Journal of Healthcare Quality Research最新文献_第5页

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。

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-11-01 Epub 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":"2025-11-01","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

Salutogénesis en vez de patogénesis, ¿estamos realizando la necesaria transformación del modelo de sistema de salud? 健康发生而不是发病发生，我们是否正在对卫生系统模式进行必要的转变？

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-11-01 Epub Date: 2025-06-09 DOI: 10.1016/j.jhqr.2025.101149

M. Santiñà Vila , D. Juvinyà Canal

引用次数: 0

Results of a survey to evaluate awareness and practices of critical incident reported by anaesthesiologists 一项评估由麻醉师报告的危急事件的意识和实践的调查结果

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-11-01 Epub Date: 2025-06-13 DOI: 10.1016/j.jhqr.2025.101147

S. Kaniyil , P. Pavithran , A.K. Arun Krishna , M.C. Rajesh

{"title":"Results of a survey to evaluate awareness and practices of critical incident reported by anaesthesiologists","authors":"S. Kaniyil , P. Pavithran , A.K. Arun Krishna , 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":"2025-11-01","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}

引用次数: 0

Float nurses and patient safety: A checklist to prevent ‘second victims’ 浮动护士和患者安全：防止“第二受害者”的清单

IF 1

Journal of Healthcare Quality Research Pub Date : 2025-11-01 Epub Date: 2025-08-18 DOI: 10.1016/j.jhqr.2025.101159

M. Bennasar-Veny , E. Castro-Sánchez

引用次数: 0

Data: Europe's own path in artificial intelligence 数据：欧洲自己的人工智能之路

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-04-10 DOI: 10.1016/j.jhqr.2025.101126

A. Bahamonde

引用次数: 0

Improving efficiency in a total hip arthroplasty program 提高全髋关节置换术的效率

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-04-17 DOI: 10.1016/j.jhqr.2025.101117

X. Buyse , J.Á. Fernández-Valencia , A. Alías , M. Tió , M. Pablo , A. Serra

{"title":"Improving efficiency in a total hip arthroplasty program","authors":"X. Buyse , J.Á. Fernández-Valencia , A. Alías , M. Tió , M. Pablo , A. Serra","doi":"10.1016/j.jhqr.2025.101117","DOIUrl":"10.1016/j.jhqr.2025.101117","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the application of Lean Six Sigma methodology to increase efficiency in a morning total hip arthroplasty program and analyze the challenges in improving operating room efficiency.</div></div><div><h3>Methods</h3><div>A quasi-experimental study with pre-post intervention analysis was conducted in a public university hospital. Multidisciplinary meetings and a retrospective analysis of the previous year were carried out to define improvement points. Study period: June–December 2023, with 24 planned sessions in Monday and Thursday morning modules. Measures implemented included selection of low-complexity cases, early start of surgeries, optimization of changeover times, and use of efficiency-facilitating systems.</div></div><div><h3>Results</h3><div>The feasibility of performing three procedures in one morning was confirmed, with 72% of cases having surgery times under 90min. 67% of the proposed target was achieved, despite the loss of an operating room module for four months. The average start time of the first surgery improved from 9:23±54min to 8:32±22min. The average number of procedures per module increased from 1.76 to 2.79. The average changeover time reduced from 29±12min to 18±12min.</div></div><div><h3>Conclusions</h3><div>The Lean Six Sigma methodology has improved operating room efficiency for hip arthroplasty by 50%. Identifying easily modifiable stoppers is crucial for successful implementation of improvements in the clinical process. Additional studies are required to address the challenges identified in post-surgery clinical process and to ensure continuous process optimization.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101117"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838782","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

La experiencia de los cuidadores no profesionales de pacientes crónicos 慢性病人的非专业护理人员的经验

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-04-21 DOI: 10.1016/j.jhqr.2025.101130

A. Picón-Santamaría , S. Ballesteros-Peña

{"title":"La experiencia de los cuidadores no profesionales de pacientes crónicos","authors":"A. Picón-Santamaría , 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":"2025-09-01","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}

引用次数: 0

The weekend effect in hip fracture: The critical role of resource management 髋部骨折的周末效应：资源管理的关键作用

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-04-28 DOI: 10.1016/j.jhqr.2025.101131

J.C. Segura-Nuez , M. Infantes-Morales , A. García-Hernández , J. Segura-Nuez , C. Martín-Hernández , A. Roche-Albero

{"title":"The weekend effect in hip fracture: The critical role of resource management","authors":"J.C. Segura-Nuez , M. Infantes-Morales , A. García-Hernández , J. Segura-Nuez , C. Martín-Hernández , 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>  <0.001), or Saturday (<em>p</em>  =0.006) and direct oral anticoagulants (<em>p</em>  =0.039), pertrochanteric (<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":"2025-09-01","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}

引用次数: 0

Beyond administration: The essential role of medical secretaries in the quality of clinical hospital service 超越管理：医务秘书在医院临床服务质量中的重要作用

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-05-05 DOI: 10.1016/j.jhqr.2025.101122

L.M. Ortega , M. Redondo , D. Martín-García

引用次数: 0

Enhancing home care safety 加强家居护理安全

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-09-01 Epub Date: 2025-05-15 DOI: 10.1016/j.jhqr.2025.101143

N. Abed , S.C. Buttigieg , C. Feichtinger , P. Sousa , B. Knezevic , S. Tella , E. Srulovici , N. Bessa Vilela , R. Cohen , K. Põlluste , M. Odalović , V. Klemm , R. Strametz , J.J. Mira

引用次数: 0