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 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Research article

    Government supervision on quality of smoking-cessation counselling in midwifery practices: a qualitative exploration

    The Dutch Healthcare Inspectorate supervises care providers in order to improve quality of care. Recently the inspectorate assessed and promoted the use of a guideline on smoking-cessation counselling in midwi...

    Sandra F. Oude Wesselink, Annemiek Stoopendaal, Vicki Erasmus, Déan Smits, Johan P. Mackenbach, Hester F. Lingsma and Paul B. M. Robben

    BMC Health Services Research 2017 17:270

    Published on: 13 April 2017

  7. Research article

    Transfer between hospitals as a predictor of delay in diagnosis and treatment of patients with Non-Small Cell Lung Cancer – a register based cohort-study

    Lung cancer is the second most frequent cancer diagnosis in Denmark. Although improved during the last decade, the prognosis of lung cancer is still poor with an overall 5-year survival rate of approximately 1...

    Maria Iachina, Erik Jakobsen, Anne Kudsk Fallesen and Anders Green

    BMC Health Services Research 2017 17:267

    Published on: 12 April 2017

  8. Research article

    Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study)

    Primary health care is the cornerstone of a high quality health care system. Greece has been actively attempting to reform health care services in order to improve heath outcomes and reduce health care spendin...

    Christos Lionis, Sophia Papadakis, Chrysanthi Tatsi, Antonis Bertsias, George Duijker, Prodromos-Bodosakis Mekouris, Wienke Boerma and Willemijn Schäfer

    BMC Health Services Research 2017 17:255

    Published on: 5 April 2017

  9. Research article

    Outcomes for primary kidney transplantation from donation after Citizens’ death in China: a single center experience of 367 cases

    The cases of donation after brain death followed by circulatory death (DBCD) and donation after cardiac death (DCD) have been increased year by year in China. Further research is needed to understand in the ou...

    Wujun Xue, Puxun Tian, Heli Xiang, Xiaoming Ding, Xiaoming Pan, Hang Yan, Jun Hou, Xinshun Feng, Linjuan Liu, Chenguang Ding, Xiaohui Tian, Yang Li and Jin Zheng

    BMC Health Services Research 2017 17:250

    Published on: 4 April 2017

  10. Research article

    Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study

    Evidence indicates that suboptimal clinical handover from the intensive care unit (ICU) to general wards leads to unnecessary ICU readmissions and increased mortality. We aimed to gain insight into barriers an...

    Nelleke van Sluisveld, Anke Oerlemans, Gert Westert, Johannes Gerardus van der Hoeven, Hub Wollersheim and Marieke Zegers

    BMC Health Services Research 2017 17:251

    Published on: 4 April 2017

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

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