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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

    The increased mortality risk associated with weekend admission to hospital (the ‘weekend effect’) has been reported across many health systems. More recently research has focused on causal mechanisms. Variatio...

    Authors: Elizabeth Sutton, Julian Bion, Cassie Aldridge, Amunpreet Boyal, Janet Willars and Carolyn Tarrant

    Citation: BMC Health Services Research 2018 18:1015

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  2. Content type: Research article

    Rates of End-Stage Kidney Disease among Aboriginal and Torres Strait Islander (Indigenous) Australians in remote areas are disproportionately high; however, haemodialysis is not currently offered in most remot...

    Authors: Jessica Conway, Sharon Lawn, Susan Crail and Stephen McDonald

    Citation: BMC Health Services Research 2018 18:1010

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  3. Content type: Technical advance

    Preventive care has gained increasing attention in health reforms around the world due to its ability to reduce the burden of disease and to save health costs. Nevertheless, there is a gap in terms of the deve...

    Authors: Federico Rotondo, Lucia Giovanelli, Nicoletta Fadda and Alberto Ezza

    Citation: BMC Health Services Research 2018 18:1002

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  4. Content type: Research article

    Return to work (RTW) is a key parameter of outcome quality that ensures social participation. Therefore, this study analyses the sociodemographic and disease-related determinants of RTW among newly diagnosed b...

    Authors: Christian Heuser, Sarah Halbach, Christoph Kowalski, Anna Enders, Holger Pfaff and Nicole Ernstmann

    Citation: BMC Health Services Research 2018 18:1000

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  5. Content type: Research article

    It is not clear which part of the variation in hospital readmissions can be attributed to the standard of care hospitals provide. This is in spite of their widespread use as an indicator of a lower quality of ...

    Authors: Karin Hekkert, Rudolf B. Kool, Ester Rake, Sezgin Cihangir, Ine Borghans, Femke Atsma and Gert Westert

    Citation: BMC Health Services Research 2018 18:999

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  6. Content type: Research article

    Musculoskeletal problems substantially impact the demand for and the finances of the United Kingdom’s National Health Service. Some of this demand and cost could be alleviated if patients use self-directed-exe...

    Authors: Toby Gillman, Kelly Ann Schmidtke, Victoria Manning and Ivo Vlaev

    Citation: BMC Health Services Research 2018 18:998

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  7. Content type: Research article

    As part of its efforts to improve efficiency, accountability and overall performance, the Ghana Health Service (GHS) introduced annual Performance-based Management Agreements (PMAs) in the year 2013. However, ...

    Authors: Edmund Wedam Kanmiki, Ben Owusu Smith Bempah, John Koku Awoonor-Williams, Ayaga A. Bawah, Selassi Amah d’Almeida and Kassem M. Kassak

    Citation: BMC Health Services Research 2018 18:995

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  8. Content type: Research article

    Peer-review networks aim to help services to improve the quality of care they provide, however, there is very little evidence about their impact. We conducted a cluster randomized controlled trial of a peer-re...

    Authors: Lina Aimola, Sarah Jasim, Neeraj Tripathi, Paul Bassett, Alan Quirk, Adrian Worrall, Sarah Tucker, Samantha Holder and Mike J. Crawford

    Citation: BMC Health Services Research 2018 18:994

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  9. Content type: Research article

    Health literacy describes the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good hea...

    Authors: Rebecca L. Jessup, Richard H. Osborne, Rachelle Buchbinder and Alison Beauchamp

    Citation: BMC Health Services Research 2018 18:989

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  10. Content type: Research article

    Many European countries face challenges in long-term care for older people, such as the growing number of older people requiring care, the increasing complexity of their health care problems, and a decreasing ...

    Authors: L. Koopmans, N. Damen and C. Wagner

    Citation: BMC Health Services Research 2018 18:988

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  11. Content type: Research article

    Disparities in cancer outcomes amongst Indigenous Australians reflect a pattern of reduced access to and engagement with health services. A growing emphasis on patient-centred care has increased efforts to mea...

