Journal of Healthcare Quality Research最新文献

AI and neurotechnology: Ethical challenges, human rights, and quality of healthcare 人工智能和神经技术：伦理挑战、人权和医疗保健质量。

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Journal of Healthcare Quality Research Pub Date : 2025-10-07 DOI: 10.1016/j.jhqr.2025.101169

I. de Lecuona , R.F. Estévez

引用次数: 0

Habilidades no técnicas en cuidados intensivos. Importantes, pero aún desconocidas [重症监护的非技术技能。很重要，但仍然未知]。

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Journal of Healthcare Quality Research Pub Date : 2025-10-06 DOI: 10.1016/j.jhqr.2025.101162

E. Chicote-Álvarez, E. Cervantes-Marrodán, A. Sáenz-Pinillos, M. Macías-Pascual, A. Calvo-Martínez

引用次数: 0

[Impact of clinical simulation on improving compliance with the surgical safety checklist]. [临床模拟对提高手术安全检查表依从性的影响]。

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Journal of Healthcare Quality Research Pub Date : 2025-10-01 DOI: 10.1016/j.jhqr.2025.101166

M Corominas Iglesias, M Blasco Afonso, J Piqué-Buisan

{"title":"[Impact of clinical simulation on improving compliance with the surgical safety checklist].","authors":"M Corominas Iglesias, M Blasco Afonso, J Piqué-Buisan","doi":"10.1016/j.jhqr.2025.101166","DOIUrl":"https://doi.org/10.1016/j.jhqr.2025.101166","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Simulation participation rates by department were as follows: 40% for Anesthesiology, 55.5% for Surgery, 75% for Orthopedics, and 76.5% for surgical nurses. The impact of the intervention was assessed by retrospectively reviewing SSC compliance before and after the simulation training. The results showed a significant increase in SSC compliance at the entry phase and during the surgical pause (P=.000), while no significant change was observed at the surgical exit phase.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":"101166"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","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}

引用次数: 0

Cataract care process: Systematic review of clinical guidelines and synthesis of recommendations 白内障护理过程：临床指南的系统回顾和建议的综合。

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Journal of Healthcare Quality Research Pub Date : 2025-09-29 DOI: 10.1016/j.jhqr.2025.101161

M. García Anguas , A.M. Seva-Llor , R. Cabrera Beyrouti

{"title":"Cataract care process: Systematic review of clinical guidelines and synthesis of recommendations","authors":"M. García Anguas , A.M. Seva-Llor , R. Cabrera Beyrouti","doi":"10.1016/j.jhqr.2025.101161","DOIUrl":"10.1016/j.jhqr.2025.101161","url":null,"abstract":"<div><h3>Introduction</h3><div>In 2020, 94 million people worldwide had moderate to severe visual impairment or blindness due to cataracts, particularly among older adults. The allocation of resources and appropriate strategies are essential for effective healthcare management that can control costs and improve patients’ quality of life. Clinical Practice Guidelines (CPGs) help reduce variability in care.</div></div><div><h3>Objective</h3><div>To analyze, compare, and synthesize recommendations from multiple guidelines on the same topic in order to identify consistencies, discrepancies, and opportunities for improvement.</div></div><div><h3>Methods</h3><div>Websites of international organizations, scientific societies, and various databases such as PubMed, WoS, and Cinahl were reviewed. A systematic review identified five high-quality CPGs for cataract management, with recommendations covering diagnosis, treatment, and postoperative follow-up.</div></div><div><h3>Results</h3><div>Although some variability was found, common recommendations were identified. Two widely agreed upon recommendations stood out: avoiding routine preoperative medical tests for local anesthesia, as they do not reduce complications, and using intracameral antibiotics (cefuroxime/moxifloxacin) for infection prevention, supported by high-level evidence, among others. The guideline developed by the American Academy of Ophthalmology – Cataract in the Adult Eye Preferred Practice Pattern – was found to be the most valid and useful.</div></div><div><h3>Conclusion</h3><div>Standardizing high-evidence recommendations can improve clinical decision-making, reduce variability, and enhance patient outcomes. This study highlights the need for better implementation strategies and patient-centered education to improve adherence to care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101161"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200644","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

Análisis de las hospitalizaciones potencialmente evitables en las enfermedades crónicas [潜在可避免的慢性疾病住院分析]。

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Journal of Healthcare Quality Research Pub Date : 2025-09-27 DOI: 10.1016/j.jhqr.2025.101168

