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

Ethical challenges of AI-based innovation in the Spanish National Health System 西班牙国家卫生系统中基于人工智能创新的伦理挑战。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-07-01 Epub Date: 2025-03-06 DOI: 10.1016/j.jhqr.2025.02.004

I. de Lecuona

引用次数: 0

The organizational well-being of healthcare professionals 医疗保健专业人员的组织福利

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-07-01 Epub Date: 2025-04-08 DOI: 10.1016/j.jhqr.2025.101125

M. Macías , J.J. Mira , I. Mediavilla , E. Foglia , E. Garagiola , L. Ferrario

引用次数: 0

Influencia de la adherencia en el valor de persistencia dentro de la Medicina 6P 依从性对医学中持久性值的影响6P

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-07-01 Epub Date: 2025-04-02 DOI: 10.1016/j.jhqr.2025.101123

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

引用次数: 0

Ethical decisions on the end of life during internal medicine on-call shifts 内科值班期间关于生命终结的伦理决定

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-07-01 Epub Date: 2025-04-13 DOI: 10.1016/j.jhqr.2025.101129

R. García Caballero , D. Real de Asúa , K. Olaciregui Dague , G. de vega González , B. Herreros

{"title":"Ethical decisions on the end of life during internal medicine on-call shifts","authors":"R. García Caballero , D. Real de Asúa , K. Olaciregui Dague , G. de vega González , B. Herreros","doi":"10.1016/j.jhqr.2025.101129","DOIUrl":"10.1016/j.jhqr.2025.101129","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the frequency of decisions of withholding and withdrawing life-sustaining treatment and palliative sedation in patients previously unknown to physicians during on-call.</div></div><div><h3>Methods</h3><div>Observational study (survey) of Spanish internists.</div></div><div><h3>Results</h3><div>Two hundred seventy-three surveys. In patients they did not know, 95.2% decided during an on-call whether they should enter the Intensive Care Unit and 89% whether to initiate sedation. Measures most identified as “aggressive”: admission to the Intensive Care Unit, use of invasive techniques, cardiopulmonary resuscitation and invasive treatments. 48.4% make the decision to start sedation as a team and 4 out of 10 do not consult the patient. Decisions are planned most commonly with cancer patients (73%), with heart failure (60.4%) and chronic obstructive pulmonary disease (58%).</div></div><div><h3>Conclusions</h3><div>During the on-call, almost all internists make decisions about admission to the Intensive Care Unit or about sedation in unknown patients. It is planned more the decisions with cancer patients. The decision to sedate is usually made as a team and the patient is often not consulted.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101129"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826195","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

MUFACE: un buen modelo para un sistema basado en la coexistencia de lo público y lo privado [MUFACE：一个基于公私共存的系统的好模型]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-05-01 Epub Date: 2025-03-31 DOI: 10.1016/j.jhqr.2025.101119

J. Abarca Cidón

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 : 2025-05-01 Epub 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":"2025-05-01","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 : 2025-05-01 Epub 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":"2025-05-01","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

El modelo MUFACE: un anacronismo contrario a la equidad ciudadana y la congruencia normativa del Sistema Nacional de Salud [MUFACE模式：与公民的公平和国家卫生系统的监管一致性背道而驰的时代错误]。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-05-01 Epub Date: 2025-04-01 DOI: 10.1016/j.jhqr.2025.101127

R. Urbanos-Garrido , B. González López-Valcárcel

引用次数: 0

Análisis de los indicadores de seguridad del paciente en las complicaciones por cuidados durante la hospitalización 【住院期间护理并发症患者安全指标分析】。

IF 1.1

Journal of Healthcare Quality Research Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1016/j.jhqr.2025.01.001

F.M. Escandell Rico , L. Pérez Fernández

{"title":"Análisis de los indicadores de seguridad del paciente en las complicaciones por cuidados durante la hospitalización","authors":"F.M. Escandell Rico , L. Pérez Fernández","doi":"10.1016/j.jhqr.2025.01.001","DOIUrl":"10.1016/j.jhqr.2025.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>To Analyze AHRQ Patient Safety Indicators (PSI) obtained through the Minimum Basic Data Set (MBDS) in improving patient safety.</div></div><div><h3>Method</h3><div>Observational descriptive and retroprective study. The CMBD hospital discharge registry of 342 hospitals of the National Health System was included. The MBDS indicators and analysis axes were from 2021 and the hospitalization MBDS information included the following general data: total discharges, average stay, average age and % mortality. Four patient safety indicators were analyzed: Pressure ulcers (PSI 03), Iatrogenic pneumothorax (PSI 06), Accidental puncture or tear in adults (PSI 15) and CVC-related to bloodstream infection (PSI 07).</div></div><div><h3>Results</h3><div>The PSI 06 and PSI 07 categories not only have a higher number of discharges, but also a longer average stay and mortality. In comparison, PSI 03 and PSI 15 categories show a much lower number of discharges, and a lower mortality and average stay. Conditions associated with PSI 06 and PSI 07 categories could be more severe or complex, leading to a longer hospital stay and a higher risk of mortality. According to relative risk analyses, all indicators show a slightly higher mortality risk in men than in women.</div></div><div><h3>Conclusions</h3><div>Advanced age and serious diagnoses, such as circulatory diseases or neoplasia, are associated with higher mortality and hospital stay. In relation to hospital size, smaller ones show higher risks and worse mortality outcomes. Therefore, these results could guide strategies to optimize resources and focus interventions on the most vulnerable groups.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 3","pages":"Article 101116"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781413","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 : 2025-05-01 Epub 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":"2025-05-01","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