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Quality, performance, safety and outcomes

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. Patient satisfaction is a fundamental aspect of perceived health care quality. The original English version of the Patient Satisfaction with Cancer-related Care (PSCC) is a psychometrically validated, one-dime...

    Authors: Frederike Bokemeyer, Lukas Lange-Drenth, Pascal Jean-Pierre, Holger Schulz and Christiane Bleich

    Citation: BMC Health Services Research 2020 20:983

    Content type: Research article

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  2. Patient-Centered Medical Home (PCMH) adoption is an important strategy to help improve primary care quality within Health Resources and Service Administration (HRSA) community health centers (CHC), but evidenc...

    Authors: Nathaniel Bell, Rebecca Wilkerson, Kathy Mayfield-Smith and Ana Lòpez-De Fede

    Citation: BMC Health Services Research 2020 20:980

    Content type: Research article

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  3. Misguided prescription of antibiotics is an important contributor towards the emergence and spread of antibiotic resistance. The absence of effective interventions to control antibiotic use leads to increased ...

    Authors: Michael Mireku Opoku, Harriet Affran Bonful and Kwadwo Ansah Koram

    Citation: BMC Health Services Research 2020 20:978

    Content type: Research article

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  4. Clinical practice guidelines (CPGs) provide recommendations for practice, but the proliferation of CPGs issued by multiple organisations in recent years has raised concern about their quality. The aim of this ...

    Authors: G. Castellini, V. Iannicelli, M. Briguglio, D. Corbetta, L. M. Sconfienza, G. Banfi and S. Gianola

    Citation: BMC Health Services Research 2020 20:970

    Content type: Research article

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  5. Nation-wide adoption of electronic health records (EHRs) in hospitals has become a Turkish policy priority in recognition of their benefits in maintaining the overall quality of clinical care. The electronic m...

    Authors: Ilker Kose, John Rayner, Suayip Birinci, Mustafa Mahir Ulgu, Ismayil Yilmaz and Seyma Guner

    Citation: BMC Health Services Research 2020 20:967

    Content type: Research article

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  6. Alcohol interventions are important to the developing public health role of community pharmacies. The Medicines and Alcohol Consultation (MAC) is a new intervention, co-produced with community pharmacists (CPs...

    Authors: Duncan Stewart, Anne van Dongen, Michelle Watson, Laura Mandefield, Karl Atkin, Ranjita Dhital, Brent Foster, Brendan Gough, Catherine Hewitt, Mary Madden, Stephanie Morris, Ronan O’Carroll, Margaret Ogden, Steve Parrott, Judith Watson, Sue White…

    Citation: BMC Health Services Research 2020 20:943

    Content type: Research article

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  7. Matching survival of a donor kidney with that of the recipient (longevity matching), is used in some kidney allocation systems to maximize graft-life years. It is not part of the allocation algorithm for Austr...

    Authors: Sameera Senanayake, Nicholas Graves, Helen Healy, Keshwar Baboolal, Adrian Barnett, Matthew P. Sypek and Sanjeewa Kularatna

    Citation: BMC Health Services Research 2020 20:931

    Content type: Research article

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  8. Reusable medical devices in healthcare facilities are decontaminated and reprocessed following standard practices before each clinical procedure. Reprocessing of critical medical devices (those used for invasi...

    Authors: Gopal Panta, Ann K. Richardson, Ian C. Shaw and Patricia A. Coope

    Citation: BMC Health Services Research 2020 20:923

    Content type: Research article

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  9. Assessing patients’ expectations and perceptions of health service delivery is challenging. To understand the service quality in intensive care units (ICUs), we investigated the expected and perceived service ...

    Authors: Shu-Ju Lu, Hsiu-O Kao, Bao-Lin Chang, Shu-Ing Gong, Shu-Mei Liu, Shih-Chi Ku and Jih-Shuin Jerng

    Citation: BMC Health Services Research 2020 20:908

    Content type: Research article

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  10. Community care professionals need to encourage older adults in performing functional activities to maintain independence. However, professionals often perform functional activities on behalf of older adults. T...

