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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.

Page 1 of 18

  1. Content type: Research article

    The level of quality of care of ambulatory services in Switzerland is almost completely unknown. By adapting existing instruments to the Swiss national context, the present project aimed to define quality indi...

    Authors: Eva Blozik, Oliver Reich, Roland Rapold and Martin Scherer

    Citation: BMC Health Services Research 2018 18:743

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  2. Content type: Research article

    Warfarin is a drug with narrow therapeutic index used in the management of thromboembolic disorders. Several factors affect its plasma concentrations with a resultant risk of toxicity. We examined the database...

    Authors: Zipporah Kamuren, Gabriel Kigen, Alfred Keter and Alice Maritim

    Citation: BMC Health Services Research 2018 18:723

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  3. Content type: Research article

    Most implementation interventions in rehabilitation, including physiotherapy, have used passive, non-theoretical approaches without demonstrated effectiveness. The goal of this study was to improve an importan...

    Authors: Kathryn M. Sibley, Danielle C. Bentley, Nancy M. Salbach, Paula Gardner, Mandy McGlynn, Sachi O’Hoski, Jennifer Shaffer, Paula Shing, Sara McEwen, Marla K. Beauchamp, Saima Hossain, Sharon E. Straus and Susan B. Jaglal

    Citation: BMC Health Services Research 2018 18:724

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  4. Content type: Research article

    Hospital readmissions is an increasingly serious international problem, associated with higher risks of adverse events, especially in elderly patients. There can be many causes and influential factors leading ...

    Authors: Malin Knutsen Glette, Tone Kringeland, Olav Røise and Siri Wiig

    Citation: BMC Health Services Research 2018 18:725

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  5. Content type: Research article

    Building the capacity of allied health professionals to engage in research has been recognised as a priority due to the many benefits it brings for patients, healthcare professionals, healthcare organisations ...

    Authors: Janine Matus, Ashlea Walker and Sharon Mickan

    Citation: BMC Health Services Research 2018 18:716

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  6. Content type: Research article

    Unplanned hospital readmissions are a quality and safety indicator. In Australian, 8% to 11.1% of unplanned readmissions occur ≤1 day of acute care discharge. The aim of this study was to explore the reasons f...

    Authors: Julie Considine, Debra Berry, Evan Newnham, Matthew Jiang, Karen Fox, David Plunkett, Melissa Mecner, Peteris Darzins and Mary O’Reilly

    Citation: BMC Health Services Research 2018 18:713

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  7. Content type: Research article

    Pay for Performance (P4P) has increasingly being adopted in different countries as a provider payment mechanism to improve health system performance. Evaluations of pay for performance (P4P) schemes across sev...

    Authors: Yewande Kofoworola Ogundeji, Trevor A. Sheldon and Alan Maynard

    Citation: BMC Health Services Research 2018 18:686

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  8. Content type: Research article

    Record linkage is an important tool for epidemiologists and health planners. Record linkage studies will generally contain some level of residual record linkage error, where individual records are either incor...

    Authors: Sean Randall, Adrian Brown, James Boyd, Rainer Schnell, Christian Borgs and Anna Ferrante

    Citation: BMC Health Services Research 2018 18:678

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  9. Content type: Research article

    Cardiac-related complaints are leading drivers of Emergency Department (ED) utilization. Although a large proportion of cardiac patients can be discharged with appropriate outpatient follow-up, inadequate care...

    Authors: Gabriel E. Soto, Elizabeth A. Huenefeldt, Masey N. Hengst, Arlo J. Reimer, Shawn K. Samuel, Steven K. Samuel and Stephen J. Utts

    Citation: BMC Health Services Research 2018 18:672

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  10. Content type: Research article

    Physician rating websites (PRWs) allow patients to rate, comment and discuss physicians’ quality online as a source of information for others searching for a physician. It is generally assumed that PRWs will o...

