Journal of Healthcare Quality Research最新文献_第6页

Translation and cross-cultural adaptation of the service user technology acceptability questionnaire to a Spanish version 服务用户技术可接受性问卷的翻译和跨文化改编为西班牙语版本。

IF 1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1016/j.jhqr.2025.101153

A. Méndez , C. Nieto , J.P. Guerrero , D. Galaz

Introduction and objectives

Telemedicine requires sensitivity to needs and contexts of patients. Acceptability, which is the intention or usage of technology, is a crucial aspect. SUTAQ (Service User Technology Acceptability Questionnaire) is the only questionnaire specifically designed to collect beliefs of patients about telehealth, however there is no Spanish version available to be used.

Objective

To translate and cross-culturally adapt the Service User Technology Acceptability Questionnaire to a Spanish version.

Materials and methods

An observational, cross-sectional study was designed to forward translate and synthesize the English version of SUTAQ, then to obtain a T-12 version which was back-translated to English and reviewed by an expert committee. The prefinal version was pretested after obtaining informed consent in subjects ≥18 years, with a chronic disease, using a form to evaluate fluency and comprehension of each question with a 5-point Likert scale.

Results

Minor modifications were incorporated in the T-12 version. Thirty-two subjects of 61 years old, female (65.6%), twelve or more years of study (59.4%) and hypertension (46.9%) were recruited. Fluency and understanding were mainly high in all questions with a minority who said the items were moderately understandable.

Conclusion

The Spanish version of SUTAQ was fluent and understandable for most patients, which demonstrated its consistency with the English version. This version should be further tested to demonstrate its reliability and validity in a larger sample.

前言和目标：远程医疗需要对患者的需求和情况敏感。可接受性，即技术的意图或使用，是一个至关重要的方面。SUTAQ（服务用户技术可接受性问卷）是唯一专门为收集患者对远程保健的看法而设计的问卷，但是没有西班牙语版本可供使用。目的：将《服务使用者技术接受度问卷》翻译成西班牙语并进行跨文化改编。材料和方法：采用观察性横断面研究，对SUTAQ的英文版本进行前向翻译和综合，然后获得一个T-12版本，该版本被反译为英文并由专家委员会审查。在获得知情同意后，对年龄≥18岁且患有慢性疾病的受试者进行预测，使用5分李克特量表评估每个问题的流畅性和理解程度。结果：在T-12版本中进行了少量修改。研究对象32名，年龄61岁，女性（65.6%），12岁及以上（59.4%），高血压（46.9%）。所有问题的流利度和理解程度都很高，少数人说这些问题可以理解。结论：西班牙语版的SUTAQ对大多数患者来说是流利和可理解的，与英文版本的SUTAQ具有一致性。此版本应进一步测试，以证明其可靠性和有效性在更大的样本。

{"title":"Translation and cross-cultural adaptation of the service user technology acceptability questionnaire to a Spanish version","authors":"A. Méndez , C. Nieto , J.P. Guerrero , D. Galaz","doi":"10.1016/j.jhqr.2025.101153","DOIUrl":"10.1016/j.jhqr.2025.101153","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Telemedicine requires sensitivity to needs and contexts of patients. Acceptability, which is the intention or usage of technology, is a crucial aspect. SUTAQ (Service User Technology Acceptability Questionnaire) is the only questionnaire specifically designed to collect beliefs of patients about telehealth, however there is no Spanish version available to be used.</div></div><div><h3>Objective</h3><div>To translate and cross-culturally adapt the Service User Technology Acceptability Questionnaire to a Spanish version.</div></div><div><h3>Materials and methods</h3><div>An observational, cross-sectional study was designed to forward translate and synthesize the English version of SUTAQ, then to obtain a T-12 version which was back-translated to English and reviewed by an expert committee. The prefinal version was pretested after obtaining informed consent in subjects ≥18 years, with a chronic disease, using a form to evaluate fluency and comprehension of each question with a 5-point Likert scale.</div></div><div><h3>Results</h3><div>Minor modifications were incorporated in the T-12 version. Thirty-two subjects of 61 years old, female (65.6%), twelve or more years of study (59.4%) and hypertension (46.9%) were recruited. Fluency and understanding were mainly high in all questions with a minority who said the items were moderately understandable.</div></div><div><h3>Conclusion</h3><div>The Spanish version of SUTAQ was fluent and understandable for most patients, which demonstrated its consistency with the English version. This version should be further tested to demonstrate its reliability and validity in a larger sample.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101153"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing patient satisfaction and identifying areas for improvement in gynecological care across various healthcare settings at a tertiary teaching hospital in Pakistan: A cross-sectional study 评估患者满意度并确定巴基斯坦一家三级教学医院各种医疗保健环境中需要改进的妇科护理领域：一项横断面研究

