Quality Management in Health Care最新文献

{"title":"A Quality Improvement Project to Improve Nurse-Patient Communication and Patient Satisfaction in Outpatient Center.","authors":"Ying Shen, Xiaoqiu Zhu, Fang Lei, Lifei Feng","doi":"10.1097/QMH.0000000000000522","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000522","url":null,"abstract":"<p><strong>Background and objectives: </strong>Poor communication brings troubles to patients' understanding of their diagnosis and nursing care, which can jeopardize patients' treatment and prognosis. Streamlined nurse-patient communication interventions are proved to improve patient satisfaction and nursing care quality. Guided by the Plan-do-Study-Act Quality Improvement Model, we used the Contact, Introduce, Communicate, Ask, Respond, and Exit (CICARE) communication mode aimed at improving nurse-patient communication and patient satisfaction in our outpatient center.</p><p><strong>Methods: </strong>Nurses in the center were trained on CICARE communication mode in the 1-month training sessions. They incorporated the CICARE communication mode into their routine nursing practices for all outpatients. Data were collected before implementation of the project and at 1-month post-implementation, between October 2023 and March 2024. The CICARE communication mode utilization rate, nurses' communication knowledge, practice skills, and ability, and the patient satisfaction rate were measured.</p><p><strong>Results: </strong>A total of 28 outpatient nurses attended the education training sessions. The utilization rate of the CICARE communication mode was 86%. Compared to before training, nurses' communication knowledge, practice skills, and ability, and the patient satisfaction scores improved significantly after training ( P < .05).</p><p><strong>Conclusion: </strong>Application of the CICARE communication mode in outpatient nursing work is beneficial for enhancing nurses' proficiency in nurse-patient communication and improving patient satisfaction, which can help to increase the quality of nursing care.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lean Management Helps to Reduce Errors in Histopathology: A Real-life Experience From a Tertiary Care Public Sector Hospital.","authors":"Arpita Joshi, Garima Singh, Aarzoo Jahan, Namrata Sarin, Sompal Singh, Ruchika Gupta","doi":"10.1097/QMH.0000000000000516","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000516","url":null,"abstract":"<p><strong>Background and objectives: </strong>Histopathology has been increasingly playing a vital role in patient diagnosis. Histopathology laboratories have been riddled with multiple problems such as inefficiency, errors, and rising costs. Lean management, a concept derived from the Toyota production systems, helps in improving the operational efficiency by removing waste or errors. The lean concept has been demonstrated to reduce waiting times, improve patient safety and satisfaction, and reduce costs in health care. We aimed to assess the impact of lean management on the frequency of errors in the histopathology laboratory of a tertiary level hospital.</p><p><strong>Methods: </strong>This was a before-and-after study where the lean process was implemented in a phased manner beginning with an assessment of its need by the senior specialists, data collection, training of staff, post-training data collection and analysis. The various errors that were possible in the workflow of the laboratory were identified. The frequency of errors in 2018 (pre-intervention) and 2021 (post-intervention) was noted and compared.</p><p><strong>Results: </strong>Data collection from the pre-intervention period revealed that delay in microtomy, incorrect patient identification details on the requisition form, and sample received without appropriate fixative had the highest frequency of events leading to errors in histopathology. After the implementation of lean principles in the laboratory, the error frequency reduced by 30.79%. The highest decline was noted in the delay caused by grossing being performed in the morning hours (64.5% reduction), while the smallest reduction (16.67%) was noted for samples arriving from the clinical departments at erratic times.</p><p><strong>Conclusion: </strong>The present study emphasizes that the implementation of simple measures of lean management in a histopathology laboratory can be effective in reducing errors and improving efficiency without adding to the cost to the laboratory.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety, Efficiency, and Cost Conflicts in Emergency Department Point of Care Troponin Testing.","authors":"Zoe Grabinski, Jordan L Swartz, Yelan Wang, Aya Itani, Maria Aguero-Rosenfeld, Neldis Sanchez, Rajneesh Gulati, Ian G Wittman, Silas W Smith","doi":"10.1097/QMH.0000000000000502","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000502","url":null,"abstract":"<p><strong>Background and objectives: </strong>Assessment of acute coronary syndrome (ACS) has pressured rapid diagnostic evaluation through point of care troponins (POCT-Tns). However, POCT-Tns have demonstrated inconsistent accuracy compared to laboratory (LABT)-Tn. A POCT-Tn used inappropriately to \"rule-out\" ACS can lead to premature diagnostic closure. We aimed to minimize indiscriminate POCT-Tn testing, while balancing test turnaround time (TAT), institutional cost, and impact on patient time to disposition (TTD).</p><p><strong>Methods: </strong>A quality improvement (QI) initiative from 2018 to 2022 included educational interventions and electronic health record (EHR) adaptations. We evaluated test characteristics, trended test frequency, TATs, cost, and TTD. We used statistical process control charts to evaluate changes in test frequency over time. We used the Mann-Whitney U and Wilcoxon Signed-Rank Sum test to analyze changes in TAT, TTD, and cost.