International Journal of Health Care Quality Assurance 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.

Fostering a healthcare sector quality and safety culture
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 796-809, August 2018. Purpose Quality issues, increasing patient expectations and unsatisfactory media reports are driving patient safety concerns. Developing a quality and safety culture (QSC) is, therefore, crucial for patient and staff welfare, and should be a priority for service providers and policy makers. The purpose of this paper is to identify the most important QSC drivers, and thus propose appropriate operational actions for Saudi Arabian hospital managers and for managers in healthcare institutions worldwide. Design/methodology/ap...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Infant mortality rate in India: mediating causes
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 784-795, August 2018. Purpose The purpose of this paper is to develop a new approach to health service quality assurance. Design/methodology/approach Data were collected using a structured, eight-section questionnaire. Stratified random samples were drawn from four villages based in four Indian regions. Findings Psychological discomfort is an infant mortality rate (IMR) mediating factor. The root mean square error of approximation fit statistic for the model was 0.08, which was considered the best fit. Practical implications Addressing medi...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Quality improvement measures: effects on rectal cancer tissue biopsy process
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 775-783, August 2018. Purpose Delay in histologically confirming rectal cancer may lead to late treatment as histological confirmation is required prior to chemo-radiotherapy or surgical intervention. Multidisciplinary colorectal meetings indicate that there are patients who require multiple tissue biopsy episodes prior to histologically confirming rectal cancer. The purpose of this paper is to examine a quality improvement (QI) measure ’s impact on tissue biopsy process diagnostic yield. Design/methodology/approach The authors performed th...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

India ’s rural healthcare systems: structural modeling
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 757-774, August 2018. Purpose The purpose of this paper is to identify factors related to rural healthcare services and establish a hierarchical model for the effective rural healthcare management in India. Design/methodology/approach A questionnaire survey identified and correlated numerous factors related to the Uttarakhand rural healthcare systems. Experts opinion were translated into a reachability matrix and an interpretive structural model. A fuzzy matriced impacts croises-multiplication applique and classment (FMICMAC) analysis arrange...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Chinese residents ’ educational disparity and social insurance coverage
This study is the first to investigate the association between r esidents’ educational attainment and three social health insurance schemes following the 2009 health reform. The authors suggest that educational attainment is still associated with each social health insurance coverage after the ambitious health reform. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

High-cost sharing policies and non-urgent emergency department visits
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 735-745, August 2018. Purpose The purpose of this paper is to examine whether high-cost-sharing ambulatory care policies affect non-urgent emergency department (ED) care utilization differently among individuals with and without chronic conditions. Design/methodology/approach This retrospective cohort study used 2010 –2011 US Medical Expenditure Panel Survey data. Difference-in-difference methods, multivariate logit model and survey procedures were employed. Time lag effect was used to address endogeneity concerns. Findings The sample incl...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Inpatient flow management: a systematic review
This study provide s the first patient flow management systematic overview within an inpatient setting context. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Informing quality in emergency care: understanding patient experiences
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 704-717, August 2018. Purpose Assessing performance and quality in healthcare organisations is moving from focussing solely on clinical care measurement to considering the patient experience as critical. Much patient experience research is quantitative and survey based. The purpose of this paper is to report a qualitative study gathering in-depth data in an emergency department (ED). Design/methodology/approach The authors used empirical data from seven focus groups to understand patient experience as participants progressed through a major t...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Accreditation effects on health service quality: nurse viewpoints
This study gives hospital managers a deeper insight into accreditation and its effects on mil itary hospital service quality. Military hospitals benefit from military organization such as hierarchy and command chain, so managers should employ these characteristics to adopt appropriate policies to promote human resource management as a competitive advantage. Furthermore, results will guide pu blic and private hospital managers on how to manage organizational variables that benefit from accreditation. Originality/value Accreditation was introduced as a hospital quality improvement program. However, implementing accreditatio...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Lean healthcare: scale, scope and sustainability
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 684-696, August 2018. Purpose Lean healthcare is highlighted in the literature as an approach to quality improvement and operational efficiency. The purpose of this paper is to study how Lean healthcare has been implemented by analyzing empirical outcomes. Design/methodology/approach The authors used a literature review as the primary research method, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses process. Peer-reviewed journals were analyzed – searching for Lean healthcare implementation, tools used, waste...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Hospital service quality – patient preferences – a discrete choice experiment
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 676-683, August 2018. Purpose High quality healthcare is important to all patients. If healthcare is felt to be high quality, then patients will be satisfied, and the relationship between patients and healthcare providers will improve. Patient satisfaction is among the most commonly used service quality indicators; however, it is not fully known which factors influence satisfaction. Therefore, it is necessary to pay attention to the elements that affect both healthcare quality and patient satisfaction. Nowadays, several methods are used in hea...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Porcelain for All – a nursing home study
This study only encompasses a small sample (12 residents), all diagnosed with dementia. Social implications Outcomes may help to prevent undernutrition among elderly people. Origi nality/value Combined coloured porcelain, food intake and residents with dementia is scarcely investigated. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Levelling bed occupancy: reconfiguring surgery schedules via simulation
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 864-876, August 2018. Purpose The purpose of this paper is to present simulation modelling to reconfigure a 700-bed Hong Kong hospital ’s master surgery schedule (MSS), aiming to improve patient flow, capacity management and resource allocation through levelling bed occupancy within the hospital. Design/methodology/approach A discrete-event simulation model was developed to understand how changes to the MSS would affect bed occ upancy, thereby providing business intelligence for short- and long-term hospital planning. A decision tool was su...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Accreditation in one teaching hospital: a phenomenology study among Iranian nurses
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 855-863, August 2018. Purpose Accreditation helps to ensure safe and high-quality services in hospitals. Different occupational groups have various hospital accreditation experiences. The purpose of this paper is to investigate nurses ’ accreditation experience and its effects on Iranian teaching hospital service quality. Design/methodology/approach This was a qualitative study involving a phenomenological approach to studying nurses’ hospital accreditation experience and understanding the effects on Iranian teaching hospit al service qua...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research

Improving out-of-hours surgical patient care
International Journal of Health Care Quality Assurance,Volume 31, Issue 7, Page 845-854, August 2018. Purpose The Royal College of Surgeons recognises patient handover as the point at which patients are collectively at their most vulnerable. Concerns were raised in a London teaching hospital surgical department regarding an unstructured handover system, poor access to relevant clinical information, and inadequate weekend staffing. A quality improvement programme was designed and implemented to respond to these concerns and improve patient safety. The paper aims to discuss these issues. Design/methodology/approach A struc...
Source: International Journal of Health Care Quality Assurance - October 25, 2018 Category: Health Management Source Type: research