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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal and Howard Degenholtz

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. Content type: Research article

    Integrated knowledge translation (IKT) can optimize the uptake of research evidence into clinical practice by incorporating knowledge users as equal partners in the entire research process. Although several st...

    Authors: Jacqueline Roberge-Dao, Brooks Yardley, Anita Menon, Marie-Christine Halle, Julia Maman, Sara Ahmed and Aliki Thomas

    Citation: BMC Health Services Research 2019 19:230

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  2. Content type: Research article

    All healthcare professionals (HCPs) are at high risk of influenza infection. Therefore, immunization is recommended for all HCPs. Due to safety and effectiveness concerns, HCPs have a low vaccination rate. Thi...

    Authors: Thamir M. Alshammari, Kazeem B. Yusuff, Muhammad Majid Aziz and Gehad M. Subaie

    Citation: BMC Health Services Research 2019 19:229

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  3. Content type: Research article

    Providing culturally safe health care can contribute to improved health among Aboriginal people. However, little is known about how to make hospitals culturally safe for Aboriginal people. This study assessed ...

    Authors: Thomas Gadsden, Gai Wilson, James Totterdell, John Willis, Ashima Gupta, Alwin Chong, Angela Clarke, Michelle Winters, Kym Donahue, Sonia Posenelli, Louise Maher, Jessica Stewart, Helen Gardiner, Erin Passmore, Aaron Cashmore and Andrew Milat

    Citation: BMC Health Services Research 2019 19:222

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  4. Content type: Research article

    Given the increased attention to sepsis at the population level there is a need to assess hospital performance in the care of sepsis patients using widely-available administrative data. The goal of this study ...

    Authors: Jennifer L. Darby, Billie S. Davis, Ian J. Barbash and Jeremy M. Kahn

    Citation: BMC Health Services Research 2019 19:221

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  5. Content type: Research article

    Primary care workload is high and increasing in the United Kingdom. We sought to examine the association between rates of primary care consultation and outcomes in England.

    Authors: Sarah Lay-Flurrie, Edouard Mathieu, Clare Bankhead, Brian D. Nicholson, Rafael Perera-Salazar, Tim Holt, F. D. Richard Hobbs and Chris Salisbury

    Citation: BMC Health Services Research 2019 19:219

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  6. Content type: Research article

    Hospital infection prevention and control (IPC) programs are designed to minimise rates of preventable healthcare-associated infection (HAI) and acquisition of multidrug resistant organisms, which are among th...

    Authors: Gwendolyn L. Gilbert and Ian Kerridge

    Citation: BMC Health Services Research 2019 19:212

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  7. Content type: Research article

    Concerted quality improvement (QI) efforts have been taken to discourage the practice of early elective deliveries (EEDs), but few studies have robustly examined the impact of directed QI interventions in redu...

    Authors: Michael P. Thompson, Ilana Graetz, Caitlin N. McKillop, Peter H. Grubb and Teresa M. Waters

    Citation: BMC Health Services Research 2019 19:208

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  8. Content type: Research article

    Outcomes-based policy and administration of public services present a compelling argument for the value of outcomes data. However, there are a number of challenges inherent in collecting these data from people...

    Authors: James Caiels, Stacey Rand, Tanya Crowther, Grace Collins and Julien Forder

    Citation: BMC Health Services Research 2019 19:201

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  9. Content type: Research article

    Frequent hospitalizations and dependency on technology and providers place individuals with chronic kidney disease (CKD) at high risk for multiple safety events. Threats to their safety may be physical, emotio...

    Authors: Lucia New, Donna Goodridge, Joanne Kappel, Gary Groot and Roy Dobson

    Citation: BMC Health Services Research 2019 19:199

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  10. Content type: Research article

    The relevance of context in implementation science is reflected in the numerous theories, frameworks, models and taxonomies that have been proposed to analyse determinants of implementation (in this paper refe...

    Authors: Per Nilsen and Susanne Bernhardsson

    Citation: BMC Health Services Research 2019 19:189

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  11. Content type: Research article

    The Tailored Implementation in Chronic Disease (TICD) framework is a comprehensive framework describing the determinants of implementation success that has been used extensively in primary care settings. We ex...

    Authors: Lesli E. Skolarus, Gina M. Neshewat, Lacey Evans, Molly Green, Narmeen Rehman, Zach Landis-Lewis, Jillian Welsh Schrader and Anne E. Sales

    Citation: BMC Health Services Research 2019 19:182

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  12. Content type: Research article

    This retrospective process evaluation reports on the application of a 1-year implementation program to increase identification and management of patients at high risk of a hereditary cancer syndrome. The proje...

