Journal of Healthcare Quality Research最新文献

{"title":"Implementación de una unidad de via aérea difícil: una necesidad latente en nuestros días","authors":"C. López Viloria, M. Torío Marcos, F. Díez Burón","doi":"10.1016/j.jhqr.2023.12.001","DOIUrl":"10.1016/j.jhqr.2023.12.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425641","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":"Carta de la Presidenta de la Sociedad","authors":"","doi":"10.1016/j.jhqr.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2024.01.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473351","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":"Resultados de la dinamización del proceso de alta y de traslados intrahospitalarios de los pacientes aplicando el método Lean","authors":"L. Manzanedo-Basilio ,&nbsp;S. Arias-Rivera","doi":"10.1016/j.jhqr.2023.10.006","DOIUrl":"10.1016/j.jhqr.2023.10.006","url":null,"abstract":"<div><h3>Introduction</h3><p>The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).</p></div><div><h3>Objective</h3><p>To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.</p></div><div><h3>Material and methods</h3><p>Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.</p></div><div><h3>Results</h3><p>The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.</p></div><div><h3>Conclusions</h3><p>The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048106","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":"¿Cómo viven los pacientes y sus familiares los aislamientos hospitalarios?: análisis de su experiencia como oportunidad de mejora","authors":"C. Ruiz-Huerta García de Viedma ,&nbsp;C. Ruiz Castro ,&nbsp;N. Cuenca Viñas ,&nbsp;S. Gómez del Río ,&nbsp;C. Cavero Esponera ,&nbsp;I. González Solana ,&nbsp;C. Ferrer Arnedo","doi":"10.1016/j.jhqr.2023.08.002","DOIUrl":"10.1016/j.jhqr.2023.08.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169409","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":"12 meses, 12 no hacer. Campaña de seguridad del paciente","authors":"C. Ruiz-Huerta García de Viedma ,&nbsp;M.V. Canto ,&nbsp;C. Cavero Esponera ,&nbsp;C. Ferrer Arnedo ,&nbsp;J.M. Román Belmonte ,&nbsp;R. Fuentes Irigoyen ,&nbsp;I. González Solana ,&nbsp;C. Ruiz Castro ,&nbsp;L. Serrano Molina ,&nbsp;A. Socorro García ,&nbsp;Y. Díaz López","doi":"10.1016/j.jhqr.2023.10.002","DOIUrl":"10.1016/j.jhqr.2023.10.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487003","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":"Efecto sobre el momento del ingreso en la unidad de cuidados intensivos de la puesta en marcha de un servicio extendido de medicina intensiva","authors":"E. Chicote-Álvarez,&nbsp;I. Mainar-Gil,&nbsp;A. Íñiguez-de Diego,&nbsp;S. Gómez-Camino,&nbsp;L. Corta-Iriarte,&nbsp;L. Martínez-Camarero,&nbsp;E. Monfort-Lázaro,&nbsp;M. Ruiz de la Cuesta-López,&nbsp;L.Á. Vilella-Llop,&nbsp;A. Calvo-Martínez","doi":"10.1016/j.jhqr.2023.09.008","DOIUrl":"10.1016/j.jhqr.2023.09.008","url":null,"abstract":"<div><h3>Introduction</h3><p>The implementation of the Critical Care Outreach Teams can influence the time of admission of patients to the Intensive Care Unit (ICU).</p></div><div><h3>Material and methods</h3><p>Retrospective, descriptive, quasi-experimental “before-after” cohort study. All patients admitted to the unit urgently from Monday to Friday for two periods (between February 1, 2022 and June 30 and between February 1, 2023 and June 30, 2023) are included. The patients were divided into regular shift admissions (08-15<!--> <!-->h) and on-call (15-08<!--> <!-->h). The secondary objective was to assess whether there were differences in mortality between the two periods.</p></div><div><h3>Results</h3><p>During the first period of the study, 239 patients were admitted. 29.29% entered the ordinary shift and 70.71% on duty shift. During the second period, 211 patients were included with 43.13% of admissions in the ordinary shift. The comparison between the two periods observed a significant increase in the percentage of admissions in the morning hours in the second period (<em>P</em>=.0031). Mortality in the first period was 13.80% and in the second period 9.95%. The comparison between the two periods did not reveal significant differences.</p></div><div><h3>Conclusions</h3><p>The start-up of the Critical Care Outreach Teams is associated with an increase in the proportion of ICU admissions in the morning period without any observed changes in mortality.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61565585","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":"Natural language processing tools for non-clinical healthcare management","authors":"C. Dominguez ,&nbsp;R. Garcia ,&nbsp;J. Mayol","doi":"10.1016/j.jhqr.2023.09.006","DOIUrl":"10.1016/j.jhqr.2023.09.006","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163111","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":"Consideraciones sobre el uso de ChatGPT en la práctica médica","authors":"A. Iglesias-Puzas,&nbsp;A. Conde-Taboada,&nbsp;E. López-Bran","doi":"10.1016/j.jhqr.2023.09.007","DOIUrl":"10.1016/j.jhqr.2023.09.007","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211104","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":"Incorporación de resultados informados por pacientes con psoriasis y dermatitis atópica en las consultas de atención farmacéutica y dermatología: herramienta que mejora la calidad asistencial y resultados en salud","authors":"M.