Journal of Healthcare Quality Research最新文献_第7页

Evolución de la percepción de la cultura de seguridad de los profesionales sanitarios en una urgencia pediátrica [儿科急诊室医护人员对安全文化认知的演变]。

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2024-01-01 DOI: 10.1016/j.jhqr.2023.11.005

B. Collado-González, C. Ferrero-García-Loygorri, M. Escobar-Castellanos, V. Barrera-Brito, M. Salvador-Rodríguez, R. Marañón, A. Mora-Capín

{"title":"Evolución de la percepción de la cultura de seguridad de los profesionales sanitarios en una urgencia pediátrica","authors":"B. Collado-González, C. Ferrero-García-Loygorri, M. Escobar-Castellanos, V. Barrera-Brito, M. Salvador-Rodríguez, R. Marañón, A. Mora-Capín","doi":"10.1016/j.jhqr.2023.11.005","DOIUrl":"10.1016/j.jhqr.2023.11.005","url":null,"abstract":"<div><h3>Background and aim</h3><p>Safety culture (SC) is a fundamental tool for minimizing adverse events and improving safety and quality of care. Our objective, therefore was to analyze the evolution of the SC of healthcare professionals in a pediatric emergency department (PED) after the implementation of a risk management system for patient safety based on the UNE:EN:ISO 179003 Standard and the execution of new safe practices for Joint Commission International accreditation. At the same time describe the current strengths and weaknesses.</p></div><div><h3>Methods</h3><p>Quasi-experimental, single-center study. All PED professionals participated in the study. An initial measurement of SC was performed through the Hospital Survey on Patient Safety Culture (HSOPS) questionnaire of the Agency for Healthcare Research and Quality adapted to Spanish in 2014. Pro-patient safety strategies were implemented between 2015 and 2022. A subsequent measurement was performed in 2022.</p></div><div><h3>Results</h3><p>The response rate in 2014 was 55% and 78% in 2022. On both occasions the group with the highest participation was nurses with 35.1% and 34.8%, respectively.</p><p>Five dimensions improved after the interventions: frequency of adverse events (25.2%, <em>p</em><span><</span>0.001), organizational learning (25%, <em>p</em><span><</span>0.001), feedback and communication about errors (22.3%, <em>p</em><span><</span>0.001), non-punitive response to errors (6.5%, <em>p</em> = 0.176), and management support (4%, <em>p</em> = 0.333).</p></div><div><h3>Conclusions</h3><p>The actions carried out had a positive influence on organizational learning and the frequency of adverse events reported and communication within the team. In contrast, the perception of SC did not increase.</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":"138832053","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

Assessing the implementation of a comprehensive quality management system for cross-sectoral psycho-oncology in Germany 评估德国跨部门精神肿瘤学综合质量管理体系的实施情况。

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2024-01-01 DOI: 10.1016/j.jhqr.2023.10.007

L. Derendorf , M. Kusch , S. Stock , C. Lemmen

{"title":"Assessing the implementation of a comprehensive quality management system for cross-sectoral psycho-oncology in Germany","authors":"L. Derendorf , M. Kusch , S. Stock , C. Lemmen","doi":"10.1016/j.jhqr.2023.10.007","DOIUrl":"10.1016/j.jhqr.2023.10.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Quality management in healthcare is essential for safe, effective, and patient-centered services. Quality management systems (QMS) monitor and improve healthcare quality. Integrating QMS is crucial for optimal quality of care, but previous studies show gaps in integration. This study aims to assess program adherence to a QMS in cross-sectoral psycho-oncological care and to develop strategies for better integration, ultimately improving healthcare quality.</p></div><div><h3>Materials and methods</h3><p>The study used a utility analysis to assess the program adherence of a cross-sectoral psycho-oncology care program using a 5-point scale. The evaluation process involved breaking down the program into distinct areas, and used key figures and developed indicators to assess adherence. Descriptive statistics were used.</p></div><div><h3>Results</h3><p>The study conducted a comprehensive assessment of program adherence in a complex care program, analysing 4460 evaluation cases based on 128 quality indicators. The results showed a score of 4.2 out of 5 points (84%), indicating a highly effective implementation of the QMS. Notably, the study observed successful implementation of top-down elements, while encountering more challenges in integrating bottom-up aspects.</p></div><div><h3>Conclusion</h3><p>The study demonstrates effective implementation of a comprehensive QMS. Successful integration was observed in areas such as care concept, care management, quality assurance, and IT-based documentation, while challenges remain in quality development and indicators. Active leadership involvement, staff training, data collection, and a learning culture are essential for successful implementation. Future research should assess the impact and cost-effectiveness of QMSs and develop tailored approaches to sustain healthcare professionals’ motivation in quality improvement efforts.</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":"138048107","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

