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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. Risk communication is an integral part of shared decision-making in health care. In the context of interventions for chronic diseases it represents a particular challenge for all health practitioners. By using...

    Authors: Charlotte Gry Harmsen, Dorte Ejg Jarbøl, Jørgen Nexøe, Henrik Støvring, Dorte Gyrd-Hansen, Jesper Bo Nielsen, Adrian Edwards and Ivar Sønbø Kristiansen

    Citation: BMC Health Services Research 2013 13:76

    Content type: Study protocol

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  2. A general trend towards positive patient-reported evaluations of hospitals could be taken as a sign that most patients form a homogeneous, reasonably pleased group, and consequently that there is little need f...

    Authors: Oyvind Bjertnaes, Kjersti Eeg Skudal and Hilde Hestad Iversen

    Citation: BMC Health Services Research 2013 13:73

    Content type: Research article

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  3. Acetaminophen overdose is a major concern among the pediatric population. Our objective was to assess the validity of International Classification of Disease (ICD-9-CM) codes for identification of pediatric em...

    Authors: Sofia de Achaval, Chris Feudtner, Shana Palla and Maria E Suarez-Almazor

    Citation: BMC Health Services Research 2013 13:72

    Content type: Research article

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  4. It is well-known that health care workers in today’s general hospitals have to deal with high levels of job demands, which could have negative effects on their health, well-being, and job performance. A way to...

    Authors: Irene MW Niks, Jan de Jonge, Josette MP Gevers and Irene LD Houtman

    Citation: BMC Health Services Research 2013 13:66

    Content type: Study protocol

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  5. Healthcare claims databases have been used in several studies to characterize the risk and burden of chemotherapy-induced febrile neutropenia (FN) and effectiveness of colony-stimulating factors against FN. Th...

    Authors: Derek Weycker, Oleg Sofrygin, Kim Seefeld, Robert G Deeter, Jason Legg and John Edelsberg

    Citation: BMC Health Services Research 2013 13:60

    Content type: Research article

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  6. National, regional and local activities to improve patient safety in Sweden have increased over the last decade. There are high ambitions for improved patient safety in Sweden. This study surveyed health care ...

    Authors: Mikaela Nygren, Kerstin Roback, Annica Öhrn, Hans Rutberg, Mikael Rahmqvist and Per Nilsen

    Citation: BMC Health Services Research 2013 13:52

    Content type: Research article

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  7. Root cause analysis (RCA) originated in the manufacturing engineering sector but has been adapted for routine use in healthcare to investigate patient safety incidents and facilitate organizational learning. D...

    Authors: Paul Bowie, Joe Skinner and Carl de Wet

    Citation: BMC Health Services Research 2013 13:50

    Content type: Research article

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  8. Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can me...

    Authors: Ann-Christine Andersson, Mattias Elg, Kent-Inge Perseius and Ewa Idvall

    Citation: BMC Health Services Research 2013 13:48

    Content type: Research article

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  9. Most current knowledge of the incidence of medical adverse events (AEs) comes from studies carried out in hospital settings. Little is known about AEs occurring outside hospitals, in spite the fact that most o...

    Authors: Ragnar Hotvedt and Olav Helge Førde

    Citation: BMC Health Services Research 2013 13:46

    Content type: Research article

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  10. A scientific understanding of clinical risk management (CRM) in mental health care is essential for building safer health systems and for improving patient safety. While evidence on patient safety and CRM in p...

    Authors: Matthias Briner and Tanja Manser

    Citation: BMC Health Services Research 2013 13:44

    Content type: Research article

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  11. Publicly insured women usually have a different demographic background to privately insured women, which is related to poor neonatal outcomes after birth. Given the difference in nature and risk of preterm ver...

    Authors: Kristjana Einarsdóttir, Fatima A Haggar, Amanda T Langridge, Anthony S Gunnell, Helen Leonard and Fiona J Stanley

    Citation: BMC Health Services Research 2013 13:40

    Content type: Research article

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  12. The adoption of health information technology has been recommended as a viable mechanism for improving quality of care and patient health outcomes. However, the capacity of health information technology (i.e.,...

    Authors: Jemima A Frimpong, Bradford E Jackson, LaShonda M Stewart, Karan P Singh, Patrick A Rivers and Sejong Bae

    Citation: BMC Health Services Research 2013 13:35

    Content type: Research article

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  13. Quality indicators (QI) are used in health care to measure quality of service and performance improvement. Health care professionals and organizations caring for patients with injuries need information regardi...

