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Quality, performance, safety and outcomes

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. The consolidated framework for implementation research states that personal leadership matters in quality management implementation. However, it remains to be answered which characteristics of plural leadershi...

    Authors: Holger Pfaff, Antje Hammer, Marta Ballester, Kristina Schubin, Michael Swora and Rosa Sunol

    Citation: BMC Health Services Research 2021 21:70

    Content type: Research article

    Published on:

  2. There is excess amenable mortality risk and evidence of healthcare quality deficits for persons with serious mental illness (SMI). We sought to identify sociodemographic and clinical characteristics associated...

    Authors: Erica L. Stockbridge, Nathaniel J. Webb, Eleena Dhakal, Manasa Garg, Abiah D. Loethen, Thaddeus L. Miller and Karabi Nandy

    Citation: BMC Health Services Research 2021 21:69

    Content type: Research article

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  3. Despite the widely acknowledged potential for health information technologies to improve the accessibility, quality and clinical safety of mental health care, implementation of such technologies in services is...

    Authors: Haley M. LaMonica, Tracey A. Davenport, Antonia Ottavio, Shelley C. Rowe, Shane P. Cross, Frank Iorfino, Tanya A. Jackson, Michael A. Easton, Jennifer Melsness and Ian B. Hickie

    Citation: BMC Health Services Research 2021 21:68

    Content type: Research article

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  4. Patient satisfaction studies have explored domains of patient satisfaction, the determinants of domains, and score differences of domains by patient/hospital structural measures but reports on the structure of...

    Authors: Masumi Okuda, Akira Yasuda and Shusaku Tsumoto

    Citation: BMC Health Services Research 2021 21:63

    Content type: Research article

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  5. Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The pers...

    Authors: Annette Keuning-Plantinga, Evelyn J. Finnema, Wim Krijnen, David Edvardsson and Petrie F. Roodbol

    Citation: BMC Health Services Research 2021 21:59

    Content type: Research article

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  6. Safety culture can be described and understood through its manifestations in the organization as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains...

    Authors: Mats Hedsköld, Magna Andreen Sachs, Torleif Rosander, Mia von Knorring and Karin Pukk Härenstam

    Citation: BMC Health Services Research 2021 21:48

    Content type: Research article

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  7. To access the influence of insurance status on time of diagnosis, quality of treatment and survival in head and neck squamous cell carcinoma (HNSCC).

    Authors: Andreas Knopf, Simon Teutsch and Henning Bier

    Citation: BMC Health Services Research 2021 21:45

    Content type: Research article

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  8. Burnout resulting from long-term and unmanaged workplace stress is high among healthcare professionals, especially surgeons, and affects both individuals and the quality of patient care. The objective of this ...

    Authors: Suleyman Utku Celik, Alperen Aslan, Eylul Coskun, Beyza Nur Coban, Zeynep Haner, Selin Kart, Mahmoud N. I. Skaik, Merve Didem Kocer, Bahar Busra Ozkan and Cihangir Akyol

    Citation: BMC Health Services Research 2021 21:39

    Content type: Research article

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  9. Sustainability capacity (SC), which is an organization’s ability to implement and maintain change, is influenced by internal attributes, environmental contextual influencers, and intervention attributes. Tempo...

    Authors: James H. Ford II and Aaron Gilson

    Citation: BMC Health Services Research 2021 21:34

    Content type: Research article

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  10. When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a cha...

    Authors: Isabel Rodrigo Rincón, Isabel Irigoyen Aristorena, Belén Tirapu León, Nicolás Zaballos Barcala, Maite Sarobe Carricas, Joaquín Lobo Palanco, María Luisa Antelo Caamaño, Marta Patricia Martin Vizcaíno and Susan Burnett

    Citation: BMC Health Services Research 2021 21:31

    Content type: Research article

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  11. Contemporary perioperative fasting guidelines aim to alleviate patient discomfort before surgery and enhance postoperative recovery whilst seeking to reduce the risk of pulmonary aspiration during anesthesia. ...

