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. Research article

    A questionnaire measuring staff perceptions of Lean adoption in healthcare: development and psychometric testing

    During the past decade, the concept of Lean has spread rapidly within the healthcare sector, but there is a lack of instruments that can measure staff’s perceptions of Lean adoption. Thus, the aim of the prese...

    Monica Kaltenbrunner, Lars Bengtsson, Svend Erik Mathiassen and Maria Engström

    BMC Health Services Research 2017 17:235

    Published on: 24 March 2017

  2. Research article

    Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model

    South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (...

    Soter Ameh, Francesc Xavier Gómez-Olivé, Kathleen Kahn, Stephen M. Tollman and Kerstin Klipstein-Grobusch

    BMC Health Services Research 2017 17:229

    Published on: 23 March 2017

  3. Research article

    The FORGE AHEAD clinical readiness consultation tool: a validated tool to assess clinical readiness for chronic disease care mobilization in Canada’s First Nations

    Given the astounding rates of diabetes and related complications, and the barriers to providing care present in Indigenous communities in Canada, intervention strategies that take into account contextual facto...

    Mariam Naqshbandi Hayward, Selam Mequanint, Jann Paquette-Warren, Ross Bailie, Alexandra Chirila, Roland Dyck, Michael Green, Anthony Hanley, Jordan Tompkins and Stewart Harris

    BMC Health Services Research 2017 17:233

    Published on: 23 March 2017

  4. Research article

    Association of admission and patient characteristics with quality of discharge letters: posthoc analysis of a retrospective study

    A complete, correct and timely discharge letter can communicate important information from the hospital to the general practitioner. The adequacy of the letter may vary with the patient and admission character...

    Maaike Langelaan, Rebecca J. Baines, Martine C. de Bruijne and Cordula Wagner

    BMC Health Services Research 2017 17:225

    Published on: 21 March 2017

  5. Research article

    Variation in readmission and mortality following hospitalisation with a diagnosis of heart failure: prospective cohort study using linked data

    Hospitalisation for heart failure is common and post-discharge outcomes, including readmission and mortality, are often poor and are poorly understood. The purpose of this study was to examine patient- and hos...

    Rosemary J. Korda, Wei Du, Cathy Day, Karen Page, Peter S. Macdonald and Emily Banks

    BMC Health Services Research 2017 17:220

    Published on: 21 March 2017

  6. Research article

    Readmission and mortality in patients discharged with a diagnosis of medical observation and evaluation (Z03*-codes) from an acute admission unit in Denmark: a prospective cohort study

    We assessed the 30-day risk of readmission and mortality among patients receiving an International Classification of Diseases 10th edition diagnosis of medical observation and evaluation (Z03*) following admis...

    Kåre Melchior Hansen, Henrik Nielsen, Betina Vest-Hansen, Anders Møllekær, Reimar Wernich Thomsen, Ole Mølgaard, Hans Kirkegaard and Elisabeth Svensson

    BMC Health Services Research 2017 17:211

    Published on: 16 March 2017

  7. Research article

    Examining the relationship between therapeutic self-care and adverse events for home care clients in Ontario, Canada: a retrospective cohort study

    In an era of a rapidly aging population who requires home care services, clients must possess or develop therapeutic self-care ability in order to manage their health conditions safely in their homes. Therapeu...

    Winnie Sun, Diane M. Doran, Walter P. Wodchis and Elizabeth Peter

    BMC Health Services Research 2017 17:206

    Published on: 14 March 2017

  8. Research article

    Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation

    Monitoring for potentially hazardous prescribing is increasingly important to improve medication safety. Healthcare information technology can be used to achieve this aim, for example by providing access to pr...

    Mark Jeffries, Denham L. Phipps, Rachel L. Howard, Anthony J. Avery, Sarah Rodgers and Darren M. Ashcroft

    BMC Health Services Research 2017 17:196

    Published on: 14 March 2017

  9. Study protocol

    A study to reduce readmissions after surgery in the Veterans Health Administration: design and methodology

    Hospital readmissions are associated with higher resource utilization and worse patient outcomes. Causes of unplanned readmission to the hospital are multiple with some being better targets for intervention th...