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-09-01 Epub Date: 2025-05-06 DOI: 10.1016/j.jhqr.2025.101132

S.I. Memon , A. Aijaz , R. Jameel , M. Shafique , Y. Khan

Objectives

Patient satisfaction is a key indicator of healthcare quality and essential for improving hospital services. This study aimed to assess patient satisfaction and to identify areas for improvement in gynecological care across inpatient, outpatient, and emergency settings.

Material and methods

We conducted a descriptive, cross-sectional study among 587 gynecological patients at a tertiary care teaching hospital in Karachi, Pakistan. We assessed multiple dimensions of patient care, such as doctor satisfaction, nursing care, housekeeping services, and value for money using simple random sampling. We used a standard questionnaire to gauge patient satisfaction with care and analyzed the data using Statistical Package for the Social Sciences (SPSS) version 21. We considered a p-value of less than 95% to be statistically significant.

Results

The analysis revealed high satisfaction rates across all service areas. Doctor satisfaction scored the highest at 95.4% (95% CI: 0.929–0.978, p < 0.0001), followed by value for money at 90.4% (95% CI: 0.870–0.939, p < 0.0001). Housekeeping and nursing care were rated 86.2% (95% CI: 0.821–0.902, p < 0.0001) and 83.3% (95% CI: 0.790-0.877, p < 0.0001), respectively. The hospital achieved a 98.9% recommendation rate, with 54.3% rating their experience as “Excellent,” 36.9% as “Good,” 7.8% as “Average,” and only 1.1% as “Bad.”

Conclusions

This study highlights high patient satisfaction in gynecological services, reflected in strong recommendations and positive feedback. While physician care is well-rated, improvements in nursing and housekeeping through enhanced communication are needed. These findings support quality enhancement efforts, fostering a blame-free culture and setting a benchmark for similar institutions in Pakistan.

目的患者满意度是衡量医疗服务质量的重要指标，对提高医院服务质量至关重要。本研究旨在评估患者满意度，并确定住院、门诊和急诊妇科护理的改进领域。材料和方法我们对巴基斯坦卡拉奇一家三级护理教学医院的587名妇科患者进行了一项描述性横断面研究。我们使用简单的随机抽样评估了患者护理的多个维度，如医生满意度、护理、家政服务和物有所值。我们使用标准问卷来衡量患者对护理的满意度，并使用社会科学统计软件包（SPSS）第21版分析数据。我们认为p值小于95%具有统计学意义。结果分析显示，所有服务领域的满意度都很高。医生满意度最高，为95.4% (95% CI: 0.929-0.978, p <；0.0001)，其次是物有所值，为90.4% (95% CI: 0.870-0.939, p <；0.0001)。家政和护理评分为86.2% (95% CI: 0.821-0.902, p <；0.0001)和83.3% (95% CI: 0.790-0.877, p <；分别为0.0001)。该医院的推荐率达到了98.9%，其中54.3%的人认为他们的体验是“优秀”，36.9%的人认为是“良好”，7.8%的人认为是“一般”，只有1.1%的人认为是“糟糕”。结论本研究突出了患者对妇科服务的高满意度，表现为强烈的推荐和积极的反馈。虽然医生的护理得到了很好的评价，但需要通过加强沟通来改进护理和家务管理。这些发现支持了提高质量的努力，培养了一种没有指责的文化，并为巴基斯坦的类似机构树立了一个基准。

{"title":"Assessing patient satisfaction and identifying areas for improvement in gynecological care across various healthcare settings at a tertiary teaching hospital in Pakistan: A cross-sectional study","authors":"S.I. Memon , A. Aijaz , R. Jameel , M. Shafique , Y. Khan","doi":"10.1016/j.jhqr.2025.101132","DOIUrl":"10.1016/j.jhqr.2025.101132","url":null,"abstract":"<div><h3>Objectives</h3><div>Patient satisfaction is a key indicator of healthcare quality and essential for improving hospital services. This study aimed to assess patient satisfaction and to identify areas for improvement in gynecological care across inpatient, outpatient, and emergency settings.</div></div><div><h3>Material and methods</h3><div>We conducted a descriptive, cross-sectional study among 587 gynecological patients at a tertiary care teaching hospital in Karachi, Pakistan. We assessed multiple dimensions of patient care, such as doctor satisfaction, nursing care, housekeeping services, and value for money using simple random sampling. We used a standard questionnaire to gauge patient satisfaction with care and analyzed the data using Statistical Package for the Social Sciences (SPSS) version 21. We considered a <em>p</em>-value of less than 95% to be statistically significant.</div></div><div><h3>Results</h3><div>The analysis revealed high satisfaction rates across all service areas. Doctor satisfaction scored the highest at 95.4% (95% CI: 0.929–0.978, <em>p</em>  <0.0001). Housekeeping and nursing care were rated 86.2% (95% CI: 0.821–0.902, <em>p</em>  <0.0001), respectively. The hospital achieved a 98.9% recommendation rate, with 54.3% rating their experience as “Excellent,” 36.9% as “Good,” 7.8% as “Average,” and only 1.1% as “Bad.”</div></div><div><h3>Conclusions</h3><div>This study highlights high patient satisfaction in gynecological services, reflected in strong recommendations and positive feedback. While physician care is well-rated, improvements in nursing and housekeeping through enhanced communication are needed. These findings support quality enhancement efforts, fostering a blame-free culture and setting a benchmark for similar institutions in Pakistan.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101132"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Design and application of a survey for measuring multidimensional access to health services 设计和应用一项调查，以衡量获得保健服务的多角度情况。

IF 1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1016/j.jhqr.2025.101154

G.P. González , M. Geri , M.S. Moreno , M.F. Arnaudo , F.P. Lago , M.E. Elorza , N.S. Moscoso , A.M. Blanco

Objectives

Access to health services is a critical factor in ensuring equitable healthcare delivery. Understanding patient perspectives on barriers and obstacles to healthcare access is essential for improving health outcomes. This study aims to design and test an instrument to assess self-perceived access to health services across different levels of care, encompassing all process dimensions.

Methods

The survey, constructed with an interdisciplinary approach, is administered at the household level. It was validated by experts and approved by a Bioethics Committee. This survey was conducted in a medium-sized city in Argentina.

Results

The validated instrument provides a comprehensive tool to investigate, from the patient's perspective and preferences, the barriers that prevent a health need from becoming a demand and the obstacles to effectively using the needed healthcare service. The implementation of the survey revealed significant insights into these issues.

Conclusions

Our instrument offers valuable insights into the patient-perceived barriers to healthcare access. It is a robust tool for identifying the obstacles that impede the utilization of health goods and services in the different levels of care, thereby improving healthcare delivery systems.

目标：获得保健服务是确保公平提供保健服务的关键因素。了解患者对获得医疗保健的障碍和障碍的看法对于改善健康结果至关重要。本研究旨在设计和测试一种工具，以评估不同护理水平的自我感知获得卫生服务的机会，包括所有过程维度。方法：本调查采用跨学科方法，在家庭层面进行。它经过了专家的验证，并得到了生物伦理委员会的批准。这项调查是在阿根廷的一个中等城市进行的。结果：经过验证的仪器提供了一个全面的工具，从患者的角度和偏好来调查阻止健康需求成为需求的障碍，以及有效使用所需医疗保健服务的障碍。调查的实施揭示了对这些问题的重要见解。结论：我们的仪器提供了宝贵的见解，患者感知的障碍，以获得医疗保健。它是一种强有力的工具，可用于确定阻碍在不同级别的保健中使用卫生物品和服务的障碍，从而改进卫生保健提供系统。

