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Quality, performance, safety and outcomes

Section edited by Koustuv Dalal and Howard Degenholtz

This section aims to publish studies on healthcare quality practice and improving patient care and its safety. The section also accepts articles on changes in the health status of an individual, group or population resulting from interventions of the health care team.

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  1. Content type: Study protocol

    At many outpatient departments for psychiatry worldwide, standardized monitoring of the safety of prescribed psychotropic drugs is not routinely performed in daily clinical practice. Therefore it is unclear to...

    Authors: Mirjam Simoons, Henricus G. Ruhé, Eric N. van Roon, Robert A. Schoevers, Richard Bruggeman, Daniëlle C. Cath, Diny Muis, Johan Arends, Bennard Doornbos and Hans Mulder

    Citation: BMC Health Services Research 2019 19:125

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  2. Content type: Research article

    Implementation of new programs within healthcare systems can be extraordinarily complex. Individuals within the same healthcare organization often have different perspectives on how implementation of a new pro...

    Authors: Edward J. Miech, Nicholas A. Rattray, Dawn M. Bravata, Barbara J. Homoya, Jennifer Myers and Teresa M. Damush

    Citation: BMC Health Services Research 2019 19:124

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  3. Content type: Research article

    The population of developed countries is aging, leading to an increase in the use of medication in daily practice, which can lead to serious treatment costs and irrational polypharmacy. A collaborative care ap...

    Authors: Matej Stuhec, Katja Gorenc and Erika Zelko

    Citation: BMC Health Services Research 2019 19:118

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  4. Content type: Research article

    Are creativity and compliance mutually exclusive? In clinical settings, this question is increasingly relevant. Hospitals and clinics seek the creative input of their employees to help solve persistent patient...

    Authors: Sharon H. Kim, Sallie J. Weaver, Ting Yang and Michael A. Rosen

    Citation: BMC Health Services Research 2019 19:116

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  5. Content type: Research article

    The use of clinical quality registries as means for data driven improvement in healthcare seem promising. However, their use has been shown to be challenged by a number of aspects, and we suggest some may be r...

    Authors: Cecilie Lindström Egholm, Charlotte Helmark, Patrick Doherty, Per Nilsen, Ann-Dorthe Zwisler and Gitte Bunkenborg

    Citation: BMC Health Services Research 2019 19:102

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  6. Content type: Research article

    Healthcare professionals who experience trauma due to patient safety incidents can be considered second victims, and they also suffer from various difficulties. In order to support second victims, it is necess...

    Authors: Won Lee, Jeehee Pyo, Seung Gyeong Jang, Ji Eun Choi and Minsu Ock

    Citation: BMC Health Services Research 2019 19:100

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  7. Content type: Research article

    Home-visiting nurses are expected to enhance their ability to provide adequate nursing care in a relatively isolated work environment. However, the isolated work environment leads to less opportunity to share ...

    Authors: Akiyo Nonogaki, Tomoko Nishida, Kazunari Kobayashi, Kayoko Nozaki, Haruka Tamura and Hisataka Sakakibara

    Citation: BMC Health Services Research 2019 19:96

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  8. Content type: Research article

    Millions of Americans are living with hepatitis C, the leading cause of liver disease in the United States. Medication treatment can cure hepatitis C. We sought to understand factors that contribute to hepatit...

    Authors: Avy A. Skolnik, Amanda Noska, Vera Yakovchenko, Jack Tsai, Natalie Jones, Allen L. Gifford and D. Keith McInnes

    Citation: BMC Health Services Research 2019 19:91

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  9. Content type: Research article

    Few published articles have focused on identifying the gaps in care that follow a malnutrition diagnosis and their effects on length of stay (LOS) and 90-day readmission. We hypothesized that length of stay an...

