MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Journal for Quality in Health Care' source. Thu, 09 Feb 2012 07:35:55 +0100 http://www.medworm.com/index.php?rid=5589941&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F95%3Frss%3D1 Quality problem or issue Long access times for magnetic resonance imaging (MRI) can negatively impact the quality of care provided to patients. We investigated improving access by reducing MRI processing time. Initial assessment Data were collected for scans (n= 360) performed over 3 weeks (April–May 2008) at the University Hospital of Mannheim, Germany. Average access time, excluding emergencies, was 44 (±44) days for outpatients and 3 (±5) days for inpatients. Factors influencing total MRI processing time were identified using multivariate linear regression. In addition to region scanned, the total MRI processing time was significantly related to performing multiple scans (β = 33.57, P< 0.01), using oral contrast media (β = 13.58, P< 0.01), placing an... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589941 Fri, 13 Jan 2012 05:00:00 +0100 5589941 http://www.medworm.com/index.php?rid=5589940&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F88%3Frss%3D1 Conclusions A multiplex problem requires graduated and multiplex regulation. Hospital leaders proved to be responsive regulators in applying both multiple supports and sanctions that improved compliance over 3 years. These experiences with protocol implementation illustrate the multifaceted challenge of health sector regulation and offer lessons for embedding future patient safety solutions. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589940 Fri, 13 Jan 2012 05:00:00 +0100 5589940 http://www.medworm.com/index.php?rid=5589939&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F80%3Frss%3D1 Conclusions The indicators were used in a wide range of applications with two main foci: the assessment of quality of care for elderly patients, and investigating the feasibility of similar indicators and their adaptation to new settings. Very few of the studies published to date have addressed the goal of care improvement. We foresee an important role for application of indicators that proactively help health-care professionals to deliver the right care at the right time, for example by resorting to decision support systems. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589939 Fri, 13 Jan 2012 05:00:00 +0100 5589939 http://www.medworm.com/index.php?rid=5589938&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F72%3Frss%3D1 Conclusions Assessment of guideline adherence is feasible with this cross-diagnostic set of process indicators and hampering factors of implementation could be easily detected. Future research should focus on the relationship with treatment outcomes. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589938 Fri, 13 Jan 2012 05:00:00 +0100 5589938 http://www.medworm.com/index.php?rid=5589937&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F65%3Frss%3D1 Conclusions The study demonstrated that short notice surveys are more critical in their assessment of clinical than administrative or corporate items. Short notice surveys, while broadly comparable with existing advanced notification survey practice, produced different accreditation outcomes for a significant proportion of the study organizations. The overall value and worth of short notice surveys remains to be proved. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589937 Fri, 13 Jan 2012 05:00:00 +0100 5589937 http://www.medworm.com/index.php?rid=5589936&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F55%3Frss%3D1 Conclusions Though heterogeneous and limited in scope, there is sufficient research evidence to inform the presentation of quantitative data that compares the performance of healthcare providers. The impact of new formats, such as funnel plots, needs to be evaluated. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589936 Fri, 13 Jan 2012 05:00:00 +0100 5589936 http://www.medworm.com/index.php?rid=5589935&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F49%3Frss%3D1 Conclusions The ‘6D Cards’ could be a useful communication tool to enable patients to raise general concerns and issues during their consultations. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589935 Fri, 13 Jan 2012 05:00:00 +0100 5589935 http://www.medworm.com/index.php?rid=5589934&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F39%3Frss%3D1 Conclusions Patients identified elements that enhance or distract from continuity of care across boundaries. Variations in perceived importance seem to depend on both individual and contextual factors which should be taken into account during healthcare provision. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589934 Fri, 13 Jan 2012 05:00:00 +0100 5589934 http://www.medworm.com/index.php?rid=5589933&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F28%3Frss%3D1 Conclusion There is a need for significant development of the PPI evidence base particularly around guidance for the reporting of user activity and impact. The evidence base needs to be significantly strengthened to ensure the full impact of involving service users in NHS healthcare services is fully understood. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589933 Fri, 13 Jan 2012 05:00:00 +0100 5589933 http://www.medworm.com/index.php?rid=5589932&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F23%3Frss%3D1 This article critically examines Germany's current approach to open disclosure. It finds that the issue plays no significant role in German health policy with very limited measures explicitly concerning such communication currently in place. While a number of aspects of the wider regulatory framework appear to be supportive, Germany is still in the early stages of a systematic approach and additional measures are required to further promote open disclosure within the self-governing German healthcare system. This exploration provides an example of a non-English-speaking country's approach to open disclosure and may be of particular interest to neighbouring German-speaking and civil law countries such as Switzerland and Austria. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589932 Fri, 13 Jan 2012 05:00:00 +0100 5589932 http://www.medworm.com/index.php?rid=5589931&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F16%3Frss%3D1 Conclusions This study provided information on the PSCQ's psychometric properties when used in community pharmacies in different European countries. A modified version of the original PSCQ (known as PSCQ-4) is presented, and further work is proposed to demonstrate its application to safety improvements in pharmacies. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589931 Fri, 13 Jan 2012 05:00:00 +0100 5589931 http://www.medworm.com/index.php?rid=5589930&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F9%3Frss%3D1 Conclusions Interventions to promote safety culture should be tailored to the target group as attitudes and perceptions may differ among groups. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589930 Fri, 13 Jan 2012 05:00:00 +0100 5589930 http://www.medworm.com/index.php?rid=5589929&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2Fh1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589929 Fri, 13 Jan 2012 05:00:00 +0100 5589929 http://www.medworm.com/index.php?rid=5589928&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F24%2F1%2F1%3Frss%3D1 Conclusion Australian newspaper reporting of medication errors was relatively limited. Given the high prevalence of errors and the potential role consumers can play in identifying and preventing errors, there is a clear argument for increasing public awareness and understanding of issues relating to medication safety. Existing coverage of this issue is unrelated to research evidence. This suggests the need for patient safety researchers and advocacy groups to engage more strongly with the media as a strategy to increase the productive public discourse concerning medication errors and gain support for evidence-based interventions. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5589928 Fri, 13 Jan 2012 05:00:00 +0100 5589928 http://www.medworm.com/index.php?rid=5393991&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F713%3Frss%3D1 Conclusions The safety advisory was well accepted by patients and hcw. To be successful, the advisory should be accompanied by measures that target norms and barriers in patients, and support staff in dealing with difficult situations. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393991 Mon, 07 Nov 2011 05:00:00 +0100 5393991 http://www.medworm.com/index.php?rid=5393990&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F705%3Frss%3D1 Conclusions The true risk resides in the number of exposures to potentially iatrogenic actions, rather than being intrinsic to age or the presence of certain comorbidities. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393990 Mon, 07 Nov 2011 05:00:00 +0100 5393990 http://www.medworm.com/index.php?rid=5393989&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F697%3Frss%3D1 Conclusions Public reporting of performance measure data appears to motivate and energize organizations to improve or maintain high levels of performance. Despite commonly cited concerns over the limitations, validity and interpretability of publicly reported data, the heightened awareness of the data intensified the focus on performance improvement activities. As the healthcare industry has moved toward greater transparency and accountability, healthcare professionals have responded by re-prioritizing hospital quality improvement efforts to address newly exposed gaps in care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393989 Mon, 07 Nov 2011 05:00:00 +0100 5393989 http://www.medworm.com/index.php?rid=5393988&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F690%3Frss%3D1 Conclusions When compared with external evaluation (gold standard), self-assessment was found to be sufficiently valid for tracking QI team performance. Sensitivity was generally higher than specificity. Simplifying indicators may improve validity. