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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal and Howard Degenholtz

This section aims to publish studies on healthcare quality practice and improving patient care and its safety. The section also accepts articles on changes in the health status of an individual, group or population resulting from interventions of the health care team.

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  1. Content type: Research article

    The Kenyan Ministry of Health- Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end an integrated quality management system based on valida...

    Authors: Michael Marx, Christine Nitschke, Maureen Nafula, Mabel Nangami, Marc Brodowski, Irmgard Marx, Helen Prytherch, Charles Kandie, Irene Omogi, Friederike Paul-Fariborz and Joachim Szecsenyi

    Citation: BMC Health Services Research 2018 18:246

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  2. Content type: Research article

    As individuals age, they are more likely to experience increasing frailty and more frequent use of hospital services. First, we explored whether initiating home-based primary care in a frail homebound cohort, ...

    Authors: Margaret J. McGregor, Michelle B. Cox, Jay M. Slater, Jeff Poss, Kimberlyn M. McGrail, Lisa A. Ronald, John Sloan and Michael Schulzer

    Citation: BMC Health Services Research 2018 18:248

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  3. Content type: Research article

    Beginning in 2012, Lean was introduced to improve health care quality and promote patient-centredness throughout the province of Saskatchewan, Canada with the aim of producing coordinated, system-wide change. ...

    Authors: Donna Goodridge, Masud Rana, Elizabeth L. Harrison, Thomas Rotter, Roy Dobson, Gary Groot, Sonia Udod and Joshua Lloyd

    Citation: BMC Health Services Research 2018 18:237

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  4. Content type: Research article

    Users of care services are increasingly participating in inspections of the quality of care. In practice, incorporating service users’ views is difficult, as users may have other views on good care than inspec...

    Authors: Suzanne Rutz, Hester van de Bovenkamp, Simone Buitendijk, Paul Robben and Antoinette de Bont

    Citation: BMC Health Services Research 2018 18:226

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  5. Content type: Research article

    Informal caregivers’ (CGs’) subjective burden is an important aspect of the care situation because it is linked to various outcomes such as health, mortality risk, institutionalization, and caregiving style. T...

    Authors: Anna Pendergrass, Cintia Malnis, Uta Graf, Sabine Engel and Elmar Graessel

    Citation: BMC Health Services Research 2018 18:229

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  6. Content type: Research article

    Young people living in remote Australian Aboriginal communities experience high rates of sexually transmissible infections (STIs). STRIVE (STIs in Remote communities, ImproVed and Enhanced primary care) was a ...

    Authors: Belinda Hengel, Stephen Bell, Linda Garton, James Ward, Alice Rumbold, Debbie Taylor-Thomson, Bronwyn Silver, Skye McGregor, Amalie Dyda, Janet Knox, Rebecca Guy, Lisa Maher and John Martin Kaldor

    Citation: BMC Health Services Research 2018 18:230

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  7. Content type: Research article

    Patient’s satisfaction occurs when patients feel their needs and expectations are being meet by the service delivery they receive in health institutions. The Objective of this research was to assess HIV/AIDS p...

    Authors: Kiflay Gebremariam Atsebeha and Daniel Haile Chercos

    Citation: BMC Health Services Research 2018 18:223

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  8. Content type: Research article

    The experience of having their new-borns admitted to an intensive care unit (NICU) can be extremely distressing. Subsequent risk of post-incident-adjustment difficulties are increased for parents, siblings, an...

    Authors: Inger Hilde Hagen, Marit Følsvik Svindseth, Erik Nesset, Roderick Orner and Valentina Cabral Iversen

    Citation: BMC Health Services Research 2018 18:222

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  9. Content type: Research article

    The role of the “debrief” to address issues related to patient safety and systematic flaws in care is frequently overlooked. In our study, we interview surgical leaders who have developed successful strategies...

    Authors: Mary E. Brindle, Natalie Henrich, Andrew Foster, Stanley Marks, Michael Rose, Robert Welsh and William Berry

    Citation: BMC Health Services Research 2018 18:210

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  10. Content type: Research article

    Hypertension (HT) is a major risk factor, and accessible and effective HT screening services are necessary. The effective coverage framework is an assessment tool that can be used to assess health service perf...

    Authors: Kulpimol Charoendee, Jiruth Sriratanaban, Wichai Aekplakorn and Piya Hanvoravongchai

    Citation: BMC Health Services Research 2018 18:208

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  11. Content type: Research article

    Despite strong evidence for beta-blockers and angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) in chronic heart failure (CHF), they have been under-utilised especially in ...

    Authors: Chong Chyn Chua, Anastasia Hutchinson, Mark Tacey, Sumit Parikh, Wen Kwang Lim and Craig Aboltins

    Citation: BMC Health Services Research 2018 18:206

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  12. Content type: Research article

    Population-based patterns of care studies are important for trauma care but conducting them is expensive and resource-intensive. Linkage of routinely collected administrative health data may provide an efficie...