</p><p><strong>Results: </strong>POCT-Tn had high discordance with LAB-Tn (9.7%) and low sensitivity (52.5%). SPCs showed a significant decrease in POCT-Tn tests performed over time. LABT-Tn TATs were longer than POCT-Tn (54 vs 21 min; P < .001). Total Tn testing costs decreased by $668 827.83 annually. Compared to pre-initiative, arrival to disposition was 20 min longer for patients receiving a LABT-Tn (P < .001) and 37 min shorter for patients receiving a POCT with reflex to LABT-Tn (P < .001).</p><p><strong>Conclusion: </strong>POCT-Tn test characteristics may place patients at risk for missed ACS. A combined approach using education and EHR adaptations decreased use of indiscriminate POCT-Tn tests, decreased health care costs, and resulted in clinically appropriate changes in disposition times for this large cohort of ED patients.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tutorial on Multiple Mediation Analysis Using Causal Networks: Application to Diagnosing COVID-19 From Its Early and Late Symptoms.","authors":"Farrokh Alemi, Vasantha Sandhya Venu, Sai Chandra Nikhil Madduru, Kyung Hee Lee","doi":"10.1097/QMH.0000000000000471","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000471","url":null,"abstract":"<p><strong>Background and objectives: </strong>There are two methods of studying multiple mediation: network-based and analysis of coefficients in regression equations.</p><p><p>This tutorial shows how multiple mediation analysis can be conducted through first constructing causal networks; and then evaluating the direct and mediated impact within the network. The proposed method is demonstrated in the context of diagnosing COVID-19 from its symptoms.</p><p><strong>Methods: </strong>822 individuals who had completed a COVID-19 test were recruited through listservs and via employees and patients of Virginia Commonwealth University Health Center. Participants reported their symptoms and which symptom(s) occurred first. A Causal Network model was established through a repeated chain of regressions in four steps: First, we identified the order of occurrence of symptoms. Second, COVID-19 test results were LASSO regressed on symptoms and demographic variables, establishing direct effects. Third, the direct effects were LASSO regressed on prior symptoms and demographic variables, establishing indirect effects. Fourth, the joint distribution of the variables in the network was simulated by evaluating regression equations at factorial combinations of their direct effects. Fifth, the mediated effect was calculated through twin modeling, where the model derived from the real data was compared to the counterfactual model that represented 'what if' there was no mediation.</p><p><strong>Results: </strong>The 10-fold cross-validated area under the receiver curve for the network model was 0.82, which is a moderate to high level of accuracy. The network model identified later symptoms (e.g., chills) mediated the effect of earlier symptoms (e.g. fever).</p><p><strong>Conclusions: </strong>A network-based multiple mediation analysis led to new insights by integrating findings of 19 separate regressions into a single network model. The procedure showed how artificial intelligence can help in triage of COVID-19 patients from their symptoms, before any home or laboratory tests.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initiating the Conversation: Prioritizing Women's Reproductive Health in Primary Care.","authors":"Katherine H Endres, Grace Thapa, Cheryl Oetjen","doi":"10.1097/QMH.0000000000000509","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000509","url":null,"abstract":"<p><strong>Background: </strong>The United States continues to have the highest rates of maternal mortality and morbidity of all high-income countries. Added to this is the high rate of unintended pregnancy, making it clear that reproductive health services in this country are still deficient. National health care organizations recommend prioritizing reproductive health in primary care.</p><p><strong>Methods: </strong>Using the knowledge-to-action framework, this quality improvement project applied evidence-based practice regarding preconception and contraceptive services to primary care. King's Goal Attainment Theory was used to disrupt the usual routine and create a culture promoting reproductive health conversations with patients. Staff received education on reproductive health in the primary care setting, leading to the development of a new process to screen for pregnancy intent. Providers were guided on the use of shared decision-making tools to discuss reproductive services and to provide preconception care and the full range of contraceptive methods.</p><p><strong>Results: </strong>Over 40% of female patients seen received unexpected yet desired reproductive health services. Providers and staff reported that the implementation of the process was feasible and sustainable. A new culture emerged in which reproductive health inquiry became usual care.</p><p><strong>Conclusions: </strong>Including reproductive health inquiry as part of the primary care visit was an easy intervention to implement that led to success in bridging the gap to reproductive health in primary care without placing undue burden on providers or staff.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Soft and Hard Total Quality Management at Shahroud University of Medical Sciences.","authors":"Mohammad Amiri, Zahra Mehmannavaz Mikal, Hasan Bagheri, Elham Sadeghi, Ahmad Khosravi","doi":"10.1097/QMH.0000000000000499","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000499","url":null,"abstract":"<p><strong>Background and objectives: </strong>This research aims to examine the current level of soft and hard Total Quality Management (TQM) at Shahroud University of Medical Sciences and explore the factors contributing to its success.