    Authors: Monica Green, Kate Anderson, Kalinda Griffiths, Gail Garvey and Joan Cunningham

    Citation: BMC Health Services Research 2018 18:982

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  12. Content type: Research article

    Privacy and confidentiality are central components of patient care and are of particular importance in obstetrics and gynaecology, where clinical situations of a sensitive nature regularly occur. The layout of...

    Authors: Lucia Hartigan, Leanne Cussen, Sarah Meaney and Keelin O’Donoghue

    Citation: BMC Health Services Research 2018 18:978

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  13. Content type: Research article

    Competent managers are essential to the productivity of organisations and the sustainability of health systems. Effective workforce development strategies sensitive to the current competency development needs ...

    Authors: Zhanming Liang, Felicity C. Blackstock, Peter F Howard, David S Briggs, Sandra G Leggat, Dennis Wollersheim, David Edvardsson and Aziz Rahman

    Citation: BMC Health Services Research 2018 18:976

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  14. Content type: Research article

    Quality improvement efforts are inextricably linked to the readiness of healthcare workers to take them on. The current study aims to clarify the nature and measurement of Improvement Readiness (IR) by 1) exam...

    Authors: Kathryn C. Adair, Krystina Quow, Allan Frankel, Paul J. Mosca, Jochen Profit, Allison Hadley, Michael Leonard and J. Bryan Sexton

    Citation: BMC Health Services Research 2018 18:975

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  15. Content type: Research article

    E-mental health holds promise for people with severe mental illness, but has a limited evidence base. This study explored the effect of e-health added to face-to-face delivery of the Illness Management and Rec...

    Authors: Titus A. A. Beentjes, Peter J. J. Goossens, Hester Vermeulen, Steven Teerenstra, Maria W. G. Nijhuis-van der Sanden and Betsie G. I. van Gaal

    Citation: BMC Health Services Research 2018 18:962

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  16. Content type: Research article

    Thirty-day hospital readmissions represent an international challenge leading to increased prevalence of adverse events, reduced quality of care and pressure on healthcare service’s resources and finances. The...

    Authors: Malin Knutsen Glette, Olav Røise, Tone Kringeland, Kate Churruca, Jeffrey Braithwaite and Siri Wiig

    Citation: BMC Health Services Research 2018 18:955

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  17. Content type: Research article

    Family member’s experience and satisfaction of health care in the acute care and in-patient rehabilitation are important indicators of the quality of health care services provided to patients with severe traum...

    Authors: Unn Sollid Manskow, Cathrine Arntzen, Elin Damsgård, Mary Braine, Solrun Sigurdardottir, Nada Andelic, Cecilie Røe and Audny Anke

    Citation: BMC Health Services Research 2018 18:951

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  18. Content type: Research article

    Drug overdose is a leading cause of mortality and morbidity amongst people who inject drugs (PWID). Drug overdose surveillance typically relies on the International Classification of Diseases (ICD-10) coding s...

    Authors: Rehana Di Rico, Dhanya Nambiar, Mark Stoové and Paul Dietze

    Citation: BMC Health Services Research 2018 18:945

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  19. Content type: Research article

    Limited research has assessed patient preferences for treatment disposition and antibiotic therapy of acute bacterial skin and skin structure infection (ABSSSI) in the emergency department (ED). Understanding ...

    Authors: Safa S. Almarzoky Abuhussain, Michelle A. Burak, Kelsey N. Kohman, Gabrielle Jacknin, Serina B. Tart, Athena L. V. Hobbs, Danyel K. Adams, Michael D. Nailor, Katelyn R. Keyloun, David P. Nicolau and Joseph L. Kuti

    Citation: BMC Health Services Research 2018 18:932

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  20. Content type: Research article

    Successful improvements in health care practice need to be sustained and spread to have maximum benefit. The rationale for embedding sustainability from the beginning of implementation is well recognized; howe...