    Authors: Jane Wu, Steven G. Faux, Christopher J. Poulos and Ian Harris

    Citation: BMC Health Services Research 2018 18:204

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  13. Content type: Debate

    Research in criminology and social-psychology supports the idea that visible signs of disorder, both physical and social, may perpetuate further disorder, leading to neighborhood incivilities, petty violations...

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

    Citation: BMC Health Services Research 2018 18:201

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  14. Content type: Research article

    The method, Swedish Physical Activity on Prescription (SPAP), has been launched in Swedish healthcare to promote physical activity for prevention and treatment of lifestyle related health disorders. Despite sc...

    Authors: Catharina Gustavsson, Maria Nordqvist, Kristina Bröms, Lars Jerdén, Lena V. Kallings and Lars Wallin

    Citation: BMC Health Services Research 2018 18:196

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  15. Content type: Research article

    Quality systems are believed to be positively related to quality and safety in healthcare. However, there is no convincing evidence for this relationship in the literature. This study aims to examine the assoc...

    Authors: Steffie M. van Schoten, Janneke Hoogervorst-Schilp, Peter P. Groenewegen, Peter Spreeuwenberg and Cordula Wagner

    Citation: BMC Health Services Research 2018 18:189

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  16. Content type: Research article

    Interventions to improve quality of care for residents of long-term care facilities, and to examine the sustainability and spread of such initiatives, remain a top research priority. The purpose of this explor...

    Authors: Lisa A. Cranley, Matthias Hoben, Jasper Yeung, Carole A. Estabrooks, Peter G. Norton and Adrian Wagg

    Citation: BMC Health Services Research 2018 18:174

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  17. Content type: Research article

    Involving patients in decisions about their pharmacotherapy is crucial for a satisfactory treatment outcome. Information and opinions about medicines are available from a variety of sources. The Wise List is t...

    Authors: Pia Bastholm-Rahmner, Lars L. Gustafsson, Kristina Aggefors, Kristina Ateva, Susanne Elfving, Jaran Eriksen, Malena Jirlow, Maria Juhasz-Haverinen, Rickard E. Malmström, Mahan Nikpour-Ardaly, Magnus Röjvall, Martina Vallin, Eva Andersén-Karlsson and Marie-Louise Ovesjö

    Citation: BMC Health Services Research 2018 18:176

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  18. Content type: Research article

    The surgical Safety Checklist (SSC) was introduced in 2008 to improve teamwork and reduce the mortality and morbidity associated with surgery. Although mandated in many health care institutions around the worl...

    Authors: Brigid M. Gillespie, Emma Harbeck, Joanne Lavin, Therese Gardiner, Teresa K. Withers and Andrea P. Marshall

    Citation: BMC Health Services Research 2018 18:170

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  19. Content type: Study protocol

    Moral Reconation Therapy (MRT) is a cognitive-behavioral intervention aimed at reducing risk for criminal recidivism by restructuring antisocial attitudes and cognitions (i.e., “criminogenic thinking”). MRT ha...

    Authors: Daniel M. Blonigen, Michael A. Cucciare, Christine Timko, Jennifer S. Smith, Autumn Harnish, Lakiesha Kemp, Joel Rosenthal and David Smelson

    Citation: BMC Health Services Research 2018 18:164

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  20. Content type: Research article

    Conducting patient safety culture assessments can provide hospitals with information on how structures and processes within their system can impact patient outcomes. This study used the Hospital Survey on Pati...

    Authors: Hayfaa Ali, Samaa Zenhom Ibrahem, Buthaina Al Mudaf, Talal Al Fadalah, Diana Jamal and Fadi El-Jardali

    Citation: BMC Health Services Research 2018 18:158

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  21. Content type: Research article

    Readmission of a patient to a hospital is typically associated with significant clinical changes in the patient’s condition, but it is unknown how healthcare workers modify their provision of care when conside...

    Authors: Priyadarshini R. Pennathur and Brennan S. Ayres

    Citation: BMC Health Services Research 2018 18:138

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  22. Content type: Research article

    The AGREE II instrument is the most commonly used guideline appraisal tool. It includes 23 appraisal criteria (items) organized within six domains. AGREE II also includes two overall assessments (overall guide...

    Authors: Wiebke Hoffmann-Eßer, Ulrich Siering, Edmund A. M. Neugebauer, Anne Catharina Brockhaus, Natalie McGauran and Michaela Eikermann

    Citation: BMC Health Services Research 2018 18:143

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  23. Content type: Research article

    To evaluate the performance of a novel triage system for Transient Ischemic Attack (TIA) units built upon an existent clinical prediction rule (CPR) to reduce time to unit arrival, relative to the time of symp...

