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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: Research article

    This study provides an empirical test of the reasoned action approach (RAA) socio-cognitive theory with the aim of 1) predicting the intention of public dental health personnel (PDHP) to report suspected child...

    Authors: Ingfrid Vaksdal Brattabø, Ragnhild Bjørknes, Kyrre Breivik and Anne Nordrehaug Åstrøm

    Citation: BMC Health Services Research 2019 19:507

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  2. Content type: Research article

    The transition of older patients (over 65 years of age) from hospital to their own home is a time when patients are at high risk. No measure currently exists to assess the experience, quality and safety of car...

    Authors: Eirini Oikonomou, Eleanor Chatburn, Helen Higham, Jenni Murray, Rebecca Lawton and Charles Vincent

    Citation: BMC Health Services Research 2019 19:505

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  3. Content type: Research article

    Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as “high-performing”, but no consistently-applied approach ...

    Authors: Sangeeta C. Ahluwalia, Cheryl L. Damberg, Ann Haas and Paul G. Shekelle

    Citation: BMC Health Services Research 2019 19:500

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  4. Content type: Research article

    Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions o...

    Authors: Myoung Soo Kim and Chul-Hoon Kim

    Citation: BMC Health Services Research 2019 19:495

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  5. Content type: Research article

    The Institute for Healthcare Improvement identifies medication reconciliation as the shared responsibility of nurses, pharmacists, and physicians, where each has a defined role. The study aims to assess the cl...

    Authors: Lamis R. Karaoui, Nibal Chamoun, Jessica Fakhir, Wael Abi Ghanem, Sarah Droubi, Abdul Rahman Diab Marzouk, Nabila Droubi, Hiba Masri and Elsy Ramia

    Citation: BMC Health Services Research 2019 19:493

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  6. Content type: Research article

    The Nursing Home Survey on Patient Safety Culture (NHSOPS) questionnaire was developed by the Agency for Healthcare Research and Quality (AHRQ), particularly as an intervention to raise staff awareness about p...

    Authors: Delphine Teigné, Guillaume Mabileau, Emmanuelle Anthoine, Marion Lucas, Brice Leclère, Leila Moret and Noémie Terrien

    Citation: BMC Health Services Research 2019 19:490

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  7. Content type: Research article

    Health utility assessments are important for economic evaluations but few instruments have been validated in homeless people with mental illness. We examined the convergent validity of the EuroQol-5 Dimension ...

    Authors: Nicole Kozloff, Andrew D. Pinto, Vicky Stergiopoulos, Stephen W. Hwang, Patricia O’Campo and Ahmed M. Bayoumi

    Citation: BMC Health Services Research 2019 19:482

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  8. Content type: Research article

    Intimate partner violence (IPV) is associated with adverse health effects and increased healthcare utilization. Systems-level interventions have been shown to be effective in identifying and referring survivor...

    Authors: Cari Jo Clark, Martha Wetzel, Lynette M. Renner and Mary E. Logeais

    Citation: BMC Health Services Research 2019 19:479

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  9. Content type: Research article

    The use of medication abortion is increasing rapidly in India, the majority of which is purchased through pharmacies. More information is needed about the quality of services provided by pharmacist about medic...

    Authors: Nadia Diamond-Smith, Joanna Percher, Malvika Saxena, Pravesh Dwivedi and Aradhana Srivastava

    Citation: BMC Health Services Research 2019 19:476

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  10. Content type: Research article

    Measuring and reporting outcome data is fundamental for health care systems to drive improvement. Our electronic health record built a dashboard that allows each primary care provider (PCP) to view real-time p...

    Authors: Patrick A. Twohig, Jaclyn R. Rivington, Douglas Gunzler, Joseph Daprano and David Margolius

    Citation: BMC Health Services Research 2019 19:475

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  11. Content type: Research article

    Since 2014, the Burkina Faso government has made Seasonal Malaria Chemoprevention (SMC) a priority in its strategic plan to fight against malaria among children aged from 3 to 59 months. Very few studies have ...

    Authors: Gountante Kombate, Georges Guiella, Banza Baya, Luc Serme, Alice Bila, Slim Haddad and Abel Bicaba

    Citation: BMC Health Services Research 2019 19:472

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  12. Content type: Research article

    MOREOB (Managing Obstetrical Risk Efficiently) is a patient safety program for health care providers and administrators in hospital obstetric units. MOREOB has been implemented widely in Canada and gradually spre...

    Authors: Jessica Reszel, Deborah Weiss, Ann E. Sprague, Deshayne B. Fell, Sandra Dunn, Mark C. Walker, Dana Sidney, Monica Taljaard and Wendy E. Peterson

    Citation: BMC Health Services Research 2019 19:460

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  13. Content type: Research article

    A psychometrically robust measurement instrument is prerequisite to tailor and monitor interventions aiming to improve evidence-based practice (EBP). The recently developed “Evidence-based Practice Inventory” ...

