticipated both in the European Troika ’s recommendations and the relevant laws. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - March 24, 2018 Category: International Medicine & Public Health Source Type: research