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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal

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. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. Hospitalization could be an unpleasant experience for patients with cardiovascular disease leading to some negative emotional reactions. These emotions can be managed by nursing empathy. There are different me...

    Authors: Atefeh Galehdarifard, Moloud Radfar, Mohammad Gholami, Mojgan Khademi, Farzad Ebrahimzadeh and Mohammad-Hasan Imani-Nasab

    Citation: BMC Health Services Research 2020 20:680

    Content type: Study protocol

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  12. Patient satisfaction is increasingly being used to assess, and financially reward, provider performance. Previous studies suggest that race/ethnicity (R/E) may impact satisfaction, yet few practices adjust for...

    Authors: Lillian Liao, Sukyung Chung, Jonathan Altamirano, Luis Garcia, Magali Fassiotto, Bonnie Maldonado, Paul Heidenreich and Latha Palaniappan

    Citation: BMC Health Services Research 2020 20:678

    Content type: Research article

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  13. Despite the growing literature on the efficiency and productivity of the Chinese healthcare system, less attention has been given to examining the undesirable outputs linked to healthcare services, including e...

    Authors: Jinna Yu, Zhen Liu, Tingting Zhang, Assem Abu Hatab and Jing Lan

    Citation: BMC Health Services Research 2020 20:673

    Content type: Research article

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  14. Antimicrobial resistance (AMR), especially carbapenem-resistant Pseudomonas aeruginosa (CRPA), causes a serious increase in morbidity, mortality and costs. Medical professionals play an important role in curbing ...

    Authors: Meng Han and Xinping Zhang

    Citation: BMC Health Services Research 2020 20:670

    Content type: Research article

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  15. Dispensations of opioid analgesics to patients on opioid agonist therapy (OAT) may increase the risk of overdoses. The current study’s objectives are to investigate the dispensation rates and mean daily doses ...

    Authors: Jørn Henrik Vold, Svetlana Skurtveit, Christer Aas, Kjell Arne Johansson and Lars Thore Fadnes

    Citation: BMC Health Services Research 2020 20:668

    Content type: Research article

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  16. In the UK Early Pregnancy Assessment Units (EPAUs) are usually situated alongside hospital maternity and gynaecology services. In June 2018, the Oxford EPAU relocated from the John Radcliffe Hospital to a comm...

    Authors: Rebecca Cox, Somia Khalid, Gemma Brierly, Annie Forsyth, Ruth McNamara, Victoria Heppell and Ingrid Granne

    Citation: BMC Health Services Research 2020 20:664

    Content type: Research article

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  17. Hospitals undertake numerous initiatives searching to improve the quality of care they provide, but these efforts are often disappointing. Current models guiding improvement tend to undervalue the tensional na...

    Authors: Francisco G. Nunes, Glenn Robert, Anne Marie Weggelaar-Jansen, Siri Wiig, Karina Aase, Anette Karltun and Naomi J. Fulop

    Citation: BMC Health Services Research 2020 20:658

    Content type: Research article

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  18. The aim of this study was to understand the quality of discharge guidance for patients with chronic diseases, to clarify the gap between patient needs and the content of discharge guidance, and to provide a re...

    Authors: Miao-miao Yang, Wei Liang, Hui Hua Zhao and Ying Zhang

    Citation: BMC Health Services Research 2020 20:647

    Content type: Research article

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  19. Case mix adjustment is a pre-requisite for valid measurement of healthcare performance and socioeconomic status (SES) is important to account for. Lack of information on individual-level SES has led to investi...

    Authors: Johan Mesterton, Carl Willers, Tobias Dahlström and Ola Rolfson

    Citation: BMC Health Services Research 2020 20:645

    Content type: Research article

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  20. The high incidence of workplace violence (WPV) in clinical mental health settings has caused a series of negative impacts on nurses, which has subsequently increased public concern. De-escalation (DE) is recom...

    Authors: Junrong Ye, Aixiang Xiao, Chen Wang, Zhichun Xia, Lin Yu, Sijue Li, Jiankui Lin, Yao Liao, Yu Xu and Yun Lei Zhang

    Citation: BMC Health Services Research 2020 20:642

    Content type: Study protocol

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  21. Hospital performance quality assessments inform patients, providers, payers, and purchasers in making healthcare decisions. These assessments have been developed by government, private and non-profit organizat...

    Authors: Kelly J. Thomas Craig, Mollie M. McKillop, Hu T. Huang, Judy George, Ekta S. Punwani and Kyu B. Rhee

    Citation: BMC Health Services Research 2020 20:640

    Content type: Research article

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  22. The quality of patient medical records is intrinsically related to patient safety, clinical decision-making, communication between health providers, and continuity of care. Additionally, its data are widely us...

    Authors: Ana Carolina Cintra Nunes Mafra, João Luiz Miraglia, Fernando Antonio Basile Colugnati, Gilberto Soares Lourenço Padilha, Renata Rafaella Santos Tadeucci, Ederson Almeida and Mario Maia Bracco

    Citation: BMC Health Services Research 2020 20:638

    Content type: Research article

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  23. The shortage of health workers is a global phenomenon. To meet increasing patient demands on UK health services, providers are increasingly relying on temporary staff to fill permanent posts. This study examin...

