Monday, 20 April 2015

Validation of the intermountain patient perception of quality survey

"Our objective was to evaluate the construct validity and internal consistency of the Intermountain Patient Perception of Quality (PPQ) survey among patients discharged from the ICU."

Validation of the intermountain patient perception of quality (PPQ) survey among survivors of an intensive care unit admission: a retrospective validation study
SM Brown
BMC Health Services Research 2015, 15:155  doi:10.1186/s12913-015-0828-x

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Implementing a patient-initiated review system in rheumatoid arthritis

"This study forms part of a service evaluation of a system wide implementation of a patient initiated review appointment system which we have called Direct Access (DA). The aim was to explore the experiences of patients and staff of a DA system in order to understand the process of the implementation and to identify potential improvements."

Implementing a patient-initiated review system in rheumatoid arthritis: a qualitative evaluation
S Child, VA Goodwin, MG Perry, CA Gericke, R Byng
BMC Health Services Research 2015, 15:157  doi:10.1186/s12913-015-0837-9

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Is cost effectiveness sustained after weekend inpatient rehabilitation?

"Our previous work showed that providing additional rehabilitation on a Saturday was cost effective in the short term from the perspective of the health service provider. This study aimed to evaluate if providing additional rehabilitation on a Saturday was cost effective at 12 months"

Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial
N Kareem Brusco, JJ Watts, N Shields, NF Taylor
BMC Health Services Research 2015, 15:165  doi:10.1186/s12913-015-0822-3

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Intended and unintended effects of large-scale adverse event disclosure

"How patients respond to being notified of a large-scale adverse event (LSAE), such as improper sterilisation of medical equipment that exposes them to bloodborne pathogens, is not well known. The objective of this study was to determine, using administrative data, the intended and unintended consequences of patient notification following a LSAE."

Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications
TH Wagner et al.
BMJ Quality and Safety 2015;24:295-302 doi:10.1136/bmjqs-2014-003800

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Fix and forget or fix and report

"We found that generally healthcare providers do not prioritise reporting if a safety problem is fixed. We argue that fixing and forgetting patient safety problems encountered may not serve patient safety as well as fixing and reporting. The latter approach aligns with recent calls for patient safety to be more preventive. We consider implications for practice."

Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting
TA Hewitt, S Chreim, A Forster, S Vanderloo, C Backman
BMJ Quality and Safety 2015;24:303-310 doi:10.1136/bmjqs-2014-003279

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What to expect when you're evaluating healthcare improvement

"Although valuable, evaluation is often complicated by tensions and friction between evaluators, implementers and other stakeholders. Drawing on the literature, we suggest that these tensions can arise from a lack of shared understanding of the goals of the evaluation; confusion about roles, relationships and responsibilities; data burdens; issues of data flows and confidentiality; the discomforts of being studied and the impact of disappointing or otherwise unwelcome results. We present a possible approach to managing these tensions "

What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities
L Brewster, EL Aveling, G Martin, C Tarrant, M Dixon-Woods
BMJ Quality and Safety 2015;24:318-324 doi:10.1136/bmjqs-2014-003732

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How to study improvement interventions

"This article offers an overview of possible methods for the study of improvement interventions. The choice of available designs is wide, but debates continue about how far improvement efforts can be simultaneously practical (aimed at producing change) and scientific (aimed at producing new knowledge), and whether the distinction between the practical and the scientific is a real and useful one."

How to study improvement interventions: a brief overview of possible study types
M C Portela, PJ Pronovost, T Woodcock, P Carter, M Dixon-Woods
BMJ Quality and Safety 2015;24:325-336 doi:10.1136/bmjqs-2014-003620

Read more here.