Author Archives: Intl J for Qualtiy in Health Care

Physicians’ and pharmacists’ perceptions on real-time drug utilization review system: a…

AbstractObjectiveTo identify healthcare providers’ experience and satisfaction for the drug utilization review (DUR) system, their impact on prescription changes following alerts, and difficulties experienced in the system by surveying primary healthcare centers and pharmacies.DesignA cross-sectional nationwide survey.Setting and participantsApproximately 2000 institutions were selected for the survey by a simple random sampling of nationwide primary healthcare centers and community pharmacy approximately practices, and 358 replied.Main outcomes measuresThe questionnaire included questions on experience and recognition of DUR alerts, personal attitude and respondents’ biographical information.

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The role of patient perception of crowding in the determination of real-time patient…

AbstractObjectiveTo evaluate the associations between real-time overall patient satisfaction and Emergency Department (ED) crowding as determined by patient percepton and crowding estimation tool score in a high-volume ED.DesignA prospective observational study.SettingA tertiary acute hospital ED and a Level 1 trauma center.ParticipantsED patients.Intervention(s)Crowding status was measured by two crowding tools [National Emergency Department Overcrowding Scale (NEDOCS) and Severely overcrowded–Overcrowded–Not overcrowded Estimation Tool (SONET)] and patient perception of crowding surveys administered at discharge.Main outcome measure(s)ED crowding and patient real-time satisfaction.ResultsFrom 29 November 2015 through 11 January 2016, we enrolled 1345 participants.

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Healthcare quality improvements through hospital accreditation compliance and effective…

View article:   Healthcare quality improvements through hospital accreditation compliance and effective…

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ISQUA17-2981 TRAINING HEALTHCARE WORKERS TO IMPROVE THE QUALITY OF MATERNAL, NEWBORN &…

Continued:   ISQUA17-2981 TRAINING HEALTHCARE WORKERS TO IMPROVE THE QUALITY OF MATERNAL, NEWBORN &…

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ISQUA17-3361 NATIONAL INCIDENT REPORTING DATA ANALYSIS FOR 3 YEARS, OMAN Telemedicine Improves…

Originally posted here –  ISQUA17-3361 NATIONAL INCIDENT REPORTING DATA ANALYSIS FOR 3 YEARS, OMAN Telemedicine Improves…

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Quality indicators and incentive programs for health care improvement

Source –  Quality indicators and incentive programs for health care improvement

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Avoidable emergency department visits: a starting point

AbstractObjectiveTo better characterize and understand the nature of a very conservative definition of ‘avoidable’ emergency department (ED) visits in the United States to provide policymakers insight into what interventions can target non-urgent ED visits.Design/settingWe performed a retrospective analysis of a very conservative definition of ‘avoidable’ ED visits using data from the National Hospital Ambulatory Medical Care Survey from 2005 to 2011.ParticipantsWe examined a total of 115 081 records, representing 424 million ED visits made by patients aged 18–64 years who were seen in the ED and discharged home.Main outcome measuresWe defined ‘avoidable’ as ED visits that did not require any diagnostic or screening services, procedures or medications, and were discharged home.ResultsIn total, 3.3% (95% CI: 3.0–3.7) of all ED visits were ‘avoidable.’ The top five chief complaints included toothache, back pain, headache, other symptoms/problems related to psychosis and throat soreness.

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Compliance with accreditation and recommended hospital care—a Danish nationwide…

AbstractObjectiveTo examine the association between compliance with accreditation and recommended hospital care.DesignA Danish nationwide population-based follow-up study based on data from six national, clinical quality registries between November 2009 and December 2012.SettingPublic, non-psychiatric Danish hospitals.ParticipantsPatients with acute stroke, chronic obstructive pulmonary disease, diabetes, heart failure, hip fracture and bleeding/perforated ulcers.InterventionsAll hospitals were accredited by the first version of The Danish Healthcare Quality Programme.

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A multi-state, multi-site, multi-sector healthcare improvement model: implementing evidence for…

AbstractQuality problem or issueHealthcare is complex and we know that evidence takes nearly 20 years to find its way into clinical practice.Initial assessmentThe slow process of translating research points to the need for effective translational research models to ensure patient care quality and safety are not compromised by such an epistemic failure.Choice of solutionOur model to achieve reasonably rapid and enduring improvements to clinical care draws on that developed and promulgated by the Institute for Healthcare Improvement in the United States of America model as well as that developed by the Johns Hopkins Quality and Safety Group known as the Translating Research into Practice implementation model.ImplementationThe core principle of our hybrid model was to engage those most likely to be affected by the changes being introduced through a series of face-to-face and web-enabled meetings that act both as drivers of information but also as a means of engaging all stakeholders across the healthcare system involved in the change towards their pre-established goals.EvaluationThe model was piloted on the focused topic of the management of inadvertent perioperative hypothermia across nine hospitals within Australia (four sites in Victoria, three sites in New South Wales and two sites in Queensland).

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Attitudes towards accreditation among hospital employees in Denmark: a cross-sectional survey

AbstractObjectiveTo evaluate attitudes towards accreditation and the Danish Quality Model (DDKM) among hospital employees in Denmark.

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What works in implementation of integrated care programs for older adults with complex needs? A…

AbstractPurposeA realist review of the evaluative evidence was conducted on integrated care (IC) programs for older adults to identify key processes that lead to the success or failure of these programs in achieving outcomes such as reduced healthcare utilization, improved patient health, and improved patient and caregiver experience.Data sourcesInternational academic literature was searched in 12 indexed, electronic databases and gray literature through internet searches, to identify evaluative studies.Study selectionInclusion criteria included evaluative literature on integrated, long-stay health and social care programs, published between January 1980 and July 2015, in English.Data extractionData were extracted on the study purpose, period, setting, design, population, sample size, outcomes, and study results, as well as explanations of mechanisms and contextual factors influencing outcomes.Results of data synthesisA total of 65 articles, representing 28 IC programs, were included in the review.

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The patient-centered medical home: a reality for HIV care in Nigeria

AbstractObjectiveHIV care delivery in resource-limited settings (RLS) may serve as a paradigm for chronic disease care, but comprehensive measurement frameworks are lacking.

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Are children presenting with non-IMCI complaints at greater risk for suboptimal screening? An…

AbstractObjectiveTo determine if children presenting without complaints related to the Integrated Management of Childhood Illness (IMCI) are at greater risk for suboptimal screening for IMCI conditionsDesignCross-sectional study.SettingThirty-three provinces in Afghanistan.ParticipantsObservation of 3072 sick child visits selected by systematic random sampling.Main outcome measure(s)A 10 point IMCI assessment index.ResultsOne hundred and thirty-one (4.3%) of the 3072 sick child visits involved no IMCI-related complaints.

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A comparison of in-hospital acute myocardial infarction management between Portugal and the…

AbstractObjectiveTo compare healthcare in acute myocardial infarction (AMI) treatment between contrasting health systems using comparable representative data from Europe and USA.DesignRepeated cross-sectional retrospective cohort study.SettingAcute care hospitals in Portugal and USA during 2000–2010.ParticipantsAdults discharged with AMI.InterventionsCoronary revascularizations procedures (percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) surgery).Main Outcome MeasuresIn-hospital mortality and length of stay.ResultsWe identified 1 566 601 AMI hospitalizations.

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