</p><p><strong>Methods: </strong>The present cross-sectional study included 462 university managers and employees selected by stratified random sampling method in 2022. The participants were asked to answer TQM, soft TQM, and hard TQM questionnaires. The data were analyzed using ANOVA and chi-square tests, Pearson's correlation coefficient, and structural equation modeling.</p><p><strong>Results: </strong>Managers made up 73 of the participants (15.8%). The average score for TQM was 143.02 ± 11.56, soft TQM 52.47 ± 9.35, and hard TQM 36.49 ± 9.54. There was no statistically significant variation in the mean score of hard TQM, soft TQM, and TQM based on gender or course completion. There was a strong and positive link between the scores of soft TQM, hard TQM, and TQM. Leadership commitment, employee suggestion systems, problem-solving groups, information quality, and preventive maintenance were strongly associated with quality management in the structural equation model.</p><p><strong>Conclusion: </strong>Given the university's average level of TQM implementation, it appears that steps should be taken to improve the evaluation process and provide feedback to employees. Steps should also be taken toward improving the commitment of senior management to implementing and enhancing the system of employee suggestions, establishing problem-solving groups, and training job duties. TQM can assist employees and increase the quality of the information to improve the university's rank in quality management.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Efficacy of a Family-Centered Nursing Model on Emotional Behavior and Quality of Life in Children With Acute Otitis Media.","authors":"Lifen Yang, Ying Wang, Yu Fang, Chao Lin, Xiahong Hu","doi":"10.1097/QMH.0000000000000511","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000511","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effect of a family-centered care (FCC) model on clinical efficacy, quality of life, and the emotional behavior of children with acute otitis media (AOM) in an otolaryngology clinic.</p><p><strong>Methods: </strong>Data were collected from a hospital otolaryngology clinic in relation to 112 cases of children with AOM who met the inclusion criteria. These cases were randomly divided into 2 groups of 62 patients each. The control group was given routine nursing for AOM, whereas the intervention group was provided with FCC nursing. The general data, periosteal congestion and ear pain scores, effective rate, and treatment time for the 2 groups of children and their caregivers were compared. The children's quality of life and strengths and difficulties scale as well as the caregivers' nursing skills scores before and after the intervention were compared between the groups.</p><p><strong>Results: </strong>The general data from the 2 groups of children and caregivers were comparable. After the intervention, the scores for tympanic membrane congestion and ear pain in the intervention group were significantly lower than those of the control group. Moreover, the intervention group's effective rate was higher, and the treatment time shorter than those of the control group (P < .05). The intervention group's scores on quality of life, emotional symptoms, hyperactivity and attention deficit behavior, and conduct and peer interaction problems were higher than those of the control group (P < .05). The intervention group caregivers' scores for nasal and ear drip methods and bed shampoo skills were higher than those of the control group after the intervention.</p><p><strong>Conclusions: </strong>The application of the FCC model in the nursing management of children with AOM can effectively shorten treatment time and improve clinical efficacy, mood and behavior, and the level of caregivers' nursing skills.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19's Effect on Practice Quality Improvement and Transformation Activities: Practice Survey Results.","authors":"Suzanne Felt-Lisk, Jesse Chandler, Angela Merrill, Shawan Johnson, Damian Everhart, Robert Flemming","doi":"10.1097/QMH.0000000000000472","DOIUrl":"10.1097/QMH.0000000000000472","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Transforming Clinical Practices Initiative (TCPI) was a 4-year, large-scale, collaborative, peer-based learning initiative for physician practices of all specialties with broad goals to improve the quality of patient care, spend health care dollars more wisely, and assist practices in being ready to succeed under value-based payment (VBP). We investigated whether the COVID-19 pandemic had erased or diminished practice transformation progress made during the TCPI program period, through a follow-up survey of participating practices fielded in October 2021.</p><p><strong>Methods: </strong>In October 2021 to April 2022, we surveyed a probability sample of 2207 primary care and specialty practices that participated in the TCPI, receiving 610 responses. We asked about practice characteristics, financial and ownership stability, clinical performance, and quality improvement efforts, both now and prior to COVID-19. The COVID-19 content was part of a larger survey. Responses were weighted to account for sample selection, unknown eligibility status, and nonresponse. We generated weighted univariate descriptive statistics representative of practices with clinicians enrolled in TCPI. These estimated percentages have a 95% confidence interval of about ±5%. Multivariate analysis of unweighted data examined associations between practice characteristics and other variables of interest.