发布求助
文献互助 智能选刊 最新文献

Healthcare quarterly (Toronto, Ont.)最新文献

筛选
英文 中文
Refocusing on Patient Safety. 重新关注患者安全。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27327
G Ross Baker
{"title":"Refocusing on Patient Safety.","authors":"G Ross Baker","doi":"10.12927/hcq.2024.27327","DOIUrl":"https://doi.org/10.12927/hcq.2024.27327","url":null,"abstract":"<p><p>Patient safety provides an important foundation for high-quality care. Research in Canada and elsewhere has identified substantial levels of harm in hospitals and other settings; these results spurred the development and spread of safety practices, along with strategies to strengthen organizational training, incident reporting and analysis and a host of resources intended to reduce the burden of harm. Yet, despite these efforts, 20 years after the publication of the Canadian Adverse Event study (Baker et al. 2004) and other studies, many leaders believe progress in patient safety has stalled (NEJM Catalyst 2023). Indeed, some recent studies indicate that the levels of harm have increased. One notable study by David Bates and colleagues (2023), building on approaches used in earlier studies, identified at least one adverse event in 23.6% of a random sample of patients in Massachusetts hospitals in 2018. Among 978 events, 22.7% were judged preventable and one-third required at least substantial intervention or prolonged recovery.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332135","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
"The Space Is as Much Yours as It Is Mine": Insights From Health System Leaders About Inclusive Leadership. "空间既是你的，也是我的"：医疗系统领导者对包容性领导的见解。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27324
Aunima R Bhuiya, Alyssa Kelly, Lorraine Pirrie, Danielle Toccalino, Whiwon Lee, Meghan McMahon, Beverley M Essue
{"title":"\"The Space Is as Much Yours as It Is Mine\": Insights From Health System Leaders About Inclusive Leadership.","authors":"Aunima R Bhuiya, Alyssa Kelly, Lorraine Pirrie, Danielle Toccalino, Whiwon Lee, Meghan McMahon, Beverley M Essue","doi":"10.12927/hcq.2024.27324","DOIUrl":"https://doi.org/10.12927/hcq.2024.27324","url":null,"abstract":"<p><p>The long-standing systemic inequities highlighted during the COVID-19 pandemic and current events of social injustice have underscored the importance for health system leaders to develop or strengthen their competencies related to equity, diversity and inclusion. Inclusive leadership values different perspectives across organizational hierarchies. It reduces psychological distress and improves the performance of individuals and teams in health settings. Through semi-structured interviews, we explored the inclusive leadership experiences of five health system leaders. This study offers initial insights by unpacking inclusive leadership as a competency, identifying barriers and enablers and providing advice for current and future health system leaders.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332127","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
A Primer on Artificial Intelligence for Healthcare Administrators. 医疗管理人员人工智能入门》。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27325
Senthujan Senkaiahliyan, Jeremy Petch, Nigar Sekercioglu, Abi Sriharan
{"title":"A Primer on Artificial Intelligence for Healthcare Administrators.","authors":"Senthujan Senkaiahliyan, Jeremy Petch, Nigar Sekercioglu, Abi Sriharan","doi":"10.12927/hcq.2024.27325","DOIUrl":"https://doi.org/10.12927/hcq.2024.27325","url":null,"abstract":"<p><p>Healthcare administrators steer their organizations' strategic direction with an emphasis on quality, value and efficiency, aiming to improve patient outcomes and ensure operational sustainability. Artificial intelligence (AI) has become a transformative force in healthcare in the past decade, with Canadian health systems and research institutions investing in AI solutions to address critical healthcare challenges. This primer delivers a fundamental guide to essential AI concepts in healthcare and provides practical guidance to prepare organizations for AI readiness.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332128","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
Hospital Staffing and Hospital Harm Trends Throughout the COVID-19 Pandemic. 整个 COVID-19 大流行期间的医院人员配备和医院伤害趋势。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27329
Sierra Campbell, Amanda Tardif, Tareq Ahmed, Salwa Akiki, Satya Challa, Kate Parson, Chantal Couris