    Authors: Tobias Braun, Katja Ehrenbrusthoff, Carolin Bahns, Lisa Happe and Christian Kopkow

    Citation: BMC Health Services Research 2019 19:455

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  14. Content type: Research article

    It is critical to understand whether providing health insurance coverage, assigning a dedicated Primary Care Physician (PCP), and arranging timely post-Emergency Department (ED) clinic follow-up can improve co...

    Authors: Chet D. Schrader, Richard D. Robinson, Somer Blair, Sajid Shaikh, Amy F. Ho, James P. D’Etienne, Jessica J. Kirby, Radhika Cheeti, Nestor R. Zenarosa and Hao Wang

    Citation: BMC Health Services Research 2019 19:451

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  15. Content type: Research article

    Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin A...

    Authors: Christoper A. Alarcon-Ruiz, Paula Heredia and Alvaro Taype-Rondan

    Citation: BMC Health Services Research 2019 19:439

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  16. Content type: Research article

    Patient safety culture involves leader and staff interaction, routines, attitudes, practices and awareness that influence risks of adverse events in patient care. The Safety Attitudes Questionnaire (SAQ) is an...

    Authors: Gunnar Tschudi Bondevik, Dag Hofoss, Bettina Sandgathe Husebø and Ellen Catharina Tveter Deilkås

    Citation: BMC Health Services Research 2019 19:423

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  17. Content type: Research article

    The use of clinical performance feedback to support quality improvement (QI) activities is based on the sound rationale that measurement is necessary to improve quality of care. However, concerns persist about...

    Authors: Daniel J. Wagner, Janet Durbin, Jan Barnsley and Noah M. Ivers

    Citation: BMC Health Services Research 2019 19:419

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  18. Content type: Research article

    Recent decades have seen increased attention to patient safety in health care. This is often in the form of programmes aiming to change professional behaviours. Health professionals in hospitals have tradition...

    Authors: Frode Heldal, Trond Kongsvik and Erna Håland

    Citation: BMC Health Services Research 2019 19:418

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  19. Content type: Research article

    To increase patient safety, so-called Critical Incident Reporting Systems (CIRS) were implemented. For Austria, no data are available on how CIRS is used within a healthcare facility. Therefore, the aim of thi...

    Authors: Gerald Sendlhofer, Peter Schweppe, Ursula Sprincnik, Veronika Gombotz, Karina Leitgeb, Peter Tiefenbacher, Lars-Peter Kamolz and Gernot Brunner

    Citation: BMC Health Services Research 2019 19:412

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  20. Content type: Research article

    Virtual communities of practice (vCoPs) facilitate online learning via the exchange of experiences and knowledge between interested participants. Compared to other communities, vCoPs need to overcome technolog...

    Authors: Carlos Jesús Bermejo-Caja, Débora Koatz, Carola Orrego, Lilisbeth Perestelo-Pérez, Ana Isabel González-González, Marta Ballester, Valeria Pacheco-Huergo, Yolanda del Rey-Granado, Marcos Muñoz-Balsa, Ana Belén Ramírez-Puerta, Yolanda Canellas-Criado, Francisco Javier Pérez-Rivas, Ana Toledo-Chávarri and Mercedes Martínez-Marcos

    Citation: BMC Health Services Research 2019 19:403

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  21. Content type: Research article

    The existence, usage and benefits of digital technologies in nursing care are relevant topics in the light of the current discussion on technologies as possible solutions to problems such as the shortage of sk...

    Authors: Tobias Krick, Kai Huter, Dominik Domhoff, Annika Schmidt, Heinz Rothgang and Karin Wolf-Ostermann

    Citation: BMC Health Services Research 2019 19:400

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  22. Content type: Research article

    Medication charting errors occur often and can be harmful for patients. Interventions to improve charting errors have demonstrated some success particularly if the intervention uses multiple approaches includi...

    Authors: Tony Floyd, Siri Mårtensson, Jannine Bailey, Derek Kay, Bruce McGarity and Bronwyn K. Brew

    Citation: BMC Health Services Research 2019 19:397

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  23. Content type: Research article

    Environmental impact assessments of pharmaceuticals typically consider only a part of the pharmaceutical supply chain, e.g. tablet formulation. While the environmental impact can be expressed in environmental ...

    Authors: Sam Debaveye, Delphine De Smedt, Bert Heirman, Shane Kavanagh and Jo Dewulf

    Citation: BMC Health Services Research 2019 19:393

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  24. Content type: Research article

    When doctors have honest conversations with patients about their illness and involve them in decisions about their care, patients express greater satisfaction with care and lowered anxiety and depression. The ...

