Journal of Healthcare Quality Research最新文献

{"title":"Transcending the \"quality improvement report\": Harnessing implementation science to enhance the generalizability of hospital quality improvement research.","authors":"D Zhao","doi":"10.1016/j.jhqr.2026.101213","DOIUrl":"https://doi.org/10.1016/j.jhqr.2026.101213","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 4","pages":"101213"},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do social skills improve healthcare data quality? A cross-sectional study in eight referral hospitals","authors":"R. Phinias ,&nbsp;M. Muhanga ,&nbsp;J. Malago","doi":"10.1016/j.jhqr.2026.101192","DOIUrl":"10.1016/j.jhqr.2026.101192","url":null,"abstract":"<div><h3>Background</h3><div>Reliable healthcare data is fundamental to patient safety, clinical decision-making, and health system efficiency. However, human error in monitoring and evaluation (M&amp;E) systems remains a key barrier to data quality. This study investigated how healthcare workers’ social skills, specifically communication, teamwork, and change catalyst abilities, influence four core dimensions of data quality: accuracy, completeness, timeliness, and consistency.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between August and October 2024 in eight Tanzanian regional referral hospitals. From a sampling frame of 2650 healthcare professionals involved in routine data entry, 336 were randomly selected to complete a validated self-administered questionnaire (Cronbach's <em>α</em> <!-->=<!--> <!-->0.94). Data were analyzed using descriptive statistics and multiple linear regression (SPSS v27) to determine associations between social skills and data quality indicators.</div></div><div><h3>Results</h3><div>Communication was positively associated with accuracy (<em>β</em> <!-->=<!--> <!-->.247, p<!--> <!-->&lt;<!--> <!-->.001), consistency (<em>β</em> <!-->=<!--> <!-->.366, <em>p</em> <!-->&lt;<!--> <!-->.001), and timeliness (<em>β</em> <!-->=<!--> <!-->.509, <em>p</em> <!-->&lt;<!--> <!-->.001), but not with completeness. Change catalyst skills significantly improved accuracy (<em>β</em> <!-->=<!--> <!-->.580), consistency (<em>β</em> <!-->=<!--> <!-->.520), and timeliness (<em>β</em> <!-->=<!--> <!-->.370), all <em>p</em> <!-->&lt;<!--> <!-->.001, but showed no effect on completeness. Teamwork positively influenced consistency (<em>β</em> <!-->=<!--> <!-->.184, <em>p</em> <!-->&lt;<!--> <!-->.001) and completeness (<em>β</em> <!-->=<!--> <!-->.282, <em>p</em> <!-->=<!--> <!-->.002), but was unrelated to accuracy and negatively associated with timeliness (<em>β</em> <!-->=<!--> <!-->−.223, <em>p</em> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusion</h3><div>Strengthening communication and change catalyst abilities among healthcare workers can improve key aspects of data quality. Tailored training in these areas, along with process-mapping to streamline teamwork, may support more accurate and timely health data management.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101192"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CO1","authors":"","doi":"10.1016/S2603-6479(26)00028-X","DOIUrl":"10.1016/S2603-6479(26)00028-X","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101214"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación de la comunicación y transferencia de la información clínica y de cuidados en un hospital de tercer nivel","authors":"I. Vidal-Abarca ,&nbsp;J.J. Lopez-Picazo ,&nbsp;J.M. Marín-Martínez ,&nbsp;M. López-Ibáñez","doi":"10.1016/j.jhqr.2026.101195","DOIUrl":"10.1016/j.jhqr.2026.101195","url":null,"abstract":"<div><h3>Aim</h3><div>Ensuring adequate, efficient, and effective communication and information transfer is crucial to guaranteeing patient safety. Understanding the local context and identifying strengths and areas for improvement are essential for creating a safe environment. The aim of this study was to assess the state of communication and information transfer in a hospital setting to identify opportunities for improving patient safety.</div></div><div><h3>Methods</h3><div>Qualitative Phase: A cause-and-effect analysis was conducted to identify and classify the causes of faulty communication and information transfer within the hospital.</div><div>Quantitative Phase: A descriptive study was carried out in a tertiary hospital using lot acceptance sampling. Ten validated indicators of good communication practices were evaluated—nine through surveys of healthcare professionals and one through audits.</div></div><div><h3>Results</h3><div>Twenty-five causes of communication issues were identified, fifteen of which were modifiable and known to be associated with the problem. Audits showed 20% non-compliance with standards, with one lot accepted. The survey results indicated acceptance of six lots, with adjusted overall compliance rates of 8.6% (informed consent), 28.4% (communication of diagnostic changes), 30.7% (communication of medication changes), 32.7% (preferences of terminal patients and life support), 33.0% (repetition of verbal orders), 47.8% (documentation of verbal orders), 64.4% (clinical report generation), 67.1% (reviewed medication prescriptions), and 72.3% (chemotherapy).