International Journal for Quality in Health Care This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Does implementation of a tailored intervention increase adherence to a National Safety and Quality Standard? A study to improve delirium care
ConclusionTranslation of evidence-based intervention model incorporating well-considered implementation strategies had a mixed impact on decreasing the rate of delirium. The scheduled hospital accreditation enhanced the use of validated screening tool to recognize delirium. This project highlights the importance of aligning implementation goals with the wider goals of the organization as well as making clinicians accountable by consistent auditing. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 15, 2021 Category: International Medicine & Public Health Source Type: research

Variability in the assessment of children ’s primary healthcare in 30 European countries
ConclusionsA limited set of measures are shared across countries hampering a robust comparison of paediatric models. The selection of measures shows that the evaluation is closely related to national priorities as resulting from the number and types of measures adopted. Moreover, a range of a reasonable number of measures can be hypothesized to address the quality of childcare under a multi-dimensional perspective. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 15, 2021 Category: International Medicine & Public Health Source Type: research

Intended and unintended changes in length of stay following reconfiguration of emergency care departments
ConclusionThe nationwide reconfiguration of acute hospital care was overall not associated with change in trend for the registered LOS and no change in trend for overnight stays. However, the results varied according to hospitalization time, where admissions during weekends and nights after the reconfiguration were associated with shortened LOS. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 15, 2021 Category: International Medicine & Public Health Source Type: research

The prevalence and underreporting of needlestick injuries among hospital workers: a cross-sectional study
ConclusionsNSIs and underreporting are common among HWs from all sectors, including those who do not use needles. Improving preventive measures and reporting should be encouraged. We recommend reducing bedside procedures as possible and assigning two workers to procedures at risk for injuries, to increase the report rate. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 15, 2021 Category: International Medicine & Public Health Source Type: research

Is the ‘never event’ concept a useful safety management strategy in complex primary healthcare systems?
AbstractWhy is the area important?A sub-group of rare but serious patient safety incidents, known as ‘never events,’ is judged to be ‘avoidable.’ There is growing interest in this concept in international care settings, including UK primary care. However, issues have been raised regarding the well-intentioned coupling of ‘preventable harm’ with zero tolerance ‘never events,’ especia lly around the lack of evidence for such harm ever being totally preventable.What is already known and gaps in knowledge?We consider whether the ideal of reducing preventable harm to ‘never’ is better for patient safety than...
Source: International Journal for Quality in Health Care - January 12, 2021 Category: International Medicine & Public Health Source Type: research

HFE at the frontiers of COVID-19. Human factors/ergonomics to support the communication for safer care in Italy during the COVID-19 pandemic
AbstractItaly was the first country after China to be affected by COVID-19. The wave of the emergency found our country unprepared to cope with the surge of patients going to first aid departments to seek assistance in the almost complete paralysis of community health. Human factors and ergonomics (HFE) can effectively contribute to, and improve the effectiveness of, a pandemic response working on several key areas: training, adapting workflows and processes, restructuring teams and tasks, effective mechanisms and tools for communication, engaging patients and families and learning from failures and successes. In Italy, HF...
Source: International Journal for Quality in Health Care - January 12, 2021 Category: International Medicine & Public Health Source Type: research

An evidence-based oxytocin protocol for the third stage of labor to improve hemorrhage outcomes
ConclusionA standardized oxytocin infusion protocol in the third stage of labor resulted in a significant decrease in PPH for both vaginal and cesarean deliveries. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 7, 2021 Category: International Medicine & Public Health Source Type: research

Patient satisfaction with outpatient care in China: a comparison of public secondary and tertiary hospitals
ConclusionThe aforementioned results suggested that tertiary hospitals face larger challenges in patient satisfaction with outpatient care than secondary hospitals. Measures must be adopted to improve patient satisfaction with outpatient care in future healthcare reforms. Patient waiting time, medical expenses and treatment duration especially require improvements in tertiary hospitals. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - January 6, 2021 Category: International Medicine & Public Health Source Type: research

A comparative analysis: international variation in PET-CT service provision in oncology —an International Cancer Benchmarking Partnership study
ConclusionsVariation in PET-CT scanner quantity, acquisition over time and guidance upon use exists internationally. There is a lack of routinely captured and accessible PET-CT data across the International Cancer Benchmarking Partnership countries due to inconsistent data definitions, data linkage issues, uncertain coverage of data and lack of specific coding. This is a barrier in improving the quality of PET-CT services globally. There needs to be greater, richer data capture of diagnostic and staging tools to facilitate learning of best practice and optimize cancer services. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 30, 2020 Category: International Medicine & Public Health Source Type: research

Developing a charter of spiritual care for patients
ConclusionThe charter of spiritual care for patients is intended to present an agreed-upon framework for spiritual care delivery and resolve some of the problems in this path. This can improve health-care delivery system. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 26, 2020 Category: International Medicine & Public Health Source Type: research

Multi-method versus single method appraisal of clinical quality indicators for the emergency medical services
ConclusionThe utilization of a multi-method appraisal protocol offers multiple benefits, when compared to the single appraisal approach, and can provide the confidence that the outcomes of the appraisal will ensure a strong foundation on which the QI framework can be successfully implemented. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 24, 2020 Category: International Medicine & Public Health Source Type: research

User and family satisfaction with nursing homes: a systematic review
ConclusionThe findings of our review may contribute to a better view of satisfaction with nursing homes experienced by users and families and to an improvement of care in these institutions. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 16, 2020 Category: International Medicine & Public Health Source Type: research

Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour
ConclusionsConsumer involvement rarely moves beyond the design phase of knowledge translation research in healthcare settings. Further research of the barriers to and effect of increased consumer engagement across all stages of knowledge translation interventions is needed.Systematic review registrationPROSPERO CRD42019119179. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 16, 2020 Category: International Medicine & Public Health Source Type: research

Clinical handover and handoff in healthcare: a systematic review of systematic reviews
ConclusionsThis review emphasizes the importance of staff education (including simulation-based and team training), non-technical skills and the implementation process of clinical handover in healthcare settings. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 16, 2020 Category: International Medicine & Public Health Source Type: research

COVID-19 emergencies around the globe: China ’s experience in controlling COVID-19 and lessons learned
ConclusionsBy learning from the experience of China, other countries in the world could eventually find the methods to control the COVID-19 pandemic. An emergency response system should be established in each country. Doctors and nurses are not alone in fighting COVID-19, and the entire world is helping them. With cooperation, current difficulties could be overcome. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - December 15, 2020 Category: International Medicine & Public Health Source Type: research