Absolute survival as a measure of effectiveness of screening programs 以绝对存活率衡量筛查计划的有效性。

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-12-12 DOI: 10.1016/j.jhqr.2023.11.003

M. Caicoya

引用次数: 0

El valor de la persistencia en el modelo de la Medicina 5P en enfermedades crónicas [坚持5P医学模型对慢性病的价值]。

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-08 DOI: 10.1016/j.jhqr.2023.10.005

J. Borras-Blasco , E. Ramírez-Herráiz , A. Navarro Ruiz

引用次数: 0

The diabetes education material on diabetes for website: Results of a validation process 糖尿病教育资料的糖尿病网站:验证过程的结果

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.07.001

L. Velázquez López , R. Achar de la Macorra , E. Colin Ramirez , A.V. Muñoz Torres , I. Pineda del Aguila , P.G. Medina Bravo , M. Klünder Klünder , O.S. Medina Gómez , J. Escobedo de la Peña

{"title":"The diabetes education material on diabetes for website: Results of a validation process","authors":"L. Velázquez López , R. Achar de la Macorra , E. Colin Ramirez , A.V. Muñoz Torres , I. Pineda del Aguila , P.G. Medina Bravo , M. Klünder Klünder , O.S. Medina Gómez , J. Escobedo de la Peña","doi":"10.1016/j.jhqr.2023.07.001","DOIUrl":"10.1016/j.jhqr.2023.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>To validate an educational material on diabetes through an expert consensus for its implementation into a web site.</p></div><div><h3>Material and methods</h3><p>An observational study was carried out in a group of health professionals, for which an educational material was developed for patients with diabetes. Topics included nutrition, physical exercise, control indicators, complications, pharmacological treatment, among others. The language, text and figures were focused on easy comprehension, additionally, a section of didactic activities to be answered by the patient with diabetes at the end of each module was included. To evaluate the educational material by health professionals, an instrument was designed and validated. Once all the educational material was available, each of the modules was sent by e-mail to at least three clinical experts in the assigned topic, as well as the instrument for the evaluation of the module.</p></div><div><h3>Results</h3><p>Thirty-seven experts were included in the study, 76% rated the educational modules evaluated as highly adequate, while only 24% rated them as adequate. The instrument used obtained a good level of internal consistency, with a Cronbach's alpha coefficient of 0.92. In the dimensions of the instrument, the lowest Cronbach's alpha score was that of “call-to-action”, with a value of 0.71.</p></div><div><h3>Conclusion</h3><p>The diabetes educational material was rated as highly appropriate by the clinical experts. The developed instrument has an adequate content validity, as well as a good level of internal consistency.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351089","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

Second and double victims – Achievements and challenges in ensuring psychological safety of caregivers 第二受害者和双重受害者——确保照顾者心理安全的成就和挑战

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.05.001

R. Strametz

引用次数: 0

Journal of Healthcare Quality Research and its first impact factor 《医疗质量研究杂志》及其第一个影响因素。

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.09.003

S. Lorenzo, G. Carrasco, D. Parés, J.J. Mira, M.C. Natal, R. Lledó, F. Vazquez, C. Orrego, M. Santiñà, S. Izquierdo, J.C. March, B. Zurita, K. Põlluste

引用次数: 0

Evaluación de la puesta en marcha del Servicio Extendido de Medicina Intensiva en hospital de segundo nivel. Sistema de Alertas Automático de pacientes en riesgo. Experiencia de tres meses 二级医院推广重症医学服务的评估。风险患者自动警报系统。三个月的经验

