Journal of Healthcare Quality Research最新文献_第9页

Consideraciones sobre mortalidad y atención a pacientes hospitalizados durante los fines de semana 周末住院病人的死亡率和护理考虑

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.02.003

B. Espinosa , F.J. Martín-Sánchez , M.P. López-Díez

引用次数: 0

¿Qué determina la elección público-privada en la sanidad española? 是什么决定了西班牙医疗保健的公私选择?

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.02.002

J. Rama-Caamaño , O. Iglesias Sousa , J. Rama

{"title":"¿Qué determina la elección público-privada en la sanidad española?","authors":"J. Rama-Caamaño , O. Iglesias Sousa , J. Rama","doi":"10.1016/j.jhqr.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.02.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>The aim of the study was to analyze, which individual characteristics (sociodemographic, attitudinal and political factors) mediates in the choice in Spain in 2022, of a private versus public health care alternative for family doctor, doctor specialist, hospital admissions and emergencies.</p></div><div><h3>Methods</h3><p>Using the health barometers of the Centro de Investigaciones Sociológicas (CIS), we carried out four logistic regressions (then, average marginal effects [AMEs]) whose dependent variables are the preference for a private choice of family doctor versus a public one, the preference for a private choice of doctor specialist versus a public one; the preference for a private choice of hospital admission versus a public one and the preference for a private choice of emergency admission versus a public one. The dependent variables are binary (1=private; 0=public). The sample consisted of more than 4,500 individuals older than 18years old distributed representatively throughout Spain.</p></div><div><h3>Results</h3><p>The probability of choosing private rather than public is correlated with the age of the individual: those over 50years are less likely to opt for a private alternative (<em>P</em>  <.01) and individuals with greater satisfaction with the NHS are less likely to choose private ones (<em>P</em>  <!-->.01).</p></div><div><h3>Conclusions</h3><p>Satisfaction with the NHS and patient ideology are the most relevant factors for private versus public choice.</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":"49876246","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

Estudio de la incidencia de COVID-19 en España y su relación geográfica provincial 西班牙COVID-19发病率及其省级地理关系研究

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.02.005

J.J. Alfaro-Martínez , J. Solís García del Pozo , R.P. Quílez Toboso , L. García Blasco , C. Rosa Felipe

引用次数: 1

Understanding Honest Mistakes, Second Victims and Just Culture for Patient Safety 理解诚实的错误，第二受害者和公正的患者安全文化

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.08.001

José Joaquín Mira

引用次数: 0

Evaluación de riesgos y mejora de la seguridad biológica y radiológica en la toma de radiografía torácica a pacientes con COVID-19 COVID-19患者胸片的风险评估和生物和放射安全性的提高

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2023.02.001

N.C. Santisteban Salazar , M.Y. Santisteban Salazar , M.A. Arrasco Barrenechea , M. Llashag Adán

{"title":"Evaluación de riesgos y mejora de la seguridad biológica y radiológica en la toma de radiografía torácica a pacientes con COVID-19","authors":"N.C. Santisteban Salazar , M.Y. Santisteban Salazar , M.A. Arrasco Barrenechea , M. Llashag Adán","doi":"10.1016/j.jhqr.2023.02.001","DOIUrl":"10.1016/j.jhqr.2023.02.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Health workers are at high risk of becoming infected with COVID-19. The objective of the study was to evaluate the risks and improve the biological and radiological safety measures for taking chest X-rays in patients with COVID-19 in a Social Security hospital in Utcubamba (Peru).</p></div><div><h3>Material and methods</h3><p>Quasi-experimental intervention study type before and after without a control group, carried out between May and September 2020. A process map and an analysis of failure modes and effects (FMEA) of radiological care were prepared. The gravity (G), occurrence (O), and detectability (D) values ??were found and the risk priority number (RPN) was calculated for each failure mode (FM). FM with RPN ≥ 100 and G ≥ 7 were prioritized. Improvement actions were implemented based on the recommendations of recognized institutions and the O and D values ??were re-evaluated.</p></div><div><h3>Results</h3><p>The process map consisted of 6 threads and 30 steps. 54 FM were identified, 37 of whom had RPN ≥ 100 and 48 had G ≥ 7. Most of the errors occurred during the examination 50% (27). After entering the recommendations, 23 FM had RPN ≥ 100.</p></div><div><h3>Conclusions</h3><p>Although none of the measures applied through the FMEA made the failure mode impossible, they made it more detectable and less frequent and reduced the RPN for each failure mode; however, a periodic update of the process is necessary.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9925412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9787999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrated care process in type 1 diabetes mellitus in children and adolescents: A quality improvement initiative 儿童和青少年1型糖尿病的综合护理过程:一项质量改进倡议

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2022.09.005

I. Pedrosa, F. Cardoso, V. Martins, E. Gama

引用次数: 0

Hospitalización a domicilio: Oportunidades y necesidades 家庭住院:机会和需求

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2023.02.006

María Isabel González Anglada, Cristina Garmendia Fernández, Leonor Moreno Núñez

引用次数: 0

Factores relacionados con la carga de trabajo en hospitalización a domicilio: estudio de consenso Delphi 家庭住院工作量相关因素:德尔菲共识研究

