Journal of Healthcare Quality Research最新文献

{"title":"Acknowledgment to the Journal Reviewers for their contributions","authors":"","doi":"10.1016/j.jhqr.2026.101190","DOIUrl":"10.1016/j.jhqr.2026.101190","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101190"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037052","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":"Improving the quality of emergency care with a risk map","authors":"A. Cuerva Carvajal,&nbsp;I. Osorio González,&nbsp;J.L. Fernández Ropero,&nbsp;A. Quitián Martín","doi":"10.1016/j.jhqr.2025.101180","DOIUrl":"10.1016/j.jhqr.2025.101180","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the process of developing a risk map in a hospital emergency department.</div></div><div><h3>Method</h3><div>A risk map was developed for the observation area of the emergency department of a secondary-level hospital belonging to the Regional Health Service of Andalusia. The work involved the systematic identification of potential problems, their prioritization, and the proposal of improvement measures, following a structured risk analysis methodology applied to patient safety.</div></div><div><h3>Results</h3><div>A total of 25 main problems were identified. After prioritization, the following critical areas were highlighted: direct patient monitoring; medication safety during treatment administration; standardization of clinical procedures; continuity of care during night shifts; appropriate management of patient isolation; analysis of previous initiatives; and the implementation and auditing of new improvement proposals.</div></div><div><h3>Conclusions</h3><div>The use of structured tools aimed at patient safety, such as risk maps, is both feasible and useful for identifying improvement areas in emergency services. Their application allows problems to be prioritized, interventions to be targeted, and a systematic framework to be established for the continuous improvement of healthcare quality.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101180"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744973","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":"AI and neurotechnology: Ethical challenges, human rights, and quality of healthcare","authors":"I. de Lecuona ,&nbsp;R.F. Estévez","doi":"10.1016/j.jhqr.2025.101169","DOIUrl":"10.1016/j.jhqr.2025.101169","url":null,"abstract":"<div><div>AI-powered neurotechnologies pose significant challenges due to the sensitive nature of the personal data they process and their potential impact on human behaviour and health. This work adopts an ethical framework that, drawing on scientific evidence, advocates for the promotion and protection of individual rights in the deployment of AI. First, it explores the exponential adoption and diversification of AI systems in healthcare delivery. Second, it explores translational neuroethics to demonstrate its value in enhancing the quality of care. Ultimately, ensuring high-quality healthcare requires rethinking the human–technology relationship.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101169"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245394","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":"Análisis de la relación entre gasto sanitario público y resultados en salud en España (2002-2022)","authors":"F.M. Escandell Rico ,&nbsp;L. Pérez Fernández","doi":"10.1016/j.jhqr.2025.101179","DOIUrl":"10.1016/j.jhqr.2025.101179","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the relationship between public health expenditure and its possible association with health indicators, particularly life expectancy and infant mortality in Spain during the period 2002-2022.</div></div><div><h3>Method</h3><div>An ecological, longitudinal, and retrospective study that included the 17 autonomous communities, generating a panel of 340 observations (17 communities ×<!--> <!-->20<!--> <!-->years). Official data from the Public Health Expenditure Statistics and health indicators from the Ministry of Health were used. Time trends in public health expenditure, life expectancy, and infant mortality were analyzed, and correlation analysis, multiple regression, and hierarchical cluster analysis were applied to evaluate patterns and associations.</div></div><div><h3>Results</h3><div>Public health expenditure per capita increased by 70.6% between 2002 and 2022, mainly concentrated in hospital services, while primary care showed limited growth, and public health only increased significantly after the COVID-19 pandemic. A positive, albeit weak, association was observed between total spending and life expectancy, and a negative correlation approaching significance between spending and infant mortality. Regional inequalities persisted, with regions such as Catalonia and Madrid presenting the highest spending levels and improved indicators, in contrast to regions such as Andalusia and the Valencian Community, which maintained lower and more unstable levels.</div></div><div><h3>Conclusions</h3><div>Increased public health spending in Spain is associated with improvements in key health indicators, but spending alone does not guarantee better outcomes. Efficiency improvements, strengthening of primary care, reduction of territorial inequalities, and results-oriented strategic planning are required to ensure the sustainability and effectiveness of the health system.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"41 1","pages":"Article 101179"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524565","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":"2025-11-01","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":"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":"2025-11-01","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":"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":"2025-11-01","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":"¿Son los nanorrobots una alternativa de mejora en la calidad del tratamiento de la insuficiencia respiratoria?","authors":"Alejandro González-Castro ,&nbsp;Camilo González Fernández ,&nbsp;Arturo Ávila","doi":"10.1016/j.jhqr.2025.101157","DOIUrl":"10.1016/j.jhqr.2025.101157","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 6","pages":"Article 101157"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864376","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":"2025-11-01","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":"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":"2025-11-01","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}