    Authors: Janet C. Long, Teresa Winata, Deborah Debono, Kim-Chi Phan-Thien, Christine Zhu and Natalie Taylor

    Citation: BMC Health Services Research 2019 19:180

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  13. Content type: Research article

    Measuring patients’ perception from health service quality as an important element in the assessment of service quality has attracted much attention in recent years. Therefore, this study was conducted to find...

    Authors: Mohammad Ali Abbasi-Moghaddam, Ehsan Zarei, Rafat Bagherzadeh, Hossein Dargahi and Pouria Farrokhi

    Citation: BMC Health Services Research 2019 19:170

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  14. Content type: Research article

    Healthcare-associated infections (HAIs) are common and increase morbidity, mortality, and healthcare costs. Their control continues to be an unresolved issue worldwide. HAIs epidemiology shows sex/gender diffe...

    Authors: Jesús López-Alcalde, Elena Stallings, Sheila Cabir Nunes, Abelardo Fernández Chávez, Mathilde Daheron, Xavier Bonfill Cosp and Javier Zamora

    Citation: BMC Health Services Research 2019 19:169

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  15. Content type: Research article

    The medical discharge letter is an important communication tool between hospitals and other healthcare providers. Despite its high status, it often does not meet the desired requirements in everyday clinical p...

    Authors: Christine Maria Schwarz, Magdalena Hoffmann, Petra Schwarz, Lars-Peter Kamolz, Gernot Brunner and Gerald Sendlhofer

    Citation: BMC Health Services Research 2019 19:158

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  16. Content type: Research article

    To overcome the limitations of administrative data in adequately adjusting for differences in patients’ risk of readmissions, recent studies have added supplemental data from patient surveys and other sources ...

    Authors: Sarah Zheng, Amresh Hanchate and Michael Shwartz

    Citation: BMC Health Services Research 2019 19:155

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  17. Content type: Research article

    Comparison of services and identification of factors important for favourable patient outcomes in emergency medical services (EMS) is challenging due to different organization and quality of data. The purpose ...

    Authors: Kristin Tønsager, Marius Rehn, Kjetil G. Ringdal, Hans Morten Lossius, Ilkka Virkkunen, Øyvind Østerås, Jo Røislien and Andreas J. Krüger

    Citation: BMC Health Services Research 2019 19:151

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  18. Content type: Research article

    Organisational performance measurement is a recognised business management tool and essential for survival and success. There is a paucity of methodological studies of organisational performance measurement re...

    Authors: Richard Colbran, Robyn Ramsden, Karen Stagnitti and John W. Toumbourou

    Citation: BMC Health Services Research 2019 19:132

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  19. Content type: Study protocol

    At many outpatient departments for psychiatry worldwide, standardized monitoring of the safety of prescribed psychotropic drugs is not routinely performed in daily clinical practice. Therefore it is unclear to...

    Authors: Mirjam Simoons, Henricus G. Ruhé, Eric N. van Roon, Robert A. Schoevers, Richard Bruggeman, Daniëlle C. Cath, Diny Muis, Johan Arends, Bennard Doornbos and Hans Mulder

    Citation: BMC Health Services Research 2019 19:125

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  20. Content type: Research article

    Implementation of new programs within healthcare systems can be extraordinarily complex. Individuals within the same healthcare organization often have different perspectives on how implementation of a new pro...

    Authors: Edward J. Miech, Nicholas A. Rattray, Dawn M. Bravata, Barbara J. Homoya, Jennifer Myers and Teresa M. Damush

    Citation: BMC Health Services Research 2019 19:124

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  21. Content type: Research article

    The population of developed countries is aging, leading to an increase in the use of medication in daily practice, which can lead to serious treatment costs and irrational polypharmacy. A collaborative care ap...

    Authors: Matej Stuhec, Katja Gorenc and Erika Zelko

    Citation: BMC Health Services Research 2019 19:118

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  22. Content type: Research article

    Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient...

    Authors: Sharon H. Kim, Sallie J. Weaver, Ting Yang and Michael A. Rosen

    Citation: BMC Health Services Research 2019 19:116

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  23. Content type: Research article

    The use of clinical quality registries as means for data driven improvement in healthcare seem promising. However, their use has been shown to be challenged by a number of aspects, and we suggest some may be r...

    Authors: Cecilie Lindström Egholm, Charlotte Helmark, Patrick Doherty, Per Nilsen, Ann-Dorthe Zwisler and Gitte Bunkenborg

    Citation: BMC Health Services Research 2019 19:102

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  24. Content type: Research article

    Healthcare professionals who experience trauma due to patient safety incidents can be considered second victims, and they also suffer from various difficulties. In order to support second victims, it is necess...