{"title":"Hospital Staffing and Hospital Harm Trends Throughout the COVID-19 Pandemic.","authors":"Sierra Campbell, Amanda Tardif, Tareq Ahmed, Salwa Akiki, Satya Challa, Kate Parson, Chantal Couris","doi":"10.12927/hcq.2024.27329","DOIUrl":"https://doi.org/10.12927/hcq.2024.27329","url":null,"abstract":"<p><p>Throughout the COVID-19 pandemic, delivery of care was exceedingly difficult for hospital healthcare teams. This analysis presents a high-level look at the available pan-Canadian data on hospital staffing - including sick time, overtime and agency use - and potential impacts on patient harm in acute care hospitals. In 2021-2022, nurses and other healthcare providers working in hospital in-patient units across Canada logged significantly more overtime and sick-time hours compared with the previous year, equating to a shortfall of almost 14,000 full-time positions. Concurrently, the pan-Canadian rate of unintentional hospital harm increased to 6% compared with pre-pandemic numbers. The Hospital Harm Improvement Resource (HEC 2023a) links harm measurement and improvement efforts by providing evidence-informed practices to support patient safety improvement efforts.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332134","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
Routine Collection of Patient-Reported Data to Support the Needs of Primary Care Within an Integrated Healthcare System. 常规收集患者报告数据，以支持综合医疗保健系统内的初级保健需求。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27321
Morgan Slater, Adhanom Gebreegziabher Baraki, Catherine Donnelly
{"title":"Routine Collection of Patient-Reported Data to Support the Needs of Primary Care Within an Integrated Healthcare System.","authors":"Morgan Slater, Adhanom Gebreegziabher Baraki, Catherine Donnelly","doi":"10.12927/hcq.2024.27321","DOIUrl":"https://doi.org/10.12927/hcq.2024.27321","url":null,"abstract":"<p><p>Ontario Health Teams (OHTs), models of integrated care, are responsible for measuring and improving patient experience. However, routine collection of patient-reported data has not been fully realized, presenting a significant system-wide gap. We conducted a pilot study to implement routine collection of patient-reported data in the Frontenac, Lennox and Addington (FLA) OHT. Each clinic integrated the survey, which captured encounter experience, health and well-being and demographics into their workflow. During the five-month pilot, over 1,200 patients shared their experiences. Clinics reported that the data were valuable for ongoing quality improvement, boosting staff morale and providing a voice to patients. Each site needed flexibility for deployment and to ensure that they captured data relevant to their practice needs. A balance is needed to meet differing needs at each level of the system, requiring cross-sectoral commitment for integrated care systems to truly understand the patient experience and health of the population.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332036","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
Building a Resilient Patient Safety Culture: A Large Healthcare Organization's Approach to Systematically Reviewing Serious Harm Events. 建立有弹性的患者安全文化：一家大型医疗机构系统回顾严重伤害事件的方法。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27326
Brian Harvey, Irfan Dhalla, Cathy O'Neill, Christine Léger, Heidi Hunter
{"title":"Building a Resilient Patient Safety Culture: A Large Healthcare Organization's Approach to Systematically Reviewing Serious Harm Events.","authors":"Brian Harvey, Irfan Dhalla, Cathy O'Neill, Christine Léger, Heidi Hunter","doi":"10.12927/hcq.2024.27326","DOIUrl":"https://doi.org/10.12927/hcq.2024.27326","url":null,"abstract":"<p><p>Across Canada, pressures related to staffing, burnout and funding continue to affect healthcare organizations and systems. These pressures impact the quality of care Canadians receive, most notably access to care. Evidence indicates that patients are more likely to suffer from preventable harm during periods of hospital overcrowding and, indeed, very recent data from the Canadian Institute for Health Information suggest that rates of preventable harm have increased modestly in Canadian hospitals. A key lever that can have a positive impact on patient safety culture and contribute to fewer preventable adverse events at an institutional level is systematic formal case reviews. This article describes a large healthcare organization's approach to systematically reviewing serious harm events. An evaluation of both quantitative and qualitative metrics suggests that Unity Health Toronto's critical incident review process has been effective at building a resilient patient safety culture that stood up to the challenges of the COVID-19 pandemic and continues to have a positive impact on patient safety at Unity Health Toronto.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332130","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
For an Unremarkable Health System. 为不平凡的医疗系统而生
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27328
Neil Seeman
