Journal of Healthcare Quality Research最新文献

{"title":"Percepción de la cultura de seguridad del paciente en un hospital de alta complejidad de Madrid y acciones de mejora","authors":"J.M. Aranaz Andrés ,&nbsp;M.A. Espinel Ruiz ,&nbsp;F. Roldan Moll ,&nbsp;Miembros de la Comisión de Seguridad del Paciente del Hospital Ramón y Cajal","doi":"10.1016/j.jhqr.2024.12.005","DOIUrl":"10.1016/j.jhqr.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The culture of patient safety is reflected in the behavior of individuals within a healthcare organization, based on knowledge, beliefs, and values aimed at minimizing the harm that patients might suffer. Assessing the perception of safety culture helps in developing and implementing improvement actions.</div></div><div><h3>Materials and methods</h3><div>A descriptive study conducted in two phases. A patient safety culture questionnaire measuring three dimensions of the safety culture was administered, and improvement actions were developed based on the results.</div></div><div><h3>Results</h3><div>300 responses were obtained, with a response rate of 10.2%. 70% were women, 40% were physicians, and 38% were nurses. 37% reported having worked at the hospital for more than 20<!--> <!-->years. The management support for patient safety dimension received 33% (CI: 29.5-35.7) of positive responses and 27% (CI: 24.3-30.2) of negative responses. The patient safety perception dimension received 67% (CI: 63.8-70.01) of positive responses and 20% (CI: 17.4-22.8) of negative responses. The supervisor/department head support for patient safety dimension received 61% (CI: 57.4-63.9) of positive responses and 19% (CI: 16.3-21.5) of negative responses.</div><div>After presenting the results to the management team, improvement actions were proposed, which led to greater commitment from the management team to patient safety, increased presence during patient safety rounds, and greater visibility of patient safety-related information available on the intranet.</div></div><div><h3>Conclusions</h3><div>A low perception of management support was detected, allowing for improvements in this dimension.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 97-106"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060373","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":"Percepción de los profesionales de atención primaria sobre la frecuencia con que se realizan intervenciones «que no hay que hacer»","authors":"J.E. Calle Urra ,&nbsp;A. Jimeno Almazán ,&nbsp;A. Más Castillo ,&nbsp;T. Ramón Esparza ,&nbsp;C. Arellano Morata ,&nbsp;J.J. López-Picazo Ferrer","doi":"10.1016/j.jhqr.2024.11.002","DOIUrl":"10.1016/j.jhqr.2024.11.002","url":null,"abstract":"<div><h3>Objetive</h3><div>To know the perception of primary care professionals about the frequency with which interventions that should not be done at this level of care are carried out.</div></div><div><h3>Material and methods</h3><div>Three questionnaires were developed to evaluate 9 interventions in family medicine, 2 in pediatrics and 6 in nursing. The percentage of professionals who stated that they always or almost always carried out these interventions was calculated, considering acceptable percentages of less than 5%. A descriptive analysis of the barriers identified to reduce these interventions was also carried out.</div></div><div><h3>Results</h3><div>Five of the 9 interventions evaluated in family medicine, 2 in pediatrics, and 4 of the 6 in nursing were always or almost always performed by 5% or more of the professionals.</div><div>Among the barriers identified to stop doing unnecessary interventions, the first was lack of time in the consultation, followed by lack of training.</div></div><div><h3>Conclusions</h3><div>The results obtained have made it possible to identify which of the primary care interventions evaluated have the greatest room for improvement, as well as the main barriers to their deimplementation. Surveys of professionals make it possible to assess recommendations that cannot be measured from clinical records. Knowing their perception of their clinical practice can be very useful for designing the intervention plan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 89-96"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847679","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":"Acknowledgment to the Journal Reviewers for their contributions","authors":"","doi":"10.1016/j.jhqr.2025.02.003","DOIUrl":"10.1016/j.jhqr.2025.02.003","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Page 137"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520005","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}

