Journal of Healthcare Quality Research最新文献

{"title":"Ethical challenges of AI-based innovation in the Spanish National Health System","authors":"I. de Lecuona","doi":"10.1016/j.jhqr.2025.02.004","DOIUrl":"10.1016/j.jhqr.2025.02.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101115"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587547","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":"Understanding quality and efficiency of cancer care services from oncologist's perspective","authors":"S. Cinaroglu ,&nbsp;B. Saylan ,&nbsp;S. Zararsız","doi":"10.1016/j.jhqr.2025.101150","DOIUrl":"10.1016/j.jhqr.2025.101150","url":null,"abstract":"<div><h3>Objectives</h3><div>Enhancing the quality of critical care services requires a comprehending of the elements that contribute to their efficiency. This study proposes a new way of understanding of cancer service quality and efficiency from oncology professionals’ perspective by combining crisp and stochastic DEA techniques blended with a fully ranking DEA–AHP approach.</div></div><div><h3>Methods</h3><div>Our analysis is based on the analysis of cancer care services efficiency of 81 provinces of Turkey by using indicators of cancer care process, quality of cancer care, general quality of health and cancer care services, development level of provinces, and cancer mortality. Based on the DEA–AHP integrated model with fuzzy AHP weights, provinces located in poor areas are the least efficient in terms of cancer care services. Harmonized crisp and stochastic province-level efficiency analysis serves as a mediator variable to better understand the efficiency of cancer services by using geospatial data in oncology and allows capturing the efficiency dynamics of cancer care.</div></div><div><h3>Results</h3><div>The study findings highlight that the least efficient provinces for cancer care services are those that are mainly found in underdeveloped areas.</div></div><div><h3>Conclusion</h3><div>Cancer policy makers and oncology professionals should consider the efficiency dynamics of cancer care which acts as a mediator variable to help better understand the efficiency of cancer services through the use of spatial differences in oncology.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101150"},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297639","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":"Results of a survey to evaluate awareness and practices of critical incident reported by anaesthesiologists","authors":"S. Kaniyil ,&nbsp;P. Pavithran ,&nbsp;A.K. Arun Krishna ,&nbsp;M.C. Rajesh","doi":"10.1016/j.jhqr.2025.101147","DOIUrl":"10.1016/j.jhqr.2025.101147","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Enhancing patient safety in Anaesthesia relies significantly on critical incident reporting and analysis. We did an online web-based survey aiming to evaluate the awareness and practices of our anaesthesiologists on critical incident reporting in India.</div></div><div><h3>Materials and methods</h3><div>A validated questionnaire was disseminated via online social media platforms to evaluate the awareness and current practices of anaesthesiologists on incident reporting and analysis. Timely reminders were issued to enhance response rates, and data analyzed upon receipt of sufficient responses.</div></div><div><h3>Results</h3><div>Among the 506 responses received, 60% reported having a workplace incident reporting system. Despite high awareness, a significant majority expressed reluctance to report incidents, citing the fear of blame and shame as a deterrent. The most frequently reported incidents included cardiac arrest and drug errors. Identified contributing factors included inadequate staffing, communication gaps, prolonged work hours, a stressful work environment, and the absence of institutional protocols.</div></div><div><h3>Conclusions</h3><div>Despite a notable level of awareness regarding critical incident reporting among our anaesthesiologists, apprehensions related to blame and finger-pointing hinder the reporting process. As a uniform reporting system is lacking, formulating a national guideline, and establishing a standard reporting system is the need of the hour.