    Authors: Henry T Stelfox, Jamie M Boyd, Sharon E Straus and Anna R Gagliardi

    Citation: BMC Health Services Research 2013 13:31

    Content type: Study protocol

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  14. Understanding the factors that impact on disability is necessary to inform trauma care and enable adequate risk adjustment for benchmarking and monitoring. A key consideration is how to adjust for pre-existing...

    Authors: Belinda J Gabbe, James E Harrison, Ronan A Lyons, Elton R Edwards and Peter A Cameron

    Citation: BMC Health Services Research 2013 13:30

    Content type: Research article

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  15. It has been documented that variations exist in breast cancer treatment despite wide dissemination of clinical practice guidelines. The aim of this population-based study was to evaluate the impact of regional...

    Authors: Carlotta Sacerdote, Rita Bordon, Sabina Pitarella, Maria Piera Mano, Ileana Baldi, Denise Casella, Daniela Di Cuonzo, Alfonso Frigerio, Luisella Milanesio, Franco Merletti, Eva Pagano, Fulvio Ricceri, Stefano Rosso, Nereo Segnan, Mariano Tomatis, Giovannino Ciccone…

    Citation: BMC Health Services Research 2013 13:28

    Content type: Research article

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  16. Demand for dialysis treatment exceeds its supply within the Veterans Health Administration (VA), requiring VA to outsource dialysis care by purchasing private sector dialysis for veterans on a fee-for-service ...

    Authors: Virginia Wang, Matthew L Maciejewski, Uptal D Patel, Karen M Stechuchak, Denise M Hynes and Morris Weinberger

    Citation: BMC Health Services Research 2013 13:26

    Content type: Research article

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  17. The Health Service Quality Scale is a multidimensional hierarchical scale that is based on interdisciplinary approach. This instrument was specifically created for measuring health service quality based on mar...

    Authors: Luiz Roberto Martins Rocha, Daniela Francescato Veiga, Paulo Rocha e Oliveira, Elaine Horibe Song and Lydia Masako Ferreira

    Citation: BMC Health Services Research 2013 13:24

    Content type: Research article

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  18. Quality and safety issues are receiving growing attention. Patient safety culture (PSC) plays an important role in patient safety. The characteristics of PSC in various countries, each with a different set of ...

    Authors: Shigeru Fujita, Kanako Seto, Shinya Ito, Yinghui Wu, Chiu-Chin Huang and Tomonori Hasegawa

    Citation: BMC Health Services Research 2013 13:20

    Content type: Research article

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  19. In the working age group, diabetic retinopathy is a leading cause of visual impairment. Regular eye examinations and early treatment of retinopathy can prevent visual loss, so screening for diabetic retinopath...

    Authors: Vibeke Sundling, Pål Gulbrandsen and Jørund Straand

    Citation: BMC Health Services Research 2013 13:17

    Content type: Research article

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  20. Outcome quality indicators are rarely used to evaluate mental health services because most jurisdictions lack clinical data systems to construct indicators in a meaningful way across mental health providers. A...

    Authors: Christopher M Perlman, John P Hirdes, Howard Barbaree, Brant E Fries, Ian McKillop, John N Morris and Terry Rabinowitz

    Citation: BMC Health Services Research 2013 13:15

    Content type: Research article

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  21. Over 20% of hospital bed use is inappropriate, implying a waste of resources and the increase of patient iatrogenic risk.

    Authors: Caterina Caminiti, Tiziana Meschi, Luca Braglia, Francesca Diodati, Elisa Iezzi, Barbara Marcomini, Antonio Nouvenne, Eliana Palermo, Beatrice Prati, Tania Schianchi and Loris Borghi

    Citation: BMC Health Services Research 2013 13:14

    Content type: Research article

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  22. From 2004 to 2009 there was almost a 12% rise in emergency admissions in England. This can be explained partly by an aging population and other socio-demographic characteristics, but much cannot be explained b...

    Authors: Stephen Gunther, Nick Taub, Stephen Rogers and Richard Baker

    Citation: BMC Health Services Research 2013 13:11

    Content type: Research article

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  23. Successfully introducing and maintaining care innovations may depend on the interplay between care setting, the intervention and specific circumstances. We studied the factors influencing the introduction and ...

