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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. Content type: Research article

    The Floresco integrated service model was designed to address the fragmentation of community mental health treatment and support services. Floresco was established in Queensland, Australia, by a consortium of ...

    Authors: Diana Beere, Imogen S. Page, Sandra Diminic and Meredith Harris

    Citation: BMC Health Services Research 2019 19:691

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  2. Content type: Research article

    The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. Furtherm...

    Authors: Søren Valgreen Knudsen, Henrik Vitus Bering Laursen, Søren Paaske Johnsen, Paul Daniel Bartels, Lars Holger Ehlers and Jan Mainz

    Citation: BMC Health Services Research 2019 19:683

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  3. Content type: Research article

    Person-centred care (PCC) focusing on personalised goals and care plans derived from “What matters to you?” has an impact on single disease outcomes, but studies on multi-morbid elderly are lacking. Furthermor...

    Authors: G. K. R. Berntsen, M. Dalbakk, J. S. Hurley, T. Bergmo, B. Solbakken, L. Spansvoll, J. G. Bellika, S. O. Skrøvseth, T. Brattland and M. Rumpsfeld

    Citation: BMC Health Services Research 2019 19:682

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  4. Content type: Research article

    Little research exists on patient safety climate in the prehospital context. The purpose of this article is to test and validate a safety climate measurement model for the prehospital environment, and to explo...

    Authors: Leif Inge K. Sørskår, Espen Olsen, Eirik B. Abrahamsen, Gunnar Tschudi Bondevik and Håkon B. Abrahamsen

    Citation: BMC Health Services Research 2019 19:674

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  5. Content type: Research article

    Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches c...

    Authors: Celeste van Rinsum, Sanne Gerards, Geert Rutten, Madelon Johannesma, Ien van de Goor and Stef Kremers

    Citation: BMC Health Services Research 2019 19:667

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  6. Content type: Debate

    Updating, improving and spreading the evidence base for healthcare practices has proven to be a challenge of considerable magnitude – a wicked, multi-dimensional problem. There are many interlinked factors whi...

    Authors: Hanna Augustsson, Kate Churruca and Jeffrey Braithwaite

    Citation: BMC Health Services Research 2019 19:666

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  7. Content type: Research article

    Although opioid agonist therapy is effective in treating opioid use disorders (OUD), retention in opioid agonist therapy is suboptimal, in part, due to quality of care issues. Therefore, we sought to describe ...

    Authors: Laura Beamish, Zach Sagorin, Cole Stanley, Krista English, Rana Garelnabi, Danielle Cousineau, Rolando Barrios and Jan Klimas

    Citation: BMC Health Services Research 2019 19:663

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  8. Content type: Study protocol

    The first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medica...

    Authors: Amanda S. Mixon, G. Randy Smith Jr, Meghan Mallouk, Harry Reyes Nieva, Sunil Kripalani, Stephanie Rennke, Eugene Chu, Anirudh Sridharan, Anuj Dalal, Stephanie Mueller, Mark Williams, Tosha Wetterneck, Jason M. Stein, Deonni Stolldorf, Eric Howell, John Orav…

    Citation: BMC Health Services Research 2019 19:659

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  9. Content type: Research article

    Conducting post-fall huddles is considered an integral component of a fall-risk-reduction program. However, there is no evidence linking post-fall huddles to patient outcomes or perceptions of teamwork and saf...

    Authors: Katherine J. Jones, John Crowe, Joseph A. Allen, Anne M. Skinner, Robin High, Victoria Kennel and Roni Reiter-Palmon

    Citation: BMC Health Services Research 2019 19:650

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  10. Content type: Research article

    Value-based healthcare (VBHC) is a concept that focuses on outcome measurement to contribute to quality improvement. However, VBHC does not offer a systematic approach for implementing improvement as implement...

