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.

Effect of referral systems on costs and outcomes after hip fracture surgery in Taiwan
ConclusionsPostoperative costs and outcomes of hip fracture surgery are related not only to demographic and clinical characteristics, but also to institutional characteristics. The advantages of downward referral after hip fracture surgery can save huge medical costs and provide a useful reference for healthcare authorities when drafting policies for the referral system. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 18, 2020 Category: International Medicine & Public Health Source Type: research

Correlation between compensated patient claims and 30-day mortality
ConclusionsThe results from the present study indicate an association between compensation claims from patients and 30-day mortality, suggesting that both parameters reflect the latent quality of care for the hospital trusts, but they may capture different aspects of care. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 10, 2020 Category: International Medicine & Public Health Source Type: research

Oral health promotion apps: an assessment of message and behaviour change potential
ConclusionThe quality of information available in oral health apps requires improvement with the majority addressing only a few barriers to oral health. Currently, there is no recognized scale for evaluating oral health apps: this study provides a suggested method for future app evaluation. There is opportunity for a new app to be created based on health behaviour change theory which includes all the Delivering Better Oral Health messages. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - September 10, 2020 Category: International Medicine & Public Health Source Type: research

Frontiers in human factors: embedding specialists in multi-disciplinary efforts to improve healthcare
AbstractDespite the application of a huge range of human factors (HF) principles in a growing range of care contexts, there is much more that could be done to realize this expertise for patient benefit, staff well-being and organizational performance. Healthcare has struggled to embrace system safety approaches, misapplied or misinterpreted others, and has stuck to a range of outdated and potentially counter-productive myths even has safety science has developed. One consequence of these persistent misunderstandings is that few opportunities exist in clinical settings for qualified HF professionals. Instead, HF has been ap...
Source: International Journal for Quality in Health Care - September 9, 2020 Category: International Medicine & Public Health Source Type: research

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic
DiscussionAdequate risk management in residential structures implies the establishment of a coordination committee with dedicated staff, the implementation of a surveillance program for the rapid recognition of the outbreaks, the identification of suitable premises and equipment, the application of universal precautions, the adaptation of care plans to reduce the possibility of contagion among residents and the protection of operators and staff training initiatives. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 28, 2020 Category: International Medicine & Public Health Source Type: research

mHealth-based person-centredness: a key tool for the development of participatory health
The healthcare sector is rapidly moving towards the establishment of a more person-centred approach. This is of great importance nowadays because achieving high quality of care is required to treat the person and not the disease, especially in patients with multiple comorbidities. This is of special importance in nursing since nurses are the forefront of the delivery of care to patients. That transition to a person-centredness approach cannot happen without tools to facilitate the capture of related key performance indicators (KPIs). (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 26, 2020 Category: International Medicine & Public Health Source Type: research

Human factors/ergonomics work system analysis of patient work: state of the science and future directions
ConclusionOur review has demonstrated the value of using the SEIPS family of work systems models to study and improve patient and family contributions to health-related work. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 25, 2020 Category: International Medicine & Public Health Source Type: research

French Abstracts
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Source: International Journal for Quality in Health Care - August 22, 2020 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 - August 21, 2020 Category: International Medicine & Public Health Source Type: research

Crisis standards of care in a pandemic: navigating the ethical, clinical, psychological and policy-making maelstrom
This article addresses the importance of enacting crisis standards of care (CSC) as a policy mechanism to facilitate the shift to population-based medicine. In times of emergencies and crises such as this pandemic, the enactment of CSC enables concrete decisions to be made by governments relating to supply chains, resource allocation and provision of care to maximize societal benefit. This shift from an individual to a population-based societal focus has profound consequences on how clinical decisions are made at the point of care. Failing to enact CSC may have psychological impacts for healthcare providers particularly re...
Source: International Journal for Quality in Health Care - August 14, 2020 Category: International Medicine & Public Health Source Type: research

Ethical frameworks for quality improvement activities: an analysis of international practice
ConclusionWhere countries fail to provide specific ethics frameworks for quality improvement, guidance is dispersed across several organizations which may lack legal certainty. Our review demonstrates a need for appropriate oversight and responsive infrastructure for quality improvement underpinned by ethical frameworks that build equivalence with research oversight. It outlines aspects of good practice, especially The New Zealand framework that integrates research and quality improvement ethics. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 14, 2020 Category: International Medicine & Public Health Source Type: research

Psychometric evaluation of instruments measuring the work environment of healthcare professionals in hospitals: a systematic literature review
ConclusionsWe found a large variety of instruments that measure the professional healthcare environment. Analysis uncovered content diversity and diverse methodological flaws in available instruments. Two succinct, interprofessional instruments scored best on psychometrical quality and are promising for the measurement of the working environment in hospitals. However, further psychometric validation and an evaluation of their content is recommended. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 13, 2020 Category: International Medicine & Public Health Source Type: research

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety
ConclusionsThe KAIZEN initiative was effective in clinical healthcare settings. In the event of scaling-up this initiative, the educational program for physicians should include project management strategies and leadership skills. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 13, 2020 Category: International Medicine & Public Health Source Type: research

From intensive care to step-down units: Managing patients throughput in response to COVID-19
AbstractQuality problem or issueThe on-going COVID-19 pandemic may cause the collapse of healthcare systems because of unprecedented hospitalization rates.Initial assessmentA total of 8.2 individuals per 1000 inhabitants have been diagnosed with COVID-19 in our province. The hospital predisposed 110 beds for COVID-19 patients: on the day of the local peak, 90% of them were occupied and intensive care unit (ICU) faced unprecedented admission rates, fearing system collapse.Choice of solutionInstead of increasing the number of ICU beds, the creation of a step-down unit (SDU) close to the ICU was preferred: the aim was to safe...
Source: International Journal for Quality in Health Care - August 11, 2020 Category: International Medicine & Public Health Source Type: research

Human factors/ergonomics to support the design and testing of rapidly manufactured ventilators in the UK during the COVID-19 pandemic
ConclusionThe documents are part of a wider collection of HFE advice which is available on the CIEHF COVID-19 website (https://covid19.ergonomics.org.uk/). (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - August 11, 2020 Category: International Medicine & Public Health Source Type: research