    Laurel A. Copeland, Laura A. Graham, Joshua S. Richman, Amy K. Rosen, Hillary J. Mull, Edith A. Burns, Jeff Whittle, Kamal M. F. Itani and Mary T. Hawn

    BMC Health Services Research 2017 17:198

    Published on: 14 March 2017

  10. Research article

    Tuberculosis cure rates and the ETR.Net: investigating the quality of reporting treatment outcomes from primary healthcare facilities in Mpumalanga province, South Africa

    Tuberculosis control programs rely on accurate collection of routine surveillance data to inform program decisions including resource allocation and specific interventions. The electronic TB register (ETR.Net)...

    A. W. Dreyer, D. Mbambo, M. Machaba, C. E. M. Oliphant and M. M. Claassens

    BMC Health Services Research 2017 17:190

    Published on: 10 March 2017

  11. Research article

    Understanding optimal approaches to patient and caregiver engagement in the development of cancer practice guidelines: a mixed methods study

    Practice guidelines (PGs) can assist health care practitioners and patients to make decisions about health care options. A key component of high quality PGs is the consideration of patient values and preferenc...

    Melissa C. Brouwers, Marija Vukmirovic, Karen Spithoff and Julie Makarski

    BMC Health Services Research 2017 17:186

    Published on: 9 March 2017

  12. Research article

    Implementation of integrated geriatric care at a German hospital: a case study to understand when and why beneficial outcomes can be achieved

    Many health systems have implemented integrated care as an alternative approach to health care delivery that is more appropriate for patients with complex, long-term needs. The objective of this article was to...

    Loraine Busetto, Jörn Kiselev, Katrien Ger Luijkx, Elisabeth Steinhagen-Thiessen and Hubertus Johannes Maria Vrijhoef

    BMC Health Services Research 2017 17:180

    Published on: 7 March 2017

  13. Research article

    The effect of referral templates on out-patient quality of care in a hospital setting: a cluster randomized controlled trial

    The assessment of quality of care is an integral part of modern medicine. The referral represents the handing over of care from the general practitioner to the specialist. This study aimed to assess whether an...

    Henrik Wåhlberg, Per Christian Valle, Siri Malm, Øistein Hovde and Ann Ragnhild Broderstad

    BMC Health Services Research 2017 17:177

    Published on: 7 March 2017

  14. Research article

    Enabling the flow of compassionate care: a grounded theory study

    Compassion has become a topic of increasing interest within healthcare over recent years. Yet despite its raised profile, little research has investigated how compassionate care is enacted and what it means to...

    Stephanie Tierney, Kate Seers, Elizabeth Tutton and Joanne Reeve

    BMC Health Services Research 2017 17:174

    Published on: 3 March 2017

  15. Research article

    Practice change in chronic conditions care: an appraisal of theories

    Management of chronic conditions can be complex and burdensome for patients and complex and costly for health systems. Outcomes could be improved and costs reduced if proven clinical interventions were better ...

    Melanie Harris, Sharon J. Lawn, Andrea Morello, Malcolm W. Battersby, Julie Ratcliffe, R. Doug McEvoy and Jennifer J. Tieman

    BMC Health Services Research 2017 17:170

    Published on: 28 February 2017

  16. Research article

    Meaning and barriers to quality care service provision in Child and Adolescent Mental Health Services: Qualitative study of stakeholder perspectives

    Defining quality in health presents many challenges. The Institute of Medicine (IOM) defined quality clinical care as care that is equitable, timely, safe, efficient, effective and patient centred. However, it...

    Nadzeya Svirydzenka, Pablo Ronzoni and Nisha Dogra

    BMC Health Services Research 2017 17:151

    Published on: 20 February 2017

  17. Study protocol

    Accuracy and generalizability of using automated methods for identifying adverse events from electronic health record data: a validation study protocol

    Adverse events (AEs) in acute care hospitals are frequent and associated with significant morbidity, mortality, and costs. Measuring AEs is necessary for quality improvement and benchmarking purposes, but curr...

    Christian M. Rochefort, David L. Buckeridge, Andréanne Tanguay, Alain Biron, Frédérick D’Aragon, Shengrui Wang, Benoit Gallix, Louis Valiquette, Li-Anne Audet, Todd C. Lee, Dev Jayaraman, Bruno Petrucci and Patricia Lefebvre

    BMC Health Services Research 2017 17:147

    Published on: 16 February 2017

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