    Authors: Stuart McLennan, Daniel Strech and Hannes Kahrass

    Citation: BMC Health Services Research 2018 18:670

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  11. Content type: Research article

    Patients dropping out of mental health treatment is considered a widespread and significant obstacle to providing effective treatment, thus reducing the probability of patients achieving the desired improvemen...

    Authors: John Morten Koksvik, Olav Morten Linaker, Rolf Wilhelm Gråwe, Johan Håkon Bjørngaard and Mariela Loreto Lara-Cabrera

    Citation: BMC Health Services Research 2018 18:665

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  12. Content type: Research article

    The hemagglutination-inhibition (HAI) assay is a critical component for measurement of immunogenicity in influenza vaccine development. It is unknown if the results can be influenced by sample type and anticoa...

    Authors: Brian J. Morrison, Nicholas J. Martin, Tauseef Rehman, Dan Ewing, Robin L. Dewar, Julia Metcalf, Peifang Sun, John Beigel, Thomas C. Luke and Kanakatte Raviprakash

    Citation: BMC Health Services Research 2018 18:651

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  13. Content type: Research article

    The safety culture has recently attracted the attention of healthcare organizations. Considering the importance of the roles of nurses with regard to patient safety, their knowledge and experiences of the challen...

    Authors: Jamileh Farokhzadian, Nahid Dehghan Nayeri and Fariba Borhani

    Citation: BMC Health Services Research 2018 18:654

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  14. Content type: Research article

    Previous research into improving patient safety has emphasised the importance of responding to and learning from concerns raised by service users and carers. Expertise gained by the experiences of service user...

    Authors: Kathryn Berzins, Gemma Louch, Mark Brown, Jane K. O’Hara and John Baker

    Citation: BMC Health Services Research 2018 18:644

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  15. Content type: Research article

    Urinary catheters are a common medical intervention, yet they can also be associated with harmful adverse events such as infection, urinary tract trauma, delirium and patient discomfort. The purpose of this st...

    Authors: Krista R. Wooller, Chantal Backman, Shipa Gupta, Alison Jennings, Delvina Hasimja-Saraqini and Alan J. Forster

    Citation: BMC Health Services Research 2018 18:642

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  16. Content type: Research article

    Pay-for-Performance programs have shown improvement in indicators monitoring adequacy and target achievement in diabetic care. However, less is known regarding the impact of this program on the occurrence and ...

    Authors: Shwu-Jiuan Sheu, Wen-Liang Lin, Yea-Huei Kao Yang, Chi-Min Hwu and Ching-Lan Cheng

    Citation: BMC Health Services Research 2018 18:638

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  17. Content type: Research article

    Effective communication between family physicians and their patients is crucial to improving healthcare outcomes and patients’ satisfaction. However, the barriers to effective communication have been weakly st...

    Authors: Abdulaziz H. Albahri, Alya S. Abushibs and Noura S. Abushibs

    Citation: BMC Health Services Research 2018 18:637

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  18. Content type: Research article

    Involving consumers in producing health services is mandated in many countries. Evidence indicates consumer partnerships lead to improved service design, quality and innovation. Involving participants from min...

    Authors: Jane Farmer, Christine Bigby, Hilary Davis, Karen Carlisle, Amanda Kenny and Richard Huysmans

    Citation: BMC Health Services Research 2018 18:628

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  19. Content type: Research article

    The Australian Government Department of Veterans’ Affairs (DVA) Veterans’ Medicines Advice and Therapeutics Education Services (Veterans’ MATES) programme conducted two intervention (March 2009, follow-up inte...

    Authors: Lisa M. Kalisch Ellett, Renly Lim, Nicole L. Pratt, Mhairi Kerr, Emmae N. Ramsay, Tammy V. LeBlanc, John D. Barratt and Elizabeth E. Roughead

    Citation: BMC Health Services Research 2018 18:626

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  20. Content type: Research article

    Drug use among the elderly population is generally extensive and the use of potentially inappropriate medications (PIMs) is common, which increases the risk for drug-related problems (DRP). Medication reviews ...

