Skip to main content

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.

Page 1 of 29

  1. Defining HIV-related stigma (HRS) can be problematic due to structural inequalities, cultural differences, discrimination by health care providers and the limitations of tools measuring stigma for people livin...

    Authors: Bahram Armoon, Peter Higgs, Marie-Josée Fleury, Amir-Hossien Bayat, Ladan Fattah Moghaddam, Azadeh Bayani and Yadollah Fakhri

    Citation: BMC Health Services Research 2021 21:1004

    Content type: Research article

    Published on:

  2. We propose a mathematical model formulated as a finite-horizon Markov Decision Process (MDP) to allocate capacity in a radiology department that serves different types of patients. To the best of our knowledge...

    Authors: Rodolfo Benedito Zattar da Silva, Flávio Sanson Fogliatto, André Krindges and Moiseis dos Santos Cecconello

    Citation: BMC Health Services Research 2021 21:968

    Content type: Research article

    Published on:

  3. This study aims to describe the validation and optimization of a new instrument designed to comprehensively measure and evaluate the quality of care in nursing homes; the Quality Evaluation Questionnaires for Nur...

    Authors: Mattanja Triemstra, Juliane Menting and Bellis van den Berg

    Citation: BMC Health Services Research 2021 21:961

    Content type: Research article

    Published on:

  4. Intense and aggressive treatment regimens for most children’s cancer have achieved vast improvements in survival but are also responsible for both a high number and burden of symptoms. The use of Patient Repor...

    Authors: Natalie Bradford, Paula Condon, Erin Pitt, Zephanie Tyack and Kimberly Alexander

    Citation: BMC Health Services Research 2021 21:942

    Content type: Study protocol

    Published on:

  5. Language is a barrier to many patients from refugee backgrounds accessing and receiving quality primary health care. This paper examines the way general practices address these barriers and how this changed fo...

    Authors: Shoko Saito, Mark F Harris, Katrina M Long, Virginia Lewis, Sue Casey, William Hogg, I-Hao Cheng, Jenny Advocat, Geraldine Marsh, Nilakshi Gunatillaka and Grant Russell

    Citation: BMC Health Services Research 2021 21:921

    Content type: Research article

    Published on:

  6. Occasions of self-discharge from health services before being seen by a health profession or against medical advice are often used by health systems as an indicator of quality care. People self-discharge becau...

    Authors: Deborah A. Askew, Wendy Foley, Corey Kirk and Daniel Williamson

    Citation: BMC Health Services Research 2021 21:907

    Content type: Research article

    Published on:

  7. The Well Now health and weight course teaches body respect and health gain for all. The course validates peoples’ lived experiences and knowledge through group activities and discussion with the aim of helping...

    Authors: Fiona Clarke, Daryll Archibald, Valerie MacDonald, Sara Huc and Christina Ellwood

    Citation: BMC Health Services Research 2021 21:892

    Content type: Research article

    Published on:

  8. Using patient audio recordings of medical visits to provide clinicians with feedback on their attention to patient life context in care planning can improve health care delivery and outcomes, and reduce costs....

    Authors: Sherry L. Ball, Saul J. Weiner, Alan Schwartz, Lisa Altman, Amy Binns-Calvey, Carolyn Chan, Corinna Falck-Ytter, Meghana Frenchman, Bryan Gee, Jeffrey L. Jackson, Neil Jordan, Benjamin Kass, Brendan Kelly, Nasia Safdar, Cecilia Scholcoff, Gunjan Sharma…

    Citation: BMC Health Services Research 2021 21:891

    Content type: Research article

    Published on:

  9. In the scientific literature, many studies describe the application of lean methodology in the hospital setting. Most of the articles focus on the results rather than on the approach adopted to introduce the l...

