Journal of Healthcare Quality Research最新文献

Textbook outcome in thyroid surgery: A new approach to assess quality in an endocrine surgery unit

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-04-03 DOI: 10.1016/j.jhqr.2025.101120

D. Costa Navarro , J.J. Rubio-García , A. Gomis-Martín , T. Viñas Martínez , J. López-Noguera , M. Franco-Campello , A. Carrion-Tomás , J.M. Ramia

{"title":"Textbook outcome in thyroid surgery: A new approach to assess quality in an endocrine surgery unit","authors":"D. Costa Navarro , J.J. Rubio-García , A. Gomis-Martín , T. Viñas Martínez , J. López-Noguera , M. Franco-Campello , A. Carrion-Tomás , J.M. Ramia","doi":"10.1016/j.jhqr.2025.101120","DOIUrl":"10.1016/j.jhqr.2025.101120","url":null,"abstract":"<div><h3>Background</h3><div>Thyroidectomy is a term encompassing various surgical procedures involving the thyroid gland. Assessing quality is imperative for patient safety and clinical auditing and textbook outcome (TO) offers more comprehensive information on overall quality than single indicators. This study aims to define the parameters constituting TO in thyroid surgery, evaluate the outcomes based on TO criteria within an endocrine surgery unit at a tertiary hospital, and identify factors associated with failure to achieve TO in these cases.</div></div><div><h3>Methods</h3><div>A retrospective observational study of consecutive patients undergoing thyroid surgery at the Endocrine Surgery Unit in Spain between January 2020 and December 2022. The analyzed variables included, among others, age and sex, comorbidities, diagnosis, intrathoracic goiter, type of thyroidectomy, and several postoperative complications. The first TO definition in thyroid surgery was made.</div></div><div><h3>Results</h3><div>A total of 244 patients were included in the study. TOTS was achieved in 153 patients (62.7%), and there were no reported mortalities. Diabetes (18% vs 8.61%) and endothoracic goiter (40% vs 22%) were statistically associated with textbook outcome non-achievement. Also, the endothoracic goiter parameter was identified as a statistically significant predictor of textbook outcome non-achievement.</div></div><div><h3>Conclusion</h3><div>The implementation of the TO concept in thyroid surgery offers a comprehensive method for assessing surgical quality, encapsulating a range of critical postoperative outcomes. The rate of TO in our serie was 62.7%, identifying that endothoracic goiter is the main parameter of textbook outcome non-achievement.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101120"},"PeriodicalIF":1.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767514","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

Optimización del reprocesado de materiales sanitarios en centros de atención primaria

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-04-02 DOI: 10.1016/j.jhqr.2025.101124

E.A. Sabuco Tébar , Á.R. Sáez Soto , M. Culiañez Alenda , Y. López Benavente , R. López Alegría , F.J. Campayo Rojas

{"title":"Optimización del reprocesado de materiales sanitarios en centros de atención primaria","authors":"E.A. Sabuco Tébar , Á.R. Sáez Soto , M. Culiañez Alenda , Y. López Benavente , R. López Alegría , F.J. Campayo Rojas","doi":"10.1016/j.jhqr.2025.101124","DOIUrl":"10.1016/j.jhqr.2025.101124","url":null,"abstract":"<div><h3>Introduction and objetive</h3><div>Reprocessing of medical devices in Primary Care Centers (PCC) can be a source of infections. The aim of this study was to improve the quality of reprocessing devices in the PCCs of Area VII-Murcia/Este through an improvement cycle.</div></div><div><h3>Methods</h3><div>This prospective intervention study. was carried out in 12 PCC, 14 Local Clinics (LC), 4 Oral Health Units (OHU) and the professionals involved in the reprocessing. Between 09/2022-03/2023, a working group was created, and a situation analysis was carried out: inventory of autoclaves, consumption of materials, and visits to the PCCs. Between 04/2023-03/2024, improvement actions were implemented: purchasing plan, use of Chemical Indicators (CHI) and Biological Indicators (BI), training with prior knowledge surveys, work procedure, and processes traceability.</div></div><div><h3>Results</h3><div>In total 11 autoclaves were acquired. The percentage of BI completion was ≥ 45%, and 80% of professionals were trained. The following improvements were obtained: detergent technical data sheet in the washing Area (45% to 73%), sterilization dates traceability (10% to 78%), sterilization cycles traceability (11% to 66%), use of instrument brush (55% to 74%), bag labeling (45% to 68%), correct storage (45% to 78%), and use of tap water to generate steam (2% to 0%).</div></div><div><h3>Conclusions</h3><div>The implementation of an improvement cycle, through the training of professionals, standardization of procedures, and traceability of processes, in addition to having an expert nurse as a reference, increases the quality in the reprocessing of medical devices.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101124"},"PeriodicalIF":1.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759915","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