    Authors: Celia Laur, Jack Bell, Renata Valaitis, Sumantra Ray and Heather Keller

    Citation: BMC Health Services Research 2018 18:930

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  21. Content type: Research article

    This study aims to provide insights on how to incorporate the work experience of medical staff into safety climate management based on the relationships among several safety-related constructs such as teamwork...

    Authors: Seung-Hwan Kim and Shao-Jen Weng

    Citation: BMC Health Services Research 2018 18:919

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  22. Content type: Research article

    The referral service is a significant component of healthcare reform in China, and the measurement of patient satisfaction with the referral service process will help to improve the quality of referral medical...

    Authors: Xinli Zhang, Tianjin Wang, Yu Yu and Shuzhen Zhao

    Citation: BMC Health Services Research 2018 18:840

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  23. Content type: Research article

    The level of quality of care of ambulatory services in Switzerland is almost completely unknown. By adapting existing instruments to the Swiss national context, the present project aimed to define quality indi...

    Authors: Eva Blozik, Oliver Reich, Roland Rapold and Martin Scherer

    Citation: BMC Health Services Research 2018 18:743

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  24. Content type: Research article

    Hospital readmissions is an increasingly serious international problem, associated with higher risks of adverse events, especially in elderly patients. There can be many causes and influential factors leading ...

    Authors: Malin Knutsen Glette, Tone Kringeland, Olav Røise and Siri Wiig

    Citation: BMC Health Services Research 2018 18:725

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  25. Content type: Research article

    Most implementation interventions in rehabilitation, including physiotherapy, have used passive, non-theoretical approaches without demonstrated effectiveness. The goal of this study was to improve an importan...

    Authors: Kathryn M. Sibley, Danielle C. Bentley, Nancy M. Salbach, Paula Gardner, Mandy McGlynn, Sachi O’Hoski, Jennifer Shaffer, Paula Shing, Sara McEwen, Marla K. Beauchamp, Saima Hossain, Sharon E. Straus and Susan B. Jaglal

    Citation: BMC Health Services Research 2018 18:724

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  26. Content type: Research article

    Warfarin is a drug with narrow therapeutic index used in the management of thromboembolic disorders. Several factors affect its plasma concentrations with a resultant risk of toxicity. We examined the database...

    Authors: Zipporah Kamuren, Gabriel Kigen, Alfred Keter and Alice Maritim

    Citation: BMC Health Services Research 2018 18:723

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  27. Content type: Research article

    Building the capacity of allied health professionals to engage in research has been recognised as a priority due to the many benefits it brings for patients, healthcare professionals, healthcare organisations ...

    Authors: Janine Matus, Ashlea Walker and Sharon Mickan

    Citation: BMC Health Services Research 2018 18:716

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  28. Content type: Research article

    Unplanned hospital readmissions are a quality and safety indicator. In Australian, 8% to 11.1% of unplanned readmissions occur ≤1 day of acute care discharge. The aim of this study was to explore the reasons f...

    Authors: Julie Considine, Debra Berry, Evan Newnham, Matthew Jiang, Karen Fox, David Plunkett, Melissa Mecner, Peteris Darzins and Mary O’Reilly

    Citation: BMC Health Services Research 2018 18:713

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  29. Content type: Research article

    Pay for Performance (P4P) has increasingly being adopted in different countries as a provider payment mechanism to improve health system performance. Evaluations of pay for performance (P4P) schemes across sev...

    Authors: Yewande Kofoworola Ogundeji, Trevor A. Sheldon and Alan Maynard

    Citation: BMC Health Services Research 2018 18:686

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  30. Content type: Research article

    Record linkage is an important tool for epidemiologists and health planners. Record linkage studies will generally contain some level of residual record linkage error, where individual records are either incor...

    Authors: Sean Randall, Adrian Brown, James Boyd, Rainer Schnell, Christian Borgs and Anna Ferrante

    Citation: BMC Health Services Research 2018 18:678

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  31. Content type: Research article

    Cardiac-related complaints are leading drivers of Emergency Department (ED) utilization. Although a large proportion of cardiac patients can be discharged with appropriate outpatient follow-up, inadequate care...