    Authors: Maximilian B. Bibok, Kristine Votova, Robert F. Balshaw, Mary L. Lesperance, Nicole S. Croteau, Anurag Trivedi, Jaclyn Morrison, Colin Sedgwick and Andrew M. Penn

    Citation: BMC Health Services Research 2018 18:142

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  24. Content type: Research article

    Written Medicine Information (WMI) is one of the sources that patients use to obtain information concerning medicine. This paper aims to assess the readability of two types of WMIs in Arabic language based on ...

    Authors: Sinaa Al Aqeel, Norah Abanmy, Abeer Aldayel, Hend Al-Khalifa, Maha Al-Yahya and Mona Diab

    Citation: BMC Health Services Research 2018 18:139

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  25. Content type: Research article

    Health literacy refers to an individual’s ability to find, understand and use health information in order to promote and maintain health. An individual’s health literacy may also be influenced by the way healt...

    Authors: Rebecca L. Jessup, Richard H. Osborne, Alison Beauchamp, Allison Bourne and Rachelle Buchbinder

    Citation: BMC Health Services Research 2018 18:134

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  26. Content type: Research article

    There are many challenges in delivering and evaluating knowledge for healthcare, but the lack of clear routes from knowledge to practice is a root cause of failures in safety within healthcare. Various types a...

    Authors: Sarah Morton, Suzanne Wilson, Sheila Inglis, Karen Ritchie and Ann Wales

    Citation: BMC Health Services Research 2018 18:133

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  27. Content type: Research article

    To assess the construct validity and responsiveness of the PROMIS Physical Function v1.2 short form 8b (PROMIS-PF), and the PROMIS Ability to Participate in Social Roles and Activities v2.0 short form 8a (PROM...

    Authors: Eva van der Meij, Johannes R. Anema, Judith A. F. Huirne and Caroline B. Terwee

    Citation: BMC Health Services Research 2018 18:128

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  28. Content type: Research article

    High experienced continuity is known to be associated with lower needs for supportive care and most likely higher quality of life. On this background, the aim of this study was to investigate if patient-experi...

    Authors: Susann Plate, Louise Emilsson, Martin Söderberg, Yvonne Brandberg and Fredrik Wärnberg

    Citation: BMC Health Services Research 2018 18:127

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  29. Content type: Research article

    In an attempt to redirect patients who are inappropriately attending hospital emergency departments (ED) and in doing so provide the right care at the right place, out-of-hours GP (General Practitioner) servic...

    Authors: Elisabeth Sybilla Johanna van Gils-van Rooij, Sjoerd Michael Broekman, Dingenus Herman de Bakker, Berthold Rudy Meijboom and Christoffel Joris Yzermans

    Citation: BMC Health Services Research 2018 18:121

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  30. Content type: Research article

    The study aims to validate a previously developed and published combined success criterion for patients after multimodal pain therapy (Donath et al., BMC Health Serv Res 15:272, 2015). The criterion classifies...

    Authors: Carolin Donath, Christa Geiß and Christoph Schön

    Citation: BMC Health Services Research 2018 18:117

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  31. Content type: Technical advance

    The main objective of this methodological manuscript was to illustrate the role of using qualitative research in emergency settings. We outline rigorous criteria applied to a qualitative study assessing percep...

    Authors: Roberto Forero, Shizar Nahidi, Josephine De Costa, Mohammed Mohsin, Gerry Fitzgerald, Nick Gibson, Sally McCarthy and Patrick Aboagye-Sarfo

    Citation: BMC Health Services Research 2018 18:120

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  32. Content type: Research article

    Double-checking medications is a widely used strategy to enhance safe medication administration in oncology, but there is little evidence to support its effectiveness. The proliferated use of double-checking m...

    Authors: D. L. B. Schwappach, Katja Taxis and Yvonne Pfeiffer

    Citation: BMC Health Services Research 2018 18:123

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  33. Content type: Research article

    Due to an increasing demand in health care services plans to substitute selective physician-conducted medical activities have become attractive. Because administration of a blood transfusion is a highly standa...

    Authors: Jan A. Graw, Katja Eymann, Felix Kork, Martin Zoremba and Rene Burchard

    Citation: BMC Health Services Research 2018 18:122

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  34. Content type: Research article

    Given that patient safety measures are increasingly used for public reporting and pay-for performance, it is important for stakeholders to understand how to use these measures for improvement. The Agency for H...

    Authors: Marlena H. Shin, Peter E. Rivard, Michael Shwartz, Ann Borzecki, Enzo Yaksic, Kelly Stolzmann, Lisa Zubkoff and Amy K. Rosen

    Citation: BMC Health Services Research 2018 18:114

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  35. Content type: Research article

    Incident reporting (IR) in health care has been advocated as a means to improve patient safety. The purpose of IR is to identify safety hazards and develop interventions to mitigate these hazards in order to r...

