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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.

Page 5 of 23

  1. 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

    Content type: Research article

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  2. 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

    Content type: Research article

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  3. 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

    Content type: Research article

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  4. 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

    Content type: Research article

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  5. 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

    Content type: Research article

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  6. 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

    Content type: Research article

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  7. 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

    Content type: Research article

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  8. 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

    Content type: Research article

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  9. 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

    Content type: Research article

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  10. 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

    Content type: Research article

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  11. 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

    Content type: Research article

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  12. 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

    Content type: Research article

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  13. 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

    Content type: Research article

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  14. 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

    Content type: Research article

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

  15. 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

    Content type: Research article

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  16. 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

    Content type: Research article

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  17. 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

    Content type: Research article

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  18. 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

    Content type: Debate

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  19. 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

    Content type: Research article

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  20. 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

    Content type: Research article

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  21. 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

    Content type: Technical advance

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  22. 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

    Content type: Research article

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  23. 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

    Content type: Research article

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  24. 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

    Content type: Research article

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  25. 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

    Content type: Research article

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  26. 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

    Content type: Research article

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  27. 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

    Content type: Research article

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  28. 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

    Content type: Research article

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  29. 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

    Content type: Research article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Research article

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  32. 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

    Content type: Research article

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  33. 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

    Content type: Research article

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  34. 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

    Content type: Research article

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  35. 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

    Content type: Research article

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  36. 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

    Content type: Research article

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  37. 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

    Content type: Research article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research article

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  40. 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

    Content type: Research article

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  41. 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

    Content type: Research article

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  42. 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

    Content type: Research article

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  43. 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

    Content type: Research article

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  44. 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

    Content type: Research article

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  45. 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

    Content type: Research article

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  46. 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

    Content type: Research article

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  47. 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

    Content type: Research article

    Published on:

  48. 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

    Content type: Research article

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  49. 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

    Content type: Research article

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