{"title":"Design and application of a survey for measuring multidimensional access to health services","authors":"G.P. González , M. Geri , M.S. Moreno , M.F. Arnaudo , F.P. Lago , M.E. Elorza , N.S. Moscoso , A.M. Blanco","doi":"10.1016/j.jhqr.2025.101154","DOIUrl":"10.1016/j.jhqr.2025.101154","url":null,"abstract":"<div><h3>Objectives</h3><div>Access to health services is a critical factor in ensuring equitable healthcare delivery. Understanding patient perspectives on barriers and obstacles to healthcare access is essential for improving health outcomes. This study aims to design and test an instrument to assess self-perceived access to health services across different levels of care, encompassing all process dimensions.</div></div><div><h3>Methods</h3><div>The survey, constructed with an interdisciplinary approach, is administered at the household level. It was validated by experts and approved by a Bioethics Committee. This survey was conducted in a medium-sized city in Argentina.</div></div><div><h3>Results</h3><div>The validated instrument provides a comprehensive tool to investigate, from the patient's perspective and preferences, the barriers that prevent a health need from becoming a demand and the obstacles to effectively using the needed healthcare service. The implementation of the survey revealed significant insights into these issues.</div></div><div><h3>Conclusions</h3><div>Our instrument offers valuable insights into the patient-perceived barriers to healthcare access. It is a robust tool for identifying the obstacles that impede the utilization of health goods and services in the different levels of care, thereby improving healthcare delivery systems.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 5","pages":"Article 101154"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics-Gynecology team. 旨在减少倦怠和情绪困扰，提高妇产科团队生活质量的组织干预的有效性。

IF 1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-08-16 DOI: 10.1016/j.jhqr.2025.101156

J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo

Background: Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.

Aims: To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.

Methods: A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.

Results: Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).

Conclusions: A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.

背景：职业倦怠和促进医生的福祉已成为医疗机构的优先事项。由于工作需求和资源有限，妇产科团队容易受到压力的影响。人们越来越认识到，组织干预对于减轻职业倦怠和提高职业幸福感至关重要。目的：评估组织层面干预的影响，旨在减少倦怠和情绪困扰，提高妇产科团队教职员工和住院医生的幸福感和生活质量。方法：在乌拉圭República大学妇产科学术A单元实施结构化组织干预。使用经过验证的心理测量工具、Maslach职业倦怠量表-人类服务调查、Oldenburg职业倦怠量表、PROMIS全球健康量表、世界卫生组织焦虑和抑郁量表（WHO-5）来评估有效性。统计分析包括Wilcoxon sign -rank检验和效应量计算。结果：在76名受邀参与者中，61人完成了基线评估，30人完成了随访评估。在倦怠、情绪幸福感方面观察到显著的改善，效应量从大到非常大（0.50-0.74）。倦怠的患病率从63.3%下降到40.0% (p=0.039)，高危情绪困扰（WHO-5）。结论：结构化的组织层面干预有效地减少了教师和妇产科住院医师的倦怠，提高了幸福感。这些发现与先前的研究一致，表明组织干预在工作中产生相当大的好处。需要更大样本的进一步研究来确认长期疗效和推广到其他卫生保健机构。

{"title":"Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics-Gynecology team.","authors":"J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo","doi":"10.1016/j.jhqr.2025.101156","DOIUrl":"https://doi.org/10.1016/j.jhqr.2025.101156","url":null,"abstract":"<p><strong>Background: </strong>Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.</p><p><strong>Aims: </strong>To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.</p><p><strong>Methods: </strong>A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.</p><p><strong>Results: </strong>Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).</p><p><strong>Conclusions: </strong>A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":"101156"},"PeriodicalIF":1.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Failure to rescue in colon surgery 结肠手术抢救失败

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-04-06 DOI: 10.1016/j.jhqr.2025.101118

J.J. Rubio-García , F. Mauri Barberá , C. Villodre Tudela , J. Ferri Romero , M. Marco Gómez , T. Viñas Martínez , C. Gómez Alcázar , M. Romero Simo , J.M. Ramia-Ángel

Background

Major complications (MC) after colorectal surgery are not uncommon and can have serious consequences for patient survival. Failure to rescue (FTR) is an indicator used to measure the capacity for correct management of MC, calculated as the number of patients who die among all those who present MC.

Methods

Observational study with retrospective data analysis of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September-2012 to August-2016. Preoperative, intraoperative and postoperative variables were recorded. Postoperative complications Clavien–Dindo scores > II were considered MC. FTR was defined as death within 90 postoperative days in patients with at least one MC.

Results

A total of 564 patients were included, of whom 140 (24.8%) presented MC. Of these, 22 died, representing an FTR rate of 15.7%. Patients with MC had a mean age of 69.6 years, and 30.7% were women. An open approach was used in 81.4%. Compared with survivors, the group of non-survivors presented a higher proportion of ASA III and IV (P = 0.008), a higher mean age (P = 0.001) and a higher proportion of anastomotic leaks (P = 0.009). Multivariate analysis confirmed that age (OR 1.161; P = 000), anastomotic leak (OR 18; P = 0.001) and sepsis of origin other than anastomotic leak or intra-abdominal collection (OR 26; P = 0.001) were significantly associated with FTR as independent factors.

