Registered nurses ’ use of computerised decision support in medication reviews
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 531-544, July 2018. Purpose The purpose of this paper is to explore the implications of registered nurses ’ (RNs) use of a computerized decision support system (CDSS) in medication reviews. Design/methodology/approach The paper employs a quasi-experimental, one-group pre-test/post-test design with three- and six-month follow-ups subsequent to the introduction of a CDSS. In total, 11 RNs initiated an d prepared a total of 54 medication reviews. The outcome measures were the number of drug-related problems (DRPs) as reported by the CDSS and t...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Public awareness of adverse drug reaction medical safety
This study assesses the level of healthcare safety in the country and suggests mechanisms to elevate that level. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Nursing staff perceptions regarding the clinical audit tool used for relicensing inspections within eThekwini private hospitals in South Africa
This study was confined to an independent group of hospitals and the findings may not be suitable for generalising across all private hospitals in eThekwini district. Originality/value These findings led to the development of a clinical audit tool with measurements representing elements of care that are critical to the provision of safe, quality health care services. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Service quality and satisfaction in healthcare sector of Pakistan — the patients’ expectations
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 489-501, July 2018. Purpose The purpose of this paper is to assess the influence of patients ’ expectations from healthcare service quality on their satisfaction with nursing in public and private hospitals of Pakistan. Design/methodology/approach Data (n=456) were collected from three public sector hospitals and three private sector hospitals of Lahore, the capital of Pakistan’s most populous province. Male and female patients who have experience of both sectors were surveyed using a self-administered questionnaire developed using the or...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Structural quality of healthcare facilities in India
This study used the medical facility data from the India Human Development Survey-II, 2011 –2012 (ICPSR 36151) (n=4,218). Logistic regression was conducted to predict structural quality of healthcare facilities. Findings The results suggest that it is difficult to have all standard resources available at health care facilities in India. Surprisingly, having a drinking water source ins ide the health facility appears to be an indicator of poor structural quality of health care facilities. Having a water source inside a health care facility is associated with not having a separate exam room and not having a sink to wash h...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Quality assurance in segmental neck of femur fractures
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 474-482, July 2018. Purpose The purpose of this paper is to report a rare case of segmental neck of femur fracture (SNoFF) and highlight its quality assurance and governance implications with respect to national guidelines, care pathways and best practice tariff. Design/methodology/approach Case report of an SNoFF in a 67-year-old woman treated at a district general hospital (DGH) was used in this study. Findings SNoFF required additional implants that delayed the surgery by five days. The authors were unable to adhere to the British Orthopa...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Workplace violence prevention standardization using lean principles across a healthcare network
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 464-473, July 2018. Purpose The purpose of this paper is to describe the process used to standardize a Workplace Violence Prevention Program (WVPP) within a five-hospital healthcare system in Veterans Health Administration (VHA). Design/methodology/approach A description of the lean process improvement principles, used to bring the WVPP into compliance with Occupational Safety and Health Administration (OSHA) and other agencies through streamlining/standardizing processes. Findings There was significant standardization in both the threat ass...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Doctors attitudes towards medication errors at 2002 & 2015
International Journal of Health Care Quality Assurance,Volume 31, Issue 6, Page 451-463, July 2018. Purpose The purpose of this paper is to explore the attitudes and beliefs of doctors towards medication error reporting following 15 years of a national patient safety agenda. Design/methodology/approach This is a qualitative descriptive study utilising semi-structured interviews. A group of ten doctors of different disciplines shared their attitudes and beliefs about medication error reporting. Using thematic content analysis, findings were reflected upon those collected by the same author of a similar study 13 years befo...
Source: International Journal of Health Care Quality Assurance - June 29, 2018 Category: Health Management Source Type: research

Evidence-based management – healthcare manager viewpoints
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 436-448, June 2018. Purpose Hospital manager decisions can have a significant impact on service effectiveness and hospital success, so using an evidence-based approach can improve hospital management. The purpose of this paper is to identify evidence-based management (EBMgt) components and challenges. Consequently, the authors provide an improving evidence-based decision-making framework. Design/methodology/approach A total of 45 semi-structured interviews were conducted in 2016. The authors also established three focus group discussions with...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Portuguese university hospital patient satisfaction and service quality
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 428-435, June 2018. Purpose The purpose of this paper is to investigate Portuguese hospital inpatient satisfaction. Design/methodology/approach The study was conducted at a major university hospital in Portugal. Using the IAQH-IA mailed questionnaire, data were collected over three months (March to June 2015) from patients and families. From 1,500 former inpatients, 434 participated (29 percent response rate). Using the structural equation modeling, the authors derived satisfaction models and analyzed the relationship between quality, satisfa...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Hospital accreditation: staff experiences and perceptions
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 420-427, June 2018. Purpose The purpose of this paper is to understand how staff at various levels perceive and understand hospital accreditation generally and in relation to quality improvement (QI) specifically. Design/methodology/approach In a newly accredited Danish hospital, the authors conducted semi-structured interviews to capture broad ranging experiences. Medical doctors, nurses, a quality coordinator and a quality department employee participated. Interviews were audio recorded and subjected to framework analysis. Findings Staff r...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Preventing and managing constipation in older inpatients
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 415-419, June 2018. Purpose Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm. Design/methodology/approach A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial co...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Factors affecting strategic plan implementation using interpretive structural modeling (ISM)
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 406-414, June 2018. Purpose Strategic planning is the best tool for managers seeking an informed presence and participation in the market without surrendering to changes. Strategic planning enables managers to achieve their organizational goals and objectives. Hospital goals, such as improving service quality and increasing patient satisfaction cannot be achieved if agreed strategies are not implemented. The purpose of this paper is to investigate the factors affecting strategic plan implementation in one teaching hospital using interpretive s...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Modifying pre-operative antibiotic overuse in gynecologic surgery
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 400-405, June 2018. Purpose Previous studies indicate adherence to pre-operative antibiotic prophylaxis guidelines has been inadequate. The purpose of this paper is to determine adherence rates to current perioperative antibiotic prophylaxis guidelines in gynecologic surgery at a tertiary care, academic institution. As a secondary outcome, improving guidelines after physician re-education were analyzed. Design/methodology/approach A retrospective chart review (2,463 patients) was completed. The authors determined if patients received perioper...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research

Attitudes toward mammography: questionnaire psychometric properties
International Journal of Health Care Quality Assurance,Volume 31, Issue 5, Page 391-399, June 2018. Purpose The purpose of this paper is to evaluate the Persian version of the Attitude toward Breast Cancer Screening Procedures Scale (ABCSPS) among Iranian women. Design/methodology/approach In this methodological study, 1,000 Iranian women completed a demographic questionnaire and the 14-item Persian ABCSPS. The scale ’s construct validity was evaluated using exploratory and confirmatory factor analysis. Internal consistency and reliability were assessed using Cronbach’s α and McDonald’s coefficient ω. Findings T...
Source: International Journal of Health Care Quality Assurance - June 5, 2018 Category: Health Management Source Type: research