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2022.09.001

K. Vrotsou , M. Orive-Calzada , N. González , I. Vergara , N. Pascual-Fernández , C. Guerra-López , R. García-Montes , J. Ortiz-Ribes , M.J. Onaindia-Ecenarro , J. Regalado-de los Cobos , M. Millet-Sampedro

{"title":"Factores relacionados con la carga de trabajo en hospitalización a domicilio: estudio de consenso Delphi","authors":"K. Vrotsou , M. Orive-Calzada , N. González , I. Vergara , N. Pascual-Fernández , C. Guerra-López , R. García-Montes , J. Ortiz-Ribes , M.J. Onaindia-Ecenarro , J. Regalado-de los Cobos , M. Millet-Sampedro","doi":"10.1016/j.jhqr.2022.09.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2022.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To identify and prioritize a list of factors that contribute to the workload of the hospital at home (HaH) professionals.</p></div><div><h3>Material and methods</h3><p>A qualitative methodology study performed between January and December 2019 in the 10 HAH units of the Basque Country. The data were obtained in 4phases: 1. Systematic literature search and review; 2. Expert group meeting; 3. Consensus method: Delphi technique (2 survey rounds) and nominal group meeting; 4. Meeting of the research team.</p></div><div><h3>Results</h3><p>In the systematic literature search and review 85 factors were initially identified. These were reduced to 38 after the 8-person expert group meeting, in which 10 new factors were added. After the 2 Delphi rounds (106 and 57 professionals, respectively), 17 factors were maintained and 12 remained in doubt. The latter were evaluated at the nominal group meeting, consisting of 13 professionals who decided to eliminate 5 factors, include 3, and keep 3 as doubt. After the 8-person research team meeting, 14 potential factors were finally selected. They are related to the place of residence, the health state and social situation of the patients, as well as the health care provided at home.</p></div><div><h3>Conclusions</h3><p>The identified factors could serve for improving the organization and optimize the daily word of the HaH professionals.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888099","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: 2

Impacto pronóstico de la realización de un programa de rehabilitación cardiaca tras un síndrome coronario agudo 急性冠状动脉综合征后心脏康复计划的预后影响

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2023.01.001

E. Gambó Ruberte , M.C. Chabbar Boudet , C. Albarrán Martín , C. Untoria Agustín , E. Murlanch Dosset , B. Peiró Aventín , F. Garza Benito

{"title":"Impacto pronóstico de la realización de un programa de rehabilitación cardiaca tras un síndrome coronario agudo","authors":"E. Gambó Ruberte , M.C. Chabbar Boudet , C. Albarrán Martín , C. Untoria Agustín , E. Murlanch Dosset , B. Peiró Aventín , F. Garza Benito","doi":"10.1016/j.jhqr.2023.01.001","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.01.001","url":null,"abstract":"<div><h3>Aim</h3><p>Reduction of major adverse cardiovascular events (MACE) at 5 years in patients with acute coronary syndrome (ACS) and percutaneous coronary intervention who completed a cardiac rehabilitation program.</p></div><div><h3>Methods</h3><p>We included 230 consecutive men with a diagnosis of ACS and percutaneous coronary intervention in the first half of 2015 according to the inclusion criteria. Two cohorts of 115 patients each were compared, one of them (rehabilitated group) with patients who completed the cardiac rehabilitation program and the other (control group) who received conventional outpatient care. Base-line characteristics and MACE at 5-years follow-up were compared and analyzed. MACE included re-infarction, heart failure, cerebrovascular accident and all-cause mortality.</p></div><div><h3>Results</h3><p>At 5 years of follow-up, a statistically significant reduction in MACE (27.19% vs 7.83%; OR 0.23 [IC 0.10-0.50]; <em>P</em>  =0.01), re-infarction rate (OR 0.29 [IC 0.11-0.77]; <em>P</em>  =.014) was found in the rehabilitated group (RG). MACE-free survival was significantly longer in the RG, regardless of risk (HR 0.25 [IC 0.12-0.53]; <em>P</em>  <!-->.000).</p></div><div><h3>Conclusion</h3><p>In our sample, cardiac rehabilitation programs showed a prognostic benefit in patients with ACS and percutaneous coronary intervention, with a statistically significant reduction in MACE, re-infarction rate and CVA at five-year follow-up.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49888515","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

Comentarios sobre la seguridad del paciente y eventos adversos a propósito del estudio de Riera-Vázquez et al., (2022) 关于riera - vazquez等人研究的患者安全性和不良事件的评论(2022)

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-07-01 DOI: 10.1016/j.jhqr.2022.09.007

C. Fajardo-Luna , S. Espil-Sanchez , R. Quico-Berrio , Y. Muñoz-Cure , C.R. Salazar , J. Moya-Salazar

引用次数: 1