    Authors: Joanna Bryan Ringel, Deanna Jannat-Khah, Rachel Chambers, Emily Russo, Louise Merriman and Renuka Gupta

    Citation: BMC Health Services Research 2019 19:87

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  10. Content type: Research article

    The need for improved research on ill health has been recognized internationally and locally in the United Arab Emirates (UAE). The UAE Nursing and Midwifery Council recently committed to enhancing the status ...

    Authors: Nabeel Al-Yateem, Muna Al-Tamimi, Maria Brenner, Hanan Al Tawil, Alaa Ahmad, Sharon Brownie and Shameran Slewa-Younan

    Citation: BMC Health Services Research 2019 19:77

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  11. Content type: Research article

    The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting f...

    Authors: Noortje M. Pannebakker, Margot A. H. Fleuren, Eline Vlasblom, Mattijs E. Numans, Sijmen A. Reijneveld and Paul L. Kocken

    Citation: BMC Health Services Research 2019 19:76

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  12. Content type: Research article

    The growing interest in hospital users’ complaints appears to be consistent with recent changes in health care, which considers the patient’s voice a valuable information source to improve health care. Based o...

    Authors: Béatrice Schaad, Céline Bourquin, Francesco Panese and Friedrich Stiefel

    Citation: BMC Health Services Research 2019 19:73

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  13. Content type: Research article

    Antibiotic stewardship, the proper management of antibiotics to ensure optimal patient outcomes, is based on quality improvement. Evidence-based guidelines and protocols have been developed to improve this pro...

    Authors: Chimwemwe Tusekile Mula, Nicola Human and Lyn Middleton

    Citation: BMC Health Services Research 2019 19:64

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  14. Content type: Research article

    The aim of this study was to assess the relation between perceived social support and personal autonomy of individuals with intellectual disabilities and Health-Related Quality of Life.

    Authors: Montserrat Alonso-Sardón, Helena Iglesias-de-Sena, Luz Celia Fernández-Martín and José Antonio Mirón-Canelo

    Citation: BMC Health Services Research 2019 19:63

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  15. Content type: Research article

    There is a growing body of international research that displays the prevalence and character of abuse in health care. Even though most of these studies are conducted from a patient perspective little is known ...

    Authors: A. Jelmer Brüggemann, Camilla Forsberg and Robert Thornberg

    Citation: BMC Health Services Research 2019 19:58

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  16. Content type: Research article

    Promoting patient and occupational safety are two key challenges for hospitals. When aiming to improve these two outcomes synergistically, psychosocial working conditions, leadership by hospital management and...

    Authors: Anke Wagner, Monika A. Rieger, Tanja Manser, Heidrun Sturm, Juliane Hardt, Peter Martus, Constanze Lessing and Antje Hammer

    Citation: BMC Health Services Research 2019 19:53

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  17. Content type: Research article

    Strengthening the quality of laboratory diagnostics is a key part of building global health capacity. In 2015, the Centers for Disease Control and Prevention (CDC), the Southeast European Center for Surveillan...

    Authors: Lauren Polansky, Stephanie Chester, Melissa Warren, Tricia Aden, Pamela Kennedy, Stacey Spivey-Blackford and Ann Moen

    Citation: BMC Health Services Research 2019 19:49

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  18. Content type: Research article

    Quality of care (QoC) attracts global concerns when unsafe and misuse of healthcare wastes resources and endangers people’s health, especially in low- and middle-income countries. However, little is known abou...

    Authors: Yuqi Zhou, Xi Yao, Guofeng Liu, Weiyan Jian and Winnie Yip

    Citation: BMC Health Services Research 2019 19:43

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  19. Content type: Research article

    Hospital costs for stroke are increasing and variability in care quality creates inefficiencies. In 2007, the Victorian Government (Australia) employed clinical facilitators for three years in eight public hos...