    Authors: Nina Zipfel, Paul B. van der Nat, Benno J. W. M. Rensing, Edgar J. Daeter, Gert P. Westert and A. Stef Groenewoud

    Citation: BMC Health Services Research 2019 19:643

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  11. Content type: Research article

    Medication errors are a serious and complex problem in clinical practice, especially in intensive care units whose patients can suffer potentially very serious consequences because of the critical nature of th...

    Authors: Juan Escrivá Gracia, Ricardo Brage Serrano and Julio Fernández Garrido

    Citation: BMC Health Services Research 2019 19:640

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  12. Content type: Research article

    The Australian Commission on Safety and Quality in Health Care released a set of national standards which became a mandatory part of accreditation in 2013. Standard 9 focuses on the identification and treatmen...

    Authors: Matthew H. Anstey, Alice Bhasale, Nicola J. Dunbar and Heather Buchan

    Citation: BMC Health Services Research 2019 19:639

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  13. Content type: Research article

    The Choosing Wisely campaign has spread to many countries. Methods for developing recommendations are inconsistent. We describe our process of developing such recommendations from a comprehensive national set ...

    Authors: Raija Sipilä, Marjukka Mäkelä and Jorma Komulainen

    Citation: BMC Health Services Research 2019 19:638

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  14. Content type: Research article

    Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addr...

    Authors: Lise Husby Høvik, Kari Hanne Gjeilo, Stian Lydersen, Claire M. Rickard, Benedikte Røtvold, Jan Kristian Damås, Erik Solligård and Lise Tuset Gustad

    Citation: BMC Health Services Research 2019 19:636

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  15. Content type: Research article

    Due to stagnating resources and an increase in staff workload, the quality of Finnish primary health care (PHC) is claimed to have deteriorated slowly. With a decentralised PHC organisation and lack of nationa...

    Authors: Markku Satokangas, Sonja Lumme, Martti Arffman and Ilmo Keskimäki

    Citation: BMC Health Services Research 2019 19:629

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  16. Content type: Research article

    Hospital accreditation is expected to improve health care quality and patient satisfaction. However, little and conflicting evidence is currently available to support its effect on patient outcomes, particular...

    Authors: Ellie Bostwick Andres, Wen Song, Wei Song and Janice Mary Johnston

    Citation: BMC Health Services Research 2019 19:623

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  17. Content type: Research article

    Medical errors are considered as a major threat to patient safety. To clarify medical errors’ status in Iran, a review was conducted to estimate the accurate prevalence of medical errors.

    Authors: Siavash Vaziri, Farya Fakouri, Maryam Mirzaei, Mandana Afsharian, Mohsen Azizi and Morteza Arab-Zozani

    Citation: BMC Health Services Research 2019 19:622

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  18. Content type: Research article

    To establish which major disorders are susceptible to increased mortality following acute admissions on weekends, compared with week days, and how this may be explained.

    Authors: Stephen E. Roberts, Ann John, Keir E. Lewis, Jonathan Brown, Ronan A. Lyons and John G. Williams

    Citation: BMC Health Services Research 2019 19:619

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  19. Content type: Research article

    The aim was to determine the feasibility of implementing a patient safety survey which measures patients’ experiences of their own safety relating to a care transition. This included limited-efficacy testing, det...

    Authors: Jason Scott, Emily Heavey, Justin Waring, Aoife De Brún and Pamela Dawson

    Citation: BMC Health Services Research 2019 19:613

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  20. Content type: Research article

    Reuse of injection devices to give healthcare injections decreased from 39.8 to 5.5% between 2000 and 2010, but trends since 2011 have not been described. We reviewed results of Demographic and Health Surveys ...

    Authors: Tomoyuki Hayashi, Yvan J.-F. Hutin, Marc Bulterys, Arshad Altaf and Benedetta Allegranzi

    Citation: BMC Health Services Research 2019 19:600

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  21. Content type: Research article

    No validated instruments for the evaluation of patient satisfaction in colposcopy do exist. Therefore, this study reports on the development of a Patient’s Experience and Attitude to Colposcopy questionnaire.