    Authors: Michaela Senek, Steve Robertson, Tony Ryan, Rachel King, Emily Wood and Angela Tod

    Citation: BMC Health Services Research 2020 20:637

    Content type: Research article

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  24. To protect hospitalized patients, who are more susceptible to complications of influenza, seasonal influenza vaccination of healthcare workers (HCW) has been recommended internationally. However, its effective...

    Authors: Wycliffe Enli Wei, Stephanie Fook-Chong, Wen Kai Chen, Maciej Piotr Chlebicki and Wee Hoe Gan

    Citation: BMC Health Services Research 2020 20:636

    Content type: Research article

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  25. Delayed hospital presentation is a hindrance to the optimum clinical outcome of modern therapies of Myocardial infarction (MI). This study aimed to investigate the significant factors associated with prolonged...

    Authors: Abdur Rafi, Zahidus Sayeed, Papia Sultana, Saw Aik and Golam Hossain

    Citation: BMC Health Services Research 2020 20:633

    Content type: Research article

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  26. Patients admitted to the intensive care unit (ICU) experience sleep disruption caused by a variety of conditions, such as staff activities, alarms on monitors, and overall noise. In this study, we explored the...

    Authors: Roberto Carlos Miranda-Ackerman, Mariana Lira-Trujillo, Alma Carolina Gollaz-Cervantez, Ana Olivia Cortés-Flores, Carlos José Zuloaga-Fernández del Valle, Luis Alberto García-González, Gilberto Morgan-Villela, Francisco José Barbosa-Camacho, Kevin Josue Pintor-Belmontes, Bertha Georgina Guzmán-Ramírez, Aldo Bernal-Hernández, Clotilde Fuentes-Orozco and Alejandro González-Ojeda

    Citation: BMC Health Services Research 2020 20:631

    Content type: Research article

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  27. Medical endoscope is widely used in clinical practice for the purpose of diagnosis and treatment, occupying around 5% of the medical device market. Evaluating the true service level of medical endoscope is ess...

    Authors: Jun Zheng, Ligang Lou, Ying Xie, Siyao Chen, Jun Li, Jingming Wei and Jingyi Feng

    Citation: BMC Health Services Research 2020 20:629

    Content type: Research article

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  28. World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on build...

    Authors: Siliang Chen, Yi Lei, Hua Dai, Jia Wu, Ziyu Yang and Xiaoyang Liao

    Citation: BMC Health Services Research 2020 20:625

    Content type: Research article

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  29. Residents living in sheltered housing depend on help from healthcare personnel (HCP) with medication management, regarding regular long-term and pro re nata (PRN) medication. The HCP assess the need for PRN me...

    Authors: Marianne Kollerøs Nilsen, Hege Sletvold and Rose Mari Olsen

    Citation: BMC Health Services Research 2020 20:622

    Content type: Research article

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  30. In the regulation of healthcare, the subject of patient and family involvement figures increasingly prominently on the agenda. However, the literature on involving patients and families in regulation is still ...

    Authors: Siri Wiig, Suzanne Rutz, Alan Boyd, Kate Churruca, Sophia Kleefstra, Cecilie Haraldseid-Driftland, Jeffrey Braithwaite, Jane O’Hara and Hester van de Bovenkamp

    Citation: BMC Health Services Research 2020 20:616

    Content type: Research article

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  31. The Partners at Care Transitions Measure (PACT-M) is a patient-reported questionnaire for evaluation of the quality and safety of care transitions from hospital to home, as experienced by older adults. PACT-M ...

    Authors: Eirini Oikonomou, Bethan Page, Rebecca Lawton, Jenni Murray, Helen Higham and Charles Vincent

    Citation: BMC Health Services Research 2020 20:608

    Content type: Research article

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  32. To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden.

    Authors: Yudian Qiu, Hu Li, Ziyi Yang, Qiang Liu, Kai Wang, Rujun Li, Dan Xing, Yunfei Hou and Jianhao Lin

    Citation: BMC Health Services Research 2020 20:600

    Content type: Research article

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  33. With respect to patient-centered care, measuring care effects based on patient-relevant outcomes is becoming increasingly important. There is some uncertainty about what outcomes are particularly relevant to p...

    Authors: Christine Kersting, Malte Kneer and Anne Barzel

    Citation: BMC Health Services Research 2020 20:596

    Content type: Research article

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  34. Identifying factors that influence sustained implementation of hospital-based interventions is key to ensuring evidence-based best practice is maintained across the NHS. This study aimed to identify, appraise ...

    Authors: Julie Cowie, Avril Nicoll, Elena D. Dimova, Pauline Campbell and Edward A. Duncan

    Citation: BMC Health Services Research 2020 20:588

    Content type: Research article

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  35. Teamwork and job satisfaction are important among the multidisciplinary team who care patients with chronic illnesses such as heart failure (HF) patients. TeamSTEPPS teamwork perceptions questionnaire (T-TPQ) ...