    Authors: Won Lee, Jeehee Pyo, Seung Gyeong Jang, Ji Eun Choi and Minsu Ock

    Citation: BMC Health Services Research 2019 19:100

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  25. Content type: Research article

    Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share ...

    Authors: Akiyo Nonogaki, Tomoko Nishida, Kazunari Kobayashi, Kayoko Nozaki, Haruka Tamura and Hisataka Sakakibara

    Citation: BMC Health Services Research 2019 19:96

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  26. Content type: Research article

    Millions of Americans are living with hepatitis C, the leading cause of liver disease in the United States. Medication treatment can cure hepatitis C. We sought to understand factors that contribute to hepatit...

    Authors: Avy A. Skolnik, Amanda Noska, Vera Yakovchenko, Jack Tsai, Natalie Jones, Allen L. Gifford and D. Keith McInnes

    Citation: BMC Health Services Research 2019 19:91

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  27. Content type: Research article

    Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay an...

    Authors: Joanna Bryan Ringel, Deanna Jannat-Khah, Rachel Chambers, Emily Russo, Louise Merriman and Renuka Gupta

    Citation: BMC Health Services Research 2019 19:87

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  28. Content type: Research article

    The need for improved research on ill health has been recognized internationally and locally in the United Arab Emirates (UAE). The UAE Nursing and Midwifery Council recently committed to enhancing the status ...

    Authors: Nabeel Al-Yateem, Muna Al-Tamimi, Maria Brenner, Hanan Al Tawil, Alaa Ahmad, Sharon Brownie and Shameran Slewa-Younan

    Citation: BMC Health Services Research 2019 19:77

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  29. Content type: Research article

    The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting f...

    Authors: Noortje M. Pannebakker, Margot A. H. Fleuren, Eline Vlasblom, Mattijs E. Numans, Sijmen A. Reijneveld and Paul L. Kocken

    Citation: BMC Health Services Research 2019 19:76

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  30. Content type: Research article

    The growing interest in hospital users’ complaints appears to be consistent with recent changes in health care, which considers the patient’s voice a valuable information source to improve health care. Based o...

    Authors: Béatrice Schaad, Céline Bourquin, Francesco Panese and Friedrich Stiefel

    Citation: BMC Health Services Research 2019 19:73

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  31. Content type: Research article

    Antibiotic stewardship, the proper management of antibiotics to ensure optimal patient outcomes, is based on quality improvement. Evidence-based guidelines and protocols have been developed to improve this pro...

    Authors: Chimwemwe Tusekile Mula, Nicola Human and Lyn Middleton

    Citation: BMC Health Services Research 2019 19:64

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  32. Content type: Research article

    The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life.

    Authors: Montserrat Alonso-Sardón, Helena Iglesias-de-Sena, Luz Celia Fernández-Martín and José Antonio Mirón-Canelo

    Citation: BMC Health Services Research 2019 19:63

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  33. Content type: Research article

    There is a growing body of international research that displays the prevalence and character of abuse in health care. Even though most of these studies are conducted from a patient perspective little is known ...

    Authors: A. Jelmer Brüggemann, Camilla Forsberg and Robert Thornberg

    Citation: BMC Health Services Research 2019 19:58

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  34. Content type: Research article

    Promoting patient and occupational safety are two key challenges for hospitals. When aiming to improve these two outcomes synergistically, psychosocial working conditions, leadership by hospital management and...

    Authors: Anke Wagner, Monika A. Rieger, Tanja Manser, Heidrun Sturm, Juliane Hardt, Peter Martus, Constanze Lessing and Antje Hammer

    Citation: BMC Health Services Research 2019 19:53

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  35. Content type: Research article

    Strengthening the quality of laboratory diagnostics is a key part of building global health capacity. In 2015, the Centers for Disease Control and Prevention (CDC), the Southeast European Center for Surveillan...

    Authors: Lauren Polansky, Stephanie Chester, Melissa Warren, Tricia Aden, Pamela Kennedy, Stacey Spivey-Blackford and Ann Moen

    Citation: BMC Health Services Research 2019 19:49

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  36. Content type: Research article

    Quality of care (QoC) attracts global concerns when unsafe and misuse of healthcare wastes resources and endangers people’s health, especially in low- and middle-income countries. However, little is known abou...

    Authors: Yuqi Zhou, Xi Yao, Guofeng Liu, Weiyan Jian and Winnie Yip

    Citation: BMC Health Services Research 2019 19:43

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  37. Content type: Research article

    Hospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hos...

