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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal

This section aims to publish studies on healthcare quality practice and improving patient care and its safety. The section also accepts articles on changes in the health status of an individual, group or population resulting from interventions of the health care team.

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  1. Successful application of Quality Improvement (QI) methods is challenging, and awareness of the role context plays has increased. Complexity science has been advocated as a way to inform change efforts. Howeve...

    Authors: Marie Höjriis Storkholm, Pamela Mazzocato and Carl Savage

    Citation: BMC Health Services Research 2019 19:842

    Content type: Research article

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  2. In the context of increasing availability of computed tomography (CT) scans, judicious use of ionising radiation is a priority to minimise the risk of future health problems. Hence, education of clinicians on ...

    Authors: Ben Young, Jo Cranwell, Andrew W. Fogarty, Rob Skelly, Nigel Sturrock, Mark Norwood, Dominick Shaw, Sarah Lewis, Tessa Langley and Peter Thurley

    Citation: BMC Health Services Research 2019 19:841

    Content type: Research article

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  3. The objectives of this study are to test the psychometric properties of the safety attitudes and safety climate questionnaire Chinese simplified version (SAQ-CS), to test the safety attitudes of health profess...

    Authors: Chuang Zhao, Qing Chang, Xi Zhang, Qijun Wu, Nan Wu, Jiao He and Yuhong Zhao

    Citation: BMC Health Services Research 2019 19:836

    Content type: Research article

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  4. Over-testing is a recognized problem, but clinicians usually lack information about their personal test ordering volumes. In the absence of data, clinicians rely on self-perception to inform their test orderin...

    Authors: Thomas Bodley, Janice L. Kwan, John Matelski, Patrick J. Darragh and Peter Cram

    Citation: BMC Health Services Research 2019 19:820

    Content type: Research article

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  5. Pharmaceutical compounding is an essential component in pharmacy practice allowing pharmacists to provide dosage forms or strengths that are commercially unavailable. Medications compounded for patient-specifi...

    Authors: Hatim S. AlKhatib, Sara Jalouqa, Nour Maraqa, Anna Ratka, Eman Elayeh and Suha Al Muhaissen

    Citation: BMC Health Services Research 2019 19:816

    Content type: Research article

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  6. General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study inves...

    Authors: Guanghui Jin, Chao Chen, Yanli Liu, Yali Zhao, Lifen Chen, Juan Du, Xiaoqin Lu and Jianjun Chen

    Citation: BMC Health Services Research 2019 19:807

    Content type: Research article

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  7. Studies aimed at improving the provision of evidence-based care (EBC) for the management of acute whiplash injuries have been largely successful. However, whether EBC is broadly provided and whether delivery o...

    Authors: Alexandra Griffin, Jagnoor Jagnoor, Mohit Arora, Ian D. Cameron, Annette Kifley, Michele Sterling, Justin Kenardy and Trudy Rebbeck

    Citation: BMC Health Services Research 2019 19:806

    Content type: Research article

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  8. Since December 2010, a nationwide real-time medication surveillance program has been implemented in Korea to prevent potential adverse drug reactions. Our goal was to evaluate physicians’ and pharmacists’ sati...

    Authors: Sun Mi Shin, Hong-Ah Kim, Inmyung Song, Ha-Lim Jeon and Ju-Young Shin

    Citation: BMC Health Services Research 2019 19:805

    Content type: Research article

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  9. Although not an inevitable part of ageing, frailty is an increasingly common condition in older people. Frail older patients are particularly vulnerable to the adverse effects of hospitalisation, including dec...

    Authors: Deirdre O’Donnell, Éidín Ní Shé, Mary McCarthy, Shirley Thornton, Thelma Doran, Freda Smith, Barry O’Brien, Jim Milton, Bibiana Savin, Anne Donnellan, Eugene Callan, Eilish McAuliffe, Simone Gray, Therese Carey, Nicola Boyle, Michelle O’Brien…

    Citation: BMC Health Services Research 2019 19:797

    Content type: Research article

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  10. There is little published data on brain imaging and intracranial haemorrhage after hospital inpatient falls. Imaging protocols for inpatient falls have been adopted from head injury guidelines developed from d...

    Authors: Shiny Stephen, Elena W. W. Wong, Adam M. Idris and Andy K. H. Lim

    Citation: BMC Health Services Research 2019 19:792

    Content type: Research article

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  11. Some medications carry increased risk of patient harm when they are given in error. In incident reports, names of the medications that are involved in errors could be found written both in a specific medicatio...

    Authors: Marja Härkänen, Jussi Paananen, Trevor Murrells, Anne Marie Rafferty and Bryony Dean Franklin

    Citation: BMC Health Services Research 2019 19:791

    Content type: Research article

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  12. Psychosocial interventions offer opportunities to improve care for people with dementia in care homes. However, implementation is often led by staff who are not well prepared for the role. Some interventions u...

