Journal of Healthcare Quality Research最新文献

{"title":"Conformance to the National List of Essential Medicines 2022 in a government tertiary care hospital","authors":"A. Jain ,&nbsp;N.D. Bhardwaj ,&nbsp;M. Suhaib ,&nbsp;P. Srivastava ,&nbsp;S. Khan ,&nbsp;S. Rawat","doi":"10.1016/j.jhqr.2025.101141","DOIUrl":"10.1016/j.jhqr.2025.101141","url":null,"abstract":"<div><h3>Background</h3><div>Access to essential medicines is vital for healthcare. The National List of Essential Medicines (NLEM) 2022 serves a guide for Indian healthcare facilities in procuring and providing essential medicines at different levels of healthcare. This study aimed at assessing the compliance of essential medicines availability at a tertiary care government hospital.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted over a period of 24 weeks to assess the availability of essential medicines via reviewing of documents and content analysis. One-Sample Proportion <em>Z</em>-Test (two-tailed) was used to statistically test the result. <em>Z</em>-score was calculated and statistical significance of result was checked. The compliance for various categories as per NLEM 2022 was analyzed and an overall compliance was calculated.</div></div><div><h3>Results</h3><div>The hospital procured 85.4% (328/384) of NLEM 2022 drugs. Based on the One-Sample Proportion <em>Z</em>-Test, calculated <em>Z</em>-score was 2.65 with 95% confidence interval which indicates the hospital's procurement rate of 85.4% is significantly higher than the expected WHO benchmark of 80%. A total of 18 NLEM sections had ≥80% compliance, with eight sections reached full compliance. However, gaps existed in sections like antidotes, diagnostic agents and dermatological medicines.</div></div><div><h3>Conclusion</h3><div>In comparison with earlier studies from India, the tertiary care hospital under study has shown better adherence to NLEM 2022 guidelines but there are still some gaps. By addressing the gaps, hospital can continuously improve healthcare delivery, ensure patient safety, and adapt to evolving health challenges, ultimately ensuring high-quality patient care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101141"},"PeriodicalIF":1.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170143","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":"Cross-cultural adaptation and validation of the Arabic version of self-care of coronary heart disease inventory","authors":"A.M. Al Jaber ,&nbsp;A.A.M. Shaheen ,&nbsp;A. Albarrati ,&nbsp;A.S. Alqahtani ,&nbsp;R.F.M. Gwada ,&nbsp;H. Alay","doi":"10.1016/j.jhqr.2025.101145","DOIUrl":"10.1016/j.jhqr.2025.101145","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to translate and cross-culturally adapt the Self Care of Coronary Heart Disease (CHD) Inventory into Arabic and measure its psychometric properties among Arabic-speaking patients with CHD.</div></div><div><h3>Method</h3><div>Using Sousa's guidelines on translation, the study assesses the content validity, construct validity, internal consistency, and test–retest reliability of the Arabic version of the Self-Care of Coronary Heart Inventory (SC-CHDI-Ar). A total of 181 patients with CHD were involved in the validity and reliability testing, and a test re-test was conducted with 61 patients at cardiology clinics in Riyadh, Saudi Arabia.</div></div><div><h3>Results</h3><div>The content validity index of the three subscales of SC-CHDI-Ar was acceptable. Additionally, the SC-CHDI-Ar did not have any floor or ceiling effects. Positive significant correlations were found among the subscales of SC-CHDI-Ar with the Arabic Cardiac Self Efficacy Questionnaire (CSEQ-A) scores. The internal consistency of SC-CHDI-Ar were ranged from (<em>α</em> <!-->=<!--> <!-->0.70 to 0.95), and the test–retest of the maintenance, management, and confidence subscales were ICC_2,1 <!-->=<!--> <!-->0.86 (95%CI; .70–0.91), 0.76 (95%CI; 0.59–0.85), and 0.76 (95%CI; 0.56– 0.85), respectively.</div></div><div><h3>Conclusion</h3><div>The SC-CHDII-Ar is an understandable, valid, and reliable instrument for determining the self-care needs of patients with CHD in Saudi Arabia.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101145"},"PeriodicalIF":1.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090505","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":"Criterios y norma de acreditación en calidad para servicios de hospitalización a domicilio: documento de la Sociedad Española de Hospitalización a Domicilio y la Sociedad Española de Calidad Asistencial","authors":"M. Miron Rubio ,&nbsp;J. Regalado de los Cobos ,&nbsp;L. Villegas Bruguera ,&nbsp;A. Basterretxea Ozamiz ,&nbsp;I. Carrillo Murcia ,&nbsp;M. Guilabert Mora ,&nbsp;J.J. Mira Solves ,&nbsp;M. Santiñà Vila","doi":"10.1016/j.jhqr.2025.101144","DOIUrl":"10.1016/j.jhqr.2025.101144","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Home hospitalization has emerged as an effective alternative to traditional hospitalization, especially relevant during the COVID-19 pandemic. However, home hospitalization lacks uniformity in its implementation. This study, conducted by the Spanish Society of Home Hospitalization and the Spanish Society of Healthcare Quality, aims to develop specific quality criteria and an accreditation standard for home hospitalization units.