    Authors: Dominique A. Cadilhac, Helen M. Dewey, Sonia Denisenko, Christopher F. Bladin and Atte Meretoja

    Citation: BMC Health Services Research 2019 19:41

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  38. Content type: Research article

    Patient satisfaction is an important outcome measure guiding quality improvement in the healthcare setting while the patient-centred care movement places increasing importance on patient engagement in clinical...

    Authors: F. Rapport, P. Hibbert, M. Baysari, J. C. Long, R. Seah, W. Y. Zheng, C. Jones, K. Preece and J. Braithwaite

    Citation: BMC Health Services Research 2019 19:38

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  39. Content type: Research article

    Data on the burden of community-acquired pneumonia (CAP) and health-care related costs in patients with cancer is scarce. We aimed to estimate the CAP incidence rate, mortality, and healthcare-related costs of...

    Authors: Niklas Schmedt, Olivia Denise Heuer, Dennis Häckl, Reiko Sato and Christian Theilacker

    Citation: BMC Health Services Research 2019 19:30

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  40. Content type: Research article

    With few exceptions the International Statistical Classification of Diseases (ICD) codes for diagnoses and official coding guidelines do not distinguish pre-existing conditions from complications or comorbidit...

    Authors: Karen Triep, Thomas Beck, Jacques Donzé and Olga Endrich

    Citation: BMC Health Services Research 2019 19:23

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  41. Content type: Research article

    Patient satisfaction is an important measure of quality of care and a determinant of health service utilisation and the choice of health facility. Measuring patients’ experiences is important for understanding...

    Authors: Charlotte Trimmer and Mats Målqvist

    Citation: BMC Health Services Research 2019 19:17

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  42. Content type: Research article

    To detect possible threats to quality and safety, multiple systems have been developed. One of them is retrospective chart review. A team of experts scrutinizes medical records, selected by trigger systems, to...

    Authors: Dorthe O. Klein, Roger J. M. W. Rennenberg, Richard P. Koopmans and Martin H. Prins

    Citation: BMC Health Services Research 2019 19:16

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  43. Content type: Research article

    Patient centeredness is an important component of patient care and healthcare quality. Several scales exist to measure patient centeredness, and previous literature provides a critical appraisal of their measu...

    Authors: Eline Ree, Siri Wiig, Tanja Manser and Marianne Storm

    Citation: BMC Health Services Research 2019 19:12

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  44. Content type: Research article

    There is a lack of validated instruments examining dimensions of team functioning from the perspective of patients and families consistent with a conceptual framework. The study aimed to develop and assess the...

    Authors: Kelley Kilpatrick, Éric Tchouaket, Lysane Paquette, Claudel Guillemette, Mira Jabbour, François Desmeules, Véronique Landry and Nicolas Fernandez

    Citation: BMC Health Services Research 2019 19:9

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  45. Content type: Research article

    In international comparisons, rates of amputations of the lower limb are relatively high in Germany. This study aims to analyze trends in lower limb amputations over time, as well as outcomes of care concernin...

    Authors: Melissa Spoden, Ulrike Nimptsch and Thomas Mansky

    Citation: BMC Health Services Research 2019 19:8

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    The Correction to this article has been published in BMC Health Services Research 2019 19:163

  46. Content type: Research article

    Few studies have focused on post-discharge ambulatory care for stroke patients and subsequent differences in readmission and mortality rates. Identifying groups at higher risk according to services received is...

    Authors: Jayson O. Swanson and Tron Anders Moger

    Citation: BMC Health Services Research 2019 19:4

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  47. Content type: Debate

    Enhanced Recovery After Surgery (ERAS) is a perioperative management based on multimodality and multidisciplinary work. ERAS has been shown to have important clinical and economic benefits, but its spread rema...

    Authors: Gaëtan-Romain Joliat, Olle Ljungqvist, Tracy Wasylak, Oliver Peters and Nicolas Demartines

    Citation: BMC Health Services Research 2018 18:1008

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  48. Content type: Research article

    Comparing the mortality profiles of dialysis centres is important to ensure that high standards of care are maintained. We compare the performance of dialysis centres in Australia and New Zealand in their trea...

    Authors: Jessica Kasza, Kevan R. Polkinghorne, Rory Wolfe, Stephen P. McDonald and Mark R. Marshall

    Citation: BMC Health Services Research 2018 18:1007

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  49. Content type: Research article

    Using outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor...

    Authors: Nynke A. Kampstra, Nina Zipfel, Paul B. van der Nat, Gert P. Westert, Philip J. van der Wees and A. Stef Groenewoud

    Citation: BMC Health Services Research 2018 18:1005

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