    Authors: Claire A. Surr, Emily Shoesmith, Alys W. Griffiths, Rachael Kelley, Joanne McDermid and Jane Fossey

    Citation: BMC Health Services Research 2019 19:790

    Content type: Research article

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  13. The Appraisal of Guidelines for Research & Evaluation (AGREE) II has been widely used to evaluate the quality of clinical practice guidelines (CPGs). While the relationship between the overall assessment of CP...

    Authors: Yosuke Hatakeyama, Kanako Seto, Rebeka Amin, Takefumi Kitazawa, Shigeru Fujita, Kunichika Matsumoto and Tomonori Hasegawa

    Citation: BMC Health Services Research 2019 19:788

    Content type: Research article

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  14. Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are tools for assessing outcomes of and experiences with health care from the patient’s perspective. In Germany, PROMs...

    Authors: Christiane Rudolph, Gitte Stentebjerg Petersen, Ron Pritzkuleit, Hans Storm and Alexander Katalinic

    Citation: BMC Health Services Research 2019 19:786

    Content type: Research article

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  15. In order to address the opioid crisis in North America, many regions have adopted preventative strategies, such as prescription drug monitoring programs (PDMPs). PDMPs aim to increase patient safety by certify...

    Authors: Emily Rhodes, Maria Wilson, Alysia Robinson, Jill A. Hayden and Mark Asbridge

    Citation: BMC Health Services Research 2019 19:784

    Content type: Research article

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  16. Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease with significant potential morbidity and mortality. Substantial gaps have been documented between the development and dissemination of c...

    Authors: María M. Trujillo-Martín, Yolanda Ramallo-Fariña, Tasmania del Pino-Sedeño, Íñigo Rúa-Figueroa, Elisa Trujillo-Martín, Laura Vallejo-Torres, Iñaki Imaz-Iglesia, Ricardo Sánchez-de-Madariaga, Ana M. de Pascual-Medina and Pedro Serrano-Aguilar

    Citation: BMC Health Services Research 2019 19:783

    Content type: Study protocol

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  17. Generic drugs and generic substitution belong to the tools by which healthcare costs may be reduced. However, low awareness and reluctance among healthcare professionals towards generic drugs may negatively af...

    Authors: J. Maly, E. Zimcikova, J. Babica, A. A. Kubena, J. Kostriba and K. Mala-Ladova

    Citation: BMC Health Services Research 2019 19:777

    Content type: Research article

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  18. This study aims to estimate the direct and indirect effects of the unit environment alongside individual and nursing care variables on eating dependence among residents who are cognitively impaired and living ...

    Authors: Alvisa Palese, Luca Grassetti, Valentina Bressan, Alessandro Decaro, Tea Kasa, Melania Longobardi, Mark Hayter and Roger Watson

    Citation: BMC Health Services Research 2019 19:775

    Content type: Research article

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  19. Aboriginal and Torres Strait Islander Australians have poorer cancer outcomes than other Australians. Comparatively little is known of the type and amount of cancer treatment provided to Aboriginal and Torres ...

    Authors: David Banham, David Roder, Marion Eckert, Natasha J. Howard, Karla Canuto and Alex Brown

    Citation: BMC Health Services Research 2019 19:771

    Content type: Research article

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  20. During recent years, Quality of Life (QoL) is a significant assessment factor in clinical trials and epidemiological researches due to the advent of Antiretroviral Therapy (ART), Human Immunodeficiency Virus (...

    Authors: Hesam Ghiasvand, Katherine M. Waye, Mehdi Noroozi, Gholamreza Ghaedamini Harouni, Bahram Armoon and Azadeh Bayani

    Citation: BMC Health Services Research 2019 19:768

    Content type: Research article

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  21. No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published.

    Authors: Sayaka Kobayashi, Rie Akaho, Kazuya Omoto, Hiroki Shirakawa, Tomokazu Shimizu, Hideki Ishida, Kazunari Tanabe and Katsuji Nishimura

    Citation: BMC Health Services Research 2019 19:755

    Content type: Research article

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  22. Cancer patients experience psychological and social distress due to their medical treatment and social issues. However, continuous and specialized social support is still lacking. In Germany, a group of compan...

    Authors: Johann Frick, Daniel Schindel, Pimrapat Gebert, Ulrike Grittner and Liane Schenk

    Citation: BMC Health Services Research 2019 19:754

    Content type: Study protocol

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  23. Although healthcare providers are well placed to help smokers quit, implementation of smoking cessation care is still suboptimal. The Ask-Advise-Refer tasks are important aspects of smoking cessation care. We ...

