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

    Development and validation of the angiotensin-converting enzyme inhibitor (ACEI) induced angioedema investigator rating scale and proposed discharge criteria

    The use of angiotensin-converting enzyme inhibitors (ACEI) has been associated with the development of bradykinin-mediated angioedema. With ever-widening indications for ACEI in diseases including hypertension...

    Nicola Bonner, Charlotte Panter, Alan Kimura, Rich Sinert, Joseph Moellman and Jonathan A. Bernstein

    BMC Health Services Research 2017 17:366

    Published on: 22 May 2017

  2. Research article

    Influences on patient satisfaction in healthcare centers: a semi-quantitative study over 5 years

    Knowledge of ambulatory patients’ satisfaction with clinic visits help improve communication and delivery of healthcare. The goal was to examine patient satisfaction in a primary care setting, identify how sel...

    Ruth D. Thornton, Nicole Nurse, Laura Snavely, Stacey Hackett-Zahler, Kenice Frank and Robert A. DiTomasso

    BMC Health Services Research 2017 17:361

    Published on: 19 May 2017

  3. Research article

    Acute coronary syndrome patients admitted to a cardiology vs non-cardiology service: variations in treatment & outcome

    Specialized cardiology services have contributed to reduced mortality in acute coronary syndromes (ACS).  We sought to evaluate the outcomes of ACS patients admitted to non-cardiology services in Southern Albe...

    Deirdre E. O’Neill, Danielle A. Southern, Colleen M. Norris, Blair J. O’Neill, Helen J. Curran and Michelle M. Graham

    BMC Health Services Research 2017 17:354

    Published on: 16 May 2017

  4. Research article

    Cryopreservation of reproductive material before cancer treatment: a qualitative study of health care professionals’ views about ways to enhance clinical care

    Cancer treatment can diminish fertility in women and men. The need for fertility preservation is growing as increasing numbers of people survive cancer. Cryostorage of reproductive material to preserve potenti...

    Karin Hammarberg, Maggie Kirkman, Catharyn Stern, Robert I. McLachlan, Debra Gook, Luk Rombauts, Beverley Vollenhoven and Jane R. W. Fisher

    BMC Health Services Research 2017 17:343

    Published on: 10 May 2017

  5. Research article

    Decision-making and referral processes for patients with motor neurone disease: a qualitative study of GP experiences and evaluation of a new decision-support tool

    The diagnosis of motor neurone disease (MND) is known to be challenging and there may be delay in patients receiving a correct diagnosis. This study investigated the referral process for patients who had been ...

    Susan Baxter and Christopher J. McDermott

    BMC Health Services Research 2017 17:339

    Published on: 8 May 2017

  6. Research article

    Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative

    ‘Failure to rescue’ of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team...

    Christian P. Subbe, John Kellett, Paul Barach, Catriona Chaloner, Hayley Cleaver, Tim Cooksley, Erik Korsten, Eilish Croke, Elinor Davis, Ashley JR De Bie, Lesley Durham, Chris Hancock, Jilian Hartin, Tracy Savijn and John Welch

    BMC Health Services Research 2017 17:334

    Published on: 8 May 2017

  7. Study protocol

    Transcultural adaptation and validation of the patient empowerment in long-term conditions questionnaire

    Patient empowerment is a key element to improve the results in health, increase satisfaction amongst users and obtain higher treatment compliance. The main objective of this study is to validate the Spanish ve...

    Paloma Garcimartin, Josep Comin-Colet, Pilar Delgado-Hito, Neus Badosa-Marcé and Anna Linas-Alonso

    BMC Health Services Research 2017 17:324

    Published on: 4 May 2017

  8. Study protocol

    Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study

    Urinary tract infection (UTI) as the most common healthcare-associated infection accounts for up to 36% of all healthcare-associated infections. Catheter-associated urinary tract infection (CAUTI) accounts for...

    Vicki Parker, Michelle Giles, Laura Graham, Belinda Suthers, Wendy Watts, Tony O’Brien and Andrew Searles

    BMC Health Services Research 2017 17:314

    Published on: 2 May 2017

  9. Research article

    Workplace violence against nurses in the Gambia: mixed methods design

    The aim of this study was to assess the prevalence, perpetrators and factors associated with workplace violence against nurses in public secondary health care facilities from two health regions in the Gambia.

    Ebrima J. Sisawo, Saide Yacine Y. Arsène Ouédraogo and Song-Lih Huang

    BMC Health Services Research 2017 17:311

    Published on: 28 April 2017

  10. Research article

    Effective communication of public health guidance to emergency department clinicians in the setting of emerging incidents: a qualitative study and framework

    Evidence to inform communication between emergency department clinicians and public health agencies is limited. In the context of diverse, emerging public health incidents, communication is urgent, as emergenc...

    Yasmin Khan, Sarah Sanford, Doug Sider, Kieran Moore, Gary Garber, Eileen de Villa and Brian Schwartz

    BMC Health Services Research 2017 17:312

    Published on: 28 April 2017

  11. Research article

    A cluster randomised control trial to evaluate the effectiveness and cost-effectiveness of the Italian medicines use review (I-MUR) for asthma patients

    The economic burden of asthma, which relates to the degree of control, is €5 billion annually in Italy. Pharmacists could help improve asthma control, reducing this burden. This study aimed to evaluate the eff...

    Andrea Manfrin, Michela Tinelli, Trudy Thomas and Janet Krska

    BMC Health Services Research 2017 17:300

    Published on: 24 April 2017

  12. Research article

    Effectiveness of triple therapy with direct-acting antivirals for hepatitis C genotype 1 infection: application of propensity score matching in a national HCV treatment registry

    Observational studies are used to measure the effectiveness of an intervention in non-experimental, real world scenarios at the population level and are recognised as an important component of the evidence pyr...

    Emma Gray, David J. Pasta, Suzanne Norris and Aisling O’Leary

    BMC Health Services Research 2017 17:288

    Published on: 19 April 2017

  13. Research article

    In search of quality indicators for Down syndrome healthcare: a scoping review

    The medical care chain around Down syndrome (DS) is complex, with many multidisciplinary challenges. The current quality of care is unknown. Outcome-oriented quality indicators have the potential to improve me...

    Francine A. van den Driessen Mareeuw, Mirjam I. Hollegien, Antonia M. W. Coppus, Diana M. J. Delnoij and Esther de Vries

    BMC Health Services Research 2017 17:284

    Published on: 18 April 2017

  14. Research article

    Generic care pathway for elderly patients in need of home care services after discharge from hospital: a cluster randomised controlled trial

    Improved discharge arrangements and targeted post-discharge follow-up can reduce the risk of adverse events after hospital discharge for elderly patients. Although more care is to shift from specialist to prim...

    Tove Røsstad, Øyvind Salvesen, Aslak Steinsbekk, Anders Grimsmo, Olav Sletvold and Helge Garåsen

    BMC Health Services Research 2017 17:275

    Published on: 17 April 2017

  15. Research article

    Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices

    Variation in intensive care unit (ICU) readmissions and in-hospital mortality after ICU discharge may indicate potential for improvement and could be explained by ICU discharge practices. Our objective was thr...

    Nelleke van Sluisveld, Ferishta Bakhshi-Raiez, Nicolette de Keizer, Rebecca Holman, Gert Wester, Hub Wollersheim, Johannes G. van der Hoeven and Marieke Zegers

    BMC Health Services Research 2017 17:281

    Published on: 17 April 2017

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