    Authors: Tamsin McGlinchey, Stephen Mason, Alison Coackley, Anita Roberts, Maria Maguire, Justin Sanders, Francine Maloney, Susan Block, John Ellershaw and Peter Kirkbride

    Citation: BMC Health Services Research 2019 19:384

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  25. Content type: Research article

    In the last years, patients’ empowerment has been increasingly recognized as a crucial dimension of patient-centered healthcare and patient safety. Nevertheless, little work has been done so far in the field o...

    Authors: M. Rimondini, I. M. Busch, M. A. Mazzi, V. Donisi, A. Poli, E. Bovolenta and F. Moretti

    Citation: BMC Health Services Research 2019 19:382

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  26. Content type: Research article

    Some health practitioners pose substantial threats to patient safety, yet early identification of them is notoriously difficult. We aimed to develop an algorithm for use by regulators in prospectively identify...

    Authors: Matthew J. Spittal, Marie M. Bismark and David M. Studdert

    Citation: BMC Health Services Research 2019 19:380

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  27. Content type: Research article

    The Patient Enablement Instrument (PEI) is an established patient-reported outcome measure (PROM) that reflects the quality of appointments with general practitioners (GPs). It is a six-item questionnaire admi...

    Authors: Elina Tolvanen, Tuomas H. Koskela and Elise Kosunen

    Citation: BMC Health Services Research 2019 19:376

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  28. Content type: Research article

    The aim of this study was to assess the accuracy and quality of immunization data on the pentavalent (diphtheria, pertussis, tetanus, hepatitis B and Haemophilus influenzae type B (Hib)) and MMR vaccines as the a...

    Authors: Manoochehr Karami, Salman Khazaei, Abbas Babaei, Fatemeh Abdoli Yaghini, Mohammad Mehdi Gouya and Seyed Mohsen Zahraei

    Citation: BMC Health Services Research 2019 19:371

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  29. Content type: Research article

    Demographic change concurrent with medical progress leads to an increasing number of elderly patients in intensive care units (ICUs). Antibacterial treatment is an important, often life-saving, aspect of inten...

    Authors: Dominik Beier, Christel Weiß, Michael Hagmann, Ümniye Balaban, Manfred Thiel and Verena Schneider-Lindner

    Citation: BMC Health Services Research 2019 19:367

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  30. Content type: Research article

    High performance work systems (HPWSs) are successful work systems in the context of safety climate and patient safety. The 10-item HPWS questionnaire is a validated instrument developed to assess existing HPWS...

    Authors: Juliane Mielke, Sabina De Geest, Sonja Beckmann, Lynn Leppla, Xhyljeta Luta, Raphaelle-Ashley Guerbaai, Sabina Hunziker and René Schwendimann

    Citation: BMC Health Services Research 2019 19:356

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  31. Content type: Research article

    Whether patients receive low-value hospital care (care that is not expected to provide a net benefit) may be influenced by unmeasured factors at the hospital they attend or the hospital’s Local Health District...

    Authors: Tim Badgery-Parker, Yingyu Feng, Sallie-Anne Pearson, Jean-Frederic Levesque, Susan Dunn and Adam G. Elshaug

    Citation: BMC Health Services Research 2019 19:345

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  32. Content type: Research article

    Health care on equal terms is a cornerstone of the Swedish health care system. Total hip arthroplasty (THA) is considered a success story in Sweden with low frequency of reoperations and restored health-relate...

    Authors: Linnea Oldsberg, Göran Garellick, Ingrid Osika Friberg, Anke Samulowitz, Ola Rolfson and Szilárd Nemes

    Citation: BMC Health Services Research 2019 19:343

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  33. Content type: Research article

    Collaborative learning has been shown to be effective in improving health worker performance, but relatively little is known about the feasibility or acceptability of collaborative learning in youth-friendly h...

    Authors: Galina Lesco, Frances Squires, Viorel Babii, Nadejda Bordian, Olga Cernetchi, Adriane Martin Hilber and Venkatraman Chandra-Mouli

    Citation: BMC Health Services Research 2019 19:339

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  34. Content type: Research article

    Of the various types of medication administration error that occur in hospitals, dose omissions are consistently reported as among the most common. It has been suggested that greater involvement from pharmacy ...

    Authors: Elizabeth M. Seston, Darren M. Ashcroft, Elizabeth Lamerton, Lindsay Harper and Richard N. Keers

    Citation: BMC Health Services Research 2019 19:325

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  35. Content type: Study protocol

    Innovation has been identified as an important engine for improving the quality, productivity and efficiency of health care. Little is known about how to stimulate innovation capacity in primary health care in...

    Authors: Gunilla Avby and Sofia Kjellström

    Citation: BMC Health Services Research 2019 19:319

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  36. Content type: Research article

    One in three colon cancers are diagnosed as an emergency, which is associated with worse cancer outcomes. Chronic conditions (comorbidities) affect large proportions of adults and they might influence the risk...