    Authors: Angelo Rosa, Giuliano Marolla, Federico Lega and Francesco Manfredi

    Citation: BMC Health Services Research 2021 21:889

    Content type: Research article

    Published on:

  10. To provide value-based care for patients with multi-morbidity, innovative integrated care programmes and comprehensive evaluations of such programmes are required. In Norway, a new programme called “Holistic C...

    Authors: M. Kamrul Islam, Sabine Ruths, Kristian Jansen, Runa Falck, Maureen Rutten-van Mölken and Jan Erik Askildsen

    Citation: BMC Health Services Research 2021 21:884

    Content type: Research article

    Published on:

  11. The aim of this study is to describe the adherence to the Bedside Pediatric Early Warning System (BedsidePEWS) escalation protocol in children admitted to hospital wards in a large tertiary care children’s hos...

    Authors: Orsola Gawronski, Federico Ferro, Corrado Cecchetti, Marta Ciofi Degli Atti, Immacolata Dall’Oglio, Emanuela Tiozzo and Massimiliano Raponi

    Citation: BMC Health Services Research 2021 21:852

    Content type: Research article

    Published on:

  12. First studies indicate that up to 6 months after hospital discharge, coronavirus disease 2019 (COVID-19) causes severe physical, cognitive, and psychological impairments, which may affect participation and hea...

    Authors: L. Martine Bek, Julia C. Berentschot, Merel E. Hellemons, Susanne M. Huijts, Joachim G. J. V. Aerts, Jasper van Bommel, Michel E. van Genderen, Diederik A. M. P. J. Gommers, Gerard M. Ribbers, Majanka H. Heijenbrok-Kal and Rita J. G. van den Berg-Emons

    Citation: BMC Health Services Research 2021 21:847

    Content type: Study protocol

    Published on:

  13. Ensuring patients receive an effective dose of therapeutic exercises and activities is a significant challenge for inpatient rehabilitation. My Therapy is a self-management program which encourages independent...

    Authors: Natasha K. Brusco, Christina L. Ekegren, Nicholas F. Taylor, Keith D. Hill, Annemarie L. Lee, Lisa Somerville, Natasha A. Lannin, Derick Wade, Rania Abdelmotaleb, Libby Callaway, Sara L. Whittaker and Meg E. Morris

    Citation: BMC Health Services Research 2021 21:811

    Content type: Study protocol

    Published on:

    The Correction to this article has been published in BMC Health Services Research 2021 21:977

  14. Quality improvement (QI) is used in nursing homes (NH) to implement and sustain improvements in patient outcomes. Little is known about how QI strategies are used in NHs. This lack of information is a barrier ...

    Authors: Mark Toles, Cathleen Colón-Emeric, Elizabeth Moreton, Lauren Frey and Jennifer Leeman

    Citation: BMC Health Services Research 2021 21:803

    Content type: Research article

    Published on:

  15. Social support plays a critical role in physical and emotional health, making it an important component of community health worker (CHW) health promotion interventions. Different types of support operate in di...

    Authors: Maia Ingram, Kiera Coulter, Kevin Doubleday, Cynthia Espinoza, Floribella Redondo, Ada M. Wilkinson-Lee, Abby M. Lohr and Scott C. Carvajal

    Citation: BMC Health Services Research 2021 21:793

    Content type: Research article

    Published on:

  16. Clients must recall information from contraceptive counseling sessions to properly use their chosen method. Client recall in community-based settings is challenging given the public nature of these events and ...

    Authors: Rebecca E. Rosenberg, Pierre Z. Akilimali, Julie H. Hernandez and Jane T. Bertrand

    Citation: BMC Health Services Research 2021 21:784

    Content type: Research article

    Published on:

  17. Hypertension accounts for the greatest burden of disease worldwide, yet hypertension awareness and control rates are suboptimal, especially within low- and middle-income countries. Guidelines can enable consis...

