Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review
Conclusion
The framework developed here could guide individualised development or learning plans for patient partners and staff, or could assist organisations to review learning topics and approaches such as training content, mentoring guidelines or community of practice agendas. Future directions include refining and evaluating the framework. Development approaches such as self-reflection, communities of practice, and remote learning need to be expanded and evaluated. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Cox, R., Molineux, M., Kendall, M., Tanner, B., Miller, E. Tags: Open access Systematic review Source Type: research
How does the effectiveness of strategies to improve healthcare provider practices in low-income and middle-income countries change after implementation? Secondary analysis of a systematic review
Conclusions
Time trends in the effectiveness of different strategies to improve HCP practices vary among strategies. Programmes relying solely on in-service training might need periodical refresher training or, better still, consider combining training with group problem-solving. Although more high-quality research is needed, these results, which are important for decision-makers as they choose which strategies to use, underscore the utility of studies with multiple post-implementation measurements so sustainability of the impact on HCP practices can be assessed. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Arsenault, C., Rowe, S. Y., Ross-Degnan, D., Peters, D. H., Roder-DeWan, S., Kruk, M. E., Rowe, A. K. Tags: Open access Original research Source Type: research
Quality of acute myocardial infarction care in England and Wales during the COVID-19 pandemic: linked nationwide cohort study
Conclusion
During the first wave of the COVID-19 pandemic in England and Wales, quality of care for AMI as measured against international standards did not worsen, but improved modestly. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Aktaa, S., Yadegarfar, M. E., Wu, J., Rashid, M., de Belder, M., Deanfield, J., Schiele, F., Minchin, M., Mamas, M., Gale, C. P. Tags: COVID-19 Original research Source Type: research
Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial
Conclusions
A community pharmacist-led medication adherence intervention was effective at improving medication adherence and clinical outcomes in patients suffering from hypertension, asthma and COPD. Future research should explore the implementation of these interventions in routine practice.
Trial registration number
ACTRN12618000410257. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Torres-Robles, A., Benrimoj, S. I., Gastelurrutia, M. A., Martinez-Martinez, F., Peiro, T., Perez-Escamilla, B., Rogers, K., Valverde-Merino, I., Varas-Doval, R., Garcia-Cardenas, V. Tags: Open access Original research Source Type: research
Virtual learning collaboratives to improve urine culturing and antibiotic prescribing in long-term care: controlled before-and-after study
Conclusions
Rates of urine culturing and urinary antibiotic prescriptions declined among long-term care homes that participated in a virtual learning collaborative to support implementation of a quality improvement programme. The results of this study have refined a model to scale this programme in long-term care. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Chambers, A., Chen, C., Brown, K. A., Daneman, N., Langford, B., Leung, V., Adomako, K., Schwartz, K. L., Moore, J. E., Quirk, J., MacFarlane, S., Cronsberry, T., Garber, G. E. Tags: Open access Original research Source Type: research
Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey
Conclusion
Our study provides empirical support for the hypothesis that greater patient involvement in healthcare decision-making improves satisfaction with care irrespective of decisions made and clinical outcomes. Overall satisfaction with the care illustrated was highest when decisions were reached through shared decision-making. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Birkeland, S., Bismark, M., Barry, M. J., Möller, S. Tags: Editor's choice Original research Source Type: research
Learning from successes: designing medication adherence intervention research so that we can learn what works and why
"Drugs don’t work in patients who don’t take them"—C.E. Koop, US Surgeon General1 Even if clinicians prescribe the most appropriate medications for their patients, the effectiveness of these depends on how patients take them.1 Adherence presumes an agreement between prescriber and patient about the prescriber’s recommendations2 and is defined as the extent to which the patient’s action matches the agreed recommendations.2 Low adherence is associated with adverse outcomes, hospitalisation and increased mortality.3 It is therefore a source of avoidable patient harm, as well as increased healthca...
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Garfield, S., Judah, G. Tags: Open access Editorials Source Type: research
Support to scale antibiotic stewardship in long-term care homes: how much is enough?
As evidence demonstrating the positive impact of antibiotic stewardship interventions grows, there is an urgent need to understand how these efforts can be replicated in other settings (‘spread’) and how infrastructure can be developed to support broader implementation across large systems of care (‘scale’).1 2 In addition to ensuring that individual patients are protected from adverse effects of unnecessary antibiotics, there is a societal imperative to spread and scale stewardship such that it reaches large numbers of people, as misuse of antibiotics has a ripple effect across populations through ...
