Journal of Healthcare Quality Research最新文献

Elaboración de un checklist para la transferencia en UCIP del paciente pediátrico quirúrgico [PICU中儿科手术患者交接清单的制定]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.12.004

M.Á. Rivas Paterna , M. Abelaira García , D. Ortega Martínez , B. Joyanes Abancens , A.I. Alguacil Pau , E. Aleo Luján

引用次数: 0

Adecuación del consentimiento informado en la investigación clínica: estudio descriptivo transversal 临床研究中知情同意的充分性：一项描述性横断面研究。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.12.001

M.D. Monge-Muñoz , G. Rodríguez-Caravaca , J.L. del-Barrio-Fernández

{"title":"Adecuación del consentimiento informado en la investigación clínica: estudio descriptivo transversal","authors":"M.D. Monge-Muñoz , G. Rodríguez-Caravaca , J.L. del-Barrio-Fernández","doi":"10.1016/j.jhqr.2024.12.001","DOIUrl":"10.1016/j.jhqr.2024.12.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The principle of patient autonomy in the participation and incorporation of their health data in research projects is a legal and deontological obligation that must be fulfilled. The aim of this study was to know the degree of compliance and adequacy of informed consent in clinical research projects in a university hospital.</div></div><div><h3>Material and methods</h3><div>Through this cross-sectional study, the adequacy of the way patient data are obtained in the research projects presented to the Research Committee of a university hospital was analyzed. The adequacy of the way patient data were obtained in the research projects, dealing with informed consent and causes of exemption, was described with their frequencies distributions. It was assessed by means of the adjusted odds ratio through a backstep logistic regression model, including the predictable significant variables previously analyzed in the univariant analysis.</div></div><div><h3>Results</h3><div>A total of 565 protocols were included. The most frequent type of studies assessed were observational retrospectives (49.6%) and end-of-year projects (28.1%). The most frequent way of obtaining the patient data were by means of soliciting exemption of informed consent (48.3%). Obtaining the patient data process was considered appropriated in 51.1% of the projects. Projects with higher adequacy were those solicited by students (OR=4.2; CI<sub>95%</sub>    =1.2–2.4).</div></div><div><h3>Conclusions</h3><div>The majority of the projects assessed was retrospective observational studies in which exemption of informed consent was solicited. Projects with higher adequacy were solicited by students and residents.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 107-115"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877975","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}

引用次数: 0

Calidad de la asistencia sanitaria y salud del sistema en perspectiva

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2025.02.001

R. Meneu

引用次数: 0

Results of the process of implementation of ISO 7101 subclause 8.10.5 Health literacy in specialty consultations 实施ISO 7101第8.10.5条专业会诊中的健康素养过程的结果。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.11.003

A. McCaskill , A. Gasch-Gallen , J. Montero-Marco

{"title":"Results of the process of implementation of ISO 7101 subclause 8.10.5 Health literacy in specialty consultations","authors":"A. McCaskill , A. Gasch-Gallen , J. Montero-Marco","doi":"10.1016/j.jhqr.2024.11.003","DOIUrl":"10.1016/j.jhqr.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>This quasi-experimental, non-randomized study described the process of implementing ISO 7101 subclause 8.10.5 Health literacy in specialty consultations, then determined the effects of implementation on patient general health literacy scores and perceptions of quality of care.</div></div><div><h3>Method</h3><div>Implementation steps were outlined, nurses were trained and used a standardized health literacy checklist with patients. The HLS<sub>19</sub>-Q12 was used to calculate patients’ general health literacy scores pre- and post-implementation of subclause 8.10.5. Paired samples <em>t</em>-test and Wilcoxon signed-rank test determined relationships between implementation, health literacy score, and quality of care perceived.</div></div><div><h3>Results</h3><div>Mean general health literacy scores increased post-implementation from 66.35 to 76.29, as did the mean score of perception of quality of care received (<em>M</em>  =3.99). Wilcoxon test for both variables was significant (<em>P</em>  ≥0.8).</div></div><div><h3>Conclusions</h3><div>Implementation of ISO 7101, subclause 8.10.5 Health literacy had a positive, statistically significant impact on patient general health literacy scores and perceptions of quality of care. This is valuable information for healthcare management decision makers as they implement new standards and seek to improve patient health outcomes.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 116-125"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910876","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}