{"title":"For an Unremarkable Health System.","authors":"Neil Seeman","doi":"10.12927/hcq.2024.27328","DOIUrl":"https://doi.org/10.12927/hcq.2024.27328","url":null,"abstract":"<p><p>To champion an unremarkable health system means pursuing results within a corridor of \"decent enough\" results that do not merit concern, thereby offering a baseline for system improvement and allowing for the identification of surprising data that may surface in future monitoring. Pursuing such unremarkability in healthcare maximizes the health and welfare of everyone and can support quality improvement across all institutions.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332132","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
Bridge-to-Home: A Case Study of the Mutually Reinforcing Benefits of Patient Engagement-Focused Quality Improvement Initiatives for Transitions out of Hospital. 从桥到家：以患者参与为重点的质量改进措施对医院外过渡的互补效益案例研究》。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27323
Shoshana Hahn-Goldberg, Audrey L'Espérance, Brady Comeau, Alexandra Harrison, Carol Fancott
{"title":"Bridge-to-Home: A Case Study of the Mutually Reinforcing Benefits of Patient Engagement-Focused Quality Improvement Initiatives for Transitions out of Hospital.","authors":"Shoshana Hahn-Goldberg, Audrey L'Espérance, Brady Comeau, Alexandra Harrison, Carol Fancott","doi":"10.12927/hcq.2024.27323","DOIUrl":"https://doi.org/10.12927/hcq.2024.27323","url":null,"abstract":"<p><p>The Bridge-to-Home program was launched as a 16-month collaborative from 2018 to 2020 to improve care transitions out of hospital using a patient engagement-focused quality improvement (QI) initiative. Teams that participated in the collaborative were able to implement elements of the patient-oriented care transitions bundle, improve experience of care transitions and increase capacity for patient engagement for both patient partners and providers. In this article, we highlight three case studies of teams in different types of organizations with different levels of patient engagement maturation. Key enablers and barriers are identified with a specific lens on engagement efforts to co-produce changes in the processes and experience of care. These cases illustrate that providing support for patient engagement when leading a QI initiative is mutually reinforcing, where patient engagement and QI support and strengthen each other, resulting in increased success of the quality initiative and increased capacity for patient engagement.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332129","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
From the Editors. 编辑的话
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27331
Anne Wojtak, Neil Stuart
{"title":"From the Editors.","authors":"Anne Wojtak, Neil Stuart","doi":"10.12927/hcq.2024.27331","DOIUrl":"https://doi.org/10.12927/hcq.2024.27331","url":null,"abstract":"<p><p>It will take years before we can understand and measure the full toll that the COVID-19 pandemic has taken on our health systems. Of the many reverberations from the pandemic, one of the most concerning implications is an increase in the rates of preventable harm. Four years of unprecedented demand on healthcare services combined with health human resource shortages and clinician burnout have pushed our systems to the brink - and are impacting our capacity to improve or even maintain standards of care.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332133","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
Sex-Based Differences in Mental Health Service Use Between Canadian Veterans and Non-Veterans Residing in Ontario. 居住在安大略省的加拿大退伍军人和非退伍军人在心理健康服务使用方面的性别差异。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2024-04-01 DOI: 10.12927/hcq.2024.27330
Kate St Cyr, Alyson L Mahar
{"title":"Sex-Based Differences in Mental Health Service Use Between Canadian Veterans and Non-Veterans Residing in Ontario.","authors":"Kate St Cyr, Alyson L Mahar","doi":"10.12927/hcq.2024.27330","DOIUrl":"https://doi.org/10.12927/hcq.2024.27330","url":null,"abstract":"<p><p>Sex and gender may play a role in the association between occupational experiences and the mental health (MH) of defence and public safety personnel. This report summarizes the findings of three studies exploring sex-based differences in MH service use between Veterans and non-Veterans in Ontario. Female Veterans had significantly higher rates of MH-related physician visits, emergency department visits and hospitalizations compared to female non-Veterans. These findings impart useful information for individuals or organizations with the ability to influence healthcare policy, planning and delivery for the Canadian defence and public safety sectors.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332037","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
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信