Journal of Healthcare Quality Research最新文献

{"title":"El metaverso de atención a la cronicidad","authors":"R. Qanneta","doi":"10.1016/j.jhqr.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.06.001","url":null,"abstract":"","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":"72080471","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":"The relationship between healthcare workers’ satisfaction level and patients’ satisfaction: Results of a path analysis model","authors":"F.K. Yilmaz,&nbsp;S. Karakuş","doi":"10.1016/j.jhqr.2023.08.003","DOIUrl":"10.1016/j.jhqr.2023.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Patient and healthcare workers’ satisfaction is an important issue in the healthcare sector today. This study aims to evaluate the relationship between healthcare workers and patient satisfaction levels among Turkish individuals, with particular emphasis on the contribution of the former to the latter.</p></div><div><h3>Materials and methods</h3><p>The current study was conducted in a state hospital in İstanbul, Türkiye. Face-to-face surveys were conducted from January to April 2022 to administer two diverse questionnaires for inpatients and attending healthcare workers in the same clinic. Path analysis was used to examine the relationships.</p></div><div><h3>Results</h3><p>The path analysis demonstrated that 25.2% of patient satisfaction was constituted by the satisfaction of healthcare workers. The final model had an excellent fit with the data <em>x</em>² (112.89), <em>x</em>²/<em>df</em> (2.130); SRMR<!--> <!-->=<!--> <!-->0.0679, CFI<!--> <!-->=<!--> <!-->0.956, RMSEA<!--> <!-->=<!--> <!-->0.0798. According to the results of this analysis, healthcare worker satisfaction positively influences patient satisfaction and causes it to increase.</p></div><div><h3>Conclusion</h3><p>Healthcare satisfaction plays a central role in providing patient satisfaction, which in turn helps with the challenges that healthcare faces today.</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":"10535216","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":"Impacto laboral y psicológico de las segundas víctimas entre los profesionales sanitarios hospitalarios","authors":"A. González-González ,&nbsp;O. Redondo-González ,&nbsp;I. Domínguez-Osorio ,&nbsp;V. Quero Palomino ,&nbsp;M. León Velasco ,&nbsp;F. Polo Montes","doi":"10.1016/j.jhqr.2023.06.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the occupational and psychological consequences suffered by healthcare workers who are considered second victims (SV).</p></div><div><h3>Material and methods</h3><p>Observational, descriptive and cross-sectional study among the healthcare workers of a university hospital. The answers collected in a specifically designed questionnaire about psychological consequences at work and the result of a post-traumatic stress scale, “Impact of Event Scale-Revised (IES-R, <em>spanish version</em>)” were evaluated. The variables between the groups were compared using the Chi square test (or Fisher's exact test) when both were qualitative and with the Student's T (or the Mann–Whitney U test for independent data), when one of them was quantitative. The level of statistical significance was <em>P</em>&lt;.05.</p></div><div><h3>Results</h3><p>75.5% (148/207) of the participants in the study suffered some adverse event (AE) and, of these, 88.5% (131/148) were considered SV.</p><p>Physicians had a 2.2 times higher risk of feeling SV than nurses (95% CI: 1.88-2.52). The impact on the patient related to the AE explained why the professionals involved in it felt SV (<em>P</em>=.037).</p><p>80.6% (<em>N</em> <!-->=<!--> <!-->104) of the SVs presented post-traumatic stress. Women were 2.4 times more likely to suffer from it (OR: 2.4; 95% CI: 1.5-4.0).</p><p>Intrusive thoughts in the SV were almost three times more frequent when the damage suffered by the patient was permanent or death (OR: 2.5; 95% CI: 0.2-3.6).</p></div><div><h3>Conclusions</h3><p>Many healthcare workers, especially physicians, considered themselves to be SV, and many of them suffered from post-traumatic stress. The impact on the patient related to the AE was a risk factor for being SV and for suffering psychological consequences.</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":"72080469","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":"Validación de un cuestionario para evaluar la cultura de seguridad del paciente en directivos de la salud: propiedades psicométricas y usabilidad","authors":"G. Garzón González,&nbsp;L.M. Parra Ramírez","doi":"10.1016/j.jhqr.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.09.004","url":null,"abstract":"<div><h3>Aim</h3><p>To validate a reduced and applicable to distinct location version of the only validated questionnaire of patient safety culture in managers in Spanish language.</p></div><div><h3>Method</h3><p>Questionnaire validation study. Community of Madrid 2022. Reduction/adaptation of the original questionnaire: Giménez-Aibar-Gutiérrez, 2013 Questionnaire was reduced from 85 items to 25; those local or not applicable were removed. Pre-test: Semi-structured survey on comprehension and response scale. There was no need to modify the questionnaire. Validation: It was tested in 39 primary care managers without care activity. Internal consistency (α Cronbach), content validity (experts) and construct validity (factor analysis) were analysed. Usability analysis: Survey on time spent and non-response rate.