{"title":"Referentes de seguridad del paciente: del mito a la realidad","authors":"Rosa María Añel Rodríguez","doi":"10.1016/j.jhqr.2024.10.004","DOIUrl":"10.1016/j.jhqr.2024.10.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 2","pages":"Pages 65-67"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733320","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":"Continuing the journey: A new chapter for the Journal of Healthcare Quality Research","authors":"S. Lorenzo,&nbsp;G.C. Gómez,&nbsp;D. Parés,&nbsp;C. Natal,&nbsp;R. Lledó,&nbsp;J.J. Mira,&nbsp;F. Vázquez,&nbsp;S. Izquierdo,&nbsp;K. Polluste,&nbsp;M. Santiñá,&nbsp;B. Zurita","doi":"10.1016/j.jhqr.2024.12.002","DOIUrl":"10.1016/j.jhqr.2024.12.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 1-2"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170961","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":"Aprendiendo de nuestros errores: notificación de eventos pediátricos a través del SiNASP en Galicia","authors":"S. Rujido Freire ,&nbsp;P. Viaño Nogueira ,&nbsp;M.J. Pérez Taboada ,&nbsp;R. Bugarín González ,&nbsp;A. Rodríguez Núñez","doi":"10.1016/j.jhqr.2024.08.002","DOIUrl":"10.1016/j.jhqr.2024.08.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 59-61"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297422","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":"Results of a qualitative semi-structured interview study with hospital nursing staff to improve incident reporting systems in Estonia","authors":"E. Uibu ,&nbsp;K. Binsol ,&nbsp;K. Põlluste ,&nbsp;M. Lember ,&nbsp;M. Kangasniemi","doi":"10.1016/j.jhqr.2024.10.003","DOIUrl":"10.1016/j.jhqr.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>Nurses and their leaders are known for actively using incident reporting systems. However, information sharing about lessons learned from incidents has rarely been reported in previous studies. This study aimed to describe nurses’ and nursing managers’ experiences with incident reporting system information sharing and their perceptions of patient safety development needs.</div></div><div><h3>Material and methods</h3><div>Semi-structured individual and group interviews were conducted with nursing staff in Estonia (<em>n</em> <!-->=<!--> <!-->26). Collected data was analyzed using the inductive content analysis method. The COREQ checklist was used for study report.</div></div><div><h3>Results</h3><div>Nursing staff considered information sharing of lessons learned crucial. First, it was necessary to raise patient safety awareness among employees. Second, the importance of learning from mistakes to protect themselves from legal consequences and improve public trust was highlighted. Nursing staff had traditional ways of sharing information about lessons learned. However, because of the lack of organized strategies, nurses resorted to private discussions or self-initiated investigations. Nursing staff reported a need to develop patient safety by supporting nurses’ patient safety competencies and training, and to establish the use of a reporting system in daily care. The precondition was a positive patient safety culture, which would be improved by open communication among nursing staff and sufficient resources.</div></div><div><h3>Conclusions</h3><div>Information sharing from safety incident reports should rely on organized strategies to avoid self-initiated practices and misinformation. Awareness of the complexity of implementing patient safety initiatives and adequate responsiveness from hospital executives can help establish practices supporting staff to feel secure when discussing safety issues.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 39-47"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750645","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":"Informational and educational needs of caregivers of neurologic inpatients in rehabilitation treatment: A qualitative exploratory study","authors":"M. Ottonello ,&nbsp;C. Pistarini ,&nbsp;S. Ruvolo ,&nbsp;S. Costa ,&nbsp;V. Navarra ,&nbsp;C. Murianni ,&nbsp;E. Cristallo ,&nbsp;S. Maiello ,&nbsp;M.R. Tritto ,&nbsp;M.G. Pagliarulo ,&nbsp;M.R. Manera","doi":"10.1016/j.jhqr.2024.09.005","DOIUrl":"10.1016/j.jhqr.2024.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of the present study was to identify information and educational needs of neurological inpatients during residential rehabilitation from the caregivers’ perspective. On top of that, it was important to acknowledge the conceptual framework underlying the complexity of needs, for the development in future research of an early identification of caregiver's information needs assessment tool. This preliminary study will allow to define the dimensions on which to measure caregiver needs and the quality of care provided to the patients and their families.</div></div><div><h3>Material and methods</h3><div>Focus groups of family caregivers of inpatients admitted to the Neurorehabilitation Units by the ICS Maugeri Institutes were conducted to explore the caregivers needs. All focus groups were tape-recorded and contemporaneous notes made. The tapes were transcribed and thematic analysis was used to develop categories of needs. To ensure consistency between groups, a semi-structured schedule was used to guide the focus groups.