    Authors: Victor J. M. Pop, Tirza Wouters, Ruud L. M. Bekkers, Viola R. M. Spek and Jurgen M. J. Piek

    Citation: BMC Health Services Research 2019 19:589

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  22. Content type: Research article

    A number of parents in neonatal care are foreign-born and do not speak the local language, which makes communication between healthcare professionals and parents more difficult. Interpreters can be used when l...

    Authors: Katarina Patriksson, Helena Wigert, Marie Berg and Stefan Nilsson

    Citation: BMC Health Services Research 2019 19:586

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  23. Content type: Research article

    The study evaluates Performance Measures (PMs) for Juvenile Idiopathic Arthritis (JIA): The percentage of patients with new onset JIA with at least one visit to a pediatric rheumatologist in the first year of ...

    Authors: Claire E.H. Barber, Lisa M. Lix, Diane Lacaille, Deborah A. Marshall, Kristine Kroeker, Susanne Benseler, Marinka Twilt, Heinrike Schmeling, Cheryl Barnabe, Glen S. Hazlewood, Vivian Bykerk, Joanne Homik, J. Carter Thorne, Jennifer Burt, Dianne Mosher, Steven Katz…

    Citation: BMC Health Services Research 2019 19:572

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  24. Content type: Research article

    Some of the advantages of implementing electronic emergency department information systems (EDIS) are improvements in data availability and simplification of statistical evaluations of emergency department (ED...

    Authors: Benjamin Lucas, Peter Schladitz, Wiebke Schirrmeister, Gerald Pliske, Felix Walcher, Martin Kulla and Dominik Brammen

    Citation: BMC Health Services Research 2019 19:558

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  25. Content type: Research article

    Employees insured in pension insurance, who are incapable of working due to ill health, are entitled to a disability pension. To assess whether an individual meets the medical requirements to be considered as ...

    Authors: André Strahl, Christian Gerlich, Georg W. Alpers, Jörg Gehrke, Annette Müller-Garnn and Heiner Vogel

    Citation: BMC Health Services Research 2019 19:556

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  26. Content type: Research article

    Adverse drug events (ADEs) that occur during hospitalization are an ongoing medical concern. Systematic strategies for ADE identification are lacking. The aim of this study was to evaluate the potential to ide...

    Authors: Nils Kuklik, Jürgen Stausberg, Marjan Amiri and Karl-Heinz Jöckel

    Citation: BMC Health Services Research 2019 19:555

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  27. Content type: Research article

    As the effect of opioid maintenance treatment (OMT) on overdose mortality varies both between and within countries, treatment programs need to be evaluated in different treatment settings and over time within ...

    Authors: Anne Bukten, Marianne Riksheim Stavseth and Thomas Clasuen

    Citation: BMC Health Services Research 2019 19:553

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  28. Content type: Research article

    Providing safe care helps to reduce mortality, morbidity, length of hospital stay and cost. Patient safety is highly linked to attitudes of health care providers, where those with more positive attitudes achie...

    Authors: Nasser Ibrahim Abu-El-Noor, Mysoon Khalil Abu-El-Noor, Yousef Zuheir Abuowda, Maha Alfaqawi and Bettina Böttcher

    Citation: BMC Health Services Research 2019 19:550

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  29. Content type: Research article

    Analysis of Medicare data is often used to determine epidemiology, healthcare utilization and effectiveness of disease treatments. We were interested in whether Medicare data could be used to estimate prevalen...

    Authors: Shawn P. E. Nishi, Jie Zhou, Young-Fang Kuo, Gulshan Sharma and James Goodwin

    Citation: BMC Health Services Research 2019 19:548

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  30. Content type: Research article

    Effective hand hygiene is one of the most important measures for protecting nursing home residents from nosocomial infections. Infections with multi-resistant bacteria’s, associated with healthcare, is a known...