    Authors: Cecilia Lenander, Åsa Bondesson, Nina Viberg, Anders Beckman and Patrik Midlöv

    Citation: BMC Health Services Research 2018 18:616

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  21. Content type: Research article

    Recently the dementia field has shifted focus away from the early diagnosis debate in favour of ‘timely’ diagnosis. ‘Timely’ diagnosis disclosure takes into consideration the preferences and unique circumstanc...

    Authors: Rochelle Watson, Jamie Bryant, Robert Sanson-Fisher, Elise Mansfield and Tiffany-Jane Evans

    Citation: BMC Health Services Research 2018 18:612

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  23. Content type: Research article

    The General Health Questionnaire-12 (GHQ-12) is one of the most unique and extensively used self-report instruments for evaluating psychological disorders and strains. However, the factor structure of GHQ-12 h...

    Authors: Ashraf El-Metwally, Sundas Javed, Hira Abdul Razzak, Khaled K. Aldossari, Abdurrahman Aldiab, Sameer H. Al-Ghamdi, Mowafa Househ, Mamdouh M. Shubair and Jamaan M. Al-Zahrani

    Citation: BMC Health Services Research 2018 18:595

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  24. Content type: Research article

    A model for statewide dissemination of evidence-based treatment (EBT) for traumatized youth was piloted and taken to scale across North Carolina (NC). This article describes the implementation platform develop...

    Authors: Lisa Amaya-Jackson, Dana Hagele, John Sideris, Donna Potter, Ernestine C. Briggs, Leila Keen, Robert A. Murphy, Shannon Dorsey, Vanessa Patchett, George S. Ake and Rebecca Socolar

    Citation: BMC Health Services Research 2018 18:589

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  25. Content type: Research article

    The importance of contextual factors in influencing quality improvement and implementation (QI&I) initiatives is broadly acknowledged. Existing treatments of context have primarily viewed it as static and dist...

    Authors: Julie E. Reed, Heather C. Kaplan and Sharif A. Ismail

    Citation: BMC Health Services Research 2018 18:584

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  26. Content type: Research article

    Evaluation of integrated care programmes for individuals with multi-morbidity requires a broader evaluation framework and a broader definition of added value than is common in cost-utility analysis. This is po...

    Authors: Maureen Rutten-van Mölken, Fenna Leijten, Maaike Hoedemakers, Apostolos Tsiachristas, Nick Verbeek, Milad Karimi, Roland Bal, Antoinette de Bont, Kamrul Islam, Jan Erik Askildsen, Thomas Czypionka, Markus Kraus, Mirjana Huic, János György Pitter, Verena Vogt, Jonathan Stokes…

    Citation: BMC Health Services Research 2018 18:576

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  27. Content type: Research article

    The first phase of an enterprise risk management (ERM) program is the identification of risks. Accurate identification is essential to a proactive and effective ERM function. The authors identified a lack of s...

    Authors: Ana Paula Beck da Silva Etges, Veronique Grenon, Ming Lu, Ricardo Bertoglio Cardoso, Joana Siqueira de Souza, Francisco José Kliemann Neto and Elaine Aparecida Felix

    Citation: BMC Health Services Research 2018 18:578

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  28. Content type: Research article

    Measuring quality in healthcare is vital in evaluating patient outcomes and system performance. The availability of reliable and valid information about the quality of care for patients presenting with rotator...

    Authors: Breda H.F. Eubank, Mark R. Lafave, J. Preston Wiley, David M. Sheps, Aaron J. Bois and Nicholas G. Mohtadi

    Citation: BMC Health Services Research 2018 18:569

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  30. Content type: Research article

    Anxiety disorders are common, yet treatment options in general practice are often limited to medication or CBT. There is a lack of evidence for the effectiveness of exercise in the treatment of anxiety in pati...

    Authors: Elizabeth Aylett, Nicola Small and Peter Bower

    Citation: BMC Health Services Research 2018 18:559

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  31. Content type: Study protocol

    Pain is a common and distressing symptom in people with cancer, but is under-recognised and under-treated. Australian guidelines for ‘Cancer Pain Management in Adults’ are available on the Cancer Council Austr...

