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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. Cancer diagnosis, treatment and survivorship is multifaceted, and the cancer patient experience can serve as a key indicator of healthcare performance and quality. The purpose of this paper was to analyse free...

    Authors: Gillian Prue, Dominic O’Connor, Malcolm Brown and Olinda Santin

    Citation: BMC Health Services Research 2021 21:564

    Content type: Research article

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  2. Although risk prediction has become an integral part of clinical practice guidelines for cardiovascular disease (CVD) prevention, multiple studies have shown that patients’ risk still plays almost no role in c...

    Authors: Linda Takamine, Jane Forman, Laura J. Damschroder, Bradley Youles and Jeremy Sussman

    Citation: BMC Health Services Research 2021 21:561

    Content type: Research article

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  3. To stimulate quality through choice of provider, patients need to seek and base their decisions on both relevant and reliable information describing providers’ clinical quality. The purpose of this study was f...

    Authors: Caroline Hoffstedt, Magnus Fredriksson and Ulrika Winblad

    Citation: BMC Health Services Research 2021 21:559

    Content type: Research article

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  4. Older persons with polypharmacy are at increased risk of harm from medications. Therefore, it is important that physicians and nurses, together with the persons, evaluate medications to avoid hazardous polypha...

    Authors: Malin Holmqvist, Johan Thor, Axel Ros and Linda Johansson

    Citation: BMC Health Services Research 2021 21:557

    Content type: Research article

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  5. Bleeding during cardiac surgery is a common complication that often requires the transfusion of blood products. The combination of bleeding and blood product transfusion incrementally increases adverse outcome...

    Authors: Bronwyn L. Pearse, Samantha Keogh, Claire M. Rickard and Yoke L. Fung

    Citation: BMC Health Services Research 2021 21:550

    Content type: Research article

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  6. Sepsis survivors experience high morbidity and mortality, and healthcare systems lack effective strategies to address patient needs after hospital discharge. The Sepsis Transition and Recovery (STAR) program i...

    Authors: Marc Kowalkowski, Tara Eaton, Andrew McWilliams, Hazel Tapp, Aleta Rios, Stephanie Murphy, Ryan Burns, Bella Gutnik, Katherine O’Hare, Lewis McCurdy, Michael Dulin, Christopher Blanchette, Shih-Hsiung Chou, Scott Halpern, Derek C. Angus and Stephanie P. Taylor

    Citation: BMC Health Services Research 2021 21:544

    Content type: Study protocol

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  7. Healthcare organisations are in constant need of improvement and change. Nudging has been proposed as a strategy to affect people’s choices and has been used to affect patients’ behaviour in healthcare setting...

    Authors: Anita Sant’Anna, Andreas Vilhelmsson and Axel Wolf

    Citation: BMC Health Services Research 2021 21:543

    Content type: Research article

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  8. Shared decision-making (SDM) between patients and healthcare professionals (HCPs) is a key component of patient-centred care. To implement SDM in clinical practice and to evaluate its effects, it is helpful to...

    Authors: Anja Lindig, Pola Hahlweg, Eva Christalle, Anik Giguere, Martin Härter, Olaf von dem Knesebeck and Isabelle Scholl

    Citation: BMC Health Services Research 2021 21:541

    Content type: Research article

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  9. To evaluate the effects of prevention services provided by long-term care insurance (LTCI) for older adults who require support from LTCI in Kashiwa City, Japan.

    Authors: Tomoko Ito, Takahiro Mori, Hideto Takahashi, Natsumi Shimafuji, Katsuya Iijima, Satoru Yoshie and Nanako Tamiya

    Citation: BMC Health Services Research 2021 21:531

    Content type: Research article

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  10. Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities ...

    Authors: Rebecca Rich, Thomsen D’Hont, Kellie E. Murphy, Jeremy Veillard and Susan Chatwood

    Citation: BMC Health Services Research 2021 21:530

    Content type: Research article

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  11. Several studies have found a so-called weekend effect that patients admitted at the weekends had worse clinical outcomes than patients admitted at the weekdays. We performed this retrospective cohort study to ...