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.06.003

E. Chicote-Álvarez, M. Arlabán-Carpintero, H. Camino-Ferró, M. Feo-González, M. Macías-Pascual, A. Calvo-Martínez

引用次数: 1

Desarrollo y validación de estándares para unidades de calidad de centros sanitarios 卫生中心质量单位标准的制定和验证

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.09.009

A. Aloy-Duch , M. Santiñà Vila , F. Ramos-D’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya

{"title":"Desarrollo y validación de estándares para unidades de calidad de centros sanitarios","authors":"A. Aloy-Duch , M. Santiñà Vila , F. Ramos-D’Angelo , L. Alonso Calo , M.E. Llaneza-Velasco , B. Fortuny-Organs , A. Apezetxea-Celaya","doi":"10.1016/j.jhqr.2023.09.009","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.09.009","url":null,"abstract":"<div><h3>Objective</h3><p>In Spain, the Quality Units advise health centres, services and professionals on the methodology of continuous improvement of the quality of care. A system based on good practice standards could provide these units with a tool to improve their results and value their work. The objective was to develop, agree on and validate standards, to properly guide and orient the functions, results and continuous improvement of the Quality Units in health centers.</p></div><div><h3>Material and methods</h3><p>A qualitative–quantitative, prospective and cross-sectional study was carried out, applying the Metaplan method, the e-Delphi technique and a simulation study. The participants were coordinators of these units, belonging to 14 Spanish Autonomous Communities and distributed in four experts’ panels. They agreed on the standards to be used and evaluated the different types of validity.</p></div><div><h3>Results</h3><p>The 204 standards proposed by the scientific committee were reduced to 157 with Metaplan, to 110 with e-Delphi, and to 96 with the committee's final review (87.3% consensus, content validity). The construct validity showed a Cronbach's alpha >0.7 (<em>P</em>  <.001; and there was “documentary evidence” in 84%, <em>P</em>  <.001); and the validity of the criteria was verified with a sensitivity of 84.2%, a specificity of 98.3%, and a kappa index of 0.84.</p></div><div><h3>Conclusions</h3><p>Valid standards have been developed for Quality Units in health centers.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72080473","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

Retos e iniciativas en la prevención de las infecciones relacionadas con la asistencia sanitaria: estudio de consenso de expertos 预防与卫生保健有关的感染的挑战和倡议：专家共识研究

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-11-01 DOI: 10.1016/j.jhqr.2023.10.001

S. Tomás-Vecina , M.J. Reyes-Ramos , Grupo de Expertos Infection-Hub

{"title":"Retos e iniciativas en la prevención de las infecciones relacionadas con la asistencia sanitaria: estudio de consenso de expertos","authors":"S. Tomás-Vecina , M.J. Reyes-Ramos , Grupo de Expertos Infection-Hub","doi":"10.1016/j.jhqr.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The objective of the project was to identify new strategies, agreed upon by experts, that help reduce the prevalence of Health Care Related Infections (HAIs) given the increase in their prevalence as a result of the pandemic and improve patient safety.</p></div><div><h3>Material and methods</h3><p>The project was developed in three phases. The first two are framed in a sequential explanatory mixed model. Phase 1 consisted of a quantitative study (anonymous survey) to find out the perception of healthcare professionals about HAIs, risk factors, preventive measures, protocols, disinfection products and approaches. Phase 2 consisted of a qualitative exploratory study in which a panel of 15 experts analyzed the results, using focus group techniques, integrating both phases through the elaboration of metainferences. Phase 3 consisted of a qualitative descriptive study where, through nominal group techniques, agreed proposals for strategies to prevent HAIs were prepared.</p></div><div><h3>Results</h3><p>The panel of experts defined a total of 51 proposals for new strategies: 15 in hand hygiene, 13 in surface cleaning, 13 in the use of devices, and 10 in HAI prevention training. Of all of them, 13 were agreed upon as preferable (medium-high viability and high impact) and 7 as recommendable (low viability and high impact).</p></div><div><h3>Conclusions</h3><p>In the prevention of HAIs, experts recommend applying different strategies simultaneously, which include innovative, technological and humanization aspects, both in data collection, intervention and training, prioritizing those with the greatest impact. and feasibility.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72080472","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