</p></div><div><h3>Results</h3><p>α Cronbach<!--> <!-->=<!--> <!-->0.894. Content validity: Experts deemed questionnaire was complete. Factor analysis: five factors explain 68% of variance. The factors corresponded to the dimensions of the theoretical construct. Factors, internal consistency of each and correlation with global score were: commitment with patient safety: α Cronbach<!--> <!-->=<!--> <!-->0.793, <em>r</em> <!-->=<!--> <!-->0.778; <em>P</em> <!-->&lt;<!--> <!-->.001; procedures/reporting: α Cronbach<!--> <!-->=<!--> <!-->0.83, <em>r</em> <!-->=<!--> <!-->0.806; <em>P</em> <!-->&lt;<!--> <!-->.001; attitudes with patient safety: α Cronbach<!--> <!-->=<!--> <!-->0.766, <em>r</em> <!-->=<!--> <!-->0.596; <em>P</em> <!-->&lt;<!--> <!-->.001; clinicians involving: α Cronbach<!--> <!-->=<!--> <!-->0.773, <em>r</em> <!-->=<!--> <!-->0.798; <em>P</em> <!-->&lt;<!--> <!-->.001; patient safety communication: α Cronbach<!--> <!-->=<!--> <!-->0.615, <em>r</em> <!-->=<!--> <!-->0.518; <em>P</em> <!-->=<!--> <!-->.001; usability survey: 95% thought spent time was adequate. Non-response rate was 0%, except one item.</p></div><div><h3>Conclusion</h3><p>In this work, a reduced and adapted version of questionnaire of Giménez-Aibar-Gutiérrez was validated at distinct location (Madrid region). Psychometric properties and usability, which were found, suggest that the reduced questionnaire is a reliable, valid and usable instrument to assess patient safety culture in managers of any place.</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":"72116810","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":"Decoding patient-reported measures (PRMs) use in clinical practice: How and for what? The MATRICS framework","authors":"E. Gimenez ,&nbsp;C. Watson ,&nbsp;Y. Cossio-Gil","doi":"10.1016/j.jhqr.2023.09.005","DOIUrl":"10.1016/j.jhqr.2023.09.005","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159981","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":"Using machine learning for process improvement in sepsis management","authors":"L.D. Ferreira ,&nbsp;D. McCants ,&nbsp;S. Velamuri","doi":"10.1016/j.jhqr.2022.09.006","DOIUrl":"10.1016/j.jhqr.2022.09.006","url":null,"abstract":"<div><h3>Introduction</h3><p>In the U.S., sepsis afflicts 1.7 million adults, causing 270,000 deaths each year. Early detection of sepsis could decrease the number of deaths by 92,000 annually and decrease hospital expenditures by 1.5 billion USD. Few prior studies and reviews have presented a holistic understanding of the relationship between machine learning and existing process improvement measures. This study, in addition to discussing machine learning and existing process improvements measures, elaborates on the disadvantages and the barriers to integrating machine learning into the clinic. This article synthesizes previous studies to educate healthcare professionals on effectively managing sepsis by leveraging the benefits of machine learning.</p></div><div><h3>Methods</h3><p>This study used the PubMed database. Search terms include <em>sepsis antibiotics</em>, <em>sepsis process improvement</em>, <em>sepsis machine learning</em>. Our search criteria included previous studies published between January 1, 2017, and February 1, 2022.</p></div><div><h3>Results/discussion</h3><p>Although machine learning algorithms have better predictive capabilities, their effectiveness in the clinical setting is limited as studies show mixed results because the medical staff often fails to intervene. To overcome poor interventional response, clinicians need to work with the facility's IT department to ensure integration into clinical workflow and minimize alert-fatigue. Algorithms should enhance the productivity of clinical teams, not attempt to replace them entirely.</p></div><div><h3>Conclusion</h3><p>Hospitals can employ process improvement measures that effectively utilize machine learning algorithms to ensure integration into clinical workflows. Healthcare professionals can utilize workflow tools in addition to the predictive capabilities of machine learning to enhance clinical decisions in sepsis.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10506678","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":"Transformando las instituciones en respuesta a las necesidades de atención en salud: comentarios sobre una experiencia peruana","authors":"J. Moya-Salazar ,&nbsp;V. Rojas-Zumaran ,&nbsp;C.R. Salazar ,&nbsp;H. Contreras-Pulache","doi":"10.1016/j.jhqr.2023.03.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.03.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49876243","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":"Adaptación de un modelo de transformación hospitalaria en relación al proceso de excelencia de la EFQM","authors":"D. Montserrat Capella,&nbsp;P. Cazallo Navarro,&nbsp;C. Ruiz Entrecanales,&nbsp;J. García Pondal","doi":"10.1016/j.jhqr.2023.04.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.04.