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.

Development and psychometric properties of the Caring Behaviors Assessment Tool Nursing Version-Short Form
ConclusionThe structural validity, internal consistency and content validity of the CBAN-SF supported to be a reliable and valid tool for assessment of caring behaviors by nurses. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 17, 2020 Category: International Medicine & Public Health Source Type: research

Hospital medication errors: a cross-sectional study
ConclusionsMEs continue to be a problem faced by international hospitals. Inexperience of health professionals and nurse –patient ratios might be the fundamental challenges to overcome. Specific training of junior staff in prescribing and administering medication and nurse workload management could be possible solutions to reducing MEs in hospitals. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 16, 2020 Category: International Medicine & Public Health Source Type: research

The efficiency –thoroughness trade-off after implementation of electronic medication management: a qualitative study in paediatric oncology
ConclusionsOverall, staff were aware of the competitive interplay between thoroughness and efficiency and reported that introduction of an EMMS had imposed processes that favoured improvements in thoroughness at the expense of efficiency. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 16, 2020 Category: International Medicine & Public Health Source Type: research

The effect of electronic audits and feedback in primary care and factors that contribute to their effectiveness: a systematic review
ConclusionThis systematic review included 29 articles examining electronic A&F interventions in primary care, and 76% of the interventions were effective. Our findings suggest electronic A&F is effective in primary care for different conditions such as medication safety and preventive medicine. Some of the benefits of electronic A&F include its scalability and the potential to be cost effective. The use of benchmarks as comparators and feedback based on high-quality evidence are widely used and important features of electronic feedback in primary care. However, other important features such as the cognitive loa...
Source: International Journal for Quality in Health Care - October 15, 2020 Category: International Medicine & Public Health Source Type: research

Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya
ConclusionRespondents were easily able to articulate perceived benefits derived from participation in this QIC, although they were equally able to identify challenges that hindered their ability to consistently provide high-quality PCC to women seeking maternity or FP services. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 15, 2020 Category: International Medicine & Public Health Source Type: research

Reengineer healthcare: a human factors and ergonomics framework to improve the socio-technical system
ConclusionTogether with other disciplines, HFE can and must play a determinant role in the reengineering of a human-centered healthcare. HFE must be embedded in healthcare organizations and must demonstrate its value in a more comprehensive way, so that stakeholders become aware of the benefits and feel the need to ask for help. Examples of systemic, practical and comprehensive applications are needed. This framework is a contribution in this direction. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 12, 2020 Category: International Medicine & Public Health Source Type: research

Changes in compensation claim contents following reorganization of emergency hospital care
ConclusionsEmergency care reorganization apparently has been followed by a shift in claim contents towards fewer claims about health care neglect and staff competencies, although claims about other matters may have become more common. Present analyses of compensation claim trends should be supplemented by effect studies using traditional outcome measures such as mortality and readmission rates. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - October 8, 2020 Category: International Medicine & Public Health Source Type: research

Dealing with the impact of the COVID-19 pandemic on a rapid response team operation in Brazil: Quality in practice
AbstractQuality problem or issueUp to 13 July 2020,>12 million laboratory-confirmed cases of coronavirus disease of 2019 (COVID-19) infection have been reported worldwide, 1  864 681 in Brazil. We aimed to assess an intervention to deal with the impact of the COVID-19 pandemic on the operations of a rapid response team (RRT).Initial assessmentAn observational study with medical record review was carried out at a large tertiary care hospital in Fortaleza, a 400-bed quaternary hospital, 96 of which are intensive care unit beds. All adult patients admitted to hospital wards, treated by the RRTs during the study period,...
Source: International Journal for Quality in Health Care - September 30, 2020 Category: International Medicine & Public Health Source Type: research

Human factors and ergonomics systems approach to the COVID-19 healthcare crisis
AbstractA human factors and ergonomics (HFE) systems approach offers a model for adjusting work systems and care processes in response to a healthcare crisis such as COVID-19. Using the Systems Engineering Initiative for Patient Safety (SEIPS) model of work system and patient safety, we describe various work system barriers and facilitators experienced by healthcare workers during the COVID-19 crisis. We propose a set of five principles based on this HFE systems approach related to novel pandemic: (i) deferring to local expertise, (ii) facilitating adaptive behaviors, (iii) enhancing interactions between system elements an...
Source: International Journal for Quality in Health Care - September 30, 2020 Category: International Medicine & Public Health Source Type: research

Human factors engineering for medical devices: European regulation and current issues
AbstractA large proportion of the patient injuries or deaths attributable to medical device (MD) misuse can be eliminated and/or mitigated by adopting an effective human factors and ergonomics (HFE) approach. The implementation of a usability engineering process is now mandatory for MD manufacturers seeking to obtain the European Union ’s CE Mark. Here, we describe the European Union’s HFE regulation and highlight the challenges faced by (i) manufacturers implementing this regulation and (ii) regulatory bodies charged with assessing the compliance of usability files. In Europe, 95% of MD manufacturers are small- and me...
Source: International Journal for Quality in Health Care - September 30, 2020 Category: International Medicine & Public Health Source Type: research

Human factors: the pharmaceutical supply chain as a complex sociotechnical system
ConclusionBy partnering with international groups such as Biophorum and Bio Supply Chain Management Alliance, we wish to stimulate discussion about how sociotechnical thinking about HFE may help develop better monitoring and investigative techniques to strengthen global supply chains. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 30, 2020 Category: International Medicine & Public Health Source Type: research

Healthcare cyber-attacks and the COVID-19 pandemic: an urgent threat to global health
This article outlines key COVID-19 cyber-security principles for both healthcare organizations and academic institutions. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 27, 2020 Category: International Medicine & Public Health Source Type: research

Erratum to: How health care systems let our patients down: a systematic review into suicide deaths
(Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 27, 2020 Category: International Medicine & Public Health Source Type: research

Deciding without data: clinical decision-making in pediatric orthopedic surgery
ConclusionsWith increasing emphasis on high value, evidence-based care, understanding the rationale behind physician decision-making can educate physicians, identify common decisions without supporting evidence and help create clinical care pathways in pediatric orthopedic surgery. Decisions based on evidence or consensus between surgeons can inform pathways and national guidelines that minimize unwarranted variation in care and waste. Decision support tools and aids could also be implemented to guide these decisions. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 27, 2020 Category: International Medicine & Public Health Source Type: research

Pediatric ambulatory appointment scheduling: a qualitative study of stakeholders ’ perceptions and experiences
ConclusionsStakeholders provided a rich description of the interrelated factors and processes that influenced the scheduling of pediatric ambulatory clinic appointments. Multilevel, experimental interventions are needed to test whether the findings described herein can enhance the structure and function of pediatric ambulatory appointment scheduling. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 27, 2020 Category: International Medicine & Public Health Source Type: research