    Authors: Chao-Lun Lai, Raymond Nien-Chen Kuo, Ting-Chuan Wang and K. Arnold Chan

    Citation: BMC Health Services Research 2021 21:528

    Content type: Research article

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  12. Health care workers (HCWs) are at high risk of occupational injuries and approximately 10–15% of patients are affected by an adverse event during their hospital stay. There is scarce scientific literature abou...

    Authors: Emma Nilsing Strid, Charlotte Wåhlin, Axel Ros and Susanne Kvarnström

    Citation: BMC Health Services Research 2021 21:511

    Content type: Research article

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  13. Pharmacists are recognized as one of the most accessible healthcare providers and are licensed to advise patients on drugs and health products including dietary and herbal supplements (DHSs). The objective of ...

    Authors: Jeremy Y. Ng, Umair Tahir and Simran Dhaliwal

    Citation: BMC Health Services Research 2021 21:499

    Content type: Research article

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  14. To evaluate the performance of medical service for patients with breast cancer in Henan Province, China, using diagnosis related groups (DRGs) indicators and to provide data to inform practices and policies fo...

    Authors: Xinkui Liu, Furong Liu, Lin Wang, MengFan Wu, LinPeng Yang and Le Wei

    Citation: BMC Health Services Research 2021 21:496

    Content type: Research article

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  15. In some cases of diseases, such as infectious, neurological and chronic ones prevention and treatment is complex. Therefore, a single medical specialty alone cannot effectively manage treatment of patients due...

    Authors: Hakimeh Hazrati, Seyed Kamran Soltani Arabshahi, Shoaleh Bigdeli, Mozhgan Behshid and Zohreh Sohrabi

    Citation: BMC Health Services Research 2021 21:479

    Content type: Research article

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  16. The separation of parents and their prematurely born children during care in a neonatal intensive care unit (NICU) can have far-reaching consequences for the well-being of the parents and also of the children....

    Authors: Nadine Scholten, Sebastian Bretthauer, Kerstin Eilermann, Anna Hagemeier, Martin Hellmich, Jan Hoffmann, Dirk Horenkamp-Sonntag, Christiane Jannes, Ludwig Kuntz, Pauline Mantell, Laura Mause, Andreas Müller, Alinda Reimer, Christina Samel, Indra Spiecker genannt Döhmann, Stefanie Wobbe-Ribinski…

    Citation: BMC Health Services Research 2021 21:456

    Content type: Study protocol

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  17. Infection control practitioners (ICPs) are a group of specialized nurses fundamental to effective healthcare infection prevention and control initiatives. Relative to other groups of nurses much less is known ...

    Authors: Katie Page and Nicholas Graves

    Citation: BMC Health Services Research 2021 21:441

    Content type: Research article

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  18. Prescribing errors (PEs) are a common cause of morbidity and mortality, both in community practice and in hospitals. Pharmacists have an essential role in minimizing and preventing PEs, thus, there is a need t...

    Authors: Abdulhakim A. Alzahrani, Monira M. Alwhaibi, Yousif A. Asiri, Khalid M. Kamal and Tariq M. Alhawassi

    Citation: BMC Health Services Research 2021 21:432

    Content type: Research article

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  19. Health Technology Reassessment (HTR) is a process that systematically assesses technologies that are currently used in the health care system. The process results in four outputs: increase use or decrease use,...

    Authors: Rosmin Esmail, Fiona M. Clement, Jayna Holroyd-Leduc, Daniel J. Niven and Heather M. Hanson

    Citation: BMC Health Services Research 2021 21:401

    Content type: Research article

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  20. Administrative health data are increasingly used to detect adverse drug events (ADEs). However, the few studies evaluating diagnostic codes for ADE detection demonstrated low sensitivity, likely due to narrow ...