F.M. Escandell Rico , L. Pérez Fernández

{"title":"Análisis de las hospitalizaciones potencialmente evitables en las enfermedades crónicas","authors":"F.M. Escandell Rico , L. Pérez Fernández","doi":"10.1016/j.jhqr.2025.101168","DOIUrl":"10.1016/j.jhqr.2025.101168","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze indicators of potentially avoidable hospitalizations obtained through the minimum basic data set for chronic disease management and improving the quality of care.</div></div><div><h3>Method</h3><div>A descriptive retrospective study evaluating gender differences included hospital discharge records from 342 hospitals in the National Health System. The indicators and axes of analysis were from 2021, and the information included the following general data: total discharges, mean stay, mean age, and mortality rate. Four groups of indicators of potentially avoidable hospitalizations were analyzed: diabetes and its complications, cardiovascular disease and hypertension, respiratory and pulmonary diseases, and other acute and chronic conditions.</div></div><div><h3>Results</h3><div>Women have a higher risk of mortality in congestive heart failure (RR=1.35) and diabetes with acute complications. Men have higher mortality rates in respiratory diseases such as COPD and asthma. In acute conditions, there are no significant differences in mortality, but in chronic conditions, women have a higher risk. In diabetes, women have higher mortality from acute complications (RR=1.42), while men face a higher risk of chronic complications.</div></div><div><h3>Conclusions</h3><div>The study reveals variations in mortality and hospitalization associated with cardiovascular and respiratory diseases, and diabetes, with significant differences by gender. Women have higher mortality from acute complications of diabetes, while men have higher mortality from chronic diseases. These findings support the need for a personalized approach to treatment and prevention, considering the specificities of each gender.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101168"},"PeriodicalIF":1.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187014","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

Outcomes of patients undergoing elective DC cardioversion for atrial fibrillation: A district general hospital experience. 心房颤动患者择期DC复律的结果：一项地区综合医院的经验。

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-09-27 DOI: 10.1016/j.jhqr.2025.101167

A Abdullah, G S Ramewal, C Wright, K Razzaq, K Moosavi-Shendi, G Bagri, S K Nadar

{"title":"Outcomes of patients undergoing elective DC cardioversion for atrial fibrillation: A district general hospital experience.","authors":"A Abdullah, G S Ramewal, C Wright, K Razzaq, K Moosavi-Shendi, G Bagri, S K Nadar","doi":"10.1016/j.jhqr.2025.101167","DOIUrl":"https://doi.org/10.1016/j.jhqr.2025.101167","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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, p<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 (p<0.001). Amiodarone continued post-DCCV also predicted maintenance of sinus rhythm at one year (p=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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":"101167"},"PeriodicalIF":1.0,"publicationDate":"2025-09-27","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}

引用次数: 0

A retrospective cohort study of onco-hematologic inpatients with SACT at the end of life in a single cancer institution: Differences between solid tumors and hematological neoplasms 一项回顾性队列研究，在单一癌症机构对SACT晚期肿瘤-血液学住院患者：实体瘤和血液学肿瘤之间的差异

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Journal of Healthcare Quality Research Pub Date : 2025-09-09 DOI: 10.1016/j.jhqr.2025.101160

L. Pétriz , A. Vidal , J.R. Germà , E. Loureiro , J. Muniesa , T. Ferro

{"title":"A retrospective cohort study of onco-hematologic inpatients with SACT at the end of life in a single cancer institution: Differences between solid tumors and hematological neoplasms","authors":"L. Pétriz , A. Vidal , J.R. Germà , E. Loureiro , J. Muniesa , T. Ferro","doi":"10.1016/j.jhqr.2025.101160","DOIUrl":"10.1016/j.jhqr.2025.101160","url":null,"abstract":"<div><h3>Background</h3><div>This study compares mortality indicators in patients with solid tumors (ST) and hematological neoplasms (HN) who died in the hospital during systemic anticancer therapy (SACT) in the last 30 days of life. We used indicators described by Earle: SACT<30d, SACT<14d, therapeutic regimen changes, and palliative care referrals. We also analyzed the impact of palliative care availability on patient survival.</div></div><div><h3>Methods</h3><div>Between 2017 and 2022, we identified, validated, and registered 2285 cases through our institution's Mortality Subcommittee (MS) that met the inclusion criteria for this cohort.</div></div><div><h3>Results</h3><div>We observed differences in indicators between ST and HN consistent with published literature. These differences occurred both in therapeutic intensity (higher in HN) and in palliative care referrals (higher percentage for ST). When analyzing survival from advanced disease definition to death, no statistically significant differences emerged between patients with HN versus ST, or between those with and without palliative care.</div></div><div><h3>Conclusions</h3><div>The published differences between subgroups (ST vs HN) persist even in our hospital death cohort, confirming the need for pathology-specific standards.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101160"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019284","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

Safe float nurses, safe patients: Problems and feasible solutions. A qualitative analysis and scoping review. 安全浮动护士，安全患者：问题及可行解决方案。定性分析和范围审查。

