International Journal for Quality in Health Care

List of Papers (Total 456)

Integrated care programmes for adults with chronic conditions: a meta-review

Objective To review systematic reviews and meta-analyses of integrated care programmes in chronically ill patients, with a focus on methodological quality, elements of integration assessed and effects reported.

Towards a measurement instrument for determinants of innovations

Objective To develop a short instrument to measure determinants of innovations that may affect its implementation.

The eCollaborative: using a quality improvement collaborative to implement the National eHealth Record System in Australian primary care practices

Quality problem The new national patient-controlled electronic health record is an important quality improvement, and there was a pressing need to pilot its use in Australian primary care practices. Implementation of electronic health records in other countries has met with mixed success.

Learning from the design and development of the NHS Safety Thermometer

Quality issue Research indicates that 10% of patients are harmed by healthcare but data that can be used in real time to improve safety are not routinely available.

Involving patients in detecting quality gaps in a fragmented healthcare system: development of a questionnaire for Patients' Experiences Across Health Care Sectors (PEACS)

Objective The purpose of this study was to develop and validate a generic questionnaire to evaluate experiences and reported outcomes in patients who receive treatment across a range of healthcare sectors.

Improving mental health outcomes: achieving equity through quality improvement

Objective To investigate equity of patient outcomes in a psychological therapy service, following increased access achieved by a quality improvement (QI) initiative.

The association of hospital quality ratings with adverse events

Objective To understand how patient-reported quality is related to adverse events (AEs).

Feasibility of using administrative data to compare hospital performance in the EU

Objective To describe hospitals' organizational arrangements relevant to the abstraction of administrative data, to report on the completeness of administrative data collected and to assess associations between organizational arrangements and completeness of data submission.

The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals

Objective To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals.

Is having quality as an item on the executive board agenda associated with the implementation of quality management systems in European hospitals: a quantitative analysis

Objective To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals.

Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies

Objective The objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies.

The associations between organizational culture, organizational structure and quality management in European hospitals

Objective To better understand associations between organizational culture (OC), organizational management structure (OS) and quality management in hospitals.

DUQuE quality management measures: associations between quality management at hospital and pathway levels

Objective The assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives and at various levels of care delivery. Within the DUQuE project (Deepening our Understanding of Quality improvement in Europe), seven measures for QM were developed. This study investigates the relationships between the various quality measures.

Measuring clinical management by physicians and nurses in European hospitals: development and validation of two scales

Objective Clinical management is hypothesized to be critical for hospital management and hospital performance. The aims of this study were to develop and validate professional involvement scales for measuring the level of clinical management by physicians and nurses in European hospitals.

Evidence-based organization and patient safety strategies in European hospitals

Objective To explore how European hospitals have implemented patient safety strategies (PSS) and evidence-based organization of care pathway (EBOP) recommendations and examine the extent to which implementation varies between countries and hospitals.

A checklist for patient safety rounds at the care pathway level

Objective To define a checklist that can be used to assess the performance of a department and evaluate the implementation of quality management (QM) activities across departments or pathways in acute care hospitals.

The use of on-site visits to assess compliance and implementation of quality management at hospital level

Objective Stakeholders of hospitals often lack standardized tools to assess compliance with quality management strategies and the implementation of clinical quality activities in hospitals. Such assessment tools, if easy to use, could be helpful to hospitals, health-care purchasers and health-care inspectorates. The aim of our study was to determine the psychometric properties of...

Development and validation of an index to assess hospital quality management systems

Objective The aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries.

Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries

Introduction and Objective This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods applied, highlighting the...

Associations between rates of unassisted inpatient falls and levels of registered and non-registered nurse staffing

Objective To enhance understanding of how nurse staffing relates to unassisted falls by exploring non-linear associations between unassisted fall rates and levels of registered nurse (RN) and non-RN staffing on 5 nursing unit types, thereby enabling managers to improve patient safety by making better-informed decisions about staffing.

What impedes and what facilitates a quality improvement project for older hospitalized patients?

Objective To gain insight into which factors impede, and which facilitate, the implementation of a complex multi-component improvement initiative in hospitalized older patients.

How can we recognize continuous quality improvement?

Objective Continuous quality improvement (CQI) methods are foundational approaches to improving healthcare delivery. Publications using the term CQI, however, are methodologically heterogeneous, and labels other than CQI are used to signify relevant approaches. Standards for identifying the use of CQI based on its key methodological features could enable more effective learning...

Benchmarks for acute stroke care delivery

Objective Despite widespread interest in many jurisdictions in monitoring and improving the quality of stroke care delivery, benchmarks for most stroke performance indicators have not been established. The objective of this study was to develop data-derived benchmarks for acute stroke quality indicators.