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.

Hospital accreditation impact on healthcare quality dimensions: a systematic review
ConclusionMainly due to the methodological shortcomings, the positive impact of accreditation on healthcare dimensions should be interpreted with caution. This study provides an up-to-date overview of the main themes examined in the literature, highlighting critical knowledge-gaps and methodological flaws. The findings may provide value to healthcare stakeholders in terms of improving their ability to assess the relevance of accreditation processes. (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

Improving the quality of mortality review equity reporting: Development of an indigenous M āori responsiveness rubric
ConclusionsA shared understanding of equity about mortality is required. Effective implementation of a quality-based rubric into practice requires careful planning and ongoing education and support for staff and committee members at multiple levels. Follow-up support is needed to support its implementation into practice. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 27, 2020 Category: International Medicine & Public Health Source Type: research

Variation between hospitals and reviewers in detection of adverse events identified through medical record review in Korea
ConclusionsGiven the level of variation in the identified adverse events, further studies that include more medical institutions in their investigations are needed, and a third-party committee should be involved to address the reliability issues regarding the occurrence and characteristics of the adverse events. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 21, 2020 Category: International Medicine & Public Health Source Type: research

The Registry of Senior Australians outcome monitoring system: quality and safety indicators for residential aged care
ConclusionsTwelve quality and safety indicators were developed to monitor aged care provided to older Australians based on the synthesis of existing literature and expert advisory input. These indicators rely on existing data within the aged care and healthcare sectors, therefore creating a pragmatic tool to examine quality and unwarranted care variation. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 21, 2020 Category: International Medicine & Public Health Source Type: research

Improving knowledge and confidence in foundation doctors during specialty changeover
AbstractQuality problemFoundation year junior doctors rotate every 4 months into different specialties. They are often expected to manage patients with complex underlying conditions despite inadequate clinical induction.Initial assessmentNo structured induction was offered to junior doctors rotating to hepato-pancreatico-biliary surgery, a complex and highly specialized discipline within general surgery. We hypothesized that junior doctors will be lacking in both knowledge and confidence when managing these patients.Choice of solutionCreate a structured induction programme and evaluate its effectiveness in improving knowle...
Source: International Journal for Quality in Health Care - July 16, 2020 Category: International Medicine & Public Health Source Type: research

Identifying psychiatric diagnostic errors with the Safer Dx Instrument
ConclusionThe revised Safer Dx-Mental Health Instrument has a high reliability for detecting anxiety-related diagnostic errors and deserves testing in additional psychiatric populations and clinical settings. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 16, 2020 Category: International Medicine & Public Health Source Type: research

Development of a guideline for the treatment of generalized anxiety disorder with the ADAPTE method
ConclusionsA guideline aimed to improve the quality and effectiveness of the care provided to people with generalised anxiety disorder has been released. The use of adaptation methods has simplified the use of resources and time. This guideline and the process designed for its implementation constitute a suitable collection of resources for the improvement on detection and treatment of GAD in primary health care. Adaptation methods play a key role in the knowledge translation continuum. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 1, 2020 Category: International Medicine & Public Health Source Type: research

Implementing a quick Sequential (Sepsis-Related) Organ Failure Assessment sepsis screening tool: an interrupted times series study
ConclusionThe implementation of the qSOFA-based SS tool resulted in early, but not significantly improved, provision of 6-h bundle care. Screening procedures were regularly conducted, but sepsis alerts rarely activated. Further research is needed to better understand the implementation of sepsis care in developing settings. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 1, 2020 Category: International Medicine & Public Health Source Type: research

The influence and added value of a Standardized Assessment and Reporting System for functioning outcomes upon national rehabilitation quality reports
ConclusionsA StARS supports the comparison of outcomes assessed with different measures on the same interval-scaled ICF-based common metric. Careful consideration is needed whether an ordinal-scaled or interval-scaled reporting system is applied as the magnitude and precision of reported outcomes is influenced. The StARS ’ ICF basis brings an added value by informing further development of functioning as a relevant indicator for national outcome quality reports in rehabilitation. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - July 1, 2020 Category: International Medicine & Public Health Source Type: research

Optimization strategies for the organization of mental healthcare
AbstractAimThe aim of this paper is to analyse the main issues and obstacles to optimizing the organization of mental healthcare and the strategies that should be applied by presenting the examples from practice.ResultsOutcomes of mental healthcare are in relation with ‘improved legislation’ and the introduction of up-to-date management and economic concepts including continuous treatment model, in addition to the advantages and disadvantages in the provision of mental healthcare within primary and secondary inpatient and outpatient healthcare. Some of these l essons are learned from reforms implemented in Serbia. (Sou...
Source: International Journal for Quality in Health Care - July 1, 2020 Category: International Medicine & Public Health Source Type: research

Methods of patient-reported measures administration and their impact
Across the globe, healthcare policymakers are increasingly advocating for the right of a patient to self-determination and collaborative approaches to care planning, through models such as person-centered coordinated care. Reflecting the increasing recognition of patient-centered care as an important aspect of high-quality health care, the use of patient-reported measures (PRM) —including patient-reported outcome measures (PROM) and patient-reported experience measures (PREM)—has expanded dramatically [1]. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 30, 2020 Category: International Medicine & Public Health Source Type: research

COVID-19 pandemic: a time for collaboration and a unified global health front
AbstractCoronavirus disease 2019 has, in the span of weeks, immobilized entire countries and mobilized leading institutions worldwide in a race towards treatments and preventions. Although several solutions such as telemedicine and online education platforms have been implemented to reduce human contact and further transmission, countries need to favour collectivism both within and beyond their borders. Inspired by experiences of previous outbreaks such as SARS in 2003 and Ebola in 2014 –2015, global solidarity is a must in order to prevent further morbidity and mortality. Examples in leadership and collaborations rangin...
Source: International Journal for Quality in Health Care - June 27, 2020 Category: International Medicine & Public Health Source Type: research

Can social accountability mechanisms using community scorecards improve quality of pediatric care in rural Cambodia?
ConclusionThe institution of social accountability mechanisms to engage communities and facility providers showed some improvements in quality of care for common pediatric conditions, but socioeconomic disparities were evident. (Source: International Journal for Quality in Health Care)
Source: International Journal for Quality in Health Care - June 27, 2020 Category: International Medicine & Public Health Source Type: research

Understanding variation in reported covid-19 deaths with a novel Shewhart chart application
ConclusionsThe hybrid chart detected the start of exponential growth and identified early signals that the growth phase was ending. During a pandemic, timely reliable signals that an epidemic is waxing or waning may have mortal implications. This novel chart offers a practical tool, accessible to system leaders and frontline teams, to visualize and learn from daily reported deaths during an epidemic. Without Shewhart charts and, more broadly, a theory of variation in our epidemiological arsenal, we lack a scientific method for a real-time assessment of local conditions. Shewhart charts should become a standard method for l...
Source: International Journal for Quality in Health Care - June 26, 2020 Category: International Medicine & Public Health Source Type: research

The COVID-19 pandemic: A call to action for health systems in Latin America to strengthen quality of care
AbstractThe Covid-19 and other recent pandemics has highlighted existing weakness in health systems across the Latin-America and the Caribbean (LAC) region to effectively prepare for and respond to Public Health Emergencies. It has been stated that quality of care will be among the most influential factors on Covid 19 mortality rates and low systems performance is the common case in these countries. More comprehensive and system level strategies are required to address the challenges. These must focus on redesigning and strengthening health systems to make them more resilient to the changing needs of populations and based ...
Source: International Journal for Quality in Health Care - June 24, 2020 Category: International Medicine & Public Health Source Type: research