    Authors: Faizan Zia, Luka Cosic, Angela Wong, Adam Levin, Patrick Lu, Craig Mitchell, Michael Shaw, Fred Rosewarne and Laurence Weinberg

    Citation: BMC Health Services Research 2021 21:27

    Content type: Research article

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  12. Physiotherapy services are an important part of the primary health care services for children, serving a broad spectrum of children referred from different sources and for a variety of reasons. There is limite...

    Authors: Kari Anne I. Evensen, Siw Sellæg, Anne-Cath Stræte, Anne E. Hansen and Ingebrigt Meisingset

    Citation: BMC Health Services Research 2021 21:16

    Content type: Research article

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  13. Understanding how comorbidity measures contribute to patient mortality is essential both to describe patient health status and to adjust for risks and potential confounding. The Charlson and Elixhauser comorbi...

    Authors: Narayan Sharma, René Schwendimann, Olga Endrich, Dietmar Ausserhofer and Michael Simon

    Citation: BMC Health Services Research 2021 21:13

    Content type: Research article

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  14. Specific factors that facilitate or prevent the implementation of enhanced recovery protocols for colorectal cancer surgery have been described in previous qualitative studies. This study aims to perform a con...

    Authors: R. van Zelm, E. Coeckelberghs, W. Sermeus, A. Wolthuis, L. Bruyneel, M. Panella and K. Vanhaecht

    Citation: BMC Health Services Research 2021 21:11

    Content type: Research article

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  15. Person-centered quality for family planning has been gaining increased attention, yet few interventions have focused on this, or measured associations between person-centered quality for family planning and fa...

    Authors: Nadia Diamond-Smith, Claire McDonell, Ananta Basudev Sahu, Kali Prasad Roy and Katie Giessler

    Citation: BMC Health Services Research 2020 20:1139

    Content type: Research article

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  16. Government procurement of elderly care services from market-oriented private providers has become an important way to respond to the growing demands of elderly care. However, the government cannot accurately i...

    Authors: Huan Song, Sihang Yu and Tao Sun

    Citation: BMC Health Services Research 2020 20:1135

    Content type: Research article

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  17. Management of Life-threatening Emergency (LTE) patients in urban and rural areas is an important challenge, which can affect pre-hospital mortality rate. Therefore, Non-hospital Health Center (NHHC) must be pr...

    Authors: Homayoun Sadeghi-Bazargani, Mehrdad Amir-Behghadami, Masoumeh Gholizadeh, Ali Janati and Farzad Rahmani

    Citation: BMC Health Services Research 2020 20:1129

    Content type: Research article

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  18. Broken windows theory (BWT) proposes that visible signs of crime, disorder and anti-social behaviour – however minor – lead to further levels of crime, disorder and anti-social behaviour. While we acknowledge ...

    Authors: Louise A. Ellis, Kate Churruca, Yvonne Tran, Janet C. Long, Chiara Pomare and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2020 20:1123

    Content type: Research article

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  19. Retina sub-specialists provide much of the retina related eye care across Canada. In the province of Alberta, 18 retina sub-specialists work across six different offices. The purpose of this study was to asses...

    Authors: Tyler Henry, Mathew Palakkamanil, Yazid N. Al Hamarneh and Matthew T. S. Tennant

    Citation: BMC Health Services Research 2020 20:1122

    Content type: Research article

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  20. Poor patient experiences during delivery leads to delayed presentation at facilities and contributes to poor maternal health outcomes. Person-centered maternity care (PCMC) is a key component of quality. Impro...

    Authors: Dominic Montagu, Katie Giessler, Michelle Kao Nakphong, Cathy Green, Kali Prosad Roy, Ananta Basudev Sahu, Kovid Sharma and May Sudhinarset

    Citation: BMC Health Services Research 2020 20:1121

    Content type: Research article

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  21. Co-production and co-design approaches to quality improvement (QI) efforts are gaining momentum in healthcare. Yet, these approaches can be challenging, not least when it comes to patient involvement. The aim ...