    Authors: Bettina Habib, Robyn Tamblyn, Nadyne Girard, Tewodros Eguale and Allen Huang

    Citation: BMC Health Services Research 2021 21:376

    Content type: Research article

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  21. Physician burnout has potentially harmful effects for both physicians and their patients. Despite relationships between physician burnout and lowered patient satisfaction and clinician-rated adverse patient ou...

    Authors: Kashan Yasin Mangory, Lavin Yadgar Ali, Karin Isaksson Rø and Reidar Tyssen

    Citation: BMC Health Services Research 2021 21:369

    Content type: Review

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  22. Traditional discharge processes lack a patient-centred focus. This project studied the implementation and effectiveness of an individualized discharge tool across Ontario hospitals. The Patient Oriented Discha...

    Authors: Shoshana Hahn-Goldberg, Tai Huynh, Audrey Chaput, Murray Krahn, Valeria Rac, George Tomlinson, John Matelski, Howard Abrams, Chaim Bell, Craig Madho, Christine Ferguson, Ann Turcotte, Connie Free, Sheila Hogan, Bonnie Nicholas, Betty Oldershaw…

    Citation: BMC Health Services Research 2021 21:361

    Content type: Research article

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  23. The study sought to evaluate the impact of a Rapid Diagnostic Clinic (RDC) service designed to improve general practitioner (GP) referral processes for patients who do not meet existing referral criteria yet p...

    Authors: Christos Vasilakis and Paul Forte

    Citation: BMC Health Services Research 2021 21:357

    Content type: Research article

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  24. Patient-reported data—satisfaction, preferences, outcomes and experience—are increasingly studied to provide excellent patient-centred care. In particular, healthcare professionals need to understand whether a...

    Authors: Raffaella Gualandi, Cristina Masella, Michela Piredda, Matteo Ercoli and Daniela Tartaglini

    Citation: BMC Health Services Research 2021 21:347

    Content type: Research article

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  25. Process mapping (PM) supports better understanding of complex systems and adaptation of improvement interventions to their local context. However, there is little research on its use in healthcare. This study ...

    Authors: Grazia Antonacci, Laura Lennox, James Barlow, Liz Evans and Julie Reed

    Citation: BMC Health Services Research 2021 21:342

    Content type: Research article

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  26. Many hospitals seek to increase patient safety through interprofessional team-trainings. Accordingly, these trainings aim to strengthen important key aspects such as safety culture and communication. This stud...

    Authors: Jan Schmidt, Nikoloz Gambashidze, Tanja Manser, Tim Güß, Michael Klatthaar, Frank Neugebauer and Antje Hammer

    Citation: BMC Health Services Research 2021 21:341

    Content type: Research article

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  27. Physicians who perform unsafe practices and harm patients may be disciplined. In Norway, there are five types of disciplinary action, ranging from a warning for the least serious examples of malpractice to los...

    Authors: Martin B. Harbitz, Per Steinar Stensland and Birgit Abelsen

    Citation: BMC Health Services Research 2021 21:324

    Content type: Research article

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  28. The persistent fragmentation of home healthcare reflects inadequate coordination between care providers. Still, while factors at the system (e.g., regulations) and organisational (e.g., work environment) level...

    Authors: Nathalie Möckli, Michael Simon, Carla Meyer-Massetti, Sandrine Pihet, Roland Fischer, Matthias Wächter, Christine Serdaly and Franziska Zúñiga

    Citation: BMC Health Services Research 2021 21:306

    Content type: Study protocol

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  29. Advance Care Planning (ACP) enables healthcare professionals to embrace the important process where patients think about their values in life and goals for health care, and discuss their future health care pre...

    Authors: Sarah Jeong, Tomiko Barrett, Se Ok Ohr, Peter Cleasby, Ryan Davey and Michael David

    Citation: BMC Health Services Research 2021 21:303

    Content type: Research article

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  30. Nurse managers play a critical role in enhancing nursing and patient outcomes. The work of nurse managers, who can be described as middle-managers at health care organizations, is complex and changes on a dail...