    Authors: Dominique A. Cadilhac, Helen M. Dewey, Sonia Denisenko, Christopher F. Bladin and Atte Meretoja

    Citation: BMC Health Services Research 2019 19:41

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  20. Content type: Research article

    Patient satisfaction is an important outcome measure guiding quality improvement in the healthcare setting while the patient-centred care movement places increasing importance on patient engagement in clinical...

    Authors: F. Rapport, P. Hibbert, M. Baysari, J. C. Long, R. Seah, W. Y. Zheng, C. Jones, K. Preece and J. Braithwaite

    Citation: BMC Health Services Research 2019 19:38

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  21. Content type: Research article

    Data on the burden of community-acquired pneumonia (CAP) and health-care related costs in patients with cancer is scarce. We aimed to estimate the CAP incidence rate, mortality, and healthcare-related costs of...

    Authors: Niklas Schmedt, Olivia Denise Heuer, Dennis Häckl, Reiko Sato and Christian Theilacker

    Citation: BMC Health Services Research 2019 19:30

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  22. Content type: Research article

    With few exceptions the International Statistical Classification of Diseases (ICD) codes for diagnoses and official coding guidelines do not distinguish pre-existing conditions from complications or comorbidit...

    Authors: Karen Triep, Thomas Beck, Jacques Donzé and Olga Endrich

    Citation: BMC Health Services Research 2019 19:23

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  23. Content type: Research article

    Patient satisfaction is an important measure of quality of care and a determinant of health service utilisation and the choice of health facility. Measuring patients’ experiences is important for understanding...

    Authors: Charlotte Trimmer and Mats Målqvist

    Citation: BMC Health Services Research 2019 19:17

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  24. Content type: Research article

    To detect possible threats to quality and safety, multiple systems have been developed. One of them is retrospective chart review. A team of experts scrutinizes medical records, selected by trigger systems, to...

    Authors: Dorthe O. Klein, Roger J. M. W. Rennenberg, Richard P. Koopmans and Martin H. Prins

    Citation: BMC Health Services Research 2019 19:16

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  25. Content type: Research article

    Patient centeredness is an important component of patient care and healthcare quality. Several scales exist to measure patient centeredness, and previous literature provides a critical appraisal of their measu...

    Authors: Eline Ree, Siri Wiig, Tanja Manser and Marianne Storm

    Citation: BMC Health Services Research 2019 19:12

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  26. Content type: Research article

    There is a lack of validated instruments examining dimensions of team functioning from the perspective of patients and families consistent with a conceptual framework. The study aimed to develop and assess the...

    Authors: Kelley Kilpatrick, Éric Tchouaket, Lysane Paquette, Claudel Guillemette, Mira Jabbour, François Desmeules, Véronique Landry and Nicolas Fernandez

    Citation: BMC Health Services Research 2019 19:9

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  27. Content type: Research article

    In international comparisons, rates of amputations of the lower limb are relatively high in Germany. This study aims to analyze trends in lower limb amputations over time, as well as outcomes of care concernin...

    Authors: Melissa Spoden, Ulrike Nimptsch and Thomas Mansky

    Citation: BMC Health Services Research 2019 19:8

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  28. Content type: Research article

    Few studies have focused on post-discharge ambulatory care for stroke patients and subsequent differences in readmission and mortality rates. Identifying groups at higher risk according to services received is...

    Authors: Jayson O. Swanson and Tron Anders Moger

    Citation: BMC Health Services Research 2019 19:4

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  29. Content type: Research article

    The increased mortality risk associated with weekend admission to hospital (the ‘weekend effect’) has been reported across many health systems. More recently research has focused on causal mechanisms. Variatio...

    Authors: Elizabeth Sutton, Julian Bion, Cassie Aldridge, Amunpreet Boyal, Janet Willars and Carolyn Tarrant

    Citation: BMC Health Services Research 2018 18:1015

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  30. Content type: Research article

    Rates of End-Stage Kidney Disease among Aboriginal and Torres Strait Islander (Indigenous) Australians in remote areas are disproportionately high; however, haemodialysis is not currently offered in most remot...