</div></div><div><h3>Materials and methods</h3><div>The qualitative study, carried out between May 2021 and June 2022, was conducted in 3 phases: literature review, consensus conference, and Delphi technique. The literature review identified existing quality criteria, and the consensus conference defined the areas and dimensions of quality. Using the Delphi technique, 67 national experts refined and reached a consensus on these criteria through 2 rounds of online surveys.</div></div><div><h3>Results</h3><div>The review identified 240 ideas grouped into 17 categories, and after the consensus conference, 120 initial criteria were proposed, reduced to 54 for the Delphi technique. Finally, 23 quality criteria were agreed upon, 14 considered essential and 9 recommended, covering areas such as accessibility, efficacy, patient safety, integrated care, patient experience, and unit efficiency.</div></div><div><h3>Conclusions</h3><div>The study provides a consensual quality standard for home hospitalization units in Spain, facilitating self-assessment, accreditation, and continuous improvement. The implementation of these criteria will help standardize home hospitalization, ensure service quality, and promote the expansion of this care model, with the Spanish Society of Home Hospitalization responsible for its dissemination and updating.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101144"},"PeriodicalIF":1.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071824","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":"Enhancing home care safety","authors":"N. Abed ,&nbsp;S.C. Buttigieg ,&nbsp;C. Feichtinger ,&nbsp;P. Sousa ,&nbsp;B. Knezevic ,&nbsp;S. Tella ,&nbsp;E. Srulovici ,&nbsp;N. Bessa Vilela ,&nbsp;R. Cohen ,&nbsp;K. Põlluste ,&nbsp;M. Odalović ,&nbsp;V. Klemm ,&nbsp;R. Strametz ,&nbsp;J.J. Mira","doi":"10.1016/j.jhqr.2025.101143","DOIUrl":"10.1016/j.jhqr.2025.101143","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101143"},"PeriodicalIF":1.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947092","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":"Design Thinking y su uso para promover la seguridad de los pacientes: revisión de alcance","authors":"L. Del-Valle Quintana ,&nbsp;K. Sichieri ,&nbsp;S. Secoli","doi":"10.1016/j.jhqr.2025.101140","DOIUrl":"10.1016/j.jhqr.2025.101140","url":null,"abstract":"<div><h3>Background and objective</h3><div>Design Thinking is a user centered methodology used to address problems through innovation. Patient safety is a complex issue within healthcare and remains a global priority. International organizations urge the development of joint strategies to tackle this challenge. The objective was to map the current use of Design Thinking as a methodology to promote patient safety in healthcare settings.</div></div><div><h3>Materials and methods</h3><div>A scoping review was conducted following the Joanna Briggs Institute guidelines, using indexed databases such as PubMed, CINAHL, WOS, EMBASE, Scopus, Science Direct, PsycINFO, SciELO, and ERIC, as well as grey literature from CAPES and ProQuest journals. The protocol was registered in Open Science Framework. Data were analyzed and summarized narratively.</div></div><div><h3>Results</h3><div>A total of 55 publications applying Design Thinking in the context of patient safety were included. The six international patient safety goals were addressed, with a focus on effective communication (45%) and medication safety (35%). The study design was not reported in 65% of the cases, and 30% lacked data procedures and analysis. The healthcare team participated in 93% of the studies, while patients were involved in 44%. The most common solutions were mobile applications, software, and dashboards.</div></div><div><h3>Conclusions</h3><div>Design Thinking is contributing to improvements in patient safety by developing co-designed solutions, particularly in the international patient safety goals of communication and medication safety. However, the lack of a rigorous methodological approach limits the validity and replicability of the results.