    Authors: Anu Nurmeksela, Santtu Mikkonen, Juha Kinnunen and Tarja Kvist

    Citation: BMC Health Services Research 2021 21:296

    Content type: Research article

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  31. This study aimed to explore associations between various elements of primary care, patient satisfaction, and loyalty.

    Authors: Tsunetaka Kijima, Akira Matsushita, Kenju Akai, Tsuyoshi Hamano, Satoshi Takahashi, Kazushige Fujiwara, Yuko Fujiwara, Makoto Sato, Toru Nabika, Kristina Sundquist, Jan Sundquist, Yutaka Ishibashi and Shunichi Kumakura

    Citation: BMC Health Services Research 2021 21:274

    Content type: Research article

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  32. Psychological safety is the concept by which individuals feel comfortable expressing themselves in a work environment, without fear of embarrassment or criticism from others. Psychological safety in healthcare...

    Authors: Ridhaa Remtulla, Arwa Hagana, Nour Houbby, Kajal Ruparell, Nivaran Aojula, Anannya Menon, Santhosh G. Thavarajasingam and Edgar Meyer

    Citation: BMC Health Services Research 2021 21:269

    Content type: Research article

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  33. To implement the “without the need for a second visit” (WNASV) initiative in our hospital by optimizing the outpatient clinic services via an upgraded information system, in order to increase the quality of ou...

    Authors: Jian Shen, Jun Zhang, Qiang He, Haihui Pan, Zhiqiang Wu, Liangming Nie, Hongfang Zhang, Shuning Liu, Yan Sun, Yaoqiang Du and Dongsheng Huang

    Citation: BMC Health Services Research 2021 21:267

    Content type: Research article

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  34. Based on several existing patient-oriented activities, Medicines Use Review (MUR) service was standardized and officially adopted in Slovenia in 2015. Service aims to provide adherence support and ensure safe ...

    Authors: Urška Nabergoj Makovec, Igor Locatelli and Mitja Kos

    Citation: BMC Health Services Research 2021 21:266

    Content type: Research article

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  35. This study explored the rewards and difficulties of raising an adolescent and investigated parents’ level of interest in receiving guidance from healthcare providers on parenting and adolescent health topics. ...

    Authors: Lindsey D. Jones, Randall W. Grout, Amy L. Gilbert, Tracey A. Wilkinson, Tamila Garbuz, Stephen M. Downs and Matthew C. Aalsma

    Citation: BMC Health Services Research 2021 21:253

    Content type: Research article

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  36. Turnover intention is a major cause of reduced team morale and low work efficiency. It hinders work performance and reduces the quality of medical services. This study aimed to investigate the relationship bet...

    Authors: Huosheng Yan, Lingzhi Sang, Hongzhang Liu, Cancan Li, Zijing Wang, Ren Chen, Hong Ding, Zhi Hu and Guimei Chen

    Citation: BMC Health Services Research 2021 21:252

    Content type: Research article

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  37. Caregivers of patients load different kinds of burdens, including emotional distress. Aims of this study were to evaluate both burden and empathy of caregivers who assist patients with schizophrenia spectrum d...

    Authors: Rosaria Di Lorenzo, Anna Girone, Nunzio Panzera, Gianluca Fiore, Margherita Pinelli, Giulia Venturi, Federica Magarini and Paola Ferri

    Citation: BMC Health Services Research 2021 21:250

    Content type: Research article

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  38. Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare t...

    Authors: Heidi Snoen Glomsås, Ingrid Ruud Knutsen, Mariann Fossum and Kristin Halvorsen

    Citation: BMC Health Services Research 2021 21:245

    Content type: Research article

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  39. Evidence based practice in health care has become increasingly popular over the last decades. Many guidelines have been developed to improve evidence informed decision making in health care organisations, howe...

    Authors: Kaat Goorts, Janine Dizon and Steve Milanese

    Citation: BMC Health Services Research 2021 21:241

    Content type: Research article

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  40. Pre-Hospital Emergency Care (PEC) is a fundamental property of prevention of Road Traffic Injuries (RTIs). Thus, this sector requires a system for evaluation and performance improvement. This study aimed to de...