</div></div><div><h3>Results</h3><div>In the analysis of the statements extracted from the transcripts we defined five main themes of information needs expressed from caregivers: education, hospital care organization, legal and social care management and emotional or psychological support.</div></div><div><h3>Conclusion</h3><div>The results provided the identification of the domains essential for the development of a questionnaire that measures the complexity of the caregiver's information needs during residential rehabilitation. The caregivers’ statements expressed in the focus groups allowed to identify five main kinds of needs. Moreover, some suggestions and ideas to improve the information and education materials to satisfy these needs emerged from caregivers and health professionals during team meetings.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 48-55"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629703","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":"Letter to the Editor on “Loneliness impact on healthcare utilization in primary care: A retrospective study”","authors":"M.R. Shen ,&nbsp;J.K. Silver","doi":"10.1016/j.jhqr.2024.07.004","DOIUrl":"10.1016/j.jhqr.2024.07.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 62-64"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297423","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":"Validity, reliability, and feasibility of EQ-5D-3L, VAS, and time trade-off among Jordanians","authors":"N. Yanal ,&nbsp;A.M. Al Massri ,&nbsp;E.A. Hammad","doi":"10.1016/j.jhqr.2024.10.001","DOIUrl":"10.1016/j.jhqr.2024.10.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction and objectives&lt;/h3&gt;&lt;div&gt;The EQ-5D VAS is a widely used measure for health-related quality of life (HRQol). The EQ-5D health states often weighted using the time trade-off (TTO). The assessment of the EQ-5D, VAS, TTO psychometric properties is necessary to inform adaption across countries and populations due to cross-cultural and language diversity. The objective of the study is to evaluate validity, reliability, and feasibility of the Arabic version of the EQ-5D-3L, VAS, and TTO among a broad sample of Arabic-speaking Jordanians.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional study was conducted using structured face-to-face interviews with 1007 participants attending outpatient clinics at a central university affiliated hospital. The participants completed the EQ-5D-3L, described own health via VAS and in words (excellent, very good, good, fair, and poor). Additionally, participants requested to answer a TTO question. Validity was assessed using correlation analysis, while test–retest methods were used to evaluate reliability. Perspectives of participants on how easy to complete or understand the study measures were investigated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Completion rates were 100% for the EQ-5D, 98% for VAS and 77% for TTO. The construct validity of EQ-5D, VAS, and TTO was supported by significant correlation across each other and participants’ characteristics. Higher severity of EQ-5D health states was significantly associated with lower VAS scores (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;−0.38, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01). Usual activity and pain/discomfort had the strongest correlations with VAS scores (−0.40 and −0.39, respectively, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). A higher willingness to trade years was observed with more severe EQ-5D states (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.32, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001), with usual activity, and pain/discomfort showing the strongest associations. Self-reported health via VAS and words was highly correlated (&lt;em&gt;r&lt;/em&gt;&lt;sub&gt;s&lt;/sub&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.76, &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). Reliability of the weighted Cohen's &lt;em&gt;k&lt;/em&gt; for EQ-5D dimension ranged between 0.3 and .72. Intraclass correlation coefficients for VAS were 0.80 and 0.92 for TTO, all &lt;em&gt;p&lt;/em&gt; value &lt;0.001. VAS showed substantial test–retest reliability (ICC&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.80), and TTO showed excellent reliability (ICC&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.92). However, only 62.3% and 54.6% found EQ-5D and TTO easy to understand, respectively, while 89.4% found the VAS easy to use.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The Arabic EQ-5D-3L, VAS, and TTO demonstrated validity and reliability for measuring HRQoL among Jordanians. The study highlights the importance of cultural and linguistic contexts in HRQoL measures adaption. Future research should focus on refining TTO to improve cultural appropriateness and understanding among Arabic-speaking population","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 29-38"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751073","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}