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Szymczak, J., Trautner, B. Tags: Editorials Source Type: research
Addressing disparities in patients opportunities for and competencies in shared decision making
In this study, 30 case vignettes were created that varied by level of patient involvement in making the decision, screening choice and downstream cancer outcomes.1 Despite using hypothetical scenarios and limiting the sample to men, this study yielded important insights into the impact of shared decision making (SDM) on peoples’ reports of satisfaction with their care.1 2 Birkeland and colleagues1 found that participants were generally more satisfied with scenarios where the doctor was in favour of PSA testing, but greatest levels of satisfaction with their healthcare were observed when there was SDM, use of... (Sour...
Source: Quality and Safety in Health Care - January 19, 2022 Category: Health Management Authors: Tan, N. Q. P., Volk, R. J. Tags: Editorials Source Type: research
To improve quality, leverage design
The intersection of quality improvement and design thinking The year was 1987, and a bold experiment was under way—the US-based National Demonstration Project in Quality Improvement in Health Care (NDP). This effort brought together 21 companies recognised for excellence in quality manufacturing with 21 healthcare organisations to test whether revolutionary practices from quality improvement (QI) could be applied to healthcare. The partnership succeeded and NDP was extended for another 3 years, eventually becoming the Institute for Healthcare Improvement.1 Since then, QI principles and methods have spread broadly acr...
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Crowe, B., Gaulton, J. S., Minor, N., Asch, D. A., Eyet, J., Rainosek, E., Flint, K., Joo, J., Chambers, C., Bright, S., Yang, J. J., Beyt, G., Pierce, R., Moses, J. M. Tags: Open access Viewpoints Source Type: research
Quality and Safety in the Literature: January 2022
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last several months. Some articles will focus on a particular theme, whereas others will highlight unique publications from high-impact medical journals. Key points A multicentre randomised controlled trial seeking to improve outcomes in heart failure (HF) care using both a hospital-based and a postdischarge transition of care intervention failed to show ...
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Caseley, P., Houchens, N., Gupta, A. Tags: Quality & amp; safety in the literature Source Type: research
Overuse of diagnostic testing in healthcare: a systematic review
Conclusion
Our findings suggest that substantial overuse of diagnostic testing is present with wide variation in overuse. Preoperative testing and imaging for non-specific low back pain are the most frequently identified low-value diagnostic tests. Uniform definitions and assessments are required in order to obtain a more comprehensive understanding of the magnitude of diagnostic testing overuse. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Müskens, J. L. J. M., Kool, R. B., van Dulmen, S. A., Westert, G. P. Tags: Open access Systematic review Source Type: research
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals
Conclusions
Although inpatient mortality for patients with COVID-19 has sharply declined compared with earlier in the pandemic, higher COVID-19 hospital prevalence remained a common risk factor for COVID-19 mortality. Hospital leaders need to reconsider how we provide support to care for patients in times of increased volume and complexity, such as those experienced during COVID-19 surges. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Fakih, M. G., Ottenbacher, A., Yehia, B., Fogel, R., Miller, C., Winegar, A., Jesser, C., Cacchione, J. Tags: Open access, COVID-19 Original research Source Type: research
Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study
Conclusions
This study advances the conceptualisation of interventions by explicitly considering how evidence-based practices are operationalised in complex systems. We propose a new conceptualisation of ‘interventions-in-systems’ which describes intervention components in relation to their: proximity to the evidence base; component interdependence; component function; component adaptation and effort. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Lennox, L., Barber, S., Stillman, N., Spitters, S., Ward, E., Marvin, V., Reed, J. E. Tags: Open access Original research Source Type: research
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals
Conclusions
Implementation of MAGIC in Michigan hospitals was associated with improved PICC appropriateness and fewer complications. These findings have important quality, safety and policy implications for hospitals, patients and payors. (Source: Quality and Safety in Health Care)
Source: Quality and Safety in Health Care - December 16, 2021 Category: Health Management Authors: Chopra, V., O'Malley, M., Horowitz, J., Zhang, Q., McLaughlin, E., Saint, S., Bernstein, S. J., Flanders, S. Tags: Open access, Editor's choice Original research Source Type: research