引用次数: 0

Calidad de las organizaciones y del sistema: no es lo mismo

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.12.003

Vicente Ortún

引用次数: 0

Patient's experience as a tool in analyzing primary care in Catalonia 将患者体验作为分析加泰罗尼亚初级保健的工具。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.10.002

A. Iruela , I. Moral , G. Gálvez , L.M. Jimenez , R. Manzanera

{"title":"Patient's experience as a tool in analyzing primary care in Catalonia","authors":"A. Iruela , I. Moral , G. Gálvez , L.M. Jimenez , R. Manzanera","doi":"10.1016/j.jhqr.2024.10.002","DOIUrl":"10.1016/j.jhqr.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary health care is essential in a well-designed health system. A way of approaching the quality of an institution or service is evaluating different aspects like accessibility, treatment, satisfaction, and efficiency. The COVID-19 pandemic caused substantial disruptions in health systems. The present work focused on assessing the evolution of the experience of patients. It analyzed its relationship with various factors of the centers and the professionals’ quality of life.</div></div><div><h3>Methods</h3><div>Retrospective quantitative study through a survey carried out in Catalonia evaluating the experience of users in relation to primary health care services. Results from years 2015, 2018, 2021 and 2022 are included in the study.</div></div><div><h3>Results</h3><div>Users from 370 centers were included in the study. The highest scores were registered in dimensions as environment and information (more than 90%), while accessibility was the worst scored dimension (mean 65.19). Global satisfaction scores were significantly higher in 2015 and 2018 and dropped the following years showing the impact of the COVID-19 pandemics.</div></div><div><h3>Conclusion</h3><div>The evolution of the patient experience in Catalonia shows a progressive decrease from the first edition in 2015 to the most recent edition in 2022, aggravated by the COVID-19 pandemic. During the pandemic, all the characteristics of primary care were affected, and they are beginning to recover. The resilience that primary care has shown during the pandemic contrasts with a downward valuation of the experience of patients who have used it.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 72-78"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640026","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}

引用次数: 0

Optimizing length of hospital stay among inpatients with spinal cord injury: An observational study 脊髓损伤住院患者的最佳住院时间：一项观察性研究。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.11.001

A. García-Rudolph , E.A. Devilleneuve , M.A. Wright , D. Sanchez-Pinsach , E. Opisso

{"title":"Optimizing length of hospital stay among inpatients with spinal cord injury: An observational study","authors":"A. García-Rudolph , E.A. Devilleneuve , M.A. Wright , D. Sanchez-Pinsach , E. Opisso","doi":"10.1016/j.jhqr.2024.11.001","DOIUrl":"10.1016/j.jhqr.2024.11.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Despite the importance of length of stay (LOS) following spinal cord injury, it remains underexplored in the literature. This study aims to bridge this gap by investigating the association between rehabilitation LOS and functional gains among patients with traumatic (TSCI) or non-traumatic (NTSCI) spinal cord injuries.</div></div><div><h3>Methods</h3><div>We conducted a retrospective observational cohort study assessing functional gains using the motor Functional Independence Measure (mFIM) and the Spinal Cord Independence Measure (SCIM III) from rehabilitation admission to discharge. Outcomes were analyzed across four neurological categories based on the American Spinal Injury Association Impairment Scale (AIS): C1-C4 AIS A-C; C5-8 AIS A-C; T1-S5 AIS A-C; and AIS D. Linear regression models estimated changes across rehabilitation LOS quarters (Q1–Q4), adjusting for covariates.</div></div><div><h3>Results</h3><div>We included 1036 patients admitted for rehabilitation between 2007 and 2023 (46.3% TSCI, 53.7% NTSCI).</div><div>TSCI: age 42.7, 80.2% male, 41.8% AIS A, LOS 90.5.</div><div>NTSCI: age 55.7, 54.2% male, 14.2% AIS A, LOS 69.6.</div><div>For TSCI, mFIM and SCIM III gains increased significantly from Q1 to Q2 (T1-S5-ABC, <em>n</em>  =129). For NTSCI, gains increased from Q2 to Q3 (T1-S5-ABC, <em>n</em>  =304). Adjusted models showed decreasing gains for Q2 and Q3 vs. Q1 (TSCI) but increasing gains for Q2–Q4 vs. Q1 (NTSCI) for both measures. No significant gains were observed from Q3 to Q4.</div></div><div><h3>Conclusions</h3><div>We identified specific neurological categories and LOS quarters yielding to significant functional gains.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 79-88"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910874","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}