    Authors: Judith Hammerschmidt and Tanja Manser

    Citation: BMC Health Services Research 2019 19:547

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  31. Content type: Research article

    In Germany, patients receiving oral anticoagulation (OAC) are often treated by general practitioners (GPs), and large proportions of patients receive vitamin K antagonists (VKAs). The quality of OAC in German ...

    Authors: Cornelia Mertens, Andrea Siebenhofer, Andrea Berghold, Gudrun Pregartner, Lisa-Rebekka Ulrich, Karola Mergenthal, Birgit Kemperdick, Sylvia Schulz-Rothe, Sandra Rauck, Sebastian Harder, Ferdinand Michael Gerlach and Juliana Johanna Petersen

    Citation: BMC Health Services Research 2019 19:539

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  32. Content type: Research article

    In France, general practitioners (GPs) perform out-of-hours home visits (OOH-HVs) after physician-led telephone triage at the emergency call centre. The quality of a systematic physician-led triage has not bee...

    Authors: Matthieu Heidet, Florence Canoui-Poitrine, François Revaux, Thomas Perennou, Maeva Bertin, Charles Binetruy, Julien Palazzi, Eric Tapiero, Michel Nguyen, Paul-Georges Reuter, Eric Lecarpentier, Julien Vaux and Jean Marty

    Citation: BMC Health Services Research 2019 19:531

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  33. Content type: Research article

    This study provides an empirical test of the reasoned action approach (RAA) socio-cognitive theory with the aim of 1) predicting the intention of public dental health personnel (PDHP) to report suspected child...

    Authors: Ingfrid Vaksdal Brattabø, Ragnhild Bjørknes, Kyrre Breivik and Anne Nordrehaug Åstrøm

    Citation: BMC Health Services Research 2019 19:507

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  34. Content type: Research article

    The transition of older patients (over 65 years of age) from hospital to their own home is a time when patients are at high risk. No measure currently exists to assess the experience, quality and safety of car...

    Authors: Eirini Oikonomou, Eleanor Chatburn, Helen Higham, Jenni Murray, Rebecca Lawton and Charles Vincent

    Citation: BMC Health Services Research 2019 19:505

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  35. Content type: Research article

    Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as “high-performing”, but no consistently-applied approach ...

    Authors: Sangeeta C. Ahluwalia, Cheryl L. Damberg, Ann Haas and Paul G. Shekelle

    Citation: BMC Health Services Research 2019 19:500

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  36. Content type: Research article

    Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions o...

    Authors: Myoung Soo Kim and Chul-Hoon Kim

    Citation: BMC Health Services Research 2019 19:495

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  37. Content type: Research article

    The Institute for Healthcare Improvement identifies medication reconciliation as the shared responsibility of nurses, pharmacists, and physicians, where each has a defined role. The study aims to assess the cl...

    Authors: Lamis R. Karaoui, Nibal Chamoun, Jessica Fakhir, Wael Abi Ghanem, Sarah Droubi, Abdul Rahman Diab Marzouk, Nabila Droubi, Hiba Masri and Elsy Ramia

    Citation: BMC Health Services Research 2019 19:493

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  38. Content type: Research article

    The Nursing Home Survey on Patient Safety Culture (NHSOPS) questionnaire was developed by the Agency for Healthcare Research and Quality (AHRQ), particularly as an intervention to raise staff awareness about p...

    Authors: Delphine Teigné, Guillaume Mabileau, Emmanuelle Anthoine, Marion Lucas, Brice Leclère, Leila Moret and Noémie Terrien

    Citation: BMC Health Services Research 2019 19:490

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  39. Content type: Research article

    Health utility assessments are important for economic evaluations but few instruments have been validated in homeless people with mental illness. We examined the convergent validity of the EuroQol-5 Dimension ...