Conclusion

The FTR rate after colectomy in our series was similar or slightly lower than other series. Age, anastomotic leakage, and sepsis of non-abdominal origin were independent factors associated with FTR. We contend that FTR is an excellent indicator of a center's ability to resolve MC. It is particularly useful for implementing measures to ensure effective treatment of MC.

结直肠手术后的重大并发症（MC）并不罕见，并可能对患者的生存造成严重后果。抢救失败（Failure to rescue， FTR）是衡量MC正确管理能力的指标，以出现MC的患者中死亡的人数计算。方法观察性研究，回顾性分析2012年9月至2016年8月在西班牙某大学医院接受结肠癌手术的所有患者。记录术前、术中、术后各项指标。术后并发症Clavien-Dindo评分；结果共纳入564例患者，其中140例（24.8%）出现MC，其中22例死亡，FTR率为15.7%。MC患者的平均年龄为69.6岁，其中30.7%为女性。81.4%的患者采用开放入路。与存活组相比，非存活组ASA III级和IV级比例更高（P = 0.008），平均年龄更高（P = 0.001），吻合口漏比例更高（P = 0.009）。多因素分析证实年龄(OR 1.161；P = 000)，吻合口漏(OR 18；P = 0.001)和除吻合口漏或腹腔内收集外的脓毒症(or 26；P = 0.001)与FTR作为独立因素显著相关。结论本组结肠切除术后FTR发生率与其他组相近或略低。年龄、吻合口漏和非腹腔脓毒症是与FTR相关的独立因素。我们认为，FTR是一个很好的指标，一个中心解决MC的能力。它是特别有用的实施措施，以确保有效治疗MC。

{"title":"Failure to rescue in colon surgery","authors":"J.J. Rubio-García , F. Mauri Barberá , C. Villodre Tudela , J. Ferri Romero , M. Marco Gómez , T. Viñas Martínez , C. Gómez Alcázar , M. Romero Simo , J.M. Ramia-Ángel","doi":"10.1016/j.jhqr.2025.101118","DOIUrl":"10.1016/j.jhqr.2025.101118","url":null,"abstract":"<div><h3>Background</h3><div>Major complications (MC) after colorectal surgery are not uncommon and can have serious consequences for patient survival. Failure to rescue (FTR) is an indicator used to measure the capacity for correct management of MC, calculated as the number of patients who die among all those who present MC.</div></div><div><h3>Methods</h3><div>Observational study with retrospective data analysis of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September-2012 to August-2016. Preoperative, intraoperative and postoperative variables were recorded. Postoperative complications Clavien–Dindo scores>II were considered MC. FTR was defined as death within 90 postoperative days in patients with at least one MC.</div></div><div><h3>Results</h3><div>A total of 564 patients were included, of whom 140 (24.8%) presented MC. Of these, 22 died, representing an FTR rate of 15.7%. Patients with MC had a mean age of 69.6 years, and 30.7% were women. An open approach was used in 81.4%. Compared with survivors, the group of non-survivors presented a higher proportion of ASA III and IV (<em>P</em>  =0.001) and a higher proportion of anastomotic leaks (<em>P</em>  =000), anastomotic leak (OR 18; <em>P</em>  =0.001) were significantly associated with FTR as independent factors.</div></div><div><h3>Conclusion</h3><div>The FTR rate after colectomy in our series was similar or slightly lower than other series. Age, anastomotic leakage, and sepsis of non-abdominal origin were independent factors associated with FTR. We contend that FTR is an excellent indicator of a center's ability to resolve MC. It is particularly useful for implementing measures to ensure effective treatment of MC.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101118"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Textbook outcome in thyroid surgery: A new approach to assess quality in an endocrine surgery unit 教科书结果在甲状腺手术：一个新的方法来评估质量在内分泌外科单位

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-04-03 DOI: 10.1016/j.jhqr.2025.101120

D. Costa Navarro , J.J. Rubio-García , A. Gomis-Martín , T. Viñas Martínez , J. López-Noguera , M. Franco-Campello , A. Carrion-Tomás , J.M. Ramia

Background

Thyroidectomy is a term encompassing various surgical procedures involving the thyroid gland. Assessing quality is imperative for patient safety and clinical auditing and textbook outcome (TO) offers more comprehensive information on overall quality than single indicators. This study aims to define the parameters constituting TO in thyroid surgery, evaluate the outcomes based on TO criteria within an endocrine surgery unit at a tertiary hospital, and identify factors associated with failure to achieve TO in these cases.