Experiencias, percepciones y emociones de los pacientes crónicos hospitalizados tras un programa de intervencion musical

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-04-02 DOI: 10.1016/j.jhqr.2025.101121

L. Ortiz de Villacián-Fernández , I. Apraiz-Sánchez , N. Martínez-Domínguez , A. Picón-Santamaría , S. Ballesteros-Peña

{"title":"Experiencias, percepciones y emociones de los pacientes crónicos hospitalizados tras un programa de intervencion musical","authors":"L. Ortiz de Villacián-Fernández , I. Apraiz-Sánchez , N. Martínez-Domínguez , A. Picón-Santamaría , S. Ballesteros-Peña","doi":"10.1016/j.jhqr.2025.101121","DOIUrl":"10.1016/j.jhqr.2025.101121","url":null,"abstract":"<div><h3>Aim</h3><div>Musical interventions for hospitalized patients have shown benefits such as improved mood and reduced stress, but their impact from a qualitative perspective is under-explored. This study aimed to understand the experiences, perceptions, and emotions of chronically ill hospitalized patients who participated in a program of individual micro-concerts during their hospital stay.</div></div><div><h3>Methodology</h3><div>A qualitative study was conducted in a hospital in Bilbao, Spain, in 2024. Hospitalized patients were offered 20-minute micro-concerts three times a week. Semi-structured interviews were conducted with 21 patients selected through purposive sampling. The interviews were transcribed and analyzed inductively to identify thematic patterns.</div></div><div><h3>Results</h3><div>The analysis identified four categories. The first was emotional and cognitive well-being, where patients reported improvements in mood and cognitive stimulation. The second category, the operational aspects of the intervention, highlighted the positive perception of the frequency, duration, and personalization of the sessions. The third category was personal evaluation, where the role of the music therapist was highlighted as a key factor in the success of the intervention. Finally, suggestions for improvement included recommendations to extend the program to other areas of the hospital and combine musical interventions with complementary activities.</div></div><div><h3>Conclusions</h3><div>Personalized musical interventions have a positive impact on the emotional and cognitive well-being of patients. It is essential to design flexible interventions that adapt to individual needs and promote integrated care models.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101121"},"PeriodicalIF":1.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759926","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

Influencia de la adherencia en el valor de persistencia dentro de la Medicina 6P

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-04-02 DOI: 10.1016/j.jhqr.2025.101123

J. Borrás-Blasco , E. Ramírez-Herráiz , A. Navarro-Ruiz

引用次数: 0

[The MUFACE model: An anachronism contrary to the equity of citizens and the regulatory consistency of the National Health System].

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-04-01 DOI: 10.1016/j.jhqr.2025.101127

R Urbanos-Garrido, B González López-Valcárcel

引用次数: 0

[MUFACE: A good model for a system based on public-private coexistence].

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-31 DOI: 10.1016/j.jhqr.2025.101119

J Abarca Cidón

引用次数: 0

Ethical challenges of AI-based innovation in the Spanish National Health System.

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-06 DOI: 10.1016/j.jhqr.2025.02.004

I de Lecuona

引用次数: 0

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