Journal of Healthcare Quality Research最新文献_第6页

Calidad institucional y servicios públicos 机构质量和公共服务

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2025.02.002

J.L. Puerta

引用次数: 0

Percepción de los profesionales de atención primaria sobre la frecuencia con que se realizan intervenciones «que no hay que hacer» [初级保健专业人员对进行“不干预”的频率的看法]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.11.002

J.E. Calle Urra , A. Jimeno Almazán , A. Más Castillo , T. Ramón Esparza , C. Arellano Morata , J.J. López-Picazo Ferrer

{"title":"Percepción de los profesionales de atención primaria sobre la frecuencia con que se realizan intervenciones «que no hay que hacer»","authors":"J.E. Calle Urra , A. Jimeno Almazán , A. Más Castillo , T. Ramón Esparza , C. Arellano Morata , J.J. López-Picazo Ferrer","doi":"10.1016/j.jhqr.2024.11.002","DOIUrl":"10.1016/j.jhqr.2024.11.002","url":null,"abstract":"<div><h3>Objetive</h3><div>To know the perception of primary care professionals about the frequency with which interventions that should not be done at this level of care are carried out.</div></div><div><h3>Material and methods</h3><div>Three questionnaires were developed to evaluate 9 interventions in family medicine, 2 in pediatrics and 6 in nursing. The percentage of professionals who stated that they always or almost always carried out these interventions was calculated, considering acceptable percentages of less than 5%. A descriptive analysis of the barriers identified to reduce these interventions was also carried out.</div></div><div><h3>Results</h3><div>Five of the 9 interventions evaluated in family medicine, 2 in pediatrics, and 4 of the 6 in nursing were always or almost always performed by 5% or more of the professionals.</div><div>Among the barriers identified to stop doing unnecessary interventions, the first was lack of time in the consultation, followed by lack of training.</div></div><div><h3>Conclusions</h3><div>The results obtained have made it possible to identify which of the primary care interventions evaluated have the greatest room for improvement, as well as the main barriers to their deimplementation. Surveys of professionals make it possible to assess recommendations that cannot be measured from clinical records. Knowing their perception of their clinical practice can be very useful for designing the intervention plan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 89-96"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847679","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

Acknowledgment to the Journal Reviewers for their contributions 感谢期刊审稿人的贡献

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2025.02.003

引用次数: 0

Referentes de seguridad del paciente: del mito a la realidad [患者安全基准：从神话到现实]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-03-01 DOI: 10.1016/j.jhqr.2024.10.004

Rosa María Añel Rodríguez

引用次数: 0

Analysis of protocol adherence and outcomes of an enhanced recovery program in colorectal surgery after 5 years of implementation 实施5年后结直肠手术强化恢复方案的依从性和结果分析。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-02-01 DOI: 10.1016/j.jhqr.2024.12.010

J. Bel Diaz, M. Barbero Mielgo, A. Pérez Garnelo, R. Guzmán Carranza, J. García Fernández

{"title":"Analysis of protocol adherence and outcomes of an enhanced recovery program in colorectal surgery after 5 years of implementation","authors":"J. Bel Diaz, M. Barbero Mielgo, A. Pérez Garnelo, R. Guzmán Carranza, J. García Fernández","doi":"10.1016/j.jhqr.2024.12.010","DOIUrl":"10.1016/j.jhqr.2024.12.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Enhanced recovery program (ERAS program) have revolutionized the world of surgery by reducing postoperative complications and hospital stays. Greater adherence to the protocol results in better outcomes; however, adherence often declines over time. The main objective of this study is to analyze the adherence rate to ERAS strategies and the outcomes of an ERAS colorectal (CRC) program five years after its implementation.</div></div><div><h3>Methodology</h3><div>This is a descriptive observational study comparing two groups of patients undergoing scheduled CRC surgery under an ERAS program at University Hospital. The first group (ERAS) includes patients operated on during the period immediately following the implementation of the protocol (January 2017–June 2018), while the second group (ERAS 5) includes patients operated on five years after the implementation (January 2022–June 2022).</div></div><div><h3>Results</h3><div>An increase in the adherence rate to ERAS strategies was observed (88.2% in ERAS vs. 84.2% in ERAS 5, <em>p</em> 0.003), as well as a reduction in healthcare-associated infections (HAIs) (9% in ERAS vs. 25.2% in ERAS 5, <em>p</em> 0.001) and surgical site infections (6% in ERAS vs. 18.2% in ERAS 5, <em>p</em> 0.002). No differences were found in other postoperative complications, functional recovery, average length of stay, and readmission rates.</div></div><div><h3>Conclusions</h3><div>After five years of implementing an ERAS protocol for CRC in our hospital, we have managed to maintain a high adherence rate to ERAS strategies. There has been a significant reduction in HAIs and surgical site infections.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101111"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081449","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