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101140"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948760","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":"Analysis of the accuracy of clinical diagnosis in an internal medicine department of a regional hospital: Inter-MONF study","authors":"S. Hernández-Dorta ,&nbsp;I. Izuzquina-Avanzini ,&nbsp;A. Lobelle-Seijas ,&nbsp;I. Fernández-Uzquiano ,&nbsp;L. Ramos-Rúa ,&nbsp;J. López-Castro","doi":"10.1016/j.jhqr.2025.101142","DOIUrl":"10.1016/j.jhqr.2025.101142","url":null,"abstract":"<div><h3>Introduction</h3><div>There are numerous studies examining the diagnostic accuracy of various supplementary tests; however, the literature focused on diagnostic accuracy derived from clinical reasoning and data is limited. Consequently, we conducted a study to assess the diagnostic accuracy of the professionals in the Internal Medicine Department at our hospital and to examine whether there are variations in accuracy related to specific pathologies and across different time periods, particularly before and after the emergence of the SARS-CoV-2 pandemic.</div></div><div><h3>Methods</h3><div>This is a retrospective, longitudinal, and observational study conducted in the Internal Medicine Department of the Regional Hospital of Monforte de Lemos from 2016 to 2022, encompassing both pre- and post-SARS-CoV-2 pandemic periods. The initial diagnosis made upon patient admission was compared with the final diagnosis at discharge through an independent peer review process.</div></div><div><h3>Results</h3><div>The diagnostic concordance at admission and discharge was 77.4%, with statistically significant differences observed between age groups (with higher concordance in patients under 55 years of age) and according to sex, with greater concordance in female patients. No differences were found regarding pathology type or temporal cohort.</div></div><div><h3>Conclusions</h3><div>The diagnostic accuracy of the healthcare professionals in the Internal Medicine Department at Monforte Public Hospital during the study periods was found to be high. Diagnostic concordance was greater in female patients and those under 55 years of age, with no significant differences observed across the most prevalent pathological conditions. Furthermore, the restrictive measures implemented during the SARS-CoV-2 pandemic do not appear to have negative affected diagnostic accuracy when compared to previous periods.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101142"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947091","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":"Assessing patient satisfaction and identifying areas for improvement in gynecological care across various healthcare settings at a tertiary teaching hospital in Pakistan: A cross-sectional study","authors":"S.I. Memon ,&nbsp;A. Aijaz ,&nbsp;R. Jameel ,&nbsp;M. Shafique ,&nbsp;Y. Khan","doi":"10.1016/j.jhqr.2025.101132","DOIUrl":"10.1016/j.jhqr.2025.101132","url":null,"abstract":"<div><h3>Objectives</h3><div>Patient satisfaction is a key indicator of healthcare quality and essential for improving hospital services. This study aimed to assess patient satisfaction and to identify areas for improvement in gynecological care across inpatient, outpatient, and emergency settings.</div></div><div><h3>Material and methods</h3><div>We conducted a descriptive, cross-sectional study among 587 gynecological patients at a tertiary care teaching hospital in Karachi, Pakistan. We assessed multiple dimensions of patient care, such as doctor satisfaction, nursing care, housekeeping services, and value for money using simple random sampling. We used a standard questionnaire to gauge patient satisfaction with care and analyzed the data using Statistical Package for the Social Sciences (SPSS) version 21. We considered a <em>p</em>-value of less than 95% to be statistically significant.</div></div><div><h3>Results</h3><div>The analysis revealed high satisfaction rates across all service areas. Doctor satisfaction scored the highest at 95.4% (95% CI: 0.929–0.978, <em>p</em> <!-->&lt;<!--> <!-->0.0001), followed by value for money at 90.4% (95% CI: 0.870–0.939, <em>p</em> <!-->&lt;<!--> <!-->0.0001). Housekeeping and nursing care were rated 86.2% (95% CI: 0.821–0.902, <em>p</em> <!-->&lt;<!--> <!-->0.0001) and 83.3% (95% CI: 0.790-0.877, <em>p</em> <!-->&lt;<!--> <!-->0.0001), respectively. The hospital achieved a 98.9% recommendation rate, with 54.3% rating their experience as “Excellent,” 36.9% as “Good,” 7.8% as “Average,” and only 1.1% as “Bad.”</div></div><div><h3>Conclusions</h3><div>This study highlights high patient satisfaction in gynecological services, reflected in strong recommendations and positive feedback. While physician care is well-rated, improvements in nursing and housekeeping through enhanced communication are needed. These findings support quality enhancement efforts, fostering a blame-free culture and setting a benchmark for similar institutions in Pakistan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101132"},"PeriodicalIF":1.