    Authors: Siw Carlfjord, Annica Öhrn and Anna Gunnarsson

    Citation: BMC Health Services Research 2018 18:113

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  36. Content type: Research article

    Hospital mortality, readmission and length of stay (LOS) are commonly used measures for quality of care. We aimed to disentangle the correlations between these interrelated measures and propose a new way of co...

    Authors: Hester F. Lingsma, Alex Bottle, Steve Middleton, Job Kievit, Ewout W. Steyerberg and Perla J. Marang-van de Mheen

    Citation: BMC Health Services Research 2018 18:116

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  37. Content type: Research article

    Early identification of patients requiring transfer to post-acute care (PAC) facilities shortens hospital stays. With a focus on interprofessional assessment of biopsychosocial risk, this study’s aim was to as...

    Authors: Antoinette Conca, Angela Gabele, Barbara Reutlinger, Philipp Schuetz, Alexander Kutz, Sebastian Haubitz, Lukas Faessler, Marcus Batschwaroff, Ursula Schild, Zeljka Caldara, Katharina Regez, Susanne Schirlo, Gabi Vossler, Timo Kahles, Krassen Nedeltchev, Anja Keller…

    Citation: BMC Health Services Research 2018 18:111

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  38. Content type: Research article

    Delirium is a frequent and detrimental complication of inpatient hospitalization. Multicomponent intervention in selected groups has been shown to prevent and treat delirium, though little data exists on the e...

    Authors: Ethan G. Brown, S. Andrew Josephson, Noriko Anderson, Mary Reid, Melissa Lee and Vanja C. Douglas

    Citation: BMC Health Services Research 2018 18:106

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  39. Content type: Research article

    Hospital stay represents the opportunity for a change of therapy, about which patients may not know indications, contraindications, and mode of administration, which may lead to dosing errors, drug interaction...

    Authors: Claudia Pileggi, Emilia Caligiuri, Carmelo G. A. Nobile and Maria Pavia

    Citation: BMC Health Services Research 2018 18:105

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  40. Content type: Research article

    The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers.

    Authors: Karen M. Edmond, Kimberley McAuley, Daniel McAullay, Veronica Matthews, Natalie Strobel, Rhonda Marriott and Ross Bailie

    Citation: BMC Health Services Research 2018 18:100

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  41. Content type: Research article

    Healthcare systems are complex networks where relationships affect outcomes. The importance of primary care increases while health care acknowledges multimorbidity, the impact of combinations of different dise...

    Authors: Karin Ranstad, Patrik Midlöv and Anders Halling

    Citation: BMC Health Services Research 2018 18:101

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  42. Content type: Research article

    Transitions to sub-acute care are regularly complicated by inadequate discharge communication, which is exacerbated by a lack of clarity regarding accountability for important follow-up care. Patients discharg...

    Authors: Andrea L. Gilmore-Bykovskyi, Korey A. Kennelty, Eva DuGoff and Amy J. H. Kind

    Citation: BMC Health Services Research 2018 18:103

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  43. Content type: Research article

    Increasing population-based evidence suggests that patients who receive breast conserving surgery (BCS) plus radiotherapy have superior survival than those who receive mastectomy. It is unclear, however, how B...

    Authors: Stacey Fisher, Yutaka Yasui, Kelly Dabbs and Marcy Winget

    Citation: BMC Health Services Research 2018 18:94

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  44. Content type: Research article

    Evaluations on different aspects of the performance of public hospitals in China have been conducted, usually based on indicators developed by literature review and expert suggestions. The patient perspective ...

    Authors: Xuanxuan Wang, Rongqin Jiang, Jingxian Li, Jiaying Chen, Bo Burström and Kristina Burström

    Citation: BMC Health Services Research 2018 18:97

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  45. Content type: Research article

    The implementation of evidence-based clinical practice guidelines (CPG) can improve patients care. To date, the impact of implementation strategies has not been evaluated in our context. This study is aimed to...

    Authors: Arritxu Etxeberria, Idoia Alcorta, Itziar Pérez, Jose Ignacio Emparanza, Elena Ruiz de Velasco, Maria Teresa Iglesias and Rafael Rotaeche

    Citation: BMC Health Services Research 2018 18:93

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  46. Content type: Research article

    Traditional Oriental medicine is used in many Asian countries and involves herbal medicines, acupuncture, moxibustion, and cupping. We investigated the incidence and causes of hospital-acquired fever (HAF) and...

    Authors: Soo-youn Moon, Ki-Ho Park, Mi Suk Lee and Jun Seong Son

    Citation: BMC Health Services Research 2018 18:88

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