    Authors: Jessica Conway, Sharon Lawn, Susan Crail and Stephen McDonald

    Citation: BMC Health Services Research 2018 18:1010

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  31. Content type: Debate

    Enhanced Recovery After Surgery (ERAS) is a perioperative management based on multimodality and multidisciplinary work. ERAS has been shown to have important clinical and economic benefits, but its spread rema...

    Authors: Gaëtan-Romain Joliat, Olle Ljungqvist, Tracy Wasylak, Oliver Peters and Nicolas Demartines

    Citation: BMC Health Services Research 2018 18:1008

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  32. Content type: Research article

    Comparing the mortality profiles of dialysis centres is important to ensure that high standards of care are maintained. We compare the performance of dialysis centres in Australia and New Zealand in their trea...

    Authors: Jessica Kasza, Kevan R. Polkinghorne, Rory Wolfe, Stephen P. McDonald and Mark R. Marshall

    Citation: BMC Health Services Research 2018 18:1007

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  33. Content type: Research article

    Using outcome measures to advance healthcare continues to be of widespread interest. The goal is to summarize the results of studies which use outcome measures from clinical registries to implement and monitor...

    Authors: Nynke A. Kampstra, Nina Zipfel, Paul B. van der Nat, Gert P. Westert, Philip J. van der Wees and A. Stef Groenewoud

    Citation: BMC Health Services Research 2018 18:1005

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  34. Content type: Technical advance

    Preventive care has gained increasing attention in health reforms around the world due to its ability to reduce the burden of disease and to save health costs. Nevertheless, there is a gap in terms of the deve...

    Authors: Federico Rotondo, Lucia Giovanelli, Nicoletta Fadda and Alberto Ezza

    Citation: BMC Health Services Research 2018 18:1002

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  35. Content type: Research article

    Return to work (RTW) is a key parameter of outcome quality that ensures social participation. Therefore, this study analyses the sociodemographic and disease-related determinants of RTW among newly diagnosed b...

    Authors: Christian Heuser, Sarah Halbach, Christoph Kowalski, Anna Enders, Holger Pfaff and Nicole Ernstmann

    Citation: BMC Health Services Research 2018 18:1000

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  36. Content type: Research article

    It is not clear which part of the variation in hospital readmissions can be attributed to the standard of care hospitals provide. This is in spite of their widespread use as an indicator of a lower quality of ...

    Authors: Karin Hekkert, Rudolf B. Kool, Ester Rake, Sezgin Cihangir, Ine Borghans, Femke Atsma and Gert Westert

    Citation: BMC Health Services Research 2018 18:999

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  37. Content type: Research article

    Musculoskeletal problems substantially impact the demand for and the finances of the United Kingdom’s National Health Service. Some of this demand and cost could be alleviated if patients use self-directed-exe...

    Authors: Toby Gillman, Kelly Ann Schmidtke, Victoria Manning and Ivo Vlaev

    Citation: BMC Health Services Research 2018 18:998

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  38. Content type: Research article

    As part of its efforts to improve efficiency, accountability and overall performance, the Ghana Health Service (GHS) introduced annual Performance-based Management Agreements (PMAs) in the year 2013. However, ...

    Authors: Edmund Wedam Kanmiki, Ben Owusu Smith Bempah, John Koku Awoonor-Williams, Ayaga A. Bawah, Selassi Amah d’Almeida and Kassem M. Kassak

    Citation: BMC Health Services Research 2018 18:995

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  39. Content type: Research article

    Peer-review networks aim to help services to improve the quality of care they provide, however, there is very little evidence about their impact. We conducted a cluster randomized controlled trial of a peer-re...

    Authors: Lina Aimola, Sarah Jasim, Neeraj Tripathi, Paul Bassett, Alan Quirk, Adrian Worrall, Sarah Tucker, Samantha Holder and Mike J. Crawford

    Citation: BMC Health Services Research 2018 18:994

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  40. Content type: Research article

    Health literacy describes the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good hea...