</p><p><strong>Results: </strong>For all but one of 13 practice transformation activities engaged in prior to the COVID-19 public health emergency, a majority of practices (at least 52%) reported that the progress on these activities were either not hurt or were helped by their COVID-19 experience. Compared to January 2020, only about 7% of practices reported that their quality of care or clinical performance was worse due to COVID-19, and 32% reported that their quality of care was better. More rural than urban practices reported that half or more of their transformation activities were hurt by COVID-19 (29% and 14%, respectively). Physician-owned practices were more likely to report quality is better today than prior to COVID-19 relative to practices with other ownership types such as hospitals or health systems (43% vs 24%).</p><p><strong>Conclusions: </strong>Most practices have been able to recover from the deep stress of the COVID-19 pandemic and continue their efforts to improve patient care and performance to succeed under VBP. These results suggest a high perceived return on investment in value-readiness support along with emergency financial support in times of crisis, as well as room to continue preparation for any future pandemic and the national movement toward increased VBP, especially in rural settings.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"89-96"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing CLABSI Rates in Adult ICUs: A Multi-Center Performance Improvement Project (2020-2021).","authors":"Mohammad K Mhawish, Abdulrahman A Algeer, Iyad S Alyateem, Anees S Alhenn, Ahmad I Alazzam","doi":"10.1097/QMH.0000000000000512","DOIUrl":"https://doi.org/10.1097/QMH.0000000000000512","url":null,"abstract":"<p><strong>Background and objective: </strong>Central Line-Associated Bloodstream Infection (CLABSI) remains a leading cause of death among critically ill patients. Implementing preventive measures and adhering to best practices is a crucial action to proactively prevent its occurrence. This project aimed to reduce the overall CLABSIs rate in adult medical/surgical Intensive Care Units (ICUs) of hospitals under the Ministry of Defense Health Services (MODHS) in Saudi Arabia. The baseline CLABSI rate was 2 cases per 1000 catheter days during the first quarter of 2020, while the target was to achieve a rate equal to or lower than 0.8 as reported by the American National Healthcare Safety Network (NHSN) in 2013.</p><p><strong>Methods: </strong>The initiative was carried out across 15 hospitals under the purview of MODHS. Data on CLABSI incidents were collected from the ICUs dedicated to adult medical and surgical care. The project utilized the Institute for Healthcare Improvement collaborative model to achieve breakthrough improvement in a short-term learning system that facilitated the collaboration of participating hospitals in the pursuit of enhancements in CLABSI rates. The project involved 3 cycles, each consisting of a learning session followed by an action period.</p><p><strong>Results: </strong>The data revealed a continuous improvement in the overall CLABSI rate within MODHS hospitals, progressing positively for 4 consecutive quarters and attaining a value of 0.3 during the third quarter of 2021. This signifies an impressive 85% reduction from the initial baseline of 2, and the rate remains below the project benchmark of 0.8.</p><p><strong>Conclusion: </strong>The project successfully employed collaborative learning cycles, fostering effective knowledge-sharing among teams and promoting active engagement. This approach proved instrumental in achieving learning objectives, identifying gaps, and determining appropriate courses of action. Key factors for the project's success included standardizing the change package, conducting regular training sessions, encouraging open discussions, and sharing experiences.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information Overload-Do We Read All the Posters Displayed Across the Walls on Hospital Wards?","authors":"Amunpreet Sahota, Pramudi Wijayasiri, Htet Than, Mohsin Munir, Opinder Sahota","doi":"10.1097/QMH.0000000000000467","DOIUrl":"10.1097/QMH.0000000000000467","url":null,"abstract":"<p><strong>Background and objectives: </strong>To establish whether posters displayed across the walls on hospital wards are read, what information is important, and how the information should be received.</p><p><strong>Methods: </strong>Sixty-eight staff and 32 patients' relatives were interviewed across 3 older people's medical wards followed by 20 follow-up secondary questionnaires postintervention.</p><p><strong>Results: </strong>Only 23% of those interviewed were able to recall any of the posters displayed, and of those, 34% did not find the information useful. Those interviewed were enthusiastic about utilizing alternative media. A quarter felt the walls across the hospitals wards should be for artwork. Among patients' relatives interviewed, common information requests were \"the discharge pathway,\" \"delirium,\" and \"falls.\" Based on the initial findings, a targeted information board was installed and a mural was painted across the wall in one of the wards. Further post-intervention interviews with patients' relatives showed that the board was well received, but further unmet information needs were uncovered. Despite the new mural, 45% called for more paintings.</p><p><strong>Conclusions: </strong>Most people ignore the posters displayed across the walls of hospital wards, and unmet information needs are rife. An appetite exists for alternative media. Paintings were earnestly called for, highlighting how a comforting environment could be part of the holistic care we offer patients in hospital.</p>","PeriodicalId":20986,"journal":{"name":"Quality Management in Health Care","volume":" ","pages":"105-111"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}