Quality & Safety in Health Care
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- BMJ Group, CSA, Ovid from 2002, Gale, and Proquest
Development and evaluation of an implementation strategy for the German guideline on community-acquired pneumonia.
We developed and evaluated an implementation strategy to improve the quality of care of patients with CAP. A prospective, randomised, controlled trail was conducted within CAPNETZ. In four local clinical centres (LCC), the guideline was implemented by different strategies. The other four LCC served...
Teamwork training with nursing and medical students: does the method matter? Results of an interinstitutional, interdisciplinary collaborati...
The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects of each method on the acquisition of student teamwork knowledge, skills, and attitudes. The authors recruited 203 senior nursing students and 235 fourth...
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
To describe how in-depth analysis of adverse events can reveal underlying causes. Triggers for adverse events were developed using the hospital's computerised medical record (naloxone for opiate-related oversedation and administration of a glucose bolus while on insulin for insulin-related hypoglyca...
Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.
To assess chemotherapy patients' perceptions of safety and their attitudes towards participating in error-prevention strategies. Semistructured interviews were conducted with 30 chemotherapy patients at baseline. Follow-up interviews were conducted 9 weeks later. A community hospital in Switzerland....
Patient-specific electronic decision support reduces prescription of excessive doses.
We have built and evaluated a CDSS providing upper dose limits personalised to individual patient characteristics thus guaranteeing for specific warnings. For 170 compounds, detailed information on upper dose limits (according to the drug label) was compiled. A comprehensive software-algorithm extra...
Facilitating organisational development using a group-based formative assessment and benchmarking method: design and implementation of the I...
We are not aware of any other organisational assessment method for primary care which has been 'born international,' and that has involved attention to theory, dimension selection and item refinement. The principal aims were to achieve an organisational assessment which gains added value by using in...
Experience: the most critical factor in choosing after-hours medical care.
Introduction In many countries, a reassessment of after-hours primary care has become necessary. In particular, centralised general practitioner deputizing services (GPDS) have emerged. In this study, consumers' preferences for after-hours medical care were obtained and the use of the new GPDS was p...
Improving management of oesophageal varices in patients with cirrhosis.
Problem A retrospective audit of management of oesophageal varices in patients with cirrhosis identified the need to improve adherence to guidelines. Design Prospective audit of the effect of disseminating guidelines in 2004; prospective audit of the effect of a nurse coordinator for oesophageal var...
Cardiometabolic treatment decisions in patients with type 2 diabetes: the role of repeated measurements and medication burden.
We determined how repeated measurements of blood pressure, cholesterol and haemoglobin A1c affect general practitioners' decisions to start or intensify medication in patients with type 2 diabetes. We also evaluated whether medication burden altered these decisions. We conducted a cohort study in 30...
Lean implementation in primary care health visiting services in National Health Service UK.
This paper presents the findings of a 13-month lean implementation in National Health Service (NHS) primary care health visiting services from May 2008 to June 2009. Lean was chosen for this study because of its reported success in other healthcare organisations. Value-stream mapping was utilised to...