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

Quality indicators in the rational management of severe asthma: A Spanish multidisciplinary consensus 严重哮喘合理管理的质量指标:西班牙多学科共识

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.03.003

A. Crespo-Lessmann , J.A. Marqués-Espi , J. Dominguez-Ortega , L. Perez de Llano , M. Blanco-Aparicio , M. Santiñá , M. Palop-Cervera , F.J. Álvarez , J. Fraj

{"title":"Quality indicators in the rational management of severe asthma: A Spanish multidisciplinary consensus","authors":"A. Crespo-Lessmann , J.A. Marqués-Espi , J. Dominguez-Ortega , L. Perez de Llano , M. Blanco-Aparicio , M. Santiñá , M. Palop-Cervera , F.J. Álvarez , J. Fraj","doi":"10.1016/j.jhqr.2023.03.003","DOIUrl":"10.1016/j.jhqr.2023.03.003","url":null,"abstract":"<div><h3>Aim</h3><p>Severe asthma is a complex, heterogeneous condition that can be difficult to control despite currently available treatments. Multidisciplinary severe asthma units (SAU) improve control in these patients and are cost-effective in our setting; however, their implementation and development can represent an organizational challenge. The aim of this study was to validate a set of quality care indicators in severe asthma for SAU in Spain.</p></div><div><h3>Methods</h3><p>The Carabela initiative, sponsored by SEPAR, SEAIC, SECA and SEDISA and implemented by leading specialists, analyzed the care processes followed in 6 pilot centers in Spain to describe the ideal care pathway for severe asthma. This analysis, together with clinical guidelines and SEPAR and SEAIC accreditation criteria for asthma units, were used to draw up a set of 11 quality of care indicators, which were validated by a panel of 60 experts (pulmonologists, allergologists, and health-policy decision-makers) using a modified Delphi method.</p></div><div><h3>Results</h3><p>All 11 indicators achieved a high level of consensus after just one Delphi round.</p></div><div><h3>Conclusions</h3><p>Experts in severe asthma agree on a series of minimum requirements for the future optimization, standardization, and excellence of current SAUs in Spain. This proposal is well grounded on evidence and professional experience, but the validity of these consensus indicators must be evaluated in clinical practice.</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":"10488852","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

Diferencias entre comunidades autónomas de España en la dotación de desfibriladores externos semiautomáticos fuera del ámbito sanitario 西班牙自治社区在医疗领域以外提供半自动体外除颤器方面的差异

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2023.02.004

S. Ballesteros-Peña , I. Fernández-Aedo , G. Vallejo de la Hoz

{"title":"Diferencias entre comunidades autónomas de España en la dotación de desfibriladores externos semiautomáticos fuera del ámbito sanitario","authors":"S. Ballesteros-Peña , I. Fernández-Aedo , G. Vallejo de la Hoz","doi":"10.1016/j.jhqr.2023.02.004","DOIUrl":"https://doi.org/10.1016/j.jhqr.2023.02.004","url":null,"abstract":"<div><h3>Background</h3><p>Early defibrillation is one of the interventions that can most influence the prognosis of cardiac arrest. The objectives of this study were to determine the number of automatic external defibrillators outside the healthcare setting in each autonomous community in Spain and to compare the legislation of each autonomous community on the mandatory installation of defibrillators outside the healthcare setting.</p></div><div><h3>Methods</h3><p>A cross-sectional observational study was carried out between December 2021 and January 2022 by consulting official data in the 17 Spanish autonomous communities.</p></div><div><h3>Results</h3><p>Complete data on the number of registered defibrillators were obtained from 15 autonomous communities. The number of defibrillators ranged from 35 to 126 per 100,000 inhabitants. At the global level, differences were observed between communities with mandatory defibrillator installation and those without (92.1 vs. 57.8 defibrillators/100,000 inhabitants).</p></div><div><h3>Conclusions</h3><p>There is heterogeneity in the provision of defibrillators outside the health care setting, which seems to be related to the diversity of legislation on the mandatory installation of defibrillators.</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":"49876245","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: 1

Más allá de la toma de decisiones: Una visión contextual y multidimensional de la autonomía del paciente 超越决策:病人自主的背景和多维视角

IF 1.2

Journal of Healthcare Quality Research Pub Date : 2023-09-01 DOI: 10.1016/j.jhqr.2022.11.002

I. Arrieta Valero

{"title":"Más allá de la toma de decisiones: Una visión contextual y multidimensional de la autonomía del paciente","authors":"I. Arrieta Valero","doi":"10.1016/j.jhqr.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.jhqr.2022.11.002","url":null,"abstract":"<div><p>There has been a trend in the clinical literature to reduce patient autonomy to decision-making, perhaps due to the influence of the philosophical-legal tradition and because of its initial hospital and emergency medicine focus. This paper presents a broader model of autonomy, which, in addition to strict medical issues and respect for freedom of choice, pays more attention to the specificities that characterise people in need of health care, i.e., the biological, psychological, and social aspects that allow or impede them a greater degree of autonomy. To that end we identify and describe all the stages or points at which the question arises of the patient's (in)capacity for self-management throughout the care process. This generates a more complex and multidimensional notion of patient autonomy which, in addition to the ability to make free and therapeutically informed decisions —<em>decisional autonomy</em>—, also includes the ability to carry out basic vital functions and tasks that can be performed by a statistical majority of people (such as eating, seeing, walking, understanding complex situations, etc.) —<em>functional autonomy</em>—, the patient's capacity to plan, sequence, and perform tasks related to the management of their chronic diseases, i.e., the capacity to implement the chosen therapeutic plan and maintain it over time—<em>executive autonomy</em>—, the patient's capacity to retain, understand and communicate coherently and understandably for others the principle identifying aspects that have characterised them during their lives—<em>narrative autonomy</em>—, and the ability of patients to access and control information relative to their situation for themselves—<em>informative autonomy</em>—.</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":"49876241","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

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