    Authors: Ioanna Lakatamitou, Ekaterini Lambrinou, Martha Kyriakou, Lefkios Paikousis and Nicos Middleton

    Citation: BMC Health Services Research 2020 20:587

    Content type: Research article

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  36. Recent major concerns about the quality of healthcare delivered to older adults have been linked to inadequate staffing and a lack of patient-centred care. Patient experience is a key component of quality care...

    Authors: Kirsten Barnicot, Kirsty Allen, Chloe Hood and Mike Crawford

    Citation: BMC Health Services Research 2020 20:583

    Content type: Research article

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  37. Multidisciplinary Cancer Conferences (MCCs) are increasingly used to guide treatment decisions for patients with cancer, though numerous barriers to optimal MCC decision-making quality have been identified. We...

    Authors: Christine Fahim, Meghan M. McConnell, Frances C. Wright, Ranil R. Sonnadara and Marko Simunovic

    Citation: BMC Health Services Research 2020 20:579

    Content type: Research article

    Published on:

    The Research article to this article has been published in BMC Health Services Research 2020 20:578

  38. Multidisciplinary Cancer Conferences (MCCs) are prospective meetings involving cancer specialists to discuss treatment plans for patients with cancer. Despite reported gaps in MCC quality, there have been few ...

    Authors: Christine Fahim, Anita Acai, Meghan M. McConnell, Frances C. Wright, Ranil R. Sonnadara and Marko Simunovic

    Citation: BMC Health Services Research 2020 20:578

    Content type: Research article

    Published on:

    The Research article to this article has been published in BMC Health Services Research 2020 20:579

  39. Quality of care depends on system, facility, provider, and client-level factors. We aimed at examining structural and process quality of services for sick children and its association with client satisfaction ...

    Authors: Theodros Getachew, Solomon Mekonnen Abebe, Mezgebu Yitayal, Lars Åke Persson and Della Berhanu

    Citation: BMC Health Services Research 2020 20:574

    Content type: Research article

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  40. Incompleteness and illegibility of prescriptions are prescription errors that account for a high proportion of medication errors that could potentially result in serious adverse effects. Thus, the objective of...

    Authors: Dawit G. Weldemariam, Nebyu Daniel Amaha, Nuru Abdu and Eyasu H. Tesfamariam

    Citation: BMC Health Services Research 2020 20:570

    Content type: Research article

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  41. In the post-anesthesia care unit in our hospital, selected postoperative patients receive care from anesthesiologists and nursing staff if these patients require intensive hemodynamic monitoring or treatment t...

    Authors: Bart van Tunen, Markus Klimek, Karin Leendertse-Verloop and Robert J. Stolker

    Citation: BMC Health Services Research 2020 20:566

    Content type: Research article

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  42. This study aimed to reveal the effects of the connectedness of primary health care (PHC) workers in social networks on their job burnout.

    Authors: Yiqing Mao, Hang Fu, Zhanchun Feng, Da Feng, Xiaoyu Chen, Jian Yang and Yuanqing Li

    Citation: BMC Health Services Research 2020 20:557

    Content type: Research article

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  43. Caregiver burden is the emotional, physical, practical, and/or financial burden associated with taking care of a patient with a chronic condition. Limited literature on caregiver burden in Inflammatory Bowel D...

    Authors: Aria Zand, Brian J. Kim, Welmoed K. van Deen, Zachary Stokes, Anya Platt, Shelby O’Hara, Harrison Khong and Daniel W. Hommes

    Citation: BMC Health Services Research 2020 20:556

    Content type: Research article

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  44. The aim of this study is to a propose a standardized methodology to identify a list of cost objects that can be used by any ED to compute costs considering that the resulting data must facilitate unit manageme...

    Authors: Verónica Fuentes-Cáceres, Liliana Neriz, Alicia Núñez-Mondaca and Ricardo Mateo

    Citation: BMC Health Services Research 2020 20:550

    Content type: Research article

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  45. Substantial improvements have been observed in coverage and access to maternal health services in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study aimed to assess the level...

    Authors: Kiros Fenta Ajemu and Alem Desta

    Citation: BMC Health Services Research 2020 20:547

    Content type: Research article

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  46. In the course of producing a patient safety toolkit for primary care, we identified the need for a concise safe-systems checklist designed to address areas of patient safety which are under-represented in mand...

    Authors: Ian Litchfield, Rachel Spencer, Brian G. Bell, Anthony Avery, Katherine Perryman, Kate Marsden, Sheila Greenfield and Stephen Campbell

    Citation: BMC Health Services Research 2020 20:544

    Content type: Research article

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  47. The Patient Assessment of Chronic Illness Care plus is used in order to assess whether provided care is congruent with the Chronic Care Model, according to patients. The purpose of this study was to correlate ...

    Authors: Maria Malliarou, Christina Desikou, Eleni Lahana, Styliani Kotrotsiou, Theodosios Paralikas, Athanasios Nikolentzos, Evangelia Kotrotsiou and Pavlos Sarafis

    Citation: BMC Health Services Research 2020 20:543

    Content type: Research article

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