    Authors: Tim Luckett, Jane Phillips, Meera Agar, Lawrence Lam, Patricia M. Davidson, Nicola McCaffrey, Frances Boyle, Tim Shaw, David C. Currow, Alison Read, Annmarie Hosie and Melanie Lovell

    Citation: BMC Health Services Research 2018 18:558

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  32. Content type: Research article

    Diagnostic imaging has been a part of medicine for the last century. It has been difficult to implement guidelines in this field, and unwarranted imaging has been a frequent problem. Some work has been done to...

    Authors: Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl and Bjørn Morten Hofmann

    Citation: BMC Health Services Research 2018 18:556

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  33. Content type: Research article

    Delirium is a well-known complication in cardiac surgery and intensive care unit (ICU) patients. However, in many other settings its prevalence and clinical consequences are understudied. The aims of this stud...

    Authors: Maria Schubert, Roger Schürch, Soenke Boettger, David Garcia Nuñez, Urs Schwarz, Dominique Bettex, Josef Jenewein, Jasmina Bogdanovic, Marina Lynne Staehli, Rebecca Spirig and Alain Rudiger

    Citation: BMC Health Services Research 2018 18:550

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  34. Content type: Research article

    Patient safety culture, i.e. a subset of an organization’s culture, has become an important focus of patient safety research. An organization’s culture consists of many cultures, underscoring the importance of...

    Authors: Marita Danielsson, Per Nilsen, Hans Rutberg and Siw Carlfjord

    Citation: BMC Health Services Research 2018 18:543

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  35. Content type: Research article

    Continuous Quality Improvement (CQI) programs have been taken up widely by Indigenous primary health care (PHC) services in Australia and there has been national policy commitment to support this. However, int...

    Authors: Karen Gardner, Beverly Sibthorpe, Mier Chan, Ginny Sargent, Michelle Dowden and Daniel McAullay

    Citation: BMC Health Services Research 2018 18:541

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  36. Content type: Research article

    There are dearth of literature on the capacity of the health system to diagnose and treat HIV/AIDS in Ethiopia. In this study we evaluated the capacity of health facilities for HIV/AIDS care, its spatial distr...

    Authors: Amare Deribew, Sibhatu Biadgilign, Della Berhanu, Atkure Defar, Kebede Deribe, Ephrem Tekle, Kassahun Asheber and Tariku Dejene

    Citation: BMC Health Services Research 2018 18:535

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  37. Content type: Research article

    Achieving sustainable practice changes to ensure best-practice nursing care in acute hospital environments can be challenging and is not well understood. A multi-faceted practice change intervention was implem...

    Authors: Catherine Travers, Amanda Henderson, Frederick Graham and Elizabeth Beattie

    Citation: BMC Health Services Research 2018 18:534

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  38. Content type: Debate

    While we have made gains in understanding cultures in hospitals and their effects on outcomes of care, little work has investigated how the pace of work in hospitals is associated with staff satisfaction and p...

    Authors: Jeffrey Braithwaite, Louise A. Ellis, Kate Churruca and Janet C. Long

    Citation: BMC Health Services Research 2018 18:529

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  39. Content type: Research article

    Poor sleep is known to adversely affect hospital patients’ recovery and rehabilitation. The aim of the study was to investigate the perceived duration and quality of patient sleep and identify any environmenta...

    Authors: Lori J. Delaney, Marian J. Currie, Hsin-Chia Carol Huang, Violeta Lopez and Frank Van Haren

    Citation: BMC Health Services Research 2018 18:524

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  41. Content type: Research article

    Although public reporting of hospital performance is becoming common, it remains uncertain whether public reporting leads to improvement in clinical outcomes. This study was conducted to evaluate whether enrol...