Aumento en el porcentaje de asistencia a las consultas externas en el Área Sanitaria de Santiago de Compostela y Barbanza, tras modificar el sistema de gestión de citas [在修改预约管理制度后，圣地亚哥德孔波斯特拉和巴尔班萨保健区门诊就诊的百分比有所增加]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-01-31 DOI: 10.1016/j.jhqr.2024.12.008

R.A. Montes-Villalba , M.I. Santiago-Pérez , M.J. Purriños-Hermida , J.R. Parada-Jorgal

{"title":"Aumento en el porcentaje de asistencia a las consultas externas en el Área Sanitaria de Santiago de Compostela y Barbanza, tras modificar el sistema de gestión de citas","authors":"R.A. Montes-Villalba , M.I. Santiago-Pérez , M.J. Purriños-Hermida , J.R. Parada-Jorgal","doi":"10.1016/j.jhqr.2024.12.008","DOIUrl":"10.1016/j.jhqr.2024.12.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether or not the new appointment management system for hospital outpatient consultations, implementing the use of «mailboxes» (computerized appointment system, based on ideal date), improves adherence to appointments or not.</div></div><div><h3>Method</h3><div>Before-after study, in which the degree of patient adherence to hospital outpatient appointments is compared, before and after the change in the appointment process (period 2014-2018 vs. year 2022). Statistical analysis was performed with Stata v17.</div></div><div><h3>Results</h3><div>Adherence to consultations (percentage of consultations performed) remained stable in all years of the period 2014-2018, with an average value of 91%, and increased to 93% in 2022. All characteristics of the consultations were shown to be associated with adherence, but in the multivariate model sex, age group, setting, hospital, functional area and type of activity were significant.</div></div><div><h3>Conclusion</h3><div>The change made in the appointment management system of hospital outpatient clinics in the Health Area of Santiago de Compostela and Barbanza has proven effective in improving adherence to the consultation. The reduction in the number of absences from consultations reduces waiting lists and improves patient care.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101109"},"PeriodicalIF":1.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075496","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 person-centered medical care in pediatrics: A scoping review 儿科以人为本的医疗护理：范围综述。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-01-18 DOI: 10.1016/j.jhqr.2024.12.009

M.A.M. da Luz , J.O. Mendes

{"title":"The person-centered medical care in pediatrics: A scoping review","authors":"M.A.M. da Luz , J.O. Mendes","doi":"10.1016/j.jhqr.2024.12.009","DOIUrl":"10.1016/j.jhqr.2024.12.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The medicine development demonstrates that the traditional bioethical medical care model is not the most adequate. On the other hand, the person-centered clinical method has been winning more space in the medical practice, since it is a humanized method of care that allows best results. In pediatrics, the patient-centered care works a little bit different, since it requires not only the physician–patient relation, but also the integration of the physician–family–patient relation. Thus, the patient-centered care in the pediatric area is understudied, as well as little practiced. In this context, this review has the objective to exposure the actual scenario of the patient-centered care in pediatrics.</div></div><div><h3>Materials and methods</h3><div>This is a scoping review carried out from the standards of Jonna Briggs Institute (JBI). The database PubMed, Science Direct and BVS were used to search studies between 2012 until 2024. The research was performed with the descriptors “<em>Medicine</em>”, “<em>Shared Decision</em> <em>Making</em>”, “<em>Pediatrics</em>”, “<em>Physician–Patient</em> <em>Relations</em>” and “<em>Patient-Centered</em> <em>Care</em>”.</div></div><div><h3>Results</h3><div>The research identified 27,272 articles, along with 79 met the criteria and were included. Each article was analyzed and allocated in the four pillars of the patient-centered care, which was described and related with the pediatric clinic.</div></div><div><h3>Conclusions</h3><div>The patient-centered care brings benefits to medical care, especially in the pediatric area. Among them, stands out the increased adherence to treatment, the lowest rates of medical errors, the greater integration of the interprofessional team, the more individual and patient-sensitive investigation, as well as the respect of beliefs and desires, making the results obtained better.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101110"},"PeriodicalIF":1.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013160","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

Explorando la voz de los pacientes: mapeo de su experiencia tras ser atendidos en un área integrada de salud [探索病人的声音：绘制他们在综合健康领域护理后的经历]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-01-16 DOI: 10.1016/j.jhqr.2024.12.006

J. López-Picazo Ferrer, J.M. Marín Martínez, I. Vidal-Abarca Gutiérrez, M. López Ibáñez

{"title":"Explorando la voz de los pacientes: mapeo de su experiencia tras ser atendidos en un área integrada de salud","authors":"J. López-Picazo Ferrer, J.M. Marín Martínez, I. Vidal-Abarca Gutiérrez, M. López Ibáñez","doi":"10.1016/j.jhqr.2024.12.006","DOIUrl":"10.1016/j.jhqr.2024.12.006","url":null,"abstract":"<div><h3>Background and aim</h3><div>Measuring patient-reported experience measures (PREMs) is essential for the continuous improvement of quality. This study aims to assess the quality perceived by patients in the key care processes of an integrated health area measuring PREM elements, with the goal of identifying opportunities for improvement.</div></div><div><h3>Methods</h3><div>The research was conducted in the first half of 2023 within a Spanish integrated health area, analysing five key healthcare processes: Primary Care, Emergency Services, Hospitalisation, Consultations, and Surgery. To assess perceived quality, PREM elements such as accessibility, information, and professionalism were measured using the Net Promoter Score (NPS). The Lot Quality Assurance Sampling (LQAS) method was employed to identify specific areas for improvement by detecting rejected lots and optimising sample sizes.</div></div><div><h3>Results</h3><div>Although the perceived quality was generally high, with good or excellent NPS scores, significant variability was observed between processes. A total of 104 rejected lots (21%) were identified across the processes evaluated. The highest number of rejections occurred in and Emergency Services (67%), with notable issues in accessibility and information.</div></div><div><h3>Conclusions</h3><div>The study underscores the need for targeted interventions in accessibility and information to enhance the patient experience, particularly in Primary Care and Emergency Services. The measurement of PREM elements using NPS, in conjunction with the LQAS method, proves to be an effective tool for identifying and prioritising areas for improvement, especially when applied on a regular basis.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101107"},"PeriodicalIF":1.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013158","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

Humanización y calidad de vida profesional en el cuidado oncohematológico y radioterápico: un estudio descriptivo en un hospital universitario [人性化与肿瘤血液学和放疗护理的职业生活质量：一所大学医院的描述性研究]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-01-10 DOI: 10.1016/j.jhqr.2024.12.007

A. Gutiérrez Delgado , C.J. Gómez Martín , C. Martín-Arriscado Arroba , G. González Monterrubio , S. Pérez García , A. Jariego Gómez

{"title":"Humanización y calidad de vida profesional en el cuidado oncohematológico y radioterápico: un estudio descriptivo en un hospital universitario","authors":"A. Gutiérrez Delgado , C.J. Gómez Martín , C. Martín-Arriscado Arroba , G. González Monterrubio , S. Pérez García , A. Jariego Gómez","doi":"10.1016/j.jhqr.2024.12.007","DOIUrl":"10.1016/j.jhqr.2024.12.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate levels of humanization, professional quality of life, resilience, communication skills, and the use of silence among healthcare professionals in these areas.</div></div><div><h3>Methods</h3><div>Observational, cross-sectional, and descriptive study conducted in a referral hospital. Data were collected from 152 healthcare professionals through questionnaires assessing professional quality of life (ProQOL), resilience (CD-RISC), humanization (HUMAS), communication skills (EHC-PS), and the use of silence (Q-SPS).</div></div><div><h3>Results</h3><div>The median age of the professionals was 42 years. They showed moderate levels of compassion satisfaction and resilience (means=23.47 and 29.96) but low levels of humanization (mean=66.09). Emotional exhaustion was significant among physicians (mean=19.19, <em>P</em>=.022), while radiotherapy technicians excelled in empathy (mean=27.33). Significant correlations were observed between compassion satisfaction and optimism (Rho=0.2017, <em>P</em>=.0127), and between productive silence and communication skills (Rho=0.3131, <em>P</em>=.0001).</div></div><div><h3>Conclusions</h3><div>Strengthening emotional and communication competencies is essential. Interventions should focus on reducing compassion fatigue and enhancing the well-being of healthcare professionals, improving care quality for oncohematology and radiotherapy patients.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101108"},"PeriodicalIF":1.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972498","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}

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Continuing the journey: A new chapter for the Journal of Healthcare Quality Research 继续旅程：医疗保健质量研究杂志的新篇章

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-01-01 DOI: 10.1016/j.jhqr.2024.12.002

S. Lorenzo, G.C. Gómez, D. Parés, C. Natal, R. Lledó, J.J. Mira, F. Vázquez, S. Izquierdo, K. Polluste, M. Santiñá, B. Zurita

引用次数: 0