</div></div><div><h3>Conclusion</h3><div>Communication and information transfer have been identified as key areas for improvement in our hospital, with potential impact on patient safety. Initial interventions include safer verbal order transmission, shared decision-making, and contingency planning for electronic prescribing failures. Structured communication training for physicians, particularly residents, is also proposed as part of the safety enhancement strategy.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101195"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safe float nurses, safe patients: Problems and feasible solutions. A qualitative analysis and scoping review","authors":"M. Durán-Luque ,&nbsp;Á. Cobos-Vargas ,&nbsp;A.F. López-López ,&nbsp;E. Rodríguez-Delgado ,&nbsp;J.L. Fernández-Ropero ,&nbsp;A. Bueno-Cavanillas","doi":"10.1016/j.jhqr.2025.101158","DOIUrl":"10.1016/j.jhqr.2025.101158","url":null,"abstract":"<div><h3>Background and objective</h3><div>Float nurses are frequently assigned to unfamiliar settings where they must perform a wide range of tasks, often without prior orientation, specific training, or knowledge of local protocols and equipment. Given the widespread use of floating as a staffing strategy, it is essential to allocate resources that support their integration while prioritising patient safety. This study aimed to develop a self-administered Integration Checklist for float nurses, highlighting key aspects to address before delivering direct patient care.</div></div><div><h3>Materials and methods</h3><div>A three-phase approach was employed, integrating brainstorming sessions with nurses and patient safety experts alongside a literature review: (A) identification of key barriers encountered by float nurses; (B) critical analysis of literature-based solutions; and (C) development of the Integration Checklist.</div></div><div><h3>Results</h3><div>After identifying core challenges and reviewing solutions at the institutional-level, a practical Integration Checklist was created using a reverse approach to conventional orientation programmes. The tool comprised three sections: administrative, unit-specific, and patient care. Each section included targeted questions to ensure that float nurses were aware of the critical information relevant to each area before delivering care.</div></div><div><h3>Conclusions</h3><div>The implementation of a Safety Integration Checklist for float nurses has the potential to enhance the onboarding process into new units by optimising transition time, increasing professional confidence, and reducing staff-related stress. However, further research is needed to assess its practical value and effectiveness in improving both patient and staff outcomes across diverse clinical settings.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101158"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of patients undergoing elective DC cardioversion for atrial fibrillation: A district general hospital experience","authors":"A. Abdullah,&nbsp;G.S. Ramewal,&nbsp;C. Wright,&nbsp;K. Razzaq,&nbsp;K. Moosavi-Shendi,&nbsp;G. Bagri,&nbsp;S.K. Nadar","doi":"10.1016/j.jhqr.2025.101167","DOIUrl":"10.1016/j.jhqr.2025.101167","url":null,"abstract":"<div><h3>Background</h3><div>DC cardioversion (DCCV), when performed early, effectively restores sinus rhythm in patients with atrial fibrillation (AF). This audit aimed to evaluate the outcomes of patients undergoing DCCV at our institution and assess the factors predicting restoration of sinus rhythm.</div></div><div><h3>Methods</h3><div>This retrospective audit included patients who underwent elective DCCV in 2021 at our hospital. We excluded patients where data was incomplete. Data was collected from the electronic case records of the patients.</div></div><div><h3>Results</h3><div>Two hundred forty-three patients (mean age 67.5<!--> <!-->±<!--> <!-->11.7 years, 67.1% male) were included in the analysis. The median delay from DCCV decision was 265 (108–826) days. Patients who were initially managed with rate control (158 (65%) patients) had longer DCCV wait times compared to those where DCCV was considered as the first line treatment (308 vs. 114 days, <em>p</em> <!-->&lt;<!--> <!-->0.001). DCCV was immediately successful in 232 (93.1%) patients, with 226 (91.5%) maintaining sinus rhythm at discharge, 120 (48.6%) at 6 months and 98 (39.7%) at one year. Fewer shocks predicted sinus rhythm maintenance at discharge, 6 months, and one year (<em>p</em> <!-->&lt;<!--> <!-->0.001). Amiodarone continued post-DCCV also predicted maintenance of sinus rhythm at one year (<em>p</em> <!-->=<!--> <!-->0.01). No significant differences were found in demographics, risk factors, DCCV delay, or LA size between those who maintained sinus rhythm and those who reverted to AF.</div></div><div><h3>Conclusion</h3><div>At our institution, most patients experienced significant delays before elective cardioversion. Decision to perform DCCV should be taken early and not after an initial trial of rate control. In our patients, amiodarone helped maintain sinus rhythm after successful DCCV.