    Authors: Hayato Yamana, Mariko Kodan, Sachiko Ono, Kojiro Morita, Hiroki Matsui, Kiyohide Fushimi, Tomoaki Imamura and Hideo Yasunaga

    Citation: BMC Health Services Research 2018 18:523

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  42. Content type: Research article

    Limited studies have evaluated the effectiveness of pharmacist interventions on outpatient prescription. The goal of this study was to evaluate the clinical and economic impacts of pharmacist interventions on ...

    Authors: Zhiwei Bao, Chunmei Ji, Jing Hu, Can Luo and Wentong Fang

    Citation: BMC Health Services Research 2018 18:519

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  43. Content type: Research article

    How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect of mode of data collection (audio+v...

    Authors: Michael R. Gionfriddo, Megan E. Branda, Cara Fernandez, Aaron Leppin, Kathleen J. Yost, Brittany Kimball, Gabriela Spencer-Bonilla, Laura Larrea, Katherine E. Nowakowski, Victor M. Montori and Jon Tilburt

    Citation: BMC Health Services Research 2018 18:522

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  44. Content type: Research article

    Inadequate non-technical skills (NTSs) among employees in the Norwegian prehospital emergency medical services (EMSs) are a risk for patient and operational safety. Simulation-based training and assessment is ...

    Authors: Henrik Langdalen, Eirik B. Abrahamsen, Stephen J. M. Sollid, Leif Inge K. Sørskår and Håkon B. Abrahamsen

    Citation: BMC Health Services Research 2018 18:509

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  45. Content type: Research article

    Several bone-targeted agents (BTAs) are available for preventing skeletal-related events (SREs), but they vary in terms of efficacy, safety and mode of administration. This study assessed data on European phys...

    Authors: Yi Qian, Jorge Arellano, Francesca Gatta, Guy Hechmati, A. Brett Hauber, Ateesha F. Mohamed, Amit Bahl, Roger von Moos and Jean-Jacques Body

    Citation: BMC Health Services Research 2018 18:518

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  46. Content type: Research article

    Primary caesarean section (PCS) rate is one of the main indicators of quality of care suggested by the Italian Government. Hospital rankings are usually based on it, therefore lower rates reflect more appropri...

    Authors: Pamela Di Giovanni, Tonia Garzarella, Giuseppe Di Martino, Francesco Saverio Schioppa, Ferdinando Romano and Tommaso Staniscia

    Citation: BMC Health Services Research 2018 18:514

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  47. Content type: Research article

    Individuals with severe disability often require personal assistance and help from informal caregivers, in addition to conventional health care. The utilization of assistance dogs may decrease the need for hea...

    Authors: Martina Lundqvist, Lars-Åke Levin, Kerstin Roback and Jenny Alwin

    Citation: BMC Health Services Research 2018 18:497

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  48. Content type: Research article

    Knowledge translation (KT) is the broad range of activities aimed at supporting the use of research findings leading to evidence-based practice (EBP) and policy. Recommendations have been made that capacity bu...

    Authors: Anastasia A. Mallidou, Pat Atherton, Liza Chan, Noreen Frisch, Stephanie Glegg and Gayle Scarrow

    Citation: BMC Health Services Research 2018 18:502

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  49. Content type: Research article

    Depression constitutes a significant part of the global burden of diseases. General practice plays a central role in diagnosing and monitoring depression. A telemedicine solution comprising a web-based psychom...

    Authors: Mette Daugbjerg Krog, Marie Germund Nielsen, Jette Videbæk Le, Flemming Bro, Kaj Sparle Christensen and Anna Mygind

    Citation: BMC Health Services Research 2018 18:503

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  50. Content type: Study protocol

    Neonatal mortality is a major health burden in Bungoma County with the rate estimated at 31 per 1000 live births and is above the national average of 22 per 1000. Nonetheless, out of the nine sub county hospit...

    Authors: Jesse Gitaka, Alice Natecho, Humphrey M. Mwambeo, Daniel Maina Gatungu, David Githanga and Timothy Abuya

    Citation: BMC Health Services Research 2018 18:493

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