    Authors: Gabriel E. Soto, Elizabeth A. Huenefeldt, Masey N. Hengst, Arlo J. Reimer, Shawn K. Samuel, Steven K. Samuel and Stephen J. Utts

    Citation: BMC Health Services Research 2018 18:672

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  32. Content type: Research article

    Physician rating websites (PRWs) allow patients to rate, comment and discuss physicians’ quality online as a source of information for others searching for a physician. It is generally assumed that PRWs will o...

    Authors: Stuart McLennan, Daniel Strech and Hannes Kahrass

    Citation: BMC Health Services Research 2018 18:670

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  33. Content type: Research article

    Patients dropping out of mental health treatment is considered a widespread and significant obstacle to providing effective treatment, thus reducing the probability of patients achieving the desired improvemen...

    Authors: John Morten Koksvik, Olav Morten Linaker, Rolf Wilhelm Gråwe, Johan Håkon Bjørngaard and Mariela Loreto Lara-Cabrera

    Citation: BMC Health Services Research 2018 18:665

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  34. Content type: Research article

    The safety culture has recently attracted the attention of healthcare organizations. Considering the importance of the roles of nurses with regard to patient safety, their knowledge and experiences of the challen...

    Authors: Jamileh Farokhzadian, Nahid Dehghan Nayeri and Fariba Borhani

    Citation: BMC Health Services Research 2018 18:654

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  35. Content type: Research article

    The hemagglutination-inhibition (HAI) assay is a critical component for measurement of immunogenicity in influenza vaccine development. It is unknown if the results can be influenced by sample type and anticoa...

    Authors: Brian J. Morrison, Nicholas J. Martin, Tauseef Rehman, Dan Ewing, Robin L. Dewar, Julia Metcalf, Peifang Sun, John Beigel, Thomas C. Luke and Kanakatte Raviprakash

    Citation: BMC Health Services Research 2018 18:651

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  36. Content type: Research article

    Previous research into improving patient safety has emphasised the importance of responding to and learning from concerns raised by service users and carers. Expertise gained by the experiences of service user...

    Authors: Kathryn Berzins, Gemma Louch, Mark Brown, Jane K. O’Hara and John Baker

    Citation: BMC Health Services Research 2018 18:644

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  37. Content type: Research article

    Urinary catheters are a common medical intervention, yet they can also be associated with harmful adverse events such as infection, urinary tract trauma, delirium and patient discomfort. The purpose of this st...

    Authors: Krista R. Wooller, Chantal Backman, Shipa Gupta, Alison Jennings, Delvina Hasimja-Saraqini and Alan J. Forster

    Citation: BMC Health Services Research 2018 18:642

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  38. Content type: Research article

    Pay-for-Performance programs have shown improvement in indicators monitoring adequacy and target achievement in diabetic care. However, less is known regarding the impact of this program on the occurrence and ...

    Authors: Shwu-Jiuan Sheu, Wen-Liang Lin, Yea-Huei Kao Yang, Chi-Min Hwu and Ching-Lan Cheng

    Citation: BMC Health Services Research 2018 18:638

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  39. Content type: Research article

    Effective communication between family physicians and their patients is crucial to improving healthcare outcomes and patients’ satisfaction. However, the barriers to effective communication have been weakly st...

    Authors: Abdulaziz H. Albahri, Alya S. Abushibs and Noura S. Abushibs

    Citation: BMC Health Services Research 2018 18:637

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  40. Content type: Research article

    Involving consumers in producing health services is mandated in many countries. Evidence indicates consumer partnerships lead to improved service design, quality and innovation. Involving participants from min...

    Authors: Jane Farmer, Christine Bigby, Hilary Davis, Karen Carlisle, Amanda Kenny and Richard Huysmans

    Citation: BMC Health Services Research 2018 18:628

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  41. Content type: Research article

    The Australian Government Department of Veterans’ Affairs (DVA) Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES) programme conducted two intervention (March 2009, follow-up inte...