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101167"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto de la simulación clínica en la mejora del cumplimiento de la lista de verificación de seguridad quirúrgica","authors":"M. Corominas Iglesias ,&nbsp;M. Blasco Afonso ,&nbsp;J. Piqué-Buisan","doi":"10.1016/j.jhqr.2025.101166","DOIUrl":"10.1016/j.jhqr.2025.101166","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgery is a fundamental component of healthcare, with over 300 million procedures performed annually. At least half of adverse events are considered preventable through tools such as the Surgical Safety Checklist (SSC). However, adherence to the SSC is often incomplete. Simulation-based training offers a meaningful learning methodology that can effectively improve compliance. This study aims to evaluate the use of simulation as a strategy to increase SSC adherence at our hospital.</div></div><div><h3>Methods</h3><div>We conducted a retrospective, quasi-experimental quantitative intervention study, analyzing pre- and post-simulation data collected between the second half of 2021 and the second half of 2023. The target population included operating room healthcare professionals, and the SSC endorsed by the WHO was used. Clinical simulations were carried out that had been previously designed to imitate real situations in operating rooms with natural equipment and their respective post-debriefings as guided reflection for learning.</div></div><div><h3>Results</h3><div>Simulation participation rates by department were as follows: 40% for Anesthesiology, 55.5% for Surgery, 75% for Orthopedics, and 76.5% for surgical nurses.</div><div>The impact of the intervention was assessed by retrospectively reviewing SSC compliance before and after the simulation training.</div><div>The results showed a significant increase in SSC compliance at the entry phase and during the surgical pause (<em>P</em>=.000), while no significant change was observed at the surgical exit phase.</div></div><div><h3>Conclusion</h3><div>The findings suggest that implementing simulation-based interventions in the operating room can enhance compliance with the Surgical Safety Checklist, thereby contributing to improved patient safety.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101166"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics–Gynecology team","authors":"J.J. Dapueto ,&nbsp;F. Nozar ,&nbsp;S. Artucio ,&nbsp;D. Sánchez ,&nbsp;P. Aguirrezábal ,&nbsp;L. Briozzo","doi":"10.1016/j.jhqr.2025.101156","DOIUrl":"10.1016/j.jhqr.2025.101156","url":null,"abstract":"<div><h3>Background</h3><div>Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.</div></div><div><h3>Aims</h3><div>To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.</div></div><div><h3>Methods</h3><div>A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory – Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.</div></div><div><h3>Results</h3><div>Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50–0.74). The prevalence of burnout decreased from 63.3% to 40.0% (<em>p</em> <!-->=<!--> <!-->0.039), and high-risk emotional distress (WHO-5 &lt;50 points) decreased from 53.3% to 26.7% (<em>p</em> <!-->=<!--> <!-->0.039).</div></div><div><h3>Conclusions</h3><div>A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 3","pages":"Article 101156"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening safety for informal caregivers in home care","authors":"N. Abed ,&nbsp;C. Perez Esteve ,&nbsp;H. Knežević-Krajina ,&nbsp;S.C. Buttigieg ,&nbsp;S. Tella ,&nbsp;E. Srulovici ,&nbsp;P. Sousa ,&nbsp;B. Knezevic ,&nbsp;J.J. Mira","doi":"10.1016/j.jhqr.2025.101183","DOIUrl":"10.1016/j.jhqr.2025.101183","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 2","pages":"Article 101183"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Programa domiciliario de terapia ocupacional y enfermería de atención primaria AToDOM","authors":"N. Plaza-Briones ,&nbsp;M. Carrete-Gómez ,&nbsp;L. Secanell-Capdevila ,&nbsp;J.A. López-Segura ,&nbsp;J. Grau-Sánchez ,&nbsp;L. Vidaña-Moya","doi":"10.1016/j.jhqr.2025.101155","DOIUrl":"10.1016/j.jhqr.2025.101155","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>To determine the impact of a home-based occupational therapy and nursing program, on autonomy in activities of daily living, quality of life, and falls in people with chronic diseases and complex needs.</div></div><div><h3>Material and methods</h3><div>A pre-post quasi-experimental quantitative study with a consecutive sample based on the usual clinical practice of home care teams. The Barthel Index, Lawton &amp; Brody Scale, Short Falls Efficacy Scale, Life Space Assessment, Quality of Life Index, and falls in the last two months were assessed. A paired sample pre-post hypothesis contrast analysis was performed, stratified by sex and care profile.</div></div><div><h3>Results</h3><div>A total of 115 participants were recruited, of whom 8 were dropouts. The program showed statistically significant improvement in all indicators. Notably, the Barthel Index increased by 10,0 (IC 95%: 8.2; 11.8) (p<!--> <!-->≤<!--> <!-->0.001), reducing the level of dependency from severe to moderate. The Lawton &amp; Brody scale increased by 0.6 (IC 95%: 0.4; 0.8) globally, and the percentage of participants with at least one fall in the past two months decreased from 40.4% to 2.0%.</div></div><div><h3>Conclusions</h3><div>The intervention performed by the occupational therapist is key in the promotion of autonomy, falls prevention and quality of life. It is a value to be taken into account in the configuration of home care teams in primary care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 2","pages":"Article 101155"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}