    Authors: Ruth G. M. Vogel, Gerrie J. J. W. Bours, Silke F. Metzelthin, Petra M. G. Erkens, Gerard J. P. van Breukelen, Sandra M. G. Zwakhalen and Erik van Rossum

    Citation: BMC Health Services Research 2020 20:907

    Content type: Research article

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  11. Communication failures involving test results contribute to issues of patient harm and sentinel events. This article aims to synthesise review evidence, practice insights and patient perspectives addressing pr...

    Authors: Breanna Wright, Alyse Lennox, Mark L. Graber and Peter Bragge

    Citation: BMC Health Services Research 2020 20:897

    Content type: Research article

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  12. Rational antibiotic prescribing is crucial to combat antibiotic resistance. Optimal strategies to improve antibiotic use are not known. Strama, the Swedish strategic program against antibiotic resistance, has ...

    Authors: Elina Lampi, Fredrik Carlsson, Pär-Daniel Sundvall, Marcela Jaime Torres, Peter Ulleryd, Christina Åhrén and Gunnar Jacobsson

    Citation: BMC Health Services Research 2020 20:895

    Content type: Research article

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  13. The aim was to find out if and for what indications are minimum volume standards (MVS) applied in the day surgery setting and whether the application of MVS improves patient relevant outcomes.

    Authors: Michal Stanak and Christoph Strohmaier

    Citation: BMC Health Services Research 2020 20:886

    Content type: Research article

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  14. Failure to recognise and respond to patient deterioration on hospital wards is a common cause of healthcare-related harm. If patients are not rescued and suffer a cardiac arrest as a result then only around 15...

    Authors: Helen Hogan, Andrew Hutchings, Jerome Wulff, Catherine Carver, Elizabeth Holdsworth, Jerry Nolan, John Welch, David Harrison and Nick Black

    Citation: BMC Health Services Research 2020 20:885

    Content type: Research article

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  15. Internationally, point prevalence surveys are the main source of antibiotic use data in residential aged care (RAC). Our objective was to describe temporal trends in antibiotic use and antibiotics flagged for ...

    Authors: M. Z. Raban, K. E. Lind, R. O. Day, L. Gray, A. Georgiou and J. I. Westbrook

    Citation: BMC Health Services Research 2020 20:883

    Content type: Research article

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  16. Guidelines and quality indicators (for example as part of a quality assurance scheme) aim to improve health care delivery and health outcomes. Ideally, the development of quality indicators should be grounded ...

    Authors: Miranda W. Langendam, Thomas Piggott, Monika Nothacker, Arnav Agarwal, David Armstrong, Tejan Baldeh, Jeffrey Braithwaite, Carolina Castro Martins, Andrea Darzi, Itziar Etxeandia, Ivan Florez, Jan Hoving, Samer G. Karam, Thomas Kötter, Joerg J. Meerpohl, Reem A. Mustafa…

    Citation: BMC Health Services Research 2020 20:875

    Content type: Research article

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  17. The development of routines regarding medication is important to avoid medication-related harm. Medication review and medication reports have earlier been found to be effective, but their implementation is not...

    Authors: Siw Carlfjord, Eva Malmberg and Carina Skoglund

    Citation: BMC Health Services Research 2020 20:867

    Content type: Research article

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  18. Healthcare workers are a burnout-prone occupational group and the prevalence is particularly high among physicians. With the prevailing low physician-patient ratio in Nigeria which has worsened with the recent...

    Authors: Arinze D. G. Nwosu, Edmund N. Ossai, Uwakwe C. Mba, Ifeanyi Anikwe, Richard Ewah, Bernard O. Obande and Justin U. Achor

    Citation: BMC Health Services Research 2020 20:863

    Content type: Research article

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  19. The American Academy of Orthopaedic Surgeons and American Society for Surgery of the Hand recently proposed three quality measures for carpal tunnel syndrome (CTS): Measure 1 - Discouraging routine use of Magn...