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101147"},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271165","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":"Healthcare-associated infections in a long-term care hospital: A three-year point-prevalence study","authors":"P. Cárdenas-Soriano ,&nbsp;V.S.H. Múgica ,&nbsp;P. Blanco-Hernández ,&nbsp;M. Gil-López ,&nbsp;G. Rodríguez-Caravaca ,&nbsp;A.M. Pedraza-Flechas","doi":"10.1016/j.jhqr.2025.101146","DOIUrl":"10.1016/j.jhqr.2025.101146","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the prevalence of Healthcare-Associated Infections (HAIs) acquired during hospitalization in a long-term care (LTC) hospital during three periods and identify associated factors.</div></div><div><h3>Methods</h3><div>An observational, cross-sectional study had been conducted in 2019, 2021, and 2023 that included 380 patients. Data collected encompassed demographics, presence of risk factors (pressure sores, catheters, surgery), and HAIs acquired in the current hospitalization. Global and per location HAI was determined, and bivariate and a multiple logistic regression model was constructed to explore the association between the studied variables and infection.</div></div><div><h3>Results</h3><div>The median age varied depending on the year of the survey between 77 and 80.5 years, and the proportion of female patients increased each edition. Length of stay peaked in 2021 (43.5 days), and risk factors in 2023. HAIs prevalences were 8.4% (2019), 10.7% (2021), and 5.6% (2023). Respiratory tract infection was the most frequent globally (34.4%), in 2019 (35.7%) and 2023 (50.0%), followed by urinary tract infection. Globally, HAI and any risk factor (OR: 3.8, 95% CI: 1.6–8.8), and pressure sores (OR: 2.4, 95% CI: 1.1–5.2) were associated, this last remained after adjustment (OR: 16.0, 95% CI: 2.5–104.9).</div></div><div><h3>Conclusions</h3><div>LTC hospitals pose a risk for HAI. Further research on associated factors and preventive strategies is crucial to improve care in this sector.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101146"},"PeriodicalIF":1.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243553","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":"Comparison and analysis of biological drug consumption in two Italian hospital settings: Governance actions and prescribing appropriateness","authors":"M. Vaccaro ,&nbsp;G. Polito ,&nbsp;G. Bagaglini ,&nbsp;M. Capuozzo ,&nbsp;R. Langella ,&nbsp;E. Nava ,&nbsp;A. Zovi ,&nbsp;F. Ferrara","doi":"10.1016/j.jhqr.2025.101148","DOIUrl":"10.1016/j.jhqr.2025.101148","url":null,"abstract":"<div><h3>Background</h3><div>Biosimilar drugs represent a valuable opportunity for healthcare systems worldwide, offering substantial cost savings while ensuring equivalent efficacy and safety in treating chronic conditions. These savings can be reinvested in ongoing medical innovation.</div></div><div><h3>Methods</h3><div>An investigation was carried out to evaluate the utilization of key biologic therapies across various clinical indications within two Italian healthcare institutions: Asl Napoli 3 Sud and Policlinico Umberto I in Rome. Information regarding consumption and expenditure was extracted from institutional databases. A comparison with figures from 2021 was conducted to detect any growth in biosimilar adoption throughout 2022.</div></div><div><h3>Results</h3><div>The 2022 review demonstrated that most of the examined compounds were administered predominantly as biosimilars, with proportions nearing complete substitution, aside from some notable outliers. In particular, reluctance persisted in prescribing biosimilar adalimumab (73.8%) and etanercept (73.3%) at Asl Napoli 3 Sud, as well as erythropoietin (69.5%) and rituximab (72.8%) at Policlinico Umberto I.</div></div><div><h3>Conclusion</h3><div>The year-on-year comparison between 2021 and 2022 underscored a growing shift toward biosimilar prescriptions. This favorable direction indicates the likelihood of reaching full implementation soon, with meaningful advantages for the National Healthcare Service and citizens, promoting an efficient and economically viable model of care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101148"},"PeriodicalIF":1.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243489","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":"Salutogénesis en vez de patogénesis, ¿estamos realizando la necesaria transformación del modelo de sistema de salud?","authors":"M. Santiñà Vila ,&nbsp;D. Juvinyà Canal","doi":"10.1016/j.jhqr.2025.101149","DOIUrl":"10.1016/j.jhqr.2025.101149","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101149"},"PeriodicalIF":1.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243554","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":"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}