    Authors: Marijke Boorsma, Eveliene Langedijk, Dinnus HM Frijters, Giel Nijpels, Tom Elfring and Hein PJ van Hout

    Citation: BMC Health Services Research 2013 13:8

    Content type: Research article

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  24. The Greater Green Triangle diabetes prevention program was conducted in primary health care setting of Victoria and South Australia in 2004–2006. This program demonstrated significant reductions in diabetes ri...

    Authors: Christine Walker, Andrea Hernan, Prasuna Reddy and James A Dunbar

    Citation: BMC Health Services Research 2012 12:460

    Content type: Research article

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  25. In an era when an increasing amount of clinical information is available to health care professionals, the effective implementation of clinical practice guidelines requires the development of strategies to fac...

    Authors: Pille Taba, Marika Rosenthal, Jarno Habicht, Helvi Tarien, Mari Mathiesen, Suzanne Hill and Lisa Bero

    Citation: BMC Health Services Research 2012 12:455

    Content type: Research article

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  26. Accurate and timely medication information at the point of discharge is essential for continuity of care. There are scarce data on the clinical significance if poor quality medicines information is passed to t...

    Authors: Alice V Gilbert, Bhavini Patel, Melanie Morrow, Desmond Williams, Michael S Roberts and Andrew L Gilbert

    Citation: BMC Health Services Research 2012 12:453

    Content type: Research article

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  27. Previous research has addressed the relationship between customer satisfaction, perceived quality and customer loyalty intentions in consumer markets. In this study, we test and compare three theoretical model...

    Authors: Ping Lei and Alain Jolibert

    Citation: BMC Health Services Research 2012 12:436

    Content type: Research article

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  28. Patient reported outcome measures (PROMs) are self-report measures of health status increasingly promoted for use in healthcare quality improvement. However people with low literacy skills or learning disabili...

    Authors: Deepa Jahagirdar, Thilo Kroll, Karen Ritchie and Sally Wyke

    Citation: BMC Health Services Research 2012 12:431

    Content type: Research article

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  29. Resource-limited countries increasingly depend on quality indicators to improve outcomes within HIV treatment programs, but indicators of program performance suitable for use at the local program level remain ...

    Authors: Aima A Ahonkhai, Ingrid V Bassett, Timothy G Ferris and Kenneth A Freedberg

    Citation: BMC Health Services Research 2012 12:427

    Content type: Research article

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  30. Although primary health care (PHC) is a key component of all health care systems, services are not always readily available, accessible or affordable. This systematic review examines effective strategies to en...

    Authors: Elizabeth Jean Comino, Gawaine Powell Davies, Yordanka Krastev, Marion Haas, Bettina Christl, John Furler, Anthony Raymont and Mark F Harris

    Citation: BMC Health Services Research 2012 12:415

    Content type: Research article

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  31. There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support pat...

    Authors: Janice L Hanson, Mark B Stephens, Louis N Pangaro and Ronald W Gimbel

    Citation: BMC Health Services Research 2012 12:407

    Content type: Research article

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  32. The increasing prevalence of multiple chronic conditions has accentuated the importance of coordinating and integrating health care services. Patients with better continuity of care (COC) have a lower utilizat...

    Authors: Chien-Lung Chan, Huey-Jen You, Hsin-Tsung Huang and Hsien-Wei Ting

    Citation: BMC Health Services Research 2012 12:405

    Content type: Research article

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  33. Population based studies show that guidelines are underused. Surveys of international guideline developers found that many do not implement their guidelines. The purpose of this research was to interview guide...

    Authors: Anna R Gagliardi

    Citation: BMC Health Services Research 2012 12:404

    Content type: Research article

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  34. The search for a reliable, valid and cost-effective comorbidity risk adjustment method for outcomes research continues to be a challenge. The most widely used tool, the Charlson Comorbidity Index (CCI) is limi...

    Authors: Adesuwa B Olomu, William D Corser, Manfred Stommel, Yan Xie and Margaret Holmes-Rovner

    Citation: BMC Health Services Research 2012 12:398

    Content type: Research article

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  35. Studies that compare Indigenous Australian and non-Indigenous patients who experience a cardiac event or chest pain are inconclusive about the reasons for the differences in-hospital and survival rates. The ad...

    Authors: Yvette L Roe, Christopher J Zeitz and Bronwyn Fredericks

    Citation: BMC Health Services Research 2012 12:397

    Content type: Study protocol

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  36. Case management has been applied in community aged care to meet frail older people’s holistic needs and promote cost-effectiveness. This systematic review aims to evaluate the effects of case management in com...