    Authors: Lisa M. Kalisch Ellett, Renly Lim, Nicole L. Pratt, Mhairi Kerr, Emmae N. Ramsay, Tammy V. LeBlanc, John D. Barratt and Elizabeth E. Roughead

    Citation: BMC Health Services Research 2018 18:626

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  42. Content type: Research article

    Drug use among the elderly population is generally extensive and the use of potentially inappropriate medications (PIMs) is common, which increases the risk for drug-related problems (DRP). Medication reviews ...

    Authors: Cecilia Lenander, Åsa Bondesson, Nina Viberg, Anders Beckman and Patrik Midlöv

    Citation: BMC Health Services Research 2018 18:616

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  43. Content type: Research article

    Recently the dementia field has shifted focus away from the early diagnosis debate in favour of ‘timely’ diagnosis. ‘Timely’ diagnosis disclosure takes into consideration the preferences and unique circumstanc...

    Authors: Rochelle Watson, Jamie Bryant, Robert Sanson-Fisher, Elise Mansfield and Tiffany-Jane Evans

    Citation: BMC Health Services Research 2018 18:612

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  44. Content type: Research article

    The General Health Questionnaire-12 (GHQ-12) is one of the most unique and extensively used self-report instruments for evaluating psychological disorders and strains. However, the factor structure of GHQ-12 h...

    Authors: Ashraf El-Metwally, Sundas Javed, Hira Abdul Razzak, Khaled K. Aldossari, Abdurrahman Aldiab, Sameer H. Al-Ghamdi, Mowafa Househ, Mamdouh M. Shubair and Jamaan M. Al-Zahrani

    Citation: BMC Health Services Research 2018 18:595

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  45. Content type: Research article

    A model for statewide dissemination of evidence-based treatment (EBT) for traumatized youth was piloted and taken to scale across North Carolina (NC). This article describes the implementation platform develop...

    Authors: Lisa Amaya-Jackson, Dana Hagele, John Sideris, Donna Potter, Ernestine C. Briggs, Leila Keen, Robert A. Murphy, Shannon Dorsey, Vanessa Patchett, George S. Ake and Rebecca Socolar

    Citation: BMC Health Services Research 2018 18:589

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  46. Content type: Research article

    The importance of contextual factors in influencing quality improvement and implementation (QI&I) initiatives is broadly acknowledged. Existing treatments of context have primarily viewed it as static and dist...

    Authors: Julie E. Reed, Heather C. Kaplan and Sharif A. Ismail

    Citation: BMC Health Services Research 2018 18:584

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  47. Content type: Research article

    The first phase of an enterprise risk management (ERM) program is the identification of risks. Accurate identification is essential to a proactive and effective ERM function. The authors identified a lack of s...

    Authors: Ana Paula Beck da Silva Etges, Veronique Grenon, Ming Lu, Ricardo Bertoglio Cardoso, Joana Siqueira de Souza, Francisco José Kliemann Neto and Elaine Aparecida Felix

    Citation: BMC Health Services Research 2018 18:578

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  48. Content type: Research article

    Evaluation of integrated care programmes for individuals with multi-morbidity requires a broader evaluation framework and a broader definition of added value than is common in cost-utility analysis. This is po...

    Authors: Maureen Rutten-van Mölken, Fenna Leijten, Maaike Hoedemakers, Apostolos Tsiachristas, Nick Verbeek, Milad Karimi, Roland Bal, Antoinette de Bont, Kamrul Islam, Jan Erik Askildsen, Thomas Czypionka, Markus Kraus, Mirjana Huic, János György Pitter, Verena Vogt, Jonathan Stokes…

    Citation: BMC Health Services Research 2018 18:576

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  49. Content type: Research article

    Measuring quality in healthcare is vital in evaluating patient outcomes and system performance. The availability of reliable and valid information about the quality of care for patients presenting with rotator...

    Authors: Breda H.F. Eubank, Mark R. Lafave, J. Preston Wiley, David M. Sheps, Aaron J. Bois and Nicholas G. Mohtadi

    Citation: BMC Health Services Research 2018 18:569

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