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907673","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":"Beyond administration: The essential role of medical secretaries in the quality of clinical hospital service","authors":"L.M. Ortega ,&nbsp;M. Redondo ,&nbsp;D. Martín-García","doi":"10.1016/j.jhqr.2025.101122","DOIUrl":"10.1016/j.jhqr.2025.101122","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101122"},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903905","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":"The weekend effect in hip fracture: The critical role of resource management","authors":"J.C. Segura-Nuez ,&nbsp;M. Infantes-Morales ,&nbsp;A. García-Hernández ,&nbsp;J. Segura-Nuez ,&nbsp;C. Martín-Hernández ,&nbsp;A. Roche-Albero","doi":"10.1016/j.jhqr.2025.101131","DOIUrl":"10.1016/j.jhqr.2025.101131","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The “weekend effect” refers to patients admitted at the end of the week who cannot undergo surgery until the beginning of the following week. The objective is to study the relationship between admission on a specific day of the week and the time to surgery.</div></div><div><h3>Material and methods</h3><div>A retrospective analytical study was conducted, including consecutive patients over 65 years old with a diagnosis of hip fracture admitted to Miguel Servet University Hospital from March 1 to October 31, 2023. Data such as admission day, age, sex, type of fracture, anticoagulant or antiplatelet therapy, and time to surgery were collected. A multivariate analysis was performed to investigate the factors influencing the time to surgery.</div></div><div><h3>Results</h3><div>A total of 348 patients were included. The average time to surgery for patients admitted on Monday was 2.04 days; Tuesday, 2.06; Wednesday, 2.14; Thursday, 2.94; Friday, 3.24; Saturday, 2.91; and Sunday, 2.17. The multivariate analysis showed that admission on Thursday (<em>p</em> <!-->&lt;<!--> <!-->0.001), Friday (<em>p</em> <!-->&lt;<!--> <!-->0.001), or Saturday (<em>p</em> <!-->&lt;<!--> <!-->0.001) increased the time to surgery compared to admission on Monday. Treatment with vitamin K antagonists (<em>p</em> <!-->=<!--> <!-->0.006) and direct oral anticoagulants (<em>p</em> <!-->&lt;<!--> <!-->0.001) also delayed surgery. Subcapital fractures were treated later than basicervical (<em>p</em> <!-->=<!--> <!-->0.039), pertrochanteric (<em>p</em> <!-->=<!--> <!-->0.018), and subtrochanteric (<em>p</em> <!-->=<!--> <!-->0.028) fractures.</div></div><div><h3>Conclusion</h3><div>In our center, admission on Thursday, Friday, or Saturday significantly increased the time to surgery compared to Monday. This may increase hospital costs and the potential complications related to surgical delay.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101131"},"PeriodicalIF":1.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882957","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":"La experiencia de los cuidadores no profesionales de pacientes crónicos","authors":"A. Picón-Santamaría ,&nbsp;S. Ballesteros-Peña","doi":"10.1016/j.jhqr.2025.101130","DOIUrl":"10.1016/j.jhqr.2025.101130","url":null,"abstract":"<div><h3>Introduction</h3><div>Population aging and the increase in chronic diseases pose significant challenges to healthcare systems. Informal caregivers play a crucial role in caring for these patients, yet their experiences remain underexplored. This study evaluates the experience of informal caregivers of hospitalized chronic patients.</div></div><div><h3>Materials and methods</h3><div>A descriptive observational study was conducted at Hospital Santa Marina, Bilbao, between 2023 and 2024. The IEXPAC-Caregivers scale was used to assess the experience of 182 informal caregivers. Data were analyzed using descriptive and inferential statistics. SPSS v.25 software was used for statistical analysis.</div></div><div><h3>Results</h3><div>The overall average score was 7.1 (±<!--> <!-->2.7) out of 10 (Cronbach's α<!--> <!-->=<!--> <!-->0.914). The best-rated items were communication during emergencies and medication administration. However, deficiencies were noted in training, information about available resources, and coordination between services. Significant differences were found in aspects such as emotional support and treatment follow-up based on the gender of the caregiver and the patient.</div></div><div><h3>Conclusions</h3><div>Informal caregivers play an essential role in the care of chronic patients. There is a need to improve service coordination and provide ongoing training and emotional support to them. Gender differences highlight the importance of personalized approaches to enhance their experience and reduce caregiving burden.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101130"},"PeriodicalIF":1.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852331","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}