    Authors: Alex H. S. Harris, Esther L. Meerwijk, Qian Ding, Amber W. Trickey, Andrea K. Finlay, Eric M. Schmidt, Catherine M. Curtin, Erika D. Sears, Teryl K. Nuckols and Robin N. Kamal

    Citation: BMC Health Services Research 2020 20:861

    Content type: Research article

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  20. National Clinical Audits (NCAs) are a well-established quality improvement strategy used in healthcare settings. Significant resources, including clinicians’ time, are invested in participating in NCAs, yet th...

    Authors: Natasha Alvarado, Lynn McVey, Joanne Greenhalgh, Dawn Dowding, Mamas Mamas, Chris Gale, Patrick Doherty and Rebecca Randell

    Citation: BMC Health Services Research 2020 20:859

    Content type: Research article

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  21. Benchmarking outcomes across settings commonly requires risk-adjustment for co-morbidities that must be derived from extant sources that were designed for other purposes. A question arises as to the extent to ...

    Authors: A. Sheriffdeen, J. L. Millar, C. Martin, M. Evans, G. Tikellis and S. M. Evans

    Citation: BMC Health Services Research 2020 20:858

    Content type: Research article

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  22. Burnout is more common among healthcare professionals, that is an important problem of professional distress that can seriously affect healthcare professionals’ emotional state, health, medical quality and doc...

    Authors: Jing Wang, Wenting Wang, Steven Laureys and Haibo Di

    Citation: BMC Health Services Research 2020 20:841

    Content type: Research article

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  23. Technology for timely feedback of data has the potential to support quality improvement (QI) in health care. However, such technology may pose difficulties stemming from the complex interaction with the settin...

    Authors: Sara Tolf, Johan Mesterton, Daniel Söderberg, Isis Amer-Wåhlin and Pamela Mazzocato

    Citation: BMC Health Services Research 2020 20:816

    Content type: Research article

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  24. Psychological safety allows healthcare professionals to take the interpersonal risks needed to engage in effective teamwork and to maintain patient safety. In order to improve psychological safety in healthcar...

    Authors: Róisín O’Donovan and Eilish McAuliffe

    Citation: BMC Health Services Research 2020 20:810

    Content type: Research article

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  25. Universal health coverage promises equity in access to and quality of health services. However, there is variability in the quality of the care (QoC) delivered at health facilities in low and middle-income cou...

    Authors: Adrien Allorant, Canada Parrish, Gracia Desforges, Ermane Robin, Jean Guy Honore and Nancy Puttkammer

    Citation: BMC Health Services Research 2020 20:804

    Content type: Research article

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  26. Transformational leadership style is considered to be of importance to increase patient safety, to facilitate a balance between job resources and job demands, and to create a sound patient safety culture withi...

    Authors: Camilla Seljemo, Petter Viksveen and Eline Ree

    Citation: BMC Health Services Research 2020 20:799

    Content type: Research article

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  27. Children with combined mental and somatic conditions pose a challenge to specialized health services. These cases are often characterized by multi-referrals, frequent use of health services, poor clinical and ...

    Authors: Ragnhild B. Lygre, Viktoria Mellingen Thuen, Rolf Gjestad, Tone M. Norekvål, Gottfried Greve, Thomas Mildestvedt and Irene Bircow Elgen

    Citation: BMC Health Services Research 2020 20:786

    Content type: Research article

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  28. Transitions of care are often risky, particularly for older people, and shorter hospital stays mean that patients can go home with ongoing care needs. Most previous research has focused on fundamental system f...

    Authors: Ruth Baxter, Rosemary Shannon, Jenni Murray, Jane K. O’Hara, Laura Sheard, Alison Cracknell and Rebecca Lawton

    Citation: BMC Health Services Research 2020 20:780

    Content type: Research article

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  29. Healthcare services are facing extensive challenges due to the increased proportion of elderly persons and persons with chronic disease. Technology enabled care (TEC) is a collective term for telecare, telehea...