    Authors: Carolina Bergerum, Agneta Kullén Engström, Johan Thor and Maria Wolmesjö

    Citation: BMC Health Services Research 2020 20:1115

    Content type: Research article

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  22. Around 50 million people worldwide are diagnosed with dementia and this number is due to triple by 2050. The majority of persons with dementia receive care and support from their family, friends or neighbours,...

    Authors: Joseba Wulff, Agneta Malmgren Fänge, Connie Lethin and Carlos Chiatti

    Citation: BMC Health Services Research 2020 20:1114

    Content type: Research article

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  23. Elder abuse in nursing homes is a complex multifactorial problem and entails various associations across personal, social, and organisational factors. One way leaders can prevent abuse and promote quality and ...

    Authors: Janne Myhre, Susan Saga, Wenche Malmedal, Joan Ostaszkiewicz and Sigrid Nakrem

    Citation: BMC Health Services Research 2020 20:1111

    Content type: Research article

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  24. Patient experience is an important indicator of quality of health care. In Norway, little is known about the quality of health care for immigrants. The aim of this study was to compare patient-reported experie...

    Authors: Marte Kjøllesdal, Thor Indseth, Hilde Hestad Iversen and Oyvind Bjertnaes

    Citation: BMC Health Services Research 2020 20:1106

    Content type: Research article

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  25. Anemia is a risk factor for adverse outcomes, which can be aggravated by unnecessary phlebotomies. In blood culture testing, up to 30 ml of blood can be withdrawn per sample, even though most manufacturers rec...

    Authors: Katrin Steiner, Joanna Baron-Stefaniak, Alexander M. Hirschl, Wolfgang Barousch, Birgit Willinger and David M. Baron

    Citation: BMC Health Services Research 2020 20:1105

    Content type: Research article

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  26. Shared decision-making (SDM) is a process whereby clinicians and patients work together to select treatments based on both the patient’s preferences and clinical evidence. Although patients with psychotic diso...

    Authors: Espen W. Haugom, Bjørn Stensrud, Gro Beston, Torleif Ruud and Anne S. Landheim

    Citation: BMC Health Services Research 2020 20:1093

    Content type: Research article

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  27. Hospital at home (HaH) provides acute or subacute care in a patient’s home, that normally would require a hospital stay. HaH has consistently been shown to improve patient outcomes and reduce health care costs...

    Authors: Anthony Hecimovic, Vesna Matijasevic and Steven A. Frost

    Citation: BMC Health Services Research 2020 20:1090

    Content type: Research article

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  28. Access to and delivery of comprehensive emergency obstetric and neonatal care (CEmONC) services are often weak in low and middle-income countries affecting maternal and infant health outcomes. There are no stu...

    Authors: Edward Kwabena Ameyaw, Roberta Mensima Amoah, Carolyne Njue, Nguyen Toan Tran and Angela Dawson

    Citation: BMC Health Services Research 2020 20:1088

    Content type: Research article

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  29. As part of their mandate to protect the public, dental regulatory authorities (DRA) in Canada are responsible for investigating complaints made by members of the public. To gain an understanding of the nature ...

    Authors: Monika Roerig, Julie Farmer, Abdulrahman Ghoneim, Noha Gomaa, Laura Dempster, Krystal Evans, Wanda La and Carlos Quiñonez

    Citation: BMC Health Services Research 2020 20:1083

    Content type: Research article

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  30. Aboriginal and Torres Strait Islander people have high rates of avoidable hospital admissions for chronic conditions, however little is known about the frequency of avoidable admissions for this population. Th...