    Authors: E. Meijer, R. M. J. J. Van der Kleij and N. H. Chavannes

    Citation: BMC Health Services Research 2019 19:750

    Content type: Research article

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  24. Safety climate is an important marker of patient safety attitudes within health care units, but the significance of intra-unit variation of safety climate perceptions (safety climate strength) is poorly unders...

    Authors: Daniel S. Tawfik, Eric J. Thomas, Timothy J. Vogus, Jessica B. Liu, Paul J. Sharek, Courtney C. Nisbet, Henry C. Lee, J. Bryan Sexton and Jochen Profit

    Citation: BMC Health Services Research 2019 19:738

    Content type: Research article

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  25. Veterans who access both the Veterans Health Administration (VA) and non-VA health care systems require effective care coordination to avoid adverse health care outcomes. These dual-use Veterans have diverse a...

    Authors: Lindsay B. Miller, Heidi Sjoberg, Ashlea Mayberry, Marina S. McCreight, Roman A. Ayele and Catherine Battaglia

    Citation: BMC Health Services Research 2019 19:734

    Content type: Study protocol

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  26. Due to increasing international migration, Sweden has become a multicultural and multilingual society, with about 19% of the population born abroad, which imposes high demands on the healthcare sector and inte...

    Authors: Emina Hadziabdic and Katarina Hjelm

    Citation: BMC Health Services Research 2019 19:727

    Content type: Research article

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  28. Implementation science comprises a large set of theories suggesting interacting factors at different organisational levels. Development of literature syntheses and frameworks for implementation have contribute...

    Authors: M. Hartveit, E. Hovlid, M. H. A. Nordin, J. Øvretveit, G. R. Bond, E. Biringer, J. Assmus, G. H. Mariniusson and T. Ruud

    Citation: BMC Health Services Research 2019 19:721

    Content type: Research article

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  29. To facilitate access to evidence-based care for back pain, a German private medical insurance offered a health program proactively to their members. Feasibility and long-term efficacy of this approach were eva...

    Authors: A. Hüppe, C. Zeuner, S. Karstens, M. Hochheim, M. Wunderlich and H. Raspe

    Citation: BMC Health Services Research 2019 19:714

    Content type: Research article

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  30. Bar code- or radio frequency identification (RFID)-based medical instrument management systems have gradually been introduced in the field of surgical medicine for the individual management and identification ...

    Authors: Takeki Yoshikawa, Eizen Kimura, Emi Akama, Hiromi Nakao, Toshihiro Yorozuya and Ken Ishihara

    Citation: BMC Health Services Research 2019 19:695

    Content type: Research article

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  31. The Floresco integrated service model was designed to address the fragmentation of community mental health treatment and support services. Floresco was established in Queensland, Australia, by a consortium of ...

    Authors: Diana Beere, Imogen S. Page, Sandra Diminic and Meredith Harris

    Citation: BMC Health Services Research 2019 19:691

    Content type: Research article

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  32. The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. Furtherm...

    Authors: Søren Valgreen Knudsen, Henrik Vitus Bering Laursen, Søren Paaske Johnsen, Paul Daniel Bartels, Lars Holger Ehlers and Jan Mainz

    Citation: BMC Health Services Research 2019 19:683

    Content type: Research article

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  33. Person-centred care (PCC) focusing on personalised goals and care plans derived from “What matters to you?” has an impact on single disease outcomes, but studies on multi-morbid elderly are lacking. Furthermor...

    Authors: G. K. R. Berntsen, M. Dalbakk, J. S. Hurley, T. Bergmo, B. Solbakken, L. Spansvoll, J. G. Bellika, S. O. Skrøvseth, T. Brattland and M. Rumpsfeld

    Citation: BMC Health Services Research 2019 19:682

    Content type: Research article

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  34. Little research exists on patient safety climate in the prehospital context. The purpose of this article is to test and validate a safety climate measurement model for the prehospital environment, and to explo...

    Authors: Leif Inge K. Sørskår, Espen Olsen, Eirik B. Abrahamsen, Gunnar Tschudi Bondevik and Håkon B. Abrahamsen

    Citation: BMC Health Services Research 2019 19:674

    Content type: Research article

    Published on:

  35. Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches c...

    Authors: Celeste van Rinsum, Sanne Gerards, Geert Rutten, Madelon Johannesma, Ien van de Goor and Stef Kremers

    Citation: BMC Health Services Research 2019 19:667

    Content type: Research article

    Published on:

  36. Updating, improving and spreading the evidence base for healthcare practices has proven to be a challenge of considerable magnitude – a wicked, multi-dimensional problem. There are many interlinked factors whi...

    Authors: Hanna Augustsson, Kate Churruca and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2019 19:666

    Content type: Debate

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  37. Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe ...