    Authors: Emily Chuanmei You, David Dunt, Colleen Doyle and Arthur Hsueh

    Citation: BMC Health Services Research 2012 12:395

    Content type: Research article

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  37. The roles of pharmacists have evolved from product oriented, dispensing of medications to more patient-focused services such as the provision of pharmaceutical care. Such pharmacy service is also becoming more...

    Authors: Siew Siang Chua, Li Ching Kok, Faridah Aryani Md Yusof, Guang Hui Tang, Shaun Wen Huey Lee, Benny Efendie and Thomas Paraidathathu

    Citation: BMC Health Services Research 2012 12:388

    Content type: Research article

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  38. Hospital performance is being benchmarked increasingly against surgical indicators such as 30-day mortality, length-of-stay, survival and post-surgery complication rates. The aim of this paper was to examine o...

    Authors: Efty P Stavrou, Robyn Ward and Sallie-Anne Pearson

    Citation: BMC Health Services Research 2012 12:384

    Content type: Research article

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  39. By measuring the quality of the organisation of palliative care with process and structure quality indicators (QIs), patients, caregivers and policy makers are able to monitor to what extent recommendations ar...

    Authors: Kathrin Woitha, Karen Van Beek, Nisar Ahmed, Jeroen Hasselaar, Jean-Marc Mollard, Isabelle Colombet, Lukas Radbruch, Kris Vissers and Yvonne Engels

    Citation: BMC Health Services Research 2012 12:381

    Content type: Research article

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  40. Routinely collected data such as hospital morbidity data (HMD) are increasingly used in studying clinical outcomes among patients undergoing total joint replacement (TJR). These data are readily available and ...

    Authors: George Mnatzaganian, Philip Ryan, Paul E Norman, David C Davidson and Janet E Hiller

    Citation: BMC Health Services Research 2012 12:380

    Content type: Research article

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  41. Public reporting of hospital quality is to enable providers, patients and the public to make comparisons regarding the quality of care and thus contribute to informed decisions. It stimulates quality improveme...

    Authors: Silke Auras, Werner de Cruppé, Karl Blum and Max Geraedts

    Citation: BMC Health Services Research 2012 12:378

    Content type: Research article

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  42. The present study protocol describes the trial design of a clinician training intervention to improve physical activity counseling in underserved primary care settings using the 5As. The 5As (Ask, Advise, Agre...

    Authors: Jennifer K Carroll, Kevin Fiscella, Ronald M Epstein, Mechelle R Sanders and Geoffrey C Williams

    Citation: BMC Health Services Research 2012 12:374

    Content type: Study protocol

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  43. Health authorities in several countries have decided that the health care services should be evidence-based. Recent research indicates that evidence-based practice may be more successfully implemented if the i...

    Authors: Anne Dalheim, Stig Harthug, Roy M Nilsen and Monica W Nortvedt

    Citation: BMC Health Services Research 2012 12:367

    Content type: Research article

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  44. Many psychiatrists are involved in sickness certification of their patients; however, there is very limited knowledge about this aspect of their work. The objective of this study was to explore frequencies of ...

    Authors: Gunnar H Nilsson, Britt Arrelöv, Christina Lindholm, Therese Ljungquist, Linnea Kjeldgård and Kristina Alexanderson

    Citation: BMC Health Services Research 2012 12:362

    Content type: Research article

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  45. Validation of administrative data is important to assess potential sources of bias in outcome evaluation and to prevent dissemination of misleading or inaccurate information. The purpose of the study was to de...

    Authors: Xue Li, Robert Hilsden, Shakhawat Hossain, John Fleming and Marcy Winget

    Citation: BMC Health Services Research 2012 12:358

    Content type: Research article

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  46. Community health workers are widely used to provide care for a broad range of health issues. Since 2003 the government of Ethiopia has been deploying specially trained new cadres of community based health work...

    Authors: Araya Medhanyie, Mark Spigt, Yohannes Kifle, Nikki Schaay, David Sanders, Roman Blanco, Dinant GeertJan and Yemane Berhane

    Citation: BMC Health Services Research 2012 12:352

    Content type: Research article

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  47. A significant minority of patients do not receive all the evidence-based care recommended for their conditions. Health care quality may be improved by reducing this observed variation. Composite measures offer...

    Authors: Carl de Wet, John McKay and Paul Bowie

    Citation: BMC Health Services Research 2012 12:351

    Content type: Research article

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