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.

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences
ConclusionTransferring simulation toin situ training resulted in a substantial number of organizational findings. The subsequent follow-up and changes in practice made awareness of what could be latent safety threats. Leaders, instructors and simulation participants experiencedin situ simulation as relevant and profitable. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 25, 2020 Category: International Medicine & Public Health Source Type: research

Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning
ConclusionFor achieving sustainable change in IPCS practices in surgery during COVID-19 and beyond we need to enhance organizational learning potentials. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 24, 2020 Category: International Medicine & Public Health Source Type: research

‘No more routine outpatient appointments in the NHS’: it is time to shift to data-driven appointment
AbstractCurrently, outpatient care in the UK is expensive and needs improvement, with traditional systems having been identified as no longer fit for purpose. Making sustainable changes to outpatient appointment systems is vital in order to meet increasing demands and cost. Shifting to data and technology-driven outpatient care may be one way to tackle these demands. As technology becomes more diverse and accessible, its implementation into healthcare systems can make services more efficient and help with transitioning from outdated practices to more effective protocols. Patient Recorded Outcome Measures (PROMs) and home-m...
Source: International Journal for Quality in Health Care - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Identifying new-onset conditions and pre-existing conditions using lookback periods in Australian health administrative datasets
ConclusionThe described algorithm using a lookback period is a pragmatic, reliable and robust means of identifying the new-onset and pre-existing patient conditions, thereby enriching the existing datasets predating the availability of the COF. The findings also highlight the value of concatenating a series of hospital patient admissions to more comprehensively adjudicate the pre-existing conditions, rather than assessing the index admission alone. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 20, 2020 Category: International Medicine & Public Health Source Type: research

International survey of COVID-19 management strategies
ConclusionThe world has progressed in its knowledge and sophistication in tackling the pandemic after early and often substantial obstacles were encountered. Most WHO regions have or are in the process of responding well, although some countries have not yet instituted widespread measures known to support mitigation, for example, effective swab testing and social control measures. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 20, 2020 Category: International Medicine & Public Health Source Type: research

Cost impact of introducing a treatment escalation/limitation plan during patients ’ last hospital admission before death
ConclusionsThe use of a TELP in an acute hospital setting may result in a reduction in costs attributable to NBIs. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 18, 2020 Category: International Medicine & Public Health Source Type: research

Provider –patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19
ConclusionsFrom a health policy standpoint, it is imperative that hospital administrators stress open and clear communication between providers and patients to avoid problems ranging from misdiagnosis to incorrect treatment. Additional research is needed to determine how the coronavirus of 2019 pandemic influences patients ’ perceptions of quality and willingness to recommend hospitals at a time when nurses and physicians show symptoms of burnout due to heavy workloads and inadequate personal protective equipment. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 17, 2020 Category: International Medicine & Public Health Source Type: research

Factors associated with wide variation in clinical litigation rates across acute NHS trusts in England: a cross-sectional analysis
ConclusionsThis study identified organizational factors associated with clinical litigation, which will be of interest to clinicians and the NHS. This research also highlights areas for further investigation. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 17, 2020 Category: International Medicine & Public Health Source Type: research

Chronic disease and medical spending of Chinese elderly in rural region
ConclusionsExamining trends in the prevalence of chronic diseases and evaluating medical spending on chronic diseases can prevent and control potential medical costs among rural elderly, especially for vulnerable groups, which helps to predict future health-care needs. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 17, 2020 Category: International Medicine & Public Health Source Type: research

Measuring the quality of cancer care in the Barwon South Western region, Victoria, Australia
ConclusionsClinical quality indicators allow for valuable insights into patterns of care. These indicators are easily reproduced and may be of use to other cancer centres and health services. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 16, 2020 Category: International Medicine & Public Health Source Type: research

Algorithmic prediction of failure modes in healthcare
ConclusionIn light of our initial and limited-size study, APFMH is more effective in identifying hazards (P <  0.0001) and is leaner in resources than the traditional FMEA. APFMH is suggested as an alternative to FMEA since it is leaner in time and human resources, ensures more complete hazard identification and is especially valuable during crisis time, when new protocols are often adopted, such as in th e current days of the COVID-19 pandemic. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 16, 2020 Category: International Medicine & Public Health Source Type: research

Malta ’s only acute public hospital service during COVID-19: a diary of events from the first wave to transition phase
ConclusionMalta and its sole acute hospital coped well with the first wave with 680 cases and 9 deaths. The increased ability to deal with COVID-19 (a principally respiratory pathogen) will serve well for the anticipated combined annual influenza and the COVID-19 second wave this coming winter. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - November 12, 2020 Category: International Medicine & Public Health Source Type: research

Thirty-day readmission rate of COVID-19 patients discharged from a tertiary care university hospital in Turkey: an observational, single-center study
ConclusionsThis is one of the first studies to report on 30-day readmission rate of COVID-19 in the literature. More comprehensive studies are needed to reveal the causes and predictors of COVID-19 readmissions. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 26, 2020 Category: International Medicine & Public Health Source Type: research

Evaluation of clinical practice guideline quality: comparison of two appraisal tools
ConclusionsIn addition to being a quality scale, the iCAHE checklist is easy, practical and short to implement. It also helps the users to understand the quality of the guideline in a shorter time. To increase the use of guidelines, it is important that users with little experience and time use the iCAHE scale as a rapid appraisal tool, but more studies are needed to decide the best appraisal tool. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 26, 2020 Category: International Medicine & Public Health Source Type: research

Innovating health care: key characteristics of human-centered design
AbstractHuman-centered design is about understanding human needs and how design can respond to these needs. With its systemic humane approach and creativity, human-centered design can play an essential role in dealing with today ’s care challenges. ‘Design’ refers to both the process of designing and the outcome of that process, which includes physical products, services, procedures, strategies and policies. In this article, we address the three key characteristics of human-centered design, focusing on its implementat ion in health care: (1) developing an understanding of people and their needs; (2) engaging stakehol...
Source: International Journal for Quality in Health Care - October 17, 2020 Category: International Medicine & Public Health Source Type: research