Methods

A retrospective observational study of consecutive patients undergoing thyroid surgery at the Endocrine Surgery Unit in Spain between January 2020 and December 2022. The analyzed variables included, among others, age and sex, comorbidities, diagnosis, intrathoracic goiter, type of thyroidectomy, and several postoperative complications. The first TO definition in thyroid surgery was made.

Results

A total of 244 patients were included in the study. TOTS was achieved in 153 patients (62.7%), and there were no reported mortalities. Diabetes (18% vs 8.61%) and endothoracic goiter (40% vs 22%) were statistically associated with textbook outcome non-achievement. Also, the endothoracic goiter parameter was identified as a statistically significant predictor of textbook outcome non-achievement.

Conclusion

The implementation of the TO concept in thyroid surgery offers a comprehensive method for assessing surgical quality, encapsulating a range of critical postoperative outcomes. The rate of TO in our serie was 62.7%, identifying that endothoracic goiter is the main parameter of textbook outcome non-achievement.

甲状腺切除术是一个包含涉及甲状腺的各种外科手术的术语。评估质量对于患者安全和临床审计是必不可少的，教科书结果（TO）提供了比单一指标更全面的总体质量信息。本研究旨在确定甲状腺手术中to的构成参数，根据三级医院内分泌外科的to标准评估结果，并确定这些病例中未能达到to的相关因素。方法对2020年1月至2022年12月在西班牙内分泌外科连续接受甲状腺手术的患者进行回顾性观察研究。分析的变量包括年龄和性别、合并症、诊断、胸内甲状腺肿、甲状腺切除术类型和一些术后并发症。甲状腺手术中第一个TO定义被提出。结果共纳入244例患者。153例患者（62.7%）获得TOTS，无死亡报告。糖尿病（18% vs 8.61%）和胸内甲状腺肿（40% vs 22%）与教科书结局不达标有统计学关联。此外，胸内甲状腺肿参数被确定为教科书结果未达到的统计显著预测因子。结论在甲状腺手术中实施TO概念提供了一种评估手术质量的综合方法，包含了一系列关键的术后结果。本组患者的甲状腺肿率为62.7%，表明胸内甲状腺肿是教科书预后不达标的主要参数。

{"title":"Textbook outcome in thyroid surgery: A new approach to assess quality in an endocrine surgery unit","authors":"D. Costa Navarro , J.J. Rubio-García , A. Gomis-Martín , T. Viñas Martínez , J. López-Noguera , M. Franco-Campello , A. Carrion-Tomás , J.M. Ramia","doi":"10.1016/j.jhqr.2025.101120","DOIUrl":"10.1016/j.jhqr.2025.101120","url":null,"abstract":"<div><h3>Background</h3><div>Thyroidectomy is a term encompassing various surgical procedures involving the thyroid gland. Assessing quality is imperative for patient safety and clinical auditing and textbook outcome (TO) offers more comprehensive information on overall quality than single indicators. This study aims to define the parameters constituting TO in thyroid surgery, evaluate the outcomes based on TO criteria within an endocrine surgery unit at a tertiary hospital, and identify factors associated with failure to achieve TO in these cases.</div></div><div><h3>Methods</h3><div>A retrospective observational study of consecutive patients undergoing thyroid surgery at the Endocrine Surgery Unit in Spain between January 2020 and December 2022. The analyzed variables included, among others, age and sex, comorbidities, diagnosis, intrathoracic goiter, type of thyroidectomy, and several postoperative complications. The first TO definition in thyroid surgery was made.</div></div><div><h3>Results</h3><div>A total of 244 patients were included in the study. TOTS was achieved in 153 patients (62.7%), and there were no reported mortalities. Diabetes (18% vs 8.61%) and endothoracic goiter (40% vs 22%) were statistically associated with textbook outcome non-achievement. Also, the endothoracic goiter parameter was identified as a statistically significant predictor of textbook outcome non-achievement.</div></div><div><h3>Conclusion</h3><div>The implementation of the TO concept in thyroid surgery offers a comprehensive method for assessing surgical quality, encapsulating a range of critical postoperative outcomes. The rate of TO in our serie was 62.7%, identifying that endothoracic goiter is the main parameter of textbook outcome non-achievement.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101120"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Design Thinking y su uso para promover la seguridad de los pacientes: revisión de alcance 设计思维及其在促进患者安全方面的应用：范围回顾