    Authors: Amanda Jayakody, Christopher Oldmeadow, Mariko Carey, Jamie Bryant, Tiffany Evans, Stephen Ella, John Attia, Simon Towle and Robert Sanson-Fisher

    Citation: BMC Health Services Research 2020 20:1082

    Content type: Research article

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  31. The accurate identification of venous thromboembolism prophylaxis implementation barriers is an important part of prophylaxis prevention. However, in China, data to help identify these barriers is limited. Thi...

    Authors: Yaping Xu, Wei Wang, Kaiyuan Zhen and Jing Zhao

    Citation: BMC Health Services Research 2020 20:1078

    Content type: Research article

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  32. Long term care (LTC) facilities provide health services and assist residents with daily care. At times residents may require transfer to emergency departments (ED), depending on the severity of their change in...

    Authors: Abraham Munene, Eddy Lang, Vivian Ewa, Heather Hair, Greta Cummings, Patrick McLane, Eldon Spackman, Peter Faris, Nancy Zuzic, Patrick B. Quail, Marian George, Anne Heinemeyer, Daniel Grigat, Mark McMillen, Shawna Reid and Jayna Holroyd-Leduc

    Citation: BMC Health Services Research 2020 20:1075

    Content type: Study protocol

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  33. Improving the quality of healthcare has proven to be a challenging task despite longstanding efforts. Approaches to improvements that consider the strong influence of local context as well as stakeholders’ dif...

    Authors: Hanna Augustsson, Kate Churruca and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2020 20:1063

    Content type: Research article

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  34. People who use substances experience high levels of substance-related stigma, both within and outside of health care settings, which can prevent people from help-seeking and contribute further to health inequi...

    Authors: Karen Urbanoski, Bernadette Pauly, Dakota Inglis, Fred Cameron, Troy Haddad, Jack Phillips, Paige Phillips, Conor Rosen, Grant Schlotter, Elizabeth Hartney and Bruce Wallace

    Citation: BMC Health Services Research 2020 20:1060

    Content type: Research article

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  35. Task shifting and task sharing in health care are rapidly becoming more common as the shortage of physicians increases. However, research has not yet examined the changing roles of hospital administrative staf...

    Authors: Naomi Akiyama, Tomoya Akiyama, Kenshi Hayashida, Takeru Shiroiwa and Keisuke Koeda

    Citation: BMC Health Services Research 2020 20:1054

    Content type: Research article

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  36. The aim of this paper is to analyze the differences in the coordination of chronic illness care between the different public hospital management models coexisting in the Spanish region of Madrid (25 hospitals)...

    Authors: José Luis Franco Miguel, Carmen Fullana Belda, José Manuel Cordero Ferrera, Cristina Polo and Roberto Nuño-Solinís

    Citation: BMC Health Services Research 2020 20:1044

    Content type: Research article

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  37. Patients’ increasing needs and expectations require an overall assessment of hospital performance. Several international agencies have defined performance indicators sets but there exists no unanimous classifi...

    Authors: Elettra Carini, Irene Gabutti, Emanuela Maria Frisicale, Andrea Di Pilla, Angelo Maria Pezzullo, Chiara de Waure, Americo Cicchetti, Stefania Boccia and Maria Lucia Specchia

    Citation: BMC Health Services Research 2020 20:1038

    Content type: Research article

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  38. Long-term acute care hospital (LTACH) use varies considerably across the U.S., which may reflect uncertainty about the effectiveness of LTACHs vs. skilled nursing facilities (SNF), the principal post-acute car...

    Authors: Anil N. Makam, Oanh Kieu Nguyen, Michael E. Miller, Sachin J. Shah, Kandice A. Kapinos and Ethan A. Halm

    Citation: BMC Health Services Research 2020 20:1032

    Content type: Research article

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  39. Patient experience surveys are increasingly conducted in cancer care as they provide important results to consider in future development of cancer care and health policymaking. These surveys usually include cl...