    Authors: Saber Azami-Aghdash, Ahmad Moosavi, Hojatolah Gharaee, Ghader Sadeghi, Haleh Mousavi Isfahani, Alireza Ghasemi Dastgerdi and Mohammad Mohseni

    Citation: BMC Health Services Research 2021 21:235

    Content type: Research article

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  41. Hospitals in many countries are encouraged to develop audits to assess and improve the quality of care. Ward audit is a specific form of audit and feedback that is commonly used but little studied. The aim of ...

    Authors: Michael Sykes, Richard Thomson, Niina Kolehmainen, Louise Allan and Tracy Finch

    Citation: BMC Health Services Research 2021 21:226

    Content type: Research article

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  42. In meeting input data requirements for a system dynamics (SD) model simulating the radiotherapy (RT) process, the number of patient care pathways (RT workflows) needs to be kept low to simplify the model witho...

    Authors: Jesper Lindberg, Paul Holmström, Stefan Hallberg, Thomas Björk-Eriksson and Caroline E. Olsson

    Citation: BMC Health Services Research 2021 21:207

    Content type: Research article

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  43. While multidisciplinary teams (MDTs) are now considered an essential part of cancer care decision-making, how they perform varies widely. The authors hypothesised that a comprehensive, multipronged improvement...

    Authors: Lynleigh Evans, Yiren Liu, Brendan Donovan, Terence Kwan, Karen Byth and Paul Harnett

    Citation: BMC Health Services Research 2021 21:203

    Content type: Research article

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  44. People prefer to age in place and not move into a nursing home as long as possible. The prevention of cognitive and functional impairments is feasible to support this goal. Health services play a key role in p...

    Authors: Dominik Domhoff, Kathrin Seibert, Susanne Stiefler, Karin Wolf-Ostermann and Dirk Peschke

    Citation: BMC Health Services Research 2021 21:190

    Content type: Research article

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  45. The communication between health providers and patients influences the quality of medical care. The Communication Skills Assessment (CAT) is a reliable, validated tool, which was developed to assess interperso...

    Authors: Andra Rodica Balanescu, Violeta Claudia Bojinca, Ana-Maria Schweitzer, Bogdan Joca, Denise Ani Mardale, Denisa Badea and Mihai Bojinca

    Citation: BMC Health Services Research 2021 21:184

    Content type: Research article

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  46. This study investigated if the evidence on the success of the Pay for Performance (P4P) schemes in healthcare is changing as the schemes continue to evolve by updating a previous systematic review.

    Authors: Arezou Zaresani and Anthony Scott

    Citation: BMC Health Services Research 2021 21:175

    Content type: Research article

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  47. In 2017, the European Commission’s Joint Research Centre (JRC) started developing a methodological framework for a guideline-based quality assurance (QA) scheme to improve cancer quality of care. During the fi...

    Authors: Elena Parmelli, Miranda Langendam, Thomas Piggott, Jan Adolfsson, Elie A. Akl, David Armstrong, Jeffrey Braithwaite, Romina Brignardello-Petersen, Markus Follmann, Zbigniew Leś, Joerg J. Meerpohl, Luciana Neamtiu, Amir Qaseem, Paolo Giorgi Rossi, Zuleika Saz-Parkinson, Philip J. van der Wees…

    Citation: BMC Health Services Research 2021 21:173

    Content type: Research article

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  48. Although quality indicators are frequently derived from guidelines, there is a substantial gap in collaboration between the corresponding parties. To optimise workflow, guideline recommendations and quality as...

    Authors: Thomas Piggott, Miranda Langendam, Elena Parmelli, Jan Adolfsson, Elie A. Akl, David Armstrong, Jeffrey Braithwaite, Romina Brignardello-Petersen, Jan Brozek, Jolanta Gore-Booth, Markus Follmann, Zbigniew Leś, Joerg J Meerpohl, Luciana Neamţiu, Monika Nothacker, Amir Qaseem…

    Citation: BMC Health Services Research 2021 21:172

    Content type: Research article

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