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 systematic literature review of time to return to work and narcotic use after lumbar spinal fusion using minimal invasive and open surgery techniques

    Chronic low back pain is a common health problem for adult workers and causes an enormous economic burden. With the improvement of minimally invasive surgical techniques (MIS) in spinal fusion and the developm...

    Xuan Wang, Benny Borgman, Simona Vertuani and Jonas Nilsson

    BMC Health Services Research 2017 17:446

    Published on: 27 June 2017

  2. Research article

    Health and safety matters! Associations between organizational practices and personal support workers’ life and work stress in Ontario, Canada

    The home and community care sector is one of the fastest growing sectors globally and most prominently in mature industrialized countries. Personal support workers (PSWs) are the largest occupational group in ...

    Isik U. Zeytinoglu, Margaret Denton, Catherine Brookman, Sharon Davies and Firat K. Sayin

    BMC Health Services Research 2017 17:427

    Published on: 21 June 2017

  3. Research article

    The influence of total hysterectomy in a cervical cancer screening population: a register-based cross-sectional study

    High coverage of a screening program is essential to program success. Many European screening programs cover only 10–80% of their target population. A possible explanation for the low coverage may be that some...

    Mette Bach Larsen, Ellen M. Mikkelsen, Ulla Jeppesen, Hans Svanholm and Berit Andersen

    BMC Health Services Research 2017 17:423

    Published on: 20 June 2017

  4. Research article

    Patient safety culture in Norwegian nursing homes

    Patient safety culture concerns leader and staff interaction, attitudes, routines, awareness and practices that impinge on the risk of patient-adverse events. Due to their complex multiple diseases, nursing ho...

    Gunnar Tschudi Bondevik, Dag Hofoss, Bettina Sandgathe Husebø and Ellen Catharina Tveter Deilkås

    BMC Health Services Research 2017 17:424

    Published on: 20 June 2017

  5. Research article

    Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics

    The Plan-Do-Study-Act (PDSA) cycle is a commonly used improvement process in health care settings, although its documented use in pragmatic clinical research is rare. A recent pragmatic clinical research study...

    Jennifer Coury, Jennifer L. Schneider, Jennifer S. Rivelli, Amanda F. Petrik, Evelyn Seibel, Brieshon D’Agostini, Stephen H. Taplin, Beverly B. Green and Gloria D. Coronado

    BMC Health Services Research 2017 17:411

    Published on: 19 June 2017

  6. Research article

    Are physicians aware enough of patient radiation protection? Results from a survey among physicians of Pavia District– Italy

    Radiological practices are the first anthropic sources of ionizing radiation exposure of the population. However, a review of recent publications underlines inadequate doctors’ knowledge about doses imparted i...

    Francesca Campanella, Laura Rossi, Elio Giroletti, Piero Micheletti, Fabio Buzzi and Simona Villani

    BMC Health Services Research 2017 17:406

    Published on: 14 June 2017

  7. Research article

    Moderating effects of coping on work stress and job performance for nurses in tertiary hospitals: a cross-sectional survey in China

    Work stress is a major problem for nurses and it can negatively influence job performance. Therefore, it is critical to explore variables that can reduce or buffer the negative effects of work stress. This stu...

    Li Li, Hua Ai, Lei Gao, Hao Zhou, Xinyan Liu, Zhong Zhang, Tao Sun and Lihua Fan

    BMC Health Services Research 2017 17:401

    Published on: 12 June 2017

  8. Research article

    Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two canadian adverse event studies

    Early identification of patients at who have a higher risk for the occurrence of harm can provide patient safety improvement opportunities. Patient factors contribute to adverse event occurrence. The study aim...

    Nancy A. Sears, Régis Blais, Michael Spinks, Michèle Paré and G. Ross Baker

    BMC Health Services Research 2017 17:400

    Published on: 12 June 2017

  9. Research article

    The association between number of doctors per bed and readmission of elderly patients with pneumonia in South Korea

    There is an urgent need to reduce readmission of patients with pneumonia and improve quality of care. To assess the association between hospital resources and quality of care, we examined the effect of number ...

    Joo Eun Lee, Tae Hyun Kim, Kyoung Hee Cho, Kyu-Tae Han and Eun-Cheol Park

    BMC Health Services Research 2017 17:393

    Published on: 8 June 2017

  10. Research article

    Quality of anticoagulation management with warfarin among outpatients in a tertiary hospital in Addis Ababa, Ethiopia: a retrospective cross-sectional study

    Warfarin is the most widely used anticoagulant in the world. The difficulty of managing warfarin contributes to great potential for patient harm, both from excessive anticoagulation and insufficient anticoagul...

    Teferi Gedif Fenta, Tamrat Assefa and Bekele Alemayehu

    BMC Health Services Research 2017 17:389

    Published on: 6 June 2017

  11. Research article

    Adult patients’ experiences of NHS specialist services for chronic fatigue syndrome (CFS/ME): a qualitative study in England

    Few studies have explored patients’ experiences of treatment for CFS/ME. This study aims to fill this gap by capturing the perspective of patients who have been treated by NHS specialist CFS/ME services in Eng...

    Jessica Broughton, Sarah Harris, Lucy Beasant, Esther Crawley and Simon M Collin

    BMC Health Services Research 2017 17:384

    Published on: 2 June 2017

  12. Research article

    Implementation fidelity of a nurse-led falls prevention program in acute hospitals during the 6-PACK trial

    When tested in a randomized controlled trial (RCT) of 31,411 patients, the nurse-led 6-PACK falls prevention program did not reduce falls. Poor implementation fidelity (i.e., program not implemented as intende...

    Renata T. Morello, Anna L. Barker, Darshini R. Ayton, Fiona Landgren, Jeannette Kamar, Keith D. Hill, Caroline A. Brand, Catherine Sherrington, Rory Wolfe, Sheral Rifat and Johannes Stoelwinder

    BMC Health Services Research 2017 17:383

    Published on: 2 June 2017

  13. Study protocol

    Development and evaluation of an “emergency access button” in Danish out-of-hours primary care: a study protocol of a randomized controlled trial

    Out-of-hours (OOH) health care for acute medical problems is often challenged by long waiting time for callers in need of advice and triage. Allowing patients to bypass the OOH telephone waiting line may incre...

    J. F. Ebert, L. Huibers, F. K. Lippert, B. Christensen and M. B. Christensen

    BMC Health Services Research 2017 17:379

    Published on: 31 May 2017

  14. Research article

    Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study

    Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-pa...

    Christopher McLean, Peter Griffiths, Ines Mesa – Eguiagaray, Ruth M. Pickering and Jackie Bridges

    BMC Health Services Research 2017 17:380

    Published on: 31 May 2017

  15. Research article

    Comparison of methods to identify long term care nursing home residence with administrative data

    To compare different methods for identifying a long term care (LTC) nursing home stay, distinct from stays in skilled nursing facilities (SNFs), to the method currently used by the Center for Medicare and Medi...

    James S. Goodwin, Shuang Li, Jie Zhou, James E. Graham, Amol Karmarkar and Kenneth Ottenbacher

    BMC Health Services Research 2017 17:376

    Published on: 30 May 2017

  16. 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

  17. 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

  18. 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

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