    Authors: Chantal Arditi, Diana Walther, Ingrid Gilles, Saphir Lesage, Anne-Claude Griesser, Christine Bienvenu, Manuela Eicher and Isabelle Peytremann-Bridevaux

    Citation: BMC Health Services Research 2020 20:1029

    Content type: Research article

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  40. The DIALOG scale has been implemented as a routine patient outcome and experience measure (PROM/PREM) in a mental health trust in East London since 2017. The resulting healthcare dataset was used to estimate s...

    Authors: Franziska Mosler, Stefan Priebe and Victoria Bird

    Citation: BMC Health Services Research 2020 20:1020

    Content type: Research article

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  41. The substantial increase in the use of expensive anticancer drugs has been accompanied by an increase in the amount of disposing residual liquid from drug preparations. Many Western countries, including the Un...

    Authors: Koichi Matsuo, Hisanaga Nomura, Masanobu Uchiyama, Motoyasu Miyazaki and Osamu Imakyure

    Citation: BMC Health Services Research 2020 20:1017

    Content type: Research article

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  42. The World Health Organization has advocated for the integration of dental care into the primary healthcare (PHC) setting, including oral urgent treatment (OUT). However, the knowledge necessary for OUT impleme...

    Authors: Danielle Viana Ribeiro Ramos, João Luiz Miraglia, Camila Nascimento Monteiro, Danielle Borchardt, Leonardo Tribis, Thais Paragis Sanchez, Daiana Bonfim, Danielle da Costa Palacio, Maria da Luz Rosário de Souza and Marília Jesus Batista de Brito Mota

    Citation: BMC Health Services Research 2020 20:1012

    Content type: Research article

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  43. Medical tests provide important information to guide clinical management. Overtesting, however, may cause harm to patients and the healthcare system, including through misdiagnosis, false positives, false nega...

    Authors: Justin H. Lam, Kristen Pickles, Fiona F. Stanaway and Katy J. L. Bell

    Citation: BMC Health Services Research 2020 20:1011

    Content type: Research article

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  44. Although leadership is considered as a key factor in health care, leadership styles and outcomes in nursing homes often remain a black box. Therefore, this study explored leadership styles and leadership outco...

    Authors: Joris Poels, Marc Verschueren, Koen Milisen and Ellen Vlaeyen

    Citation: BMC Health Services Research 2020 20:1009

    Content type: Research article

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  45. Many of the strategies designed to reduce “low-value care” have been implemented without a consensus on the definition of the term “value”. Most “low value care” lists are based on the comparative effectivenes...

    Authors: José Antonio Sacristán

    Citation: BMC Health Services Research 2020 20:1000

    Content type: Commentary

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  46. Between-center variation in outcome may offer opportunities to identify variation in quality of care. By intervening on these quality differences, patient outcomes may be improved. However, whether observed di...

    Authors: Marzyeh Amini, Nikki van Leeuwen, Frank Eijkenaar, Maxim J. H. L. Mulder, Wouter Schonewille, Geert Lycklama à Nijeholt, Wouter H. Hinsenveld, Robert-Jan B. Goldhoorn, Pieter Jan van Doormaal, Sjoerd Jenniskens, Jan Hazelzet, Diederik W. J. Dippel, Bob Roozenbeek and Hester F. Lingsma

    Citation: BMC Health Services Research 2020 20:998

    Content type: Research article

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  47. Patient-Centered Medical Home (PCMH) adoption is an important strategy to help improve primary care quality within Health Resources and Service Administration (HRSA) community health centers (CHC), but evidenc...

    Authors: Nathaniel Bell, Rebecca Wilkerson, Kathy Mayfield-Smith and Ana Lòpez-De Fede

    Citation: BMC Health Services Research 2020 20:980

    Content type: Research article

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  48. Misguided prescription of antibiotics is an important contributor towards the emergence and spread of antibiotic resistance. The absence of effective interventions to control antibiotic use leads to increased ...

    Authors: Michael Mireku Opoku, Harriet Affran Bonful and Kwadwo Ansah Koram

    Citation: BMC Health Services Research 2020 20:978

    Content type: Research article

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