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49876237","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":"Optimización del manejo de la degeneración macular asociada a la edad neovascular en España: evolución hacia modelos proactivos de tratamiento","authors":"J. Mondéjar,&nbsp;G. Pellico,&nbsp;T. Sallén,&nbsp;P. Núñez,&nbsp;M. Puigcerver,&nbsp;I. Pallàs","doi":"10.1016/j.jhqr.2023.02.007","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.02.007","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Healthcare resources optimization is crucial to assume the growing demand of neovascular age-related macular degeneration (nAMD). This work provides guidelines and support so that each hospital can lead its change management.</p></div><div><h3>Methods</h3><p>The OPTIMUS project (n<!--> <!-->=<!--> <!-->10 hospitals) was based on face-to-face interviews with the key staff of the ophthalmology services, and alignment with the main responsible for each centre (nominal group) to identify potential needs for improving nAMD. The OPTIMUS nominal group was expanded to 12 centres (eVOLUTION). Through different remote work sessions, different guides and tools were defined and developed to implement proactive treatment strategies, one-step treatment administration and potential for remote visits (eConsult) in nAMD.</p></div><div><h3>Results</h3><p>The information collected from the OPTIMUS interviews and working groups (<em>n</em> <!-->=<!--> <!-->10 centres) defined roadmaps to promote the development of protocols and proactive treatment strategies, including healthcare workload optimization and one-stop treatment administration in nAMD. With eVOLUTION, processes and tools were developed to promote eConsult: (i) healthcare burden calculator; (ii) definition of potential patients for telematic management; (iii) definition of nAMD management archetypes; (iv) definition of processes for implementation of eConsult by archetype; and (v) key performance indicators for changing evaluation.</p></div><div><h3>Conclusions</h3><p>Managing change is an internal task that requires an adequate diagnosis of processes and feasible implementation roadmaps. OPTIMUS and eVOLUTION provide the basic tools for an autonomous advance of hospitals in the optimization of AMD management, with the available resources.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49876244","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":"Impacto de los «daily huddle» en la seguridad del paciente pediátrico hospitalizado","authors":"R. Rodríguez-Fernández ,&nbsp;L. Sánchez-Barriopedro ,&nbsp;A. Merino-Hernández ,&nbsp;M.I. González-Sánchez ,&nbsp;J. Pérez-Moreno ,&nbsp;B. Toledo del Castillo ,&nbsp;F. González Martínez ,&nbsp;C. Díaz de Mera Aranda ,&nbsp;T. Eizaguirre Fernández-Palacios ,&nbsp;A. Dominguez Rodríguez ,&nbsp;E. Tierraseca Serrano ,&nbsp;M. Sánchez Jiménez ,&nbsp;O. Sanchez Lloreda ,&nbsp;M. Carballo Nuria","doi":"10.1016/j.jhqr.2023.03.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>In 2017, the Joint Commission proposed daily meetings called “huddle” as an indicator of quality of care. They are brief daily meetings of the multidisciplinary team, where security problems of the last 24<!--> <!-->h are shared and risks are anticipated. The objectives were to describe the most frequent safety events in Pediatric wards, implement improvements in patient safety, improve team communication, implement international safety protocols, and measure the satisfaction of the staff involved.</p></div><div><h3>Material and methods</h3><p>Prospective, longitudinal and analytical design (June 2020–February 2022), with previous educational intervention. Safety incidents, data related to unequivocal identification, allergy and pain records, data from the Scale for the Early Detection of Deficiencies (SAPI) and the Scale for the Secure Transmission of Information (SBAR) were collected. The degree of satisfaction of the professionals was evaluated.</p></div><div><h3>Results</h3><p>Three hundred forty-eight security incidents were recorded. Medication prescription or administration errors stood out (<em>n</em> <!-->=<!--> <!-->103). Drug prescription or administration errors stood out (<em>n</em> <!-->=<!--> <!-->103), especially those related to high-risk medication: acetaminophen (<em>n</em> <!-->=<!--> <!-->14) (×10 doses of acetaminophen; <em>n</em> <!-->=<!--> <!-->6), insulin (<em>n</em> <!-->=<!--> <!-->6), potassium (<em>n</em> <!-->=<!--> <!-->5) and morphic (<em>n</em> <!-->=<!--> <!-->5). An improvement was observed in the pain record; 5% versus 80% (<em>P</em>&lt;.01), in the SAPI registry 5% versus 70% (<em>P</em>&lt;.01), in SBAER scale 40% vs 100% (<em>P</em>&lt;.01), in unequivocal identification of the patient 80% versus 100%; (<em>P</em>&lt;.01) and in the application of analgesic techniques 60% versus 85% (<em>P</em>=.01). In the survey of professionals, a degree of satisfaction of 8 (7–9.5)/10 was obtained.</p></div><div><h3>Conclusions</h3><p>Huddles made it possible to learn about security events in our environment and increase the safety of hospitalized patients, and improved communication and the relationship of the multidisciplinary team.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49876247","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}