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-05-14 DOI: 10.1016/j.jhqr.2025.101140

L. Del-Valle Quintana , K. Sichieri , S. Secoli

Background and objective

Design Thinking is a user centered methodology used to address problems through innovation. Patient safety is a complex issue within healthcare and remains a global priority. International organizations urge the development of joint strategies to tackle this challenge. The objective was to map the current use of Design Thinking as a methodology to promote patient safety in healthcare settings.

Materials and methods

A scoping review was conducted following the Joanna Briggs Institute guidelines, using indexed databases such as PubMed, CINAHL, WOS, EMBASE, Scopus, Science Direct, PsycINFO, SciELO, and ERIC, as well as grey literature from CAPES and ProQuest journals. The protocol was registered in Open Science Framework. Data were analyzed and summarized narratively.

Results

A total of 55 publications applying Design Thinking in the context of patient safety were included. The six international patient safety goals were addressed, with a focus on effective communication (45%) and medication safety (35%). The study design was not reported in 65% of the cases, and 30% lacked data procedures and analysis. The healthcare team participated in 93% of the studies, while patients were involved in 44%. The most common solutions were mobile applications, software, and dashboards.

Conclusions

Design Thinking is contributing to improvements in patient safety by developing co-designed solutions, particularly in the international patient safety goals of communication and medication safety. However, the lack of a rigorous methodological approach limits the validity and replicability of the results.

背景和目的设计思维是一种以用户为中心的方法，通过创新来解决问题。患者安全是医疗保健领域的一个复杂问题，也是全球优先考虑的问题。国际组织敦促制定应对这一挑战的联合战略。目的是绘制设计思维作为一种方法的当前使用情况，以促进医疗保健环境中的患者安全。材料和方法根据Joanna Briggs研究所的指南，使用PubMed、CINAHL、WOS、EMBASE、Scopus、Science Direct、PsycINFO、SciELO和ERIC等索引数据库以及CAPES和ProQuest期刊的灰色文献进行了范围审查。该方案已在开放科学框架中注册。对数据进行分析和叙述总结。结果共纳入55篇将设计思维应用于患者安全的文献。解决了6个国际患者安全目标，重点是有效沟通（45%）和药物安全（35%）。65%的病例没有报告研究设计，30%缺乏数据程序和分析。医疗团队参与了93%的研究，而患者参与了44%。最常见的解决方案是移动应用程序、软件和仪表板。通过开发共同设计的解决方案，设计思维有助于改善患者安全，特别是在通信和药物安全的国际患者安全目标方面。然而，缺乏严格的方法方法限制了结果的有效性和可重复性。

{"title":"Design Thinking y su uso para promover la seguridad de los pacientes: revisión de alcance","authors":"L. Del-Valle Quintana , K. Sichieri , S. Secoli","doi":"10.1016/j.jhqr.2025.101140","DOIUrl":"10.1016/j.jhqr.2025.101140","url":null,"abstract":"<div><h3>Background and objective</h3><div>Design Thinking is a user centered methodology used to address problems through innovation. Patient safety is a complex issue within healthcare and remains a global priority. International organizations urge the development of joint strategies to tackle this challenge. The objective was to map the current use of Design Thinking as a methodology to promote patient safety in healthcare settings.</div></div><div><h3>Materials and methods</h3><div>A scoping review was conducted following the Joanna Briggs Institute guidelines, using indexed databases such as PubMed, CINAHL, WOS, EMBASE, Scopus, Science Direct, PsycINFO, SciELO, and ERIC, as well as grey literature from CAPES and ProQuest journals. The protocol was registered in Open Science Framework. Data were analyzed and summarized narratively.</div></div><div><h3>Results</h3><div>A total of 55 publications applying Design Thinking in the context of patient safety were included. The six international patient safety goals were addressed, with a focus on effective communication (45%) and medication safety (35%). The study design was not reported in 65% of the cases, and 30% lacked data procedures and analysis. The healthcare team participated in 93% of the studies, while patients were involved in 44%. The most common solutions were mobile applications, software, and dashboards.</div></div><div><h3>Conclusions</h3><div>Design Thinking is contributing to improvements in patient safety by developing co-designed solutions, particularly in the international patient safety goals of communication and medication safety. However, the lack of a rigorous methodological approach limits the validity and replicability of the results.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101140"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimización del reprocesado de materiales sanitarios en centros de atención primaria 在初级保健设施中优化卫生材料的后处理