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393988 Mon, 07 Nov 2011 05:00:00 +0100 5393988 http://www.medworm.com/index.php?rid=5393987&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F682%3Frss%3D1 Conclusions A wide-reach, low-intensity, Web-based interactive multi-component intervention did not improve control of glucose, BP or lipids for patients with diabetes of physicians practicing in the rural Southeastern US. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393987 Mon, 07 Nov 2011 05:00:00 +0100 5393987 http://www.medworm.com/index.php?rid=5393986&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F674%3Frss%3D1 Conclusion A community-oriented program for diabetes care led to improvements in performance of tests, as well as control of HbA1c and LDL among 72% of diabetes patients in Israel. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393986 Mon, 07 Nov 2011 05:00:00 +0100 5393986 http://www.medworm.com/index.php?rid=5393985&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F664%3Frss%3D1 Conclusions The use of secure messaging, and, to a lesser extent, phone, appears to be associated with higher quality diabetes care, particularly among at-risk populations. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393985 Mon, 07 Nov 2011 05:00:00 +0100 5393985 http://www.medworm.com/index.php?rid=5393984&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F657%3Frss%3D1 Conclusion To address low-pain screening among cancer patients, an oncology pain screening measure may be most efficiently evaluated with data from a sample of patients and visits. This approach may be valid for visit-level quality measures in other settings. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393984 Mon, 07 Nov 2011 05:00:00 +0100 5393984 http://www.medworm.com/index.php?rid=5393983&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F645%3Frss%3D1 Conclusions This paper has brought together a number of generic, yet influential and workable, measures which could be utilized for assessing the overall performance of an accreditation program in healthcare. The application of these measures depends on the features of given accreditation program and the context in which the program operates. Therefore, the next step/steps in the assessment of an accreditation program might be choosing the measures suiting that program. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393983 Mon, 07 Nov 2011 05:00:00 +0100 5393983 http://www.medworm.com/index.php?rid=5393982&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F637%3Frss%3D1 Conclusions and implications The EPSO has been a powerful driver for undertaking cross-European research, and this project is the first of many to take advantage of the access to international expertize. It has shown that through development of a framework that deconstructs national indicators, commonalities can be identified. Future work will attempt to incorporate other nations' indicators, and attempt cross-national comparison. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393982 Mon, 07 Nov 2011 05:00:00 +0100 5393982 http://www.medworm.com/index.php?rid=5393981&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F629%3Frss%3D1 Conclusions Our hypothesis was supported, as were our predictions that the strongest pull would be from the providers and the strongest push from government and higher education. Our original model should be extended to account for contextual factors such as large-scale workplace and professional reform, which worked both for and against, IP. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393981 Mon, 07 Nov 2011 05:00:00 +0100 5393981 http://www.medworm.com/index.php?rid=5393980&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F621%3Frss%3D1 Conclusion Overall, the patients' evaluations of general practice were very positive in family practice care in the years 1998 and 2009. The trends over the years need to be carefully interpreted over time. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393980 Mon, 07 Nov 2011 05:00:00 +0100 5393980 http://www.medworm.com/index.php?rid=5393979&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2F611%3Frss%3D1 Conclusion American and Canadian cancer screening utilization is generally consistent with each country's guideline recommendations regarding age. US and Canadian differences in screening due to guidelines can potentially explain cross-country differences in breast cancer mortality and affect interpretation of international comparisons of cancer statistics. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393979 Mon, 07 Nov 2011 05:00:00 +0100 5393979 http://www.medworm.com/index.php?rid=5393978&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F6%2Fg1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5393978 Mon, 07 Nov 2011 05:00:00 +0100 5393978 http://www.medworm.com/index.php?rid=5201496&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F600%3Frss%3D1 Conclusion The key benefits of the unlearning context for the quality of service provided in HHUs are clear: it enables them to identify and replace poor practices and also avoids the reinvention of the wheel (e.g.: by minimizing unnecessary work caused by the use of poor methods) and it reduces costs through better productivity and efficiency (improving services to patients). (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201496 Wed, 07 Sep 2011 04:00:00 +0100 5201496 http://www.medworm.com/index.php?rid=5201495&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F590%3Frss%3D1 Conclusions Wristbands for patient identification are not being used to their full potential. Attention to detail in application and use, especially during handover and transfer, and an appreciation of the role played by ‘non-clinical’ staff, may offer further gains in patient safety. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201495 Wed, 07 Sep 2011 04:00:00 +0100 5201495 http://www.medworm.com/index.php?rid=5201494&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F583%3Frss%3D1 Conclusion Regular clinical audits of cases severe PPH were associated with a persistent reduction in the prevalence of severe PPH. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201494 Wed, 07 Sep 2011 04:00:00 +0100 5201494 http://www.medworm.com/index.php?rid=5201493&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F574%3Frss%3D1 Conclusions A number of patient and hospital characteristics were associated with variation in guideline adherence in IUI care, particularly the patient characteristics ’diagnosis’ and ‘female age’. The identification of different subgroups in the patient population and different types of hospitals with regard to the extent of guideline adherence in IUI care is important for the tailoring of interventions to improve IUI care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201493 Wed, 07 Sep 2011 04:00:00 +0100 5201493 http://www.medworm.com/index.php?rid=5201492&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F565%3Frss%3D1 Conclusion The study demonstrates nationwide quality improvements of cholecystectomy in Denmark from 2006 to 2009. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201492 Wed, 07 Sep 2011 04:00:00 +0100 5201492 http://www.medworm.com/index.php?rid=5201491&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F554%3Frss%3D1 Conclusions A comprehensive set of 31 indicators was identified to evaluate the quality of cancer care received by women that also allows assessment of gender and socioeconomic disparities in cancer care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201491 Wed, 07 Sep 2011 04:00:00 +0100 5201491 http://www.medworm.com/index.php?rid=5201490&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F545%3Frss%3D1 Conclusions Training in spirometry did not result in any measurable improvement in the use of spirometry, quality of management of asthma or patient outcomes in primary care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201490 Wed, 07 Sep 2011 04:00:00 +0100 5201490 http://www.medworm.com/index.php?rid=5201489&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F538%3Frss%3D1 Conclusions The ventilator bundle was frequently present but not well implemented. Individual elements did not appear effective; strict compliance with infection elements was needed. Efforts to prevent VAP may be successful in settings of high levels of compliance with all infection-specific elements and in settings with full-time HEs. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201489 Wed, 07 Sep 2011 04:00:00 +0100 5201489 http://www.medworm.com/index.php?rid=5201488&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F531%3Frss%3D1 Quality Problem Patient-centred care is increasingly being acknowledged as an integral part of evaluating health care. Yet, from a quality improvement perspective the rationale, measurement and implementation of strategies to improve patient-centred care is often subject to debate. Objective The aim of this paper is to review why quality improvement efforts should embrace patient-centredness, to examine some of the measurement issues and to assess conceptual underpinnings that should inform both measurement and actions to improve patient-centred care. Lessons The causal pathway through which quality improvement affects and/or is associated with patient centredness is complex and goes beyond patients' rights and assessing patient views. Interventions to improve patient-centred care should... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201488 Wed, 07 Sep 2011 04:00:00 +0100 5201488 http://www.medworm.com/index.php?rid=5201487&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F524%3Frss%3D1 Conclusions Statistical adjustment for patient mix and additional stratification for some hospital factors make benchmarking using patient survey data fairer and more transparent. Use of our approach for presenting quality data may make interpretation easier for the different target groups and may enhance the relevance of such information for decision-making. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201487 Wed, 07 Sep 2011 04:00:00 +0100 5201487 http://www.medworm.com/index.php?rid=5201486&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F516%3Frss%3D1 Conclusions This study highlights the important findings about outpatient services at Mulago hospital. The sub-optimal satisfaction scores for outpatient care strongly suggest that more could be done to assure that services provided are more patient centered. Significant factors including category of clinic visited, waiting time, costs incurred, accessibility of services and perceived providers' technical competence at this hospital should be explored by the Makerere University College of Health Sciences and Mulago hospital for potential improvements in quality of the health service delivered. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201486 Wed, 07 Sep 2011 04:00:00 +0100 5201486 http://www.medworm.com/index.php?rid=5201485&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F510%3Frss%3D1 Conclusions Organizations that have succeeded in fostering patient-centered care have gone beyond mainstream frameworks for quality improvement based on clinical measurement and audit and have adopted a strategic organizational approach to patient focus. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201485 Wed, 07 Sep 2011 04:00:00 +0100 5201485 http://www.medworm.com/index.php?rid=5201484&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F503%3Frss%3D1 Conclusion The analysis identified key determinants that should be altered first in order to improve global patient satisfaction. The results also indicate that some aspects of the hospital stay are not seen as relevant by patients and therefore are unrelated to satisfaction ratings. The findings suggest that variables measuring patients' perceptions of care are more important determinants of global patient satisfaction in comparison to demographics and visit characteristics. Results of the present study have implications for health providers aiming at improving the service quality and quality of care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201484 Wed, 07 Sep 2011 04:00:00 +0100 5201484 http://www.medworm.com/index.php?rid=5201483&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2F495%3Frss%3D1 Conclusion Findings suggest that where patients live has a small but potentially important impact on how they rate their care. Residence may therefore be considered when designing public reporting systems and pay-for-performance programs. Further attention to patient-level factors may be important to accurate and useful public reporting of patient satisfaction. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201483 Wed, 07 Sep 2011 04:00:00 +0100 5201483 http://www.medworm.com/index.php?rid=5201482&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F5%2Ff1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5201482 Wed, 07 Sep 2011 04:00:00 +0100 5201482 http://www.medworm.com/index.php?rid=5025419&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F487%3Frss%3D1 Conclusion Households that utilized UAOPs reported better perceived neonatal health outcomes and higher satisfaction levels than those that used QAOPs, despite higher costs for the former. Future research should assess what dimensions of neonatal care are important to households and identify incentive structures that promote healthcare providers to deliver better perceived care in high-mortality settings such as rural Uttar Pradesh, India. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025419 Wed, 13 Jul 2011 23:00:00 +0100 5025419 http://www.medworm.com/index.php?rid=5025418&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F471%3Frss%3D1 Conclusion Top-down health insurance interventions with focus on exit strategies will not work out fully in the Indian context. Government must actively facilitate the potential of CHI schemes to emancipate the target group so that they may transform from mere passive beneficiaries into active participants in their health. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025418 Wed, 13 Jul 2011 23:00:00 +0100 5025418 http://www.medworm.com/index.php?rid=5025417&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F464%3Frss%3D1 This article describes an audit for infection control developed in a surgical unit of a tertiary care setting in Gujarat state, India that was scaled-up to all state-owned hospitals in the district. Initial assessment A retrospective baseline assessment of surgical infection rates in a general surgical unit revealed an infection rate of 30%. Choice of solution An audit was implemented based on guidelines for SSI prevention published by the Centres of Disease Control. Implementation Surveillance and hospital epidemiology were established and practice reforms implemented. Monthly and annual meetings to review implementation were held. Evaluation After 12 months, an 88% decrease in the infection rate in the surgical unit was demonstrated. Thereafter, the process was replicated across the ... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025417 Wed, 13 Jul 2011 23:00:00 +0100 5025417 http://www.medworm.com/index.php?rid=5025416&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F456%3Frss%3D1 Conclusions Criterion-based clinical audit appears feasible. No studies have rigorously evaluated its measurement properties in low- and middle-income countries. Without such evaluation, measurement properties of the audit remain under question. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025416 Wed, 13 Jul 2011 23:00:00 +0100 5025416 http://www.medworm.com/index.php?rid=5025415&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F445%3Frss%3D1 Conclusions Quality of care is complex, but over- and under-treatment coexist and, in our analysis physicians that were more likely to under-treat a sick child were also those more likely to over-treat. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025415 Wed, 13 Jul 2011 23:00:00 +0100 5025415 http://www.medworm.com/index.php?rid=5025414&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F437%3Frss%3D1 Conclusions A substantial proportion of hospitalization days were evaluated as inappropriate. Patient condition at admission and types of OM therapies required should be taken into account to reduce unnecessary stays in OM hospitals. Additionally, availability of OM services, especially for patients with limited motor functions, needs to be improved outside hospitals. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025414 Wed, 13 Jul 2011 23:00:00 +0100 5025414 http://www.medworm.com/index.php?rid=5025413&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F429%3Frss%3D1 Conclusions This study provides empirical evidence for the psychometric properties of the IRCQ and the reporting culture which nurses perceive in Taiwan. To Taiwanese nurses, the reporting culture within their work environments especially as it relates to coworker relations, inter-professional collaboration and non-punitive atmosphere is their major concern. Healthcare administrators should consider nurses’ perceptions related to incident reporting when managing underreporting issues. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025413 Wed, 13 Jul 2011 23:00:00 +0100 5025413 http://www.medworm.com/index.php?rid=5025412&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F420%3Frss%3D1 Conclusion The self-report questionnaire combined with an onsite audit appears to be a promising approach for measuring scores on achievements of the national patient safety goals. The Department of Health could conduct this program annually to evaluate the progress and propose coping strategies. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025412 Wed, 13 Jul 2011 23:00:00 +0100 5025412 http://www.medworm.com/index.php?rid=5025411&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F413%3Frss%3D1 Conclusions The adherence to recommendations was unsatisfactory, especially in checking eye examination, testing UACR and LDL cholesterol, and achieving a target goal for each parameter. Guideline adherence was positively related to better prognosis. Active strategies to apply the guidelines to clinical practice should be developed to improve patient outcomes. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025411 Wed, 13 Jul 2011 23:00:00 +0100 5025411 http://www.medworm.com/index.php?rid=5025410&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F405%3Frss%3D1 Conclusion Education exerts the most important effect on the control of established cardiovascular risk factors; Successful intervention to reduce these risk factors will have to be addressed, not just with regard to specific risk factors, but also with the societal conditions that lead to the adoption and maintenance of high-risk behaviors. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025410 Wed, 13 Jul 2011 23:00:00 +0100 5025410 http://www.medworm.com/index.php?rid=5025409&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F397%3Frss%3D1 Conclusion While South Korea's universal health insurance system may have succeeded in substantially reducing financial barriers related to diabetes care, the quality of diabetes care is low overall and varies by education level. System-level quality improvement efforts are required to address the weaknesses of the health system, thereby mitigating educational disparities in diabetes care quality. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025409 Wed, 13 Jul 2011 23:00:00 +0100 5025409 http://www.medworm.com/index.php?rid=5025408&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F390%3Frss%3D1 Conclusion Communication, respect and patient engagement in provider–patient relationship are important in determining patient's satisfaction. Training and healthcare education curriculum could take this into account for ensuring the quality of patient-centered care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025408 Wed, 13 Jul 2011 23:00:00 +0100 5025408 http://www.medworm.com/index.php?rid=5025407&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F384%3Frss%3D1 Conclusions Rural residents benefit greatly from the implementation of NRCMIS. Future reform could be more effective by catering the needs of each specific group (e.g. low-income population, rural population, etc.) identified by this study. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025407 Wed, 13 Jul 2011 23:00:00 +0100 5025407 http://www.medworm.com/index.php?rid=5025406&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F375%3Frss%3D1 Conclusions The procedure resulted in a reliable and valid rating scale to assess child function impairment in the context of political violence. Practitioners can apply this procedure to develop new locally adequate rating scales to strengthen epidemiological surveys, baseline assessments, monitoring and evaluation and eventually, interventions. Further research should address the importance of gender differences and criterion-related validity. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025406 Wed, 13 Jul 2011 23:00:00 +0100 5025406 http://www.medworm.com/index.php?rid=5025405&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F365%3Frss%3D1 Conclusions This set of consensus quality indicators can be used as a standard list to be monitored by providers of acute myocardial infarction care in an effort to continuously evaluate and improve their performance. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025405 Wed, 13 Jul 2011 23:00:00 +0100 5025405 http://www.medworm.com/index.php?rid=5025404&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2F357%3Frss%3D1 Conclusions Poor hospital work environments are common and are associated with negative outcomes for nurses and quality of care. Improving work environments holds promise for nurse retention and better quality of patient care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025404 Wed, 13 Jul 2011 23:00:00 +0100 5025404 http://www.medworm.com/index.php?rid=5025403&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F4%2Fe1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=5025403 Wed, 13 Jul 2011 23:00:00 +0100 5025403 http://www.medworm.com/index.php?rid=4810421&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F349%3Frss%3D1 Conclusion CF provides a model of the link between processes of health care delivery and health outcomes of patients. Quality improvement is a continuous goal in CF care with realistic potential as exemplified by our data. Accountability was introduced and transparency was improved by our pilot benchmarking project. Using the benchmarking procedure, our long-term project will reinforce standards, programmes, and individual attitudes and principles to ensure continuous quality improvement in CF health care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810421 Tue, 10 May 2011 23:00:00 +0100 4810421 http://www.medworm.com/index.php?rid=4810420&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F342%3Frss%3D1 Conclusion Although an improved theoretical understanding of effective radiation hygiene strategies might contribute to reduced radiation use, this study suggests that regular detailed quantitative feedback supporting education is an effective tool in altering radiation use in CA. Understanding triggers that stimulate change in clinician behaviour is critical to the design of systems to optimize clinical performance. Confidentially reported benchmarking systems may be a useful tool to alter clinician behaviour. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810420 Tue, 10 May 2011 23:00:00 +0100 4810420 http://www.medworm.com/index.php?rid=4810419&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F331%3Frss%3D1 Conclusions The matching of healthcare cost models to the analytic objectives and characteristics of the data available to a study requires caution. The study results and interpretation can be heavily dependent on the choice of model with a real risk of spurious results and conclusions. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810419 Tue, 10 May 2011 23:00:00 +0100 4810419 http://www.medworm.com/index.php?rid=4810418&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F324%3Frss%3D1 Conclusions Technical efficiency cannot be considered as an extensive measure of healthcare performance, but evidence shows that Tuscan Local Health Authorities have room for improvement in productivity levels. Indeed, correlation findings suggest that, to pursue financial sustainability, Local Health Authorities mainly have to improve their performance in terms of quality and appropriateness. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810418 Tue, 10 May 2011 23:00:00 +0100 4810418 http://www.medworm.com/index.php?rid=4810417&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F317%3Frss%3D1 Conclusions Registry audits are useful for identifying variables with poor reliability. Repeated audits will not improve data reliability; however, they can assist in identifying and evaluating the impact of modified data collection processes on improving data reliability. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810417 Tue, 10 May 2011 23:00:00 +0100 4810417 http://www.medworm.com/index.php?rid=4810416&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F309%3Frss%3D1 Although the Institute of Medicine of the USA has recommended elements for healthcare reform, the optimal means for incorporation of these elements into a healthcare setting remain undefined. A process for the implementation of potentially better practices is described that incorporates a computerized medical record into an evidence-based, multidisciplinary continuous quality improvement effort. Steps in the process include the following: fostering a culture change that incorporates key habits for improvement; identification of a potentially better practice; review of existing evidence and analysis of local experience; delineation of proposed outcomes and potential confounders; guideline formulation and implementation; monitoring of change effectiveness; ongoing multivariate data analyses;... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810416 Tue, 10 May 2011 23:00:00 +0100 4810416 http://www.medworm.com/index.php?rid=4810415&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F302%3Frss%3D1 Conclusions Findings from this study suggest that missed nursing care may explain, at least in part, the relationship between staffing levels and patient outcomes. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810415 Tue, 10 May 2011 23:00:00 +0100 4810415 http://www.medworm.com/index.php?rid=4810414&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F292%3Frss%3D1 Conclusions The Karen-patient and the Karen-personnel instruments have achieved acceptable levels of construct validity. The internal consistency of the instruments is good. This indicates that the instruments may be suitable to use in clinical practice for measuring the quality of nursing care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810414 Tue, 10 May 2011 23:00:00 +0100 4810414 http://www.medworm.com/index.php?rid=4810413&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F284%3Frss%3D1 Conclusions The study confirmed that departments desired individual, detailed descriptions of the results. Differences in patient satisfaction were associated with differences in organizational conditions. Establishing a link between patient satisfaction and organizational variables broadens the quality development focus to include more than simply analysis of specific questions. Semi-customizing patient surveys are recommended. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810413 Tue, 10 May 2011 23:00:00 +0100 4810413 http://www.medworm.com/index.php?rid=4810412&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F278%3Frss%3D1 Conclusions Our results support the notion that accreditation is not linked to measurable better quality of care as perceived by the patient. Hospital accreditation may represent a step towards total quality management, but may not be a key factor to quality of care measured by the patient's willingness to recommend. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810412 Tue, 10 May 2011 23:00:00 +0100 4810412 http://www.medworm.com/index.php?rid=4810411&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F269%3Frss%3D1 Conclusions Most hospitalized patients participated in some aspects of their care. Participation was strongly associated with favorable judgments about hospital quality and reduced the risk of experiencing an adverse event. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810411 Tue, 10 May 2011 23:00:00 +0100 4810411 http://www.medworm.com/index.php?rid=4810410&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F258%3Frss%3D1 Conclusions The I-PAHC on O-PAHC questionnaires can be useful in assessing patients’ evaluations of care delivery in low-income settings. The questionnaires are brief and can be integrated into health systems strengthening efforts with the support of leadership at the health facility and the country levels. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810410 Tue, 10 May 2011 23:00:00 +0100 4810410 http://www.medworm.com/index.php?rid=4810409&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F247%3Frss%3D1 Conclusion This review shows that the evidence for the effectiveness of indigenous cultural training programmes in Australia is poor. Critiques of cultural training from indigenous and non-indigenous scholars suggest that a ‘cultural safety’ model may offer the most potential to improve the effectiveness of health services for indigenous Australians. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810409 Tue, 10 May 2011 23:00:00 +0100 4810409 http://www.medworm.com/index.php?rid=4810408&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F239%3Frss%3D1 Patients and citizens want more and better healthcare, and want to pay less for it. One way rapidly to respond to these demands is to spread proven or promising improvements in treatments or service delivery models. However, there is little research from high-income countries about effective ways to spread these improvements. In international health there is more experience and knowledge of scale-up, more variety in research approaches used to study the subject, and fewer resources and infrastructure for scaling-up improvements across a nation. This paper draws on reviews of research and experience in international health to contribute to conceptual and empirical knowledge as well as to practical strategies. It describes and illustrates three approaches: hierarchical control, participatory... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810408 Tue, 10 May 2011 23:00:00 +0100 4810408 http://www.medworm.com/index.php?rid=4810407&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F231%3Frss%3D1 Conclusions HCWs can provide important insights into barriers and facilitators of providing quality care and can be effectively engaged in QI activities. HCW participation in efforts to improve services will ensure that HIV/AIDS quality of care is achieved and maintained as countries strive for universal antiretroviral access. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810407 Tue, 10 May 2011 23:00:00 +0100 4810407 http://www.medworm.com/index.php?rid=4810406&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F222%3Frss%3D1 Conclusions A systems-based approach to strengthening rural healthcare units is feasible, although complex, particularly in rural settings. The combined use of quantitative and qualitative data is needed to provide a comprehensive view of impact. Future research is needed to understand the determinants of variation in improvement across health centers and regions. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810406 Tue, 10 May 2011 23:00:00 +0100 4810406 http://www.medworm.com/index.php?rid=4810405&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F220%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810405 Tue, 10 May 2011 23:00:00 +0100 4810405 http://www.medworm.com/index.php?rid=4810404&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2F219%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810404 Tue, 10 May 2011 23:00:00 +0100 4810404 http://www.medworm.com/index.php?rid=4810403&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F3%2Fd1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4810403 Tue, 10 May 2011 23:00:00 +0100 4810403 http://www.medworm.com/index.php?rid=4573814&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F210%3Frss%3D1 Conclusions There are significant negative changes in doctors’ cognitive functioning and clinical decision-making performance that appear to be attributable to long working hours. This therefore raises the important question of whether working long hours decreases healthcare quality and compromises patient safety. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573814 Fri, 11 Mar 2011 00:00:00 +0100 4573814 http://www.medworm.com/index.php?rid=4573813&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F198%3Frss%3D1 Conclusions The prerequisites for evidence-based practice were assessed as good, but ways to make evidence-based practice time efficient, easy to access and relevant to clinical practice need to be continuously supported at the management level, so that research evidence becomes linked to work-flow in a way that does not adversely affect productivity and the flow of patients. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573813 Fri, 11 Mar 2011 00:00:00 +0100 4573813 http://www.medworm.com/index.php?rid=4573812&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F187%3Frss%3D1 Conclusion Information management processes need to be improved to improve medication safety. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573812 Fri, 11 Mar 2011 00:00:00 +0100 4573812 http://www.medworm.com/index.php?rid=4573811&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F182%3Frss%3D1 Conclusion Risk factors with the greatest ability to predict experiencing an error encompassed issues with coordination of care and provider knowledge of a patient's medical history. The identification of these risk factors could help policymakers and organizations to proactively reduce the likelihood of error through greater examination of system- and organization-level practices. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573811 Fri, 11 Mar 2011 00:00:00 +0100 4573811 http://www.medworm.com/index.php?rid=4573810&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F173%3Frss%3D1 Conclusions The resulting model suggests hierarchical importance for a range of variables to support future research concerning the mechanisms by which large-scale organizational programmes, such as the SPI, impact on the care systems they are designed to influence. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573810 Fri, 11 Mar 2011 00:00:00 +0100 4573810 http://www.medworm.com/index.php?rid=4573809&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F167%3Frss%3D1 Conclusions Our results suggest that education and other methods should be used to encourage adherence to clinical guidelines on surgical antibiotic use, especially on duration of treatment. Increasing surgical volume may facilitate the standardization of clinical practice and improve the quality of health care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573809 Fri, 11 Mar 2011 00:00:00 +0100 4573809 http://www.medworm.com/index.php?rid=4573808&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F159%3Frss%3D1 Conclusions This study shows discrepancies on many aspects in perception between surgeons and other surgical team members concerning communication, teamwork and situation awareness. Future research needs to ascertain whether these discrepancies are linked to greater risk of adverse events or to process as well as systems failures. Establishing this link would support implementation and use of complex team interventions that intervene at multiple levels of the healthcare system. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573808 Fri, 11 Mar 2011 00:00:00 +0100 4573808 http://www.medworm.com/index.php?rid=4573807&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F151%3Frss%3D1 Conclusions Our findings offer unique insights into the types of incidents occurring during cardiac surgical care in the UK. In the OR, interventions should focus on reducing errors associated with medical devices/equipment, whereas outside the OR, they may focus on medication errors and patient accidents. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573807 Fri, 11 Mar 2011 00:00:00 +0100 4573807 http://www.medworm.com/index.php?rid=4573806&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F142%3Frss%3D1 Conclusions Improved uptake of guideline recommendations for community-acquired pneumonia management in emergency departments was documented following a multi-faceted education intervention. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573806 Fri, 11 Mar 2011 00:00:00 +0100 4573806 http://www.medworm.com/index.php?rid=4573805&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F134%3Frss%3D1 Conclusions Local adaptation of an existing tool resulted in an instrument with favorable clinimetric properties and may be a viable procedure for facilitating falls prevention program development and implementation in acute hospital settings. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573805 Fri, 11 Mar 2011 00:00:00 +0100 4573805 http://www.medworm.com/index.php?rid=4573804&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F126%3Frss%3D1 Conclusions In addition to interventions to improve the overall patient safety within a hospital, interventions tailored for specific departments are necessary to reduce their patient safety risks. Monitoring and comparing the performance of hospitals should not be limited to the hospital level, but should be extended to the individual department since there can be significant differences in the rates of preventable AEs between different departments within the same hospital. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573804 Fri, 11 Mar 2011 00:00:00 +0100 4573804 http://www.medworm.com/index.php?rid=4573803&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F117%3Frss%3D1 Conclusions We have identified some actionable contributing factors to safety problems using evidence-based structure and process indicators. Explicit process design and key clinical interventions (risk assessment for VTE and heparin dose adjustment) should be addressed to improve the current situation. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573803 Fri, 11 Mar 2011 00:00:00 +0100 4573803 http://www.medworm.com/index.php?rid=4573802&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F108%3Frss%3D1 Conclusions Efforts to strengthen optimal care provision at peripheral health clinics must be complemented with investments at the referral and tertiary care facilities to ensure care continuity. The findings of improved care by female providers, doctors and NGO's for poor patients, warrant further empirical evidence on care determinants. Optimizing care quality at referral hospitals is one of the prerequisites to ensure service utilization and outcomes for the achievement of the Child health Millennium Development Goals for Afghanistan. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573802 Fri, 11 Mar 2011 00:00:00 +0100 4573802 http://www.medworm.com/index.php?rid=4573801&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2F107%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573801 Fri, 11 Mar 2011 00:00:00 +0100 4573801 http://www.medworm.com/index.php?rid=4573800&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F2%2Fc1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4573800 Fri, 11 Mar 2011 00:00:00 +0100 4573800 http://www.medworm.com/index.php?rid=4376135&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F100%3Frss%3D1 Conclusions The seven ways of understanding operating room efficiency appear to represent both organization-oriented and individual-oriented understanding of that concept in surgical teams. The patient is in focus and efficiency is understood as maintaining quality of care and measuring benefits of care for the patients. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376135 Thu, 20 Jan 2011 00:00:00 +0100 4376135 http://www.medworm.com/index.php?rid=4376134&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F94%3Frss%3D1 Conclusions The complex relationship between physicians and managers can be referred to as an intergroup conflict situation. We combined Allport's Contact theory conditions with aspects found in our study leading to the following facilitating conditions: address common goals; create interdependent tasks; arrange the support of authorities and respect the medical domain. They will enhance intra-hospital cooperation and therewith hospital performance. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376134 Thu, 20 Jan 2011 00:00:00 +0100 4376134 http://www.medworm.com/index.php?rid=4376133&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F83%3Frss%3D1 Conclusions The environmental context and operational focus primarily influenced process design of the cataract pathways. When pressed to further optimize their processes, hospitals can use these systematic benchmarking data to decrease the frequency of hospital visits, lead times and costs. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376133 Thu, 20 Jan 2011 00:00:00 +0100 4376133 http://www.medworm.com/index.php?rid=4376132&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F76%3Frss%3D1 Conclusions Exit interviews did not provide reliable measurements of provider performance compared with direct observations. Observations identified low prevalence of counseling tasks though increasing over time. The differences between observation and exit interviews identified significant gaps in communication, suggesting that exit interviews are of low accuracy and should not be used alone. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376132 Thu, 20 Jan 2011 00:00:00 +0100 4376132 http://www.medworm.com/index.php?rid=4376131&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F68%3Frss%3D1 Conclusions Communication, efficiency and appropriateness are key factors that are advanced as impacting on the quality and safety of non-emergency transport services. Standardization of the non-emergency transport process shows promise in reducing risk and increasing efficiency. Applying information and communication technology to improve the quality of transport services has received little attention despite its potential benefits. Patient outcomes in relation to quality and safety of transport services are rarely measured. Available evidence suggests that safety of non-emergency patient transfers is sometimes compromised due to poor standardization and failures in communication processes. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376131 Thu, 20 Jan 2011 00:00:00 +0100 4376131 http://www.medworm.com/index.php?rid=4376130&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F60%3Frss%3D1 Conclusions Patients reported that the EMC and continuity-of-care report were useful in enhancing quality of care. They were able to identify missing or erroneous data in the EMR data, making them an important source of quality control for their information in the healthcare-provider-maintained EMR. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376130 Thu, 20 Jan 2011 00:00:00 +0100 4376130 http://www.medworm.com/index.php?rid=4376129&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F52%3Frss%3D1 Conclusion Self-perceived health among the general public is influenced by more health dimensions than are typically measured in a multi-attribute health-utility instrument. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376129 Thu, 20 Jan 2011 00:00:00 +0100 4376129 http://www.medworm.com/index.php?rid=4376128&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F44%3Frss%3D1 Conclusions Severe poor glycemic control complications are relatively rare but meaningful events with disproportionately high costs and mortality. Increasing nurse staffing may be an effective strategy in reducing poor glycemic control complications particularly in non-teaching hospitals. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376128 Thu, 20 Jan 2011 00:00:00 +0100 4376128 http://www.medworm.com/index.php?rid=4376127&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F36%3Frss%3D1 Conclusions Prescribing oral chemotherapy is a failure mode with significant risk of inducing patient harm. CPOE is effective in reducing prescribing errors of oral chemotherapy and should be considered part of a fail-safe process to improve safety. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376127 Thu, 20 Jan 2011 00:00:00 +0100 4376127 http://www.medworm.com/index.php?rid=4376126&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F26%3Frss%3D1 Conclusions This study showed that after the immediate disclosure of a medical error by senior medical personnel and medical providers should create an environment to continue ‘communication’ in order to accommodate shifting perspectives of those who experienced the error. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376126 Thu, 20 Jan 2011 00:00:00 +0100 4376126 http://www.medworm.com/index.php?rid=4376125&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F15%3Frss%3D1 Conclusions In comparison with the USA, Israel achieves comparable health maintenance organization (HMO) quality on several primary care indicators and more rapid quality improvement, despite its substantially lower level of expenditure. Considering the differences between the two countries in settings and populations, further research is needed to assess the causes, generalizability and policy implications of these findings. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376125 Thu, 20 Jan 2011 00:00:00 +0100 4376125 http://www.medworm.com/index.php?rid=4376124&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F8%3Frss%3D1 Conclusion Participation in the accreditation process promoted a quality and safety culture that crossed organizational boundaries. The insights into worker motivation can be applied to engage staff to promote learning, overcome organizational boundaries and improve services. The findings can be applied to enhance involvement with accreditation and, more broadly, to other quality and safety activities. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376124 Thu, 20 Jan 2011 00:00:00 +0100 4376124 http://www.medworm.com/index.php?rid=4376123&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2Fb1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376123 Thu, 20 Jan 2011 00:00:00 +0100 4376123 http://www.medworm.com/index.php?rid=4376121&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F23%2F1%2F1%3Frss%3D1 Patients are crossing national borders in search of affordable and timely health care. Many medical tourism companies are now involved in organizing cross-border health services. Despite the rapid expansion of the medical tourism industry, few standards exist to ensure that these businesses organize high-quality, competent international health care. Addressing the regulatory vacuum, 10 standards are proposed as a framework for regulating the medical tourism industry. Medical tourism companies should have to undergo accreditation review. Care should be arranged only at accredited international health-care facilities. Standards should be established to ensure that clients of medical tourism companies make informed choices. Continuity of care needs to become an integral feature of cross-borde... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4376121 Thu, 20 Jan 2011 00:00:00 +0100 4376121 http://www.medworm.com/index.php?rid=4177805&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F525%3Frss%3D1 Conclusions The high prevalence of burnout in our study corresponds with former studies of burnout among physicians. Furthermore, the results of the study suggest a relationship between burnout and perceived quality of care among men. Thus, reducing burnout among surgeons could not only improve their health and well-being but also the quality of care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177805 Thu, 18 Nov 2010 00:00:00 +0100 4177805 http://www.medworm.com/index.php?rid=4177804&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F519%3Frss%3D1 Conclusion The Team-link intervention improved professional collaboration among GPs, practice staff, AHPs and patients, increasing understanding and trust and enhancing multidisciplinary teamwork for chronic disease care in primary care settings. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177804 Thu, 18 Nov 2010 00:00:00 +0100 4177804 http://www.medworm.com/index.php?rid=4177803&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F507%3Frss%3D1 Conclusion Inconsistency in defining medication errors has been confirmed. It appears that definitions and methods of detection rather than being reproducible and reliable methods are subject to the individual researcher's preferences. Thus, application of a clear-cut definition, standardized terminology and reliable methods has the potential to greatly improve the quality and consistency of medication error reporting. Efforts to achieve a common accepted definition that defines the scope and content are therefore needed. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177803 Thu, 18 Nov 2010 00:00:00 +0100 4177803 http://www.medworm.com/index.php?rid=4177802&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F500%3Frss%3D1 Conclusions The present study provides evidence of the primary health-care satisfaction scale's validity, reliability and acceptability. This scale should be further evaluated with a larger representative sample of women seeking primary care in Turkey and diverse populations of the world. The scale has potential applications for use in research. The scale may be used both in studies to evaluative alternative models of primary care delivery for women and in quality improvement programs in women's primary care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177802 Thu, 18 Nov 2010 00:00:00 +0100 4177802 http://www.medworm.com/index.php?rid=4177801&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F493%3Frss%3D1 Conclusion Among medical institutions where family physicians work in South Korea, health cooperative clinics showed the highest primary care average score, and public health center clinics the lowest. To reinforce primary care in South Korea, where medical service delivery systems are only loosely established, health cooperative clinics could serve as an alternative. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177801 Thu, 18 Nov 2010 00:00:00 +0100 4177801 http://www.medworm.com/index.php?rid=4177800&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F486%3Frss%3D1 Conclusions Our results indicate that GPs rarely use the check-up program to conduct lifestyle consultations with obese patients. Barriers to lifestyle counseling and possible solutions are discussed with a view to promoting individualized and target management of overweight patients. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177800 Thu, 18 Nov 2010 00:00:00 +0100 4177800 http://www.medworm.com/index.php?rid=4177799&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F476%3Frss%3D1 Conclusion The top 15 ranked indicators are recommended for implementation in primary care to measure asthma care delivery, respiratory health outcomes and establish benchmarks for optimal health service delivery over time and across populations. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177799 Thu, 18 Nov 2010 00:00:00 +0100 4177799 http://www.medworm.com/index.php?rid=4177798&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F469%3Frss%3D1 Conclusions Self-reported familiarity with an ARI antibiotic treatment guideline was, seemingly paradoxically, associated with increased antibiotic prescribing. Self-reported familiarity with guidelines should not be assumed to be associated with consistent guideline adherence or higher quality of care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177798 Thu, 18 Nov 2010 00:00:00 +0100 4177798 http://www.medworm.com/index.php?rid=4177797&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F461%3Frss%3D1 Conclusions Public release of quality information had a significant and positive effect on quality in HMO markets during the earlier years of the voluntary disclosure program; however, the improvement was not universal across all quality measures. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177797 Thu, 18 Nov 2010 00:00:00 +0100 4177797 http://www.medworm.com/index.php?rid=4177796&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F452%3Frss%3D1 Conclusions The effectiveness of sanctions in contributing to quality improvement has to be seen within the wider regulatory framework, which in turn has to be set in the context of other factors driving quality of care. Quality improvement in Australia and elsewhere will depend on further development of QA systems but will also require attention to wider contextual factors that contribute to quality outcomes, including quality of the aged care workforce. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177796 Thu, 18 Nov 2010 00:00:00 +0100 4177796 http://www.medworm.com/index.php?rid=4177795&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F445%3Frss%3D1 Conclusions It appears that quality and safety structures and procedures are more evident in hospitals with either the type of external assessment and suggest that some differences exist between accredited versus certified hospitals. Interpretation of these results, however, is limited by the sample size and confounded by variations in the application of accreditation and certification within and between countries. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177795 Thu, 18 Nov 2010 00:00:00 +0100 4177795 http://www.medworm.com/index.php?rid=4177794&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2F437%3Frss%3D1 Conclusions Implementing an evidence-based standardized order set may help improve outcomes, reduce costs of care and increase adherence to evidence-based processes of care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177794 Thu, 18 Nov 2010 00:00:00 +0100 4177794 http://www.medworm.com/index.php?rid=4177793&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F6%2Fa1%3Frss%3D1 (No abstract is available for this citation) (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=4177793 Thu, 18 Nov 2010 00:00:00 +0100 4177793 http://www.medworm.com/index.php?rid=3971736&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F430%3Frss%3D1 Conclusions The knowledge of, skill in, and behavior regarding EBP have improved among physicians and nurses of regional hospitals in Taiwan after a promotion period of 2 years and they perceive fewer barriers to EBP. These data suggest that the multifaceted nationwide promotion program of the type conducted by NHRI succeeded in diffusion and implementation of EBP among professionals. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971736 Wed, 15 Sep 2010 16:33:18 +0100 3971736 http://www.medworm.com/index.php?rid=3971735&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F421%3Frss%3D1 Conclusions To secure adherence to hospital guidelines after their successful implementation, guidelines should preferably be comprehensive in terms of being applicable to the majority of the patients in that particular setting and to the most common clinical situations. All healthcare professionals involved should be aware of its immediate benefits for themselves or to their patients. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971735 Wed, 15 Sep 2010 16:33:18 +0100 3971735 http://www.medworm.com/index.php?rid=3971733&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F415%3Frss%3D1 Conclusions The introduction of a shared care guideline for all care providers in a region reduces the number of unnecessary early referrals for patients with LRS. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971733 Wed, 15 Sep 2010 16:33:18 +0100 3971733 http://www.medworm.com/index.php?rid=3971732&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F408%3Frss%3D1 Conclusions The MEWMA and MCUSUM charts detect small to moderate shifts quickly, even when the quality characteristics are uncorrelated. The T2 chart performs less well overall, although it is useful for rapid detection of large shifts. When records are incomplete, we recommend using multiple imputation. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971732 Wed, 15 Sep 2010 16:33:18 +0100 3971732 http://www.medworm.com/index.php?rid=3971731&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F402%3Frss%3D1 Background The p-chart is a user-friendly tool for monitoring adverse events. By converting data into knowledge, it is helpful in interpreting and reducing sources of variability in care. Certain basics for developing expertise to use p-charts correctly are necessary. Purpose This paper provides key elements on how to develop and interpret a p-chart for clinical practice, how to successfully integrate this tool within a comprehensive approach, and how to report a study based on p-chart utilization. P-chart building The p-chart combines time series analysis with a graphical presentation of data by plotting successive indicator measurements in chronological order. The pragmatic choice of well-defined indicators to be monitored is essential. Exact control limits based on the binomial distri... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971731 Wed, 15 Sep 2010 16:33:18 +0100 3971731 http://www.medworm.com/index.php?rid=3971730&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F396%3Frss%3D1 Conclusions Current reporting rate is low if compared with prospective studies highlighting an issue of under-reporting. Many incidents appear to be of modest harm for patients because of response time; however, further research is required to assess potential severity and level of harm linked to low-quality handovers. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971730 Wed, 15 Sep 2010 16:33:18 +0100 3971730 http://www.medworm.com/index.php?rid=3971729&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F386%3Frss%3D1 Conclusions Study findings provide evidence that can be used by policy makers, managers and leaders who are able to create the culture and commitment needed to identify and solve underlying systemic causes related to patient safety. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971729 Wed, 15 Sep 2010 16:33:18 +0100 3971729 http://www.medworm.com/index.php?rid=3971728&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F380%3Frss%3D1 Conclusion This study confirms that preventable AEs were not rare in our context. They caused human harm and consumed a significant part of hospital resources. Thus, targeted interventions are needed. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971728 Wed, 15 Sep 2010 16:33:18 +0100 3971728 http://www.medworm.com/index.php?rid=3971727&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F371%3Frss%3D1 Conclusions This comprehensive review, which takes account of the perspectives of the patient and members of the care team across multiple jurisdictions, suggests that disclosure practice can be improved by strengthening policy and supporting healthcare professionals in disclosing adverse events. Increased openness and honesty following adverse events can improve provider–patient relationships. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971727 Wed, 15 Sep 2010 16:33:18 +0100 3971727 http://www.medworm.com/index.php?rid=3971726&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F365%3Frss%3D1 The World Health Organization's Patient Safety Programme created an initiative to improve the safety of surgery around the world. In order to accomplish this goal the programme team developed a checklist with items that could and, if at all possible, should be practised in all settings where surgery takes place. There is little guidance in the literature regarding methods for creating a medical checklist. The airline industry, however, has more than 70 years of experience in developing and using checklists. The authors of the WHO Surgical Safety Checklist drew lessons from the aviation experience to create a safety tool that supports essential clinical practice. In order to inform the methodology for development of future checklists in health care, we review how we applied lessons learned ... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971726 Wed, 15 Sep 2010 16:33:18 +0100 3971726 http://www.medworm.com/index.php?rid=3971725&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F358%3Frss%3D1 Conclusions Integration of three oncology units into one unit had a positive impact on care delivery processes and resulted in improved patient satisfaction concerning care and treatment. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971725 Wed, 15 Sep 2010 16:33:18 +0100 3971725 http://www.medworm.com/index.php?rid=3971724&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F351%3Frss%3D1 Conclusions The municipalities delegated the responsibility of implanting national policies to the first-line leaders. Missing were key quality success criteria such as macro- and meso-perspectives for the municipality as a whole and co-operation with other leaders in the organization and fostering of relevant learning. Quality work was fragmented rather than comprehensive and systematic. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971724 Wed, 15 Sep 2010 16:33:18 +0100 3971724 http://www.medworm.com/index.php?rid=3971723&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F341%3Frss%3D1 Conclusions The principal challenges to sustainable accreditation appear to be market size, consistency of policy support, programme funding and financial incentives for participation. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971723 Wed, 15 Sep 2010 16:33:18 +0100 3971723 http://www.medworm.com/index.php?rid=3971722&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2F339%3Frss%3D1 (No abstract is available for this citation) (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971722 Wed, 15 Sep 2010 16:33:18 +0100 3971722 http://www.medworm.com/index.php?rid=3971721&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F5%2Fz1%3Frss%3D1 (No abstract is available for this citation) (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3971721 Wed, 15 Sep 2010 16:33:18 +0100 3971721 http://www.medworm.com/index.php?rid=3775242&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F333%3Frss%3D1 Conclusions Rural practices in Greece report shortages of medical staff (GPs), nursing staff and equipment. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775242 Wed, 21 Jul 2010 15:08:57 +0100 3775242 http://www.medworm.com/index.php?rid=3775241&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F324%3Frss%3D1 Conclusions Organizational effectiveness in community pharmacy includes the internal and external focus of the organization and role development. Our preliminary model describes an effective community pharmacy and provides a platform for investigation of the factors that may influence the organizational effectiveness of individual community pharmacies now and into the future. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775241 Wed, 21 Jul 2010 15:08:57 +0100 3775241 http://www.medworm.com/index.php?rid=3775240&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F316%3Frss%3D1 Conclusion Evidence suggests that knowledge and practices of pharmacies and drug shops can be improved across a range of diseases and countries/regions, although variations were reported across studies. Profit incentives appear to bear some influence on the level of success of interventions. More work is required to extend the geographical base of evidence, investigate cost-effectiveness and evaluate sustainability of interventions over periods longer than 1 year. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775240 Wed, 21 Jul 2010 15:08:57 +0100 3775240 http://www.medworm.com/index.php?rid=3775239&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F310%3Frss%3D1 Conclusions Improvements are required to achieve high-quality healthcare services in the private hospitals in Yemen and increase loyalty among patients. Findings from this study could inform private sector healthcare development in low- and middle-income countries. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775239 Wed, 21 Jul 2010 15:08:57 +0100 3775239 http://www.medworm.com/index.php?rid=3775238&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F302%3Frss%3D1 Conclusions MPOC-A has demonstrated good psychometric properties. As general satisfaction scores are notoriously poor indicators of the quality of care, this measure can help us understand the elements that contribute to overall judgements of satisfaction and provide a level of understanding that is important to improve service quality and delivery. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775238 Wed, 21 Jul 2010 15:08:57 +0100 3775238 http://www.medworm.com/index.php?rid=3775237&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F294%3Frss%3D1 Conclusions The Quality of Visit to Family Physician questionnaire is a reliable tool that can be used by family physicians to obtain feedback from patients about patient–doctor relationships and visit outcomes, barriers and difficulties experienced by patients in seeking family physician care, and the availability of care. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775237 Wed, 21 Jul 2010 15:08:57 +0100 3775237 http://www.medworm.com/index.php?rid=3775236&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F283%3Frss%3D1 Conclusions The refined instrument represents the hallmarks of an ideal child abuse and neglect programme given current knowledge and experience. The instrument enables rigorous evaluations of hospital-based child abuse and neglect intervention programmes for quality improvement and benchmarking with other programmes. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775236 Wed, 21 Jul 2010 15:08:57 +0100 3775236 http://www.medworm.com/index.php?rid=3775235&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F275%3Frss%3D1 Conclusions The group functioning and speed of action subscales of the GII showed acceptable psychometric properties and are applicable to quality improvement teams in health care. In order to understand how social expectations within teams working in health care organizations exert influence over attitudes and behaviours thought to stimulate creativity, further conceptualization of the norms for enhancing creativity within health care is needed. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775235 Wed, 21 Jul 2010 15:08:57 +0100 3775235 http://www.medworm.com/index.php?rid=3775234&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F266%3Frss%3D1 Conclusions The trigger methodology appears to be a promising approach to the measurement of patient safety. However, automated processes could make the process more efficient in identifying adverse events and has a greater potential of improving care delivery and patient ‘outcomes’. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775234 Wed, 21 Jul 2010 15:08:57 +0100 3775234 http://www.medworm.com/index.php?rid=3775233&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F259%3Frss%3D1 Conclusions When comparing user satisfaction from different studies and when planning a survey of user satisfaction, the interval between the rendering of the health-care service and the assessment should be taken into consideration. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775233 Wed, 21 Jul 2010 15:08:57 +0100 3775233 http://www.medworm.com/index.php?rid=3775232&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F250%3Frss%3D1 Conclusions Our results suggest that health-care system mistrust is associated with an increased likelihood of psychological distress. Although causal relationships cannot be established, patient mistrust of health-care providers may have detrimental implications on health. Public health policies should include strategies aimed at increasing access to health-care services, where trust plays a substantial role. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775232 Wed, 21 Jul 2010 15:08:57 +0100 3775232 http://www.medworm.com/index.php?rid=3775231&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F244%3Frss%3D1 Conclusions In practice, the legal relationships between member states and intergovernmental organizations inhibit the harmonization of management practice across-borders. Faster progress to higher levels of performance would be achieved by voluntary, non-regulatory cooperation of enthusiasts to define, measure and improve the quality of healthcare in European hospitals. (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775231 Wed, 21 Jul 2010 15:08:57 +0100 3775231 http://www.medworm.com/index.php?rid=3775230&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2F237%3Frss%3D1 Quality of care was recognized as a key element for improved health outcomes and efficiency in the World Health Organization's (WHO) widely adopted framework for health system strengthening in resource-poor countries. Although modern approaches to improving quality are increasingly used globally, their adoption remains sporadic in developing countries. Healthcare leaders and improvement experts representing 15 countries met in October 2008 to catalyze the adoption of quality improvement (QI) methods to improve healthcare quality in resource-poor settings. This paper describes the evidence used to frame deliberations, the proceedings and a proposal for incorporating QI methods into plans for strengthening health systems. The conference participants presented case reports and reviewed a grow... International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775230 Wed, 21 Jul 2010 15:08:57 +0100 3775230 http://www.medworm.com/index.php?rid=3775229&cid=s_30995_46_f&fid=30995&url=http%3A%2F%2Fintqhc.oxfordjournals.org%2Fcgi%2Fcontent%2Fshort%2F22%2F4%2Fy1%3Frss%3D1 (Source: International Journal for Quality in Health Care) International Journal for Quality in Health Care journals http://www.medworm.com/rss/comments.php?id=3775229 Wed, 21 Jul 2010 15:08:57 +0100 3775229