    Authors: Nicole Kozloff, Andrew D. Pinto, Vicky Stergiopoulos, Stephen W. Hwang, Patricia O’Campo and Ahmed M. Bayoumi

    Citation: BMC Health Services Research 2019 19:482

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  40. Content type: Research article

    Intimate partner violence (IPV) is associated with adverse health effects and increased healthcare utilization. Systems-level interventions have been shown to be effective in identifying and referring survivor...

    Authors: Cari Jo Clark, Martha Wetzel, Lynette M. Renner and Mary E. Logeais

    Citation: BMC Health Services Research 2019 19:479

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  41. Content type: Research article

    The use of medication abortion is increasing rapidly in India, the majority of which is purchased through pharmacies. More information is needed about the quality of services provided by pharmacist about medic...

    Authors: Nadia Diamond-Smith, Joanna Percher, Malvika Saxena, Pravesh Dwivedi and Aradhana Srivastava

    Citation: BMC Health Services Research 2019 19:476

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  42. Content type: Research article

    Measuring and reporting outcome data is fundamental for health care systems to drive improvement. Our electronic health record built a dashboard that allows each primary care provider (PCP) to view real-time p...

    Authors: Patrick A. Twohig, Jaclyn R. Rivington, Douglas Gunzler, Joseph Daprano and David Margolius

    Citation: BMC Health Services Research 2019 19:475

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  43. Content type: Research article

    Since 2014, the Burkina Faso government has made Seasonal Malaria Chemoprevention (SMC) a priority in its strategic plan to fight against malaria among children aged from 3 to 59 months. Very few studies have ...

    Authors: Gountante Kombate, Georges Guiella, Banza Baya, Luc Serme, Alice Bila, Slim Haddad and Abel Bicaba

    Citation: BMC Health Services Research 2019 19:472

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  44. Content type: Research article

    MOREOB (Managing Obstetrical Risk Efficiently) is a patient safety program for health care providers and administrators in hospital obstetric units. MOREOB has been implemented widely in Canada and gradually spre...

    Authors: Jessica Reszel, Deborah Weiss, Ann E. Sprague, Deshayne B. Fell, Sandra Dunn, Mark C. Walker, Dana Sidney, Monica Taljaard and Wendy E. Peterson

    Citation: BMC Health Services Research 2019 19:460

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  45. Content type: Research article

    A psychometrically robust measurement instrument is prerequisite to tailor and monitor interventions aiming to improve evidence-based practice (EBP). The recently developed “Evidence-based Practice Inventory” ...

    Authors: Tobias Braun, Katja Ehrenbrusthoff, Carolin Bahns, Lisa Happe and Christian Kopkow

    Citation: BMC Health Services Research 2019 19:455

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  46. Content type: Research article

    It is critical to understand whether providing health insurance coverage, assigning a dedicated Primary Care Physician (PCP), and arranging timely post-Emergency Department (ED) clinic follow-up can improve co...

    Authors: Chet D. Schrader, Richard D. Robinson, Somer Blair, Sajid Shaikh, Amy F. Ho, James P. D’Etienne, Jessica J. Kirby, Radhika Cheeti, Nestor R. Zenarosa and Hao Wang

    Citation: BMC Health Services Research 2019 19:451

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  47. Content type: Research article

    Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin A...

    Authors: Christoper A. Alarcon-Ruiz, Paula Heredia and Alvaro Taype-Rondan

    Citation: BMC Health Services Research 2019 19:439

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  48. Content type: Research article

    Patient safety culture involves leader and staff interaction, routines, attitudes, practices and awareness that influence risks of adverse events in patient care. The Safety Attitudes Questionnaire (SAQ) is an...

    Authors: Gunnar Tschudi Bondevik, Dag Hofoss, Bettina Sandgathe Husebø and Ellen Catharina Tveter Deilkås

    Citation: BMC Health Services Research 2019 19:423

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