引用次数: 0

Percepción de la cultura de seguridad del paciente en un hospital de alta complejidad de Madrid y acciones de mejora

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.12.005

J.M. Aranaz Andrés , M.A. Espinel Ruiz , F. Roldan Moll , Miembros de la Comisión de Seguridad del Paciente del Hospital Ramón y Cajal

{"title":"Percepción de la cultura de seguridad del paciente en un hospital de alta complejidad de Madrid y acciones de mejora","authors":"J.M. Aranaz Andrés , M.A. Espinel Ruiz , F. Roldan Moll , Miembros de la Comisión de Seguridad del Paciente del Hospital Ramón y Cajal","doi":"10.1016/j.jhqr.2024.12.005","DOIUrl":"10.1016/j.jhqr.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The culture of patient safety is reflected in the behavior of individuals within a healthcare organization, based on knowledge, beliefs, and values aimed at minimizing the harm that patients might suffer. Assessing the perception of safety culture helps in developing and implementing improvement actions.</div></div><div><h3>Materials and methods</h3><div>A descriptive study conducted in two phases. A patient safety culture questionnaire measuring three dimensions of the safety culture was administered, and improvement actions were developed based on the results.</div></div><div><h3>Results</h3><div>300 responses were obtained, with a response rate of 10.2%. 70% were women, 40% were physicians, and 38% were nurses. 37% reported having worked at the hospital for more than 20years. The management support for patient safety dimension received 33% (CI: 29.5-35.7) of positive responses and 27% (CI: 24.3-30.2) of negative responses. The patient safety perception dimension received 67% (CI: 63.8-70.01) of positive responses and 20% (CI: 17.4-22.8) of negative responses. The supervisor/department head support for patient safety dimension received 61% (CI: 57.4-63.9) of positive responses and 19% (CI: 16.3-21.5) of negative responses.</div><div>After presenting the results to the management team, improvement actions were proposed, which led to greater commitment from the management team to patient safety, increased presence during patient safety rounds, and greater visibility of patient safety-related information available on the intranet.</div></div><div><h3>Conclusions</h3><div>A low perception of management support was detected, allowing for improvements in this dimension.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 97-106"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060373","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}

引用次数: 0

Calidad institucional y servicios públicos

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2025.02.002

J.L. Puerta

引用次数: 0

Percepción de los profesionales de atención primaria sobre la frecuencia con que se realizan intervenciones «que no hay que hacer» [初级保健专业人员对进行“不干预”的频率的看法]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.11.002

J.E. Calle Urra , A. Jimeno Almazán , A. Más Castillo , T. Ramón Esparza , C. Arellano Morata , J.J. López-Picazo Ferrer

{"title":"Percepción de los profesionales de atención primaria sobre la frecuencia con que se realizan intervenciones «que no hay que hacer»","authors":"J.E. Calle Urra , A. Jimeno Almazán , A. Más Castillo , T. Ramón Esparza , C. Arellano Morata , J.J. López-Picazo Ferrer","doi":"10.1016/j.jhqr.2024.11.002","DOIUrl":"10.1016/j.jhqr.2024.11.002","url":null,"abstract":"<div><h3>Objetive</h3><div>To know the perception of primary care professionals about the frequency with which interventions that should not be done at this level of care are carried out.</div></div><div><h3>Material and methods</h3><div>Three questionnaires were developed to evaluate 9 interventions in family medicine, 2 in pediatrics and 6 in nursing. The percentage of professionals who stated that they always or almost always carried out these interventions was calculated, considering acceptable percentages of less than 5%. A descriptive analysis of the barriers identified to reduce these interventions was also carried out.</div></div><div><h3>Results</h3><div>Five of the 9 interventions evaluated in family medicine, 2 in pediatrics, and 4 of the 6 in nursing were always or almost always performed by 5% or more of the professionals.</div><div>Among the barriers identified to stop doing unnecessary interventions, the first was lack of time in the consultation, followed by lack of training.</div></div><div><h3>Conclusions</h3><div>The results obtained have made it possible to identify which of the primary care interventions evaluated have the greatest room for improvement, as well as the main barriers to their deimplementation. Surveys of professionals make it possible to assess recommendations that cannot be measured from clinical records. Knowing their perception of their clinical practice can be very useful for designing the intervention plan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 89-96"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847679","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}

引用次数: 0