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-09-04 DOI: 10.1016/j.jhqr.2025.101158

M Durán-Luque, Á Cobos-Vargas, A F López-López, E Rodríguez-Delgado, J L Fernández-Ropero, A Bueno-Cavanillas

{"title":"Safe float nurses, safe patients: Problems and feasible solutions. A qualitative analysis and scoping review.","authors":"M Durán-Luque, Á Cobos-Vargas, A F López-López, E Rodríguez-Delgado, J L Fernández-Ropero, A Bueno-Cavanillas","doi":"10.1016/j.jhqr.2025.101158","DOIUrl":"https://doi.org/10.1016/j.jhqr.2025.101158","url":null,"abstract":"<p><strong>Background and objective: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":"101158"},"PeriodicalIF":1.0,"publicationDate":"2025-09-04","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}

引用次数: 0

Translation and cross-cultural adaptation of the service user technology acceptability questionnaire to a Spanish version 服务用户技术可接受性问卷的翻译和跨文化改编为西班牙语版本。

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 DOI: 10.1016/j.jhqr.2025.101153

A. Méndez , C. Nieto , J.P. Guerrero , D. Galaz

{"title":"Translation and cross-cultural adaptation of the service user technology acceptability questionnaire to a Spanish version","authors":"A. Méndez , C. Nieto , J.P. Guerrero , D. Galaz","doi":"10.1016/j.jhqr.2025.101153","DOIUrl":"10.1016/j.jhqr.2025.101153","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Telemedicine requires sensitivity to needs and contexts of patients. Acceptability, which is the intention or usage of technology, is a crucial aspect. SUTAQ (Service User Technology Acceptability Questionnaire) is the only questionnaire specifically designed to collect beliefs of patients about telehealth, however there is no Spanish version available to be used.</div></div><div><h3>Objective</h3><div>To translate and cross-culturally adapt the Service User Technology Acceptability Questionnaire to a Spanish version.</div></div><div><h3>Materials and methods</h3><div>An observational, cross-sectional study was designed to forward translate and synthesize the English version of SUTAQ, then to obtain a T-12 version which was back-translated to English and reviewed by an expert committee. The prefinal version was pretested after obtaining informed consent in subjects ≥18 years, with a chronic disease, using a form to evaluate fluency and comprehension of each question with a 5-point Likert scale.</div></div><div><h3>Results</h3><div>Minor modifications were incorporated in the T-12 version. Thirty-two subjects of 61 years old, female (65.6%), twelve or more years of study (59.4%) and hypertension (46.9%) were recruited. Fluency and understanding were mainly high in all questions with a minority who said the items were moderately understandable.</div></div><div><h3>Conclusion</h3><div>The Spanish version of SUTAQ was fluent and understandable for most patients, which demonstrated its consistency with the English version. This version should be further tested to demonstrate its reliability and validity in a larger sample.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101153"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660673","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

Design and application of a survey for measuring multidimensional access to health services 设计和应用一项调查，以衡量获得保健服务的多角度情况。

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 DOI: 10.1016/j.jhqr.2025.101154

G.P. González , M. Geri , M.S. Moreno , M.F. Arnaudo , F.P. Lago , M.E. Elorza , N.S. Moscoso , A.M. Blanco

{"title":"Design and application of a survey for measuring multidimensional access to health services","authors":"G.P. González , M. Geri , M.S. Moreno , M.F. Arnaudo , F.P. Lago , M.E. Elorza , N.S. Moscoso , A.M. Blanco","doi":"10.1016/j.jhqr.2025.101154","DOIUrl":"10.1016/j.jhqr.2025.101154","url":null,"abstract":"<div><h3>Objectives</h3><div>Access to health services is a critical factor in ensuring equitable healthcare delivery. Understanding patient perspectives on barriers and obstacles to healthcare access is essential for improving health outcomes. This study aims to design and test an instrument to assess self-perceived access to health services across different levels of care, encompassing all process dimensions.</div></div><div><h3>Methods</h3><div>The survey, constructed with an interdisciplinary approach, is administered at the household level. It was validated by experts and approved by a Bioethics Committee. This survey was conducted in a medium-sized city in Argentina.</div></div><div><h3>Results</h3><div>The validated instrument provides a comprehensive tool to investigate, from the patient's perspective and preferences, the barriers that prevent a health need from becoming a demand and the obstacles to effectively using the needed healthcare service. The implementation of the survey revealed significant insights into these issues.</div></div><div><h3>Conclusions</h3><div>Our instrument offers valuable insights into the patient-perceived barriers to healthcare access. It is a robust tool for identifying the obstacles that impede the utilization of health goods and services in the different levels of care, thereby improving healthcare delivery systems.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101154"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660672","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