    Authors: Laura Beamish, Zach Sagorin, Cole Stanley, Krista English, Rana Garelnabi, Danielle Cousineau, Rolando Barrios and Jan Klimas

    Citation: BMC Health Services Research 2019 19:663

    Content type: Research article

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  38. The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medica...

    Authors: Amanda S. Mixon, G. Randy Smith Jr, Meghan Mallouk, Harry Reyes Nieva, Sunil Kripalani, Stephanie Rennke, Eugene Chu, Anirudh Sridharan, Anuj Dalal, Stephanie Mueller, Mark Williams, Tosha Wetterneck, Jason M. Stein, Deonni Stolldorf, Eric Howell, John Orav…

    Citation: BMC Health Services Research 2019 19:659

    Content type: Study protocol

    Published on:

  39. Conducting post-fall huddles is considered an integral component of a fall-risk-reduction program. However, there is no evidence linking post-fall huddles to patient outcomes or perceptions of teamwork and saf...

    Authors: Katherine J. Jones, John Crowe, Joseph A. Allen, Anne M. Skinner, Robin High, Victoria Kennel and Roni Reiter-Palmon

    Citation: BMC Health Services Research 2019 19:650

    Content type: Research article

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  40. Value-based healthcare (VBHC) is a concept that focuses on outcome measurement to contribute to quality improvement. However, VBHC does not offer a systematic approach for implementing improvement as implement...

    Authors: Nina Zipfel, Paul B. van der Nat, Benno J. W. M. Rensing, Edgar J. Daeter, Gert P. Westert and A. Stef Groenewoud

    Citation: BMC Health Services Research 2019 19:643

    Content type: Research article

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  41. Medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of th...

    Authors: Juan Escrivá Gracia, Ricardo Brage Serrano and Julio Fernández Garrido

    Citation: BMC Health Services Research 2019 19:640

    Content type: Research article

    Published on:

  42. The Australian Commission on Safety and Quality in Health Care released a set of national standards which became a mandatory part of accreditation in 2013. Standard 9 focuses on the identification and treatmen...

    Authors: Matthew H. Anstey, Alice Bhasale, Nicola J. Dunbar and Heather Buchan

    Citation: BMC Health Services Research 2019 19:639

    Content type: Research article

    Published on:

  43. The Choosing Wisely campaign has spread to many countries. Methods for developing recommendations are inconsistent. We describe our process of developing such recommendations from a comprehensive national set ...

    Authors: Raija Sipilä, Marjukka Mäkelä and Jorma Komulainen

    Citation: BMC Health Services Research 2019 19:638

    Content type: Research article

    Published on:

  44. Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addr...

    Authors: Lise Husby Høvik, Kari Hanne Gjeilo, Stian Lydersen, Claire M. Rickard, Benedikte Røtvold, Jan Kristian Damås, Erik Solligård and Lise Tuset Gustad

    Citation: BMC Health Services Research 2019 19:636

    Content type: Research article

    Published on:

  45. Due to stagnating resources and an increase in staff workload, the quality of Finnish primary health care (PHC) is claimed to have deteriorated slowly. With a decentralised PHC organisation and lack of nationa...

    Authors: Markku Satokangas, Sonja Lumme, Martti Arffman and Ilmo Keskimäki

    Citation: BMC Health Services Research 2019 19:629

    Content type: Research article

    Published on:

  46. Hospital accreditation is expected to improve health care quality and patient satisfaction. However, little and conflicting evidence is currently available to support its effect on patient outcomes, particular...

    Authors: Ellie Bostwick Andres, Wen Song, Wei Song and Janice Mary Johnston

    Citation: BMC Health Services Research 2019 19:623

    Content type: Research article

    Published on:

  47. Medical errors are considered as a major threat to patient safety. To clarify medical errors’ status in Iran, a review was conducted to estimate the accurate prevalence of medical errors.

    Authors: Siavash Vaziri, Farya Fakouri, Maryam Mirzaei, Mandana Afsharian, Mohsen Azizi and Morteza Arab-Zozani

    Citation: BMC Health Services Research 2019 19:622

    Content type: Research article

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  48. To establish which major disorders are susceptible to increased mortality following acute admissions on weekends, compared with week days, and how this may be explained.

    Authors: Stephen E. Roberts, Ann John, Keir E. Lewis, Jonathan Brown, Ronan A. Lyons and John G. Williams

    Citation: BMC Health Services Research 2019 19:619

    Content type: Research article

    Published on:

  49. The aim was to determine the feasibility of implementing a patient safety survey which measures patients’ experiences of their own safety relating to a care transition. This included limited-efficacy testing, det...

    Authors: Jason Scott, Emily Heavey, Justin Waring, Aoife De Brún and Pamela Dawson

    Citation: BMC Health Services Research 2019 19:613

    Content type: Research article

    Published on:

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