    Authors: Ann-Chatrin Linqvist Leonardsen, Camilla Hardeland, Ann Karin Helgesen and Vigdis A. Grøndahl

    Citation: BMC Health Services Research 2020 20:779

    Content type: Research article

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  30. The number of patients undergoing joint arthroplasty is increasing worldwide. An Enhanced Recovery After Surgery (ERAS) pathway for hip and knee arthroplasty was introduced in an Italian high-volume research h...

    Authors: Francesco Vanni, Emanuela Foglia, Federico Pennestrì, Lucrezia Ferrario and Giuseppe Banfi

    Citation: BMC Health Services Research 2020 20:773

    Content type: Research article

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  31. To identify context factors associated with and predicting success in the hospital accreditation process, and to contribute to the understanding of the relative relevance of context factors and their organizat...

    Authors: Mario A. Zapata-Vanegas and Pedro J. Saturno-Hernández

    Citation: BMC Health Services Research 2020 20:772

    Content type: Research article

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  32. People with schizophrenia have a higher premature mortality risk compared with the general population mainly due to cardiovascular disease (CVD). Despite this, people with schizophrenia are less likely to acce...

    Authors: Alexandra Berry, Richard J. Drake and Alison R. Yung

    Citation: BMC Health Services Research 2020 20:771

    Content type: Research article

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  33. Low-value care (LVC) is understudied in pediatric populations and in the Military Health System (MHS). This cross-sectional study applies previously developed measures of pediatric LVC diagnostic tests, proced...

    Authors: Tracey Pérez Koehlmoos, Cathaleen Madsen, Amanda Banaag, Qiong Li, Andrew J. Schoenfeld and Joel S. Weissman

    Citation: BMC Health Services Research 2020 20:770

    Content type: Research article

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  34. Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interven...

    Authors: Genevieve Coorey, David Peiris, Lis Neubeck and Julie Redfern

    Citation: BMC Health Services Research 2020 20:764

    Content type: Research article

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  35. Both diagnosis and treatment of neurological emergencies require neurological expertise and are time-sensitive. The lack of fast neurological expertise in regions with underserved infrastructure poses a major ...

    Authors: J. E. Weber, A. Angermaier, K. Bollweg, H. Erdur, S. Ernst, A. Flöel, C. Gorski, F. I. Kandil, S. Kinze, K. Kleinsteuber, T. Kurth, I. Schmehl, S. Theen, M. Endres and H. J. Audebert

    Citation: BMC Health Services Research 2020 20:755

    Content type: Study protocol

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  36. Ambulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization....

    Authors: João Sarmento, João Victor Muniz Rocha and Rui Santana

    Citation: BMC Health Services Research 2020 20:754

    Content type: Research article

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  37. Evidence based practice enhances service planning and delivery, clinical decision making and patient care. However, health professionals often lack the time and opportunity to access or generate evidence. Rese...

    Authors: David Wright, Mary Fry, Jo Adams and Catherine Bowen

    Citation: BMC Health Services Research 2020 20:751

    Content type: Research article

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  38. Rates of low-value care vary between hospitals in New South Wales, Australia. Understanding factors associated with this variation will help in understanding the drivers of low-value care and in planning initi...

    Authors: Tim Badgery-Parker, Sallie-Anne Pearson and Adam G. Elshaug

    Citation: BMC Health Services Research 2020 20:750

    Content type: Research article

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  39. Many organizations have suggested a minimum standard regarding pharmaceutical counselling for patients, which includes information about the name of the drug, the description the drug, the indication for use, ...

    Authors: Hassan Al Qarni, Tahani Alrahbini, Ayidh M AlQarni and Abdullah Alqarni

    Citation: BMC Health Services Research 2020 20:745

    Content type: Research article

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  40. To estimate, prior to finalization of claims, the national monthly numbers of admissions and rates of 30-day readmissions and post-discharge observation-stays for Medicare fee-for-service beneficiaries hospita...