    Authors: Rebecca L. Jessup, Richard H. Osborne, Rachelle Buchbinder and Alison Beauchamp

    Citation: BMC Health Services Research 2018 18:989

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  41. Content type: Research article

    Many European countries face challenges in long-term care for older people, such as the growing number of older people requiring care, the increasing complexity of their health care problems, and a decreasing ...

    Authors: L. Koopmans, N. Damen and C. Wagner

    Citation: BMC Health Services Research 2018 18:988

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  42. Content type: Research article

    Disparities in cancer outcomes amongst Indigenous Australians reflect a pattern of reduced access to and engagement with health services. A growing emphasis on patient-centred care has increased efforts to mea...

    Authors: Monica Green, Kate Anderson, Kalinda Griffiths, Gail Garvey and Joan Cunningham

    Citation: BMC Health Services Research 2018 18:982

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  43. Content type: Research article

    Privacy and confidentiality are central components of patient care and are of particular importance in obstetrics and gynaecology, where clinical situations of a sensitive nature regularly occur. The layout of...

    Authors: Lucia Hartigan, Leanne Cussen, Sarah Meaney and Keelin O’Donoghue

    Citation: BMC Health Services Research 2018 18:978

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  44. Content type: Research article

    Competent managers are essential to the productivity of organisations and the sustainability of health systems. Effective workforce development strategies sensitive to the current competency development needs ...

    Authors: Zhanming Liang, Felicity C. Blackstock, Peter F Howard, David S Briggs, Sandra G Leggat, Dennis Wollersheim, David Edvardsson and Aziz Rahman

    Citation: BMC Health Services Research 2018 18:976

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  45. Content type: Research article

    Quality improvement efforts are inextricably linked to the readiness of healthcare workers to take them on. The current study aims to clarify the nature and measurement of Improvement Readiness (IR) by 1) exam...

    Authors: Kathryn C. Adair, Krystina Quow, Allan Frankel, Paul J. Mosca, Jochen Profit, Allison Hadley, Michael Leonard and J. Bryan Sexton

    Citation: BMC Health Services Research 2018 18:975

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  46. Content type: Research article

    E-mental health holds promise for people with severe mental illness, but has a limited evidence base. This study explored the effect of e-health added to face-to-face delivery of the Illness Management and Rec...

    Authors: Titus A. A. Beentjes, Peter J. J. Goossens, Hester Vermeulen, Steven Teerenstra, Maria W. G. Nijhuis-van der Sanden and Betsie G. I. van Gaal

    Citation: BMC Health Services Research 2018 18:962

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  47. Content type: Research article

    Thirty-day hospital readmissions represent an international challenge leading to increased prevalence of adverse events, reduced quality of care and pressure on healthcare service’s resources and finances. The...

    Authors: Malin Knutsen Glette, Olav Røise, Tone Kringeland, Kate Churruca, Jeffrey Braithwaite and Siri Wiig

    Citation: BMC Health Services Research 2018 18:955

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  48. Content type: Research article

    Family member’s experience and satisfaction of health care in the acute care and in-patient rehabilitation are important indicators of the quality of health care services provided to patients with severe traum...

    Authors: Unn Sollid Manskow, Cathrine Arntzen, Elin Damsgård, Mary Braine, Solrun Sigurdardottir, Nada Andelic, Cecilie Røe and Audny Anke

    Citation: BMC Health Services Research 2018 18:951

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  49. Content type: Research article

    Drug overdose is a leading cause of mortality and morbidity amongst people who inject drugs (PWID). Drug overdose surveillance typically relies on the International Classification of Diseases (ICD-10) coding s...

    Authors: Rehana Di Rico, Dhanya Nambiar, Mark Stoové and Paul Dietze

    Citation: BMC Health Services Research 2018 18:945

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