Á. González-Fernández ,&nbsp;P. Herranz-Pinto ,&nbsp;M.L. Alonso-Pacheco ,&nbsp;C. Mateo-Salillas ,&nbsp;Á. Hoyo-Muñoz ,&nbsp;I. Jiménez-Nácher ,&nbsp;F. Moreno-Ramos ,&nbsp;A. Herrero-Ambrosio","doi":"10.1016/j.jhqr.2023.10.004","DOIUrl":"10.1016/j.jhqr.2023.10.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Patient-reported outcomes (PROs) provide subjective information about their disease, treatment, and quality of life.</p></div><div><h3>Objective</h3><p>To introduce a new system of work coordinated between pharmacists and dermatologists, based on the collection and analysis of PROs to assess its clinical impact as well as patients satisfaction.</p></div><div><h3>Method</h3><p>A prospective single-centre observational study was conducted under clinical conditions and included adult patients diagnosed with psoriasis (PS) and atopic dermatitis (AD) between April-2021 and February-2022.</p><p>Pharmacists and dermatologists agreed on this systematic work. A REDCap® database was designed to facilitate data collection and the subsequent analysis.</p></div><div><h3>Results</h3><p>A total of 288 and 41 patients with PS and AD, respectively, were included. Those who started treatment showed significant improvement with a decrease in PROs and clinical parameters (<em>p</em> &lt; 0.001). The pharmacist made 168 and 7 recommendations to dermatologists for PS and AD patients, respectively, of which 66.07% and 57.1% were accepted. The most common recommendations were «consult with rheumatologist» (20.83%), «extend drug regimen» (19.64%) and «consider change in treatment» (11.90%). Adverse events were reported in 55 and 17 patients with PS and AD, respectively. Of 103 patients, 75% were «very satisfied» and 20% «satisfied» with the system.</p></div><div><h3>Conclusions</h3><p>This new working system helps to evaluate the short and long-term effectiveness of treatments and also to identify adverse events, alarm symptoms and co-morbidities in order to optimize therapies. Collaboration between pharmacists and dermatologists reduces decision-making time and patients appreciate better clinical care leading to higher patient satisfaction.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427637","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":"Pronóstico en pacientes ancianos con caídas atendidos en servicios de urgencias: estudio EDEN-3","authors":"P. Llorens ,&nbsp;A. Guillén Bobe ,&nbsp;P. Gallardo Vizcaíno ,&nbsp;P. Ponte Márquez ,&nbsp;Ll. Llauger ,&nbsp;M. Cañete ,&nbsp;E. Ruescas ,&nbsp;B. Espinosa","doi":"10.1016/j.jhqr.2023.10.003","DOIUrl":"10.1016/j.jhqr.2023.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate whether falls in people ≥65 years old are a prognostic factor for adverse events compared to the rest of older patients who consult emergency departments, and identify factors related to a worse long-term evolution.</p></div><div><h3>Method</h3><p>EDEN cohort that included patients ≥65 years old. Those patients who consulted for fall and the rest were distinguished. Twelve variables were collected. For comparison: two groups matched by fall propensity score. We compared mortality at one year and combined adverse event post-discharge at one year. In patients with falls, variables independently related to evolution were identified.</p></div><div><h3>Results</h3><p>Two thousand seven hundred and forty-five patients treated for falls and 22,920 for other reasons. Mortality at one year was 14.4% (9.5% vs. 15.0%, respectively, <em>P</em>&lt;.001) and the combined post-discharge adverse event at one year was 60.6% (52.2% vs. 61.7%, respectively, <em>P</em>&lt;.001). In 4748 patients matched by fall propensity score (2372 in each group), the inverse association between consultation for fall and mortality (HR: 0.705, 95% CI: 0.5880.846) and post-discharge combined adverse event (0.758, 0.701-0.820) remained significant. Factors associated with mortality in patients with falls were ≥80 years (2.097, 1.521-2.891) and comorbidity (2.393, 1.574-3.636) while being female was a protective factor (0.758, 0.584-0.985). Between the factors associated with post-discharge combined adverse hospitalization in the index event was a protective factor (0.804, 0.685-0.943).</p></div><div><h3>Conclusions</h3><p>Patients over 65 years of age treated in the emergency room for falls have a better prognosis. Hospitalization was a protective factor of combined postdischarge adverse event.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427638","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}