    Authors: Cristina Renzi, Georgios Lyratzopoulos, Willie Hamilton, Camille Maringe and Bernard Rachet

    Citation: BMC Health Services Research 2019 19:311

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  37. Content type: Research article

    Europe’s ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The ‘Identifying best practices for care-dependent elderly by Ben...

    Authors: Henriëtte G. van der Roest, Liza van Eenoo, Lisanne I. van Lier, Graziano Onder, Vjenka Garms-Homolová, Johannes H. Smit, Harriet Finne-Soveri, Pálmi V. Jónsson, Stasja Draisma, Anja Declercq, Judith E. Bosmans and Hein P. J. van Hout

    Citation: BMC Health Services Research 2019 19:310

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  38. Content type: Research article

    Smoking in pregnancy causes harm to mother and baby. Despite evidence from trials of what helps women quit, implementation in the real world has been hard to achieve. An evidence-based intervention, babyClear©...

    Authors: Susan Jones, Sharon Hamilton, Ruth Bell, Vera Araújo-Soares, Svetlana V. Glinianaia, Eugene M. G. Milne, Martin White, Martyn Willmore and Janet Shucksmith

    Citation: BMC Health Services Research 2019 19:297

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  39. Content type: Study protocol

    Healthcare associated infection (HCAI) is a major cause of morbidity and mortality. In recent years, there have been high profile successes in infection prevention control (IPC), such as the dramatic reduction...

    Authors: John Gammon, Julian Hunt, Sharon Williams, Sharon Daniel, Sue Rees and Sian Matthewson

    Citation: BMC Health Services Research 2019 19:296

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  40. Content type: Research article

    To test the validity of the Finnish version of the Bernhard et al.’s Cross-Cultural Competence instrument of Healthcare Professionals (CCCHP).

    Authors: Laura Hietapakka, Marko Elovainio, Karolina Wesolowska, Anna-Mari Aalto, Anu-Marja Kaihlanen, Timo Sinervo and Tarja Heponiemi

    Citation: BMC Health Services Research 2019 19:294

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  41. Content type: Research article

    Community pharmacy Common Ailments Services can ease the considerable workload pressures on primary and secondary care services. However, evidence is needed to determine whether there are benefits of extending...

    Authors: Gillian Hall, Tania Cork, Simon White, Hayley Berry and Louise Smith

    Citation: BMC Health Services Research 2019 19:285

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  42. Content type: Research article

    Pharmaceutical care is the pharmacist’s contribution to the care of individuals to optimize medicines use and improve health outcomes. The primary tool of pharmaceutical care is medication review. Defining and...

    Authors: András Szilvay, Orsolya Somogyi, Attiláné Meskó, Romána Zelkó and Balázs Hankó

    Citation: BMC Health Services Research 2019 19:282

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  43. Content type: Research article

    The appropriateness of psychotropic prescriptions in the elderly is a major quality-of-care challenge at hospital. Quality indicators have been developed to prevent inappropriate psychotropic prescriptions. We...

    Authors: Aurélie Petit-Monéger, Vianney Jouhet, Frantz Thiessard, Driss Berdaï, Pernelle Noize, Véronique Gilleron, Guillaume Caridade, Louis-Rachid Salmi and Florence Saillour-Glénisson

    Citation: BMC Health Services Research 2019 19:272

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  44. Content type: Research article

    Long length of stays (LOS) in emergency departments (ED) negatively affect quality of care. Ordering of inappropriate diagnostic tests contributes to long LOS and reduces quality of care. One strategy to chang...

    Authors: Welmoed K. van Deen, Edward S. Cho, Kathryn Pustolski, Dennis Wixon, Shona Lamb, Thomas W. Valente and Michael Menchine

    Citation: BMC Health Services Research 2019 19:270

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  45. Content type: Research article

    Systems for monitoring effectiveness and quality of rehabilitation services across health care levels are needed. The purpose of this study was to develop and pilot test a quality indicator set for rehabilitat...

    Authors: Inger Johansen, Mari Klokkerud, Audny Anke, Janne-Birgitte Børke, Thomas Glott, Uno Hauglie, Audhild Høyem, Atle Klovning, Karin Anna Lande, Mona Larsen, Jan Egil Nordvik, Sigrid H. Wigers, Irene Øyeflaten, Kaare Birger Hagen and Ingvild Kjeken

    Citation: BMC Health Services Research 2019 19:265

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  46. Content type: Research article

    Social media platforms offer unique opportunities for patients and families to provide real-time feedback on their healthcare experiences. Consumer-generated social media ratings of hospitals tend to reflect t...

    Authors: Yue Li, Xueya Cai and Matthew Wang

    Citation: BMC Health Services Research 2019 19:260

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