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-04-02 DOI: 10.1016/j.jhqr.2025.101124

E.A. Sabuco Tébar , Á.R. Sáez Soto , M. Culiañez Alenda , Y. López Benavente , R. López Alegría , F.J. Campayo Rojas

Introduction and objetive

Reprocessing of medical devices in Primary Care Centers (PCC) can be a source of infections. The aim of this study was to improve the quality of reprocessing devices in the PCCs of Area VII-Murcia/Este through an improvement cycle.

Methods

This prospective intervention study. was carried out in 12 PCC, 14 Local Clinics (LC), 4 Oral Health Units (OHU) and the professionals involved in the reprocessing. Between 09/2022-03/2023, a working group was created, and a situation analysis was carried out: inventory of autoclaves, consumption of materials, and visits to the PCCs. Between 04/2023-03/2024, improvement actions were implemented: purchasing plan, use of Chemical Indicators (CHI) and Biological Indicators (BI), training with prior knowledge surveys, work procedure, and processes traceability.

Results

In total 11 autoclaves were acquired. The percentage of BI completion was ≥ 45%, and 80% of professionals were trained. The following improvements were obtained: detergent technical data sheet in the washing Area (45% to 73%), sterilization dates traceability (10% to 78%), sterilization cycles traceability (11% to 66%), use of instrument brush (55% to 74%), bag labeling (45% to 68%), correct storage (45% to 78%), and use of tap water to generate steam (2% to 0%).

Conclusions

The implementation of an improvement cycle, through the training of professionals, standardization of procedures, and traceability of processes, in addition to having an expert nurse as a reference, increases the quality in the reprocessing of medical devices.

初级保健中心（PCC）医疗器械的引入和处理可能是感染的一个来源。本研究的目的是通过一个改进周期来提高第七区穆尔西亚/埃斯特的PCCs的再处理设备的质量。方法前瞻性干预研究。在12个PCC、14个地方诊所、4个口腔保健单位和参与再处理的专业人员中进行。在2022年9月至2023年3月期间，成立了一个工作组，并进行了情况分析：热压灭菌器的库存，材料的消耗，以及对PCCs的访问。在204/04 - 2024 / 03期间，实施了改进措施：采购计划，化学指标（CHI）和生物指标（BI）的使用，预先知识调查培训，工作程序和过程可追溯性。结果共获得11台高压灭菌器。BI完成率≥45%，80%的专业人员接受过培训。取得了以下改进：洗涤区域的洗涤剂技术数据表（45%至73%），灭菌日期可追溯性（10%至78%），灭菌周期可追溯性（11%至66%），使用仪器刷（55%至74%），袋装标签（45%至68%），正确储存（45%至78%），使用自来水产生蒸汽（2%至0%）。结论通过专业人员的培训、流程的标准化和流程的可追溯性，以及有专家护士作为参考，实施改进周期，提高了医疗器械再加工的质量。

{"title":"Optimización del reprocesado de materiales sanitarios en centros de atención primaria","authors":"E.A. Sabuco Tébar , Á.R. Sáez Soto , M. Culiañez Alenda , Y. López Benavente , R. López Alegría , F.J. Campayo Rojas","doi":"10.1016/j.jhqr.2025.101124","DOIUrl":"10.1016/j.jhqr.2025.101124","url":null,"abstract":"<div><h3>Introduction and objetive</h3><div>Reprocessing of medical devices in Primary Care Centers (PCC) can be a source of infections. The aim of this study was to improve the quality of reprocessing devices in the PCCs of Area VII-Murcia/Este through an improvement cycle.</div></div><div><h3>Methods</h3><div>This prospective intervention study. was carried out in 12 PCC, 14 Local Clinics (LC), 4 Oral Health Units (OHU) and the professionals involved in the reprocessing. Between 09/2022-03/2023, a working group was created, and a situation analysis was carried out: inventory of