    Authors: Shu-Xia Li, Yongfei Wang, Sonam D. Lama, Jennifer Schwartz, Jeph Herrin, Hao Mei, Zhenqiu Lin, Susannah M. Bernheim, Steven Spivack, Harlan M. Krumholz and Lisa G. Suter

    Citation: BMC Health Services Research 2020 20:733

    Content type: Research article

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  41. Kidney failure requiring dialysis is associated with poor health outcomes and health-related quality of life (HRQL). Patient-reported outcome measures (PROMs) capture symptom burden, level of functioning and o...

    Authors: Jeffrey A. Johnson, Fatima Al Sayah, Robert Buzinski, Bonnie Corradetti, Sara N. Davison, Meghan J. Elliott, Scott Klarenbach, Braden Manns, Kara Schick-Makaroff, Hilary Short, Chandra Thomas and Michael Walsh

    Citation: BMC Health Services Research 2020 20:731

    Content type: Study protocol

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  42. Public health agencies require valid, timely and complete health information for early detection of outbreaks. Towards the end of the Ebola Virus Disease (EVD) outbreak in 2015, the Ministry of Health and Sani...

    Authors: Charles Njuguna, Mohamed Vandi, Malimbo Mugagga, Joseph Kanu, Evans Liyosi, Alexander Chimbaru, Wilson Gachari, Victor Caulker, Stephen Sesay, Jane Githuku, Zabulon Yoti, Ali Ahmed Yahaya, Ambrose Talisuna and Ibrahima Socé Fall

    Citation: BMC Health Services Research 2020 20:724

    Content type: Research article

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  43. Health service managers are integral to supporting the effective and efficient delivery of services. Understanding their competencies is essential to support reform and improvement of healthcare provision in C...

    Authors: Zhanming Liang, Felicity C. Blackstock, Peter Howard, Chaojie Liu, Geoffrey Leggat, Hongkun Ma, Zhijun Zhang and Timothy Bartram

    Citation: BMC Health Services Research 2020 20:721

    Content type: Research article

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  44. It is necessary to examine doctors working with illness from a professional point of view, because it is not only related to their occupational health, but more importantly, will affect the treatment effect of...

    Authors: Pei Pei, Guohua Lin, Gaojie Li, Yifan Zhu and Xiaoyu Xi

    Citation: BMC Health Services Research 2020 20:715

    Content type: Research article

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  45. The relative lack of flexibility of parametric models has led to the development of nonparametric regression techniques based on the family of generalized additive models. However, despite the potential advant...

    Authors: Francisco Reyes-Santías, Octavio Cordova-Arevalo and Elena Rivo-Lopez

    Citation: BMC Health Services Research 2020 20:641

    Content type: Research article

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  46. Although patient participation is strongly associated with high quality of healthcare, valid means to measure and report a comprehensive notion of patient participation are scarce. The Patient Preferences for ...

    Authors: Ann Catrine Eldh, Marie Holmefur, Kristina Luhr and Marika Wenemark

    Citation: BMC Health Services Research 2020 20:702

    Content type: Research article

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  47. Insight into quality of healthcare for people with Down Syndrome (DS) is limited. Quality indicators (QIs) can provide this insight. This study aims to find consensus among participants regarding QIs for healt...

    Authors: Francine A. van den Driessen Mareeuw, Antonia M. W. Coppus, Diana M. J. Delnoij and Esther de Vries

    Citation: BMC Health Services Research 2020 20:694

    Content type: Research article

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  48. Reporting of adverse events is an important aspect of patient safety management in hospitals, which may help to prevent future adverse events. Yet, only a small proportion of such events is actually reported i...

    Authors: Nicola Alexandra Litke, Michel Wensing, Antje Miksch and Katja Krug

    Citation: BMC Health Services Research 2020 20:689

    Content type: Research article

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  49. Recognizing the need for improved communication with patients at the point of hospital discharge, a group of clinicians, patients, and designers in Toronto, Canada collaborated to develop a standardized tool k...

    Authors: Nayantara Hattangadi, Paul Kurdyak, Rachel Solomon and Sophie Soklaridis

    Citation: BMC Health Services Research 2020 20:687

    Content type: Research article

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