    Authors: Amelia Kataria Golestaneh, Jonathan M Clarke, Nicholas Appelbaum, Carmen Rodriguez Gonzalvez, Arun P Jose, Richu Philip, Neil R Poulter and Thomas Beaney

    Citation: BMC Health Services Research 2021 21:767

    Content type: Research article

    Published on:

  18. Healthcare work is known to be stressful and challenging, and there are recognised links between the psychological health of staff and high-quality patient care. Schwartz Center Rounds® (Rounds) were developed...

    Authors: J. Maben, C. Taylor, E. Reynolds, I. McCarthy and M. Leamy

    Citation: BMC Health Services Research 2021 21:709

    Content type: Research article

    Published on:

  19. Reducing the economic impact of hip fractures (HF) is a global issue. Some efforts aimed at curtailing costs associated with HF include rehabilitating patients within primary care. Little, however, is known ab...

    Authors: Rina Moe Fosse, Eliva Atieno Ambugo, Tron Anders Moger, Terje P. Hagen and Trond Tjerbo

    Citation: BMC Health Services Research 2021 21:678

    Content type: Research article

    Published on:

  20. The novel coronavirus disease 2019 (COVID-19) pandemic has become a challenge for nursing homes in China. Nursing homes are particularly dangerous places in terms of the spread of COVID-19 given that they hous...

    Authors: Meihong Shi, Fengying Zhang, Xinxin He, Siyuan Huang, Mingfeng Zhang and Xiuying Hu

    Citation: BMC Health Services Research 2021 21:641

    Content type: Research article

    Published on:

  21. Patient blood management (PBM) describes a set of evidence-based practices to optimize medical and surgical patient outcomes by clinically managing and preserving a patient’s own blood. This concepts aims to d...

    Authors: Axel Hofmann, Donat R. Spahn and Anke-Peggy Holtorf

    Citation: BMC Health Services Research 2021 21:634

    Content type: Research article

    Published on:

  22. The integration of Patient Reported Outcome Measures (PROMs) into clinical care presents many challenges for health systems. PROMs provide quantitative data regarding patient-reported health status. However, t...

    Authors: Maggie E. Horn, Emily K. Reinke, Richard C. Mather, Jonathan D. O’Donnell and Steven Z. George

    Citation: BMC Health Services Research 2021 21:626

    Content type: Research article

    Published on:

  23. A key characteristic of healthcare systems that deliver high quality and cost performance in a sustainable way is a systematic approach to capacity and capability building for quality improvement. The aim of t...

    Authors: Peter D. Hibbert, Martin Basedow, Jeffrey Braithwaite, Louise K. Wiles, Robyn Clay-Williams and Robert Padbury

    Citation: BMC Health Services Research 2021 21:588

    Content type: Research article

    Published on:

  24. Health care funding reforms are being used worldwide to improve system performance but may invoke unintended consequences. We assessed the effects of introducing a targeted hospital funding model, based on fix...

    Authors: Daniel Pincus, Jessica Widdifield, Karen S. Palmer, J. Michael Paterson, Alvin Li, Anjie Huang, David Wasserstein, Lauren Lapointe-Shaw, Adalsteinn Brown, Monica Taljaard and Noah M. Ivers

    Citation: BMC Health Services Research 2021 21:576

    Content type: Research article

    Published on:

  25. 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

    Published on:

  26. 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

    Published on:

  27. 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

    Published on:

  28. 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

    Published on:

  29. 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

    Published on:

  30. 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

    Published on:

  31. 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

    Published on:

  32. 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

    Published on:

  33. 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

    Published on:

  34. 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

    Published on:

  35. 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

    Published on:

  36. 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

    Published on:

  37. 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

    Published on:

  38. 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

    Published on:

  39. 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

    Published on:

  40. 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

    Published on:

  41. 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

    Published on:

  42. 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

    Published on:

  43. 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

    Published on:

  44. 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

    Published on:

  45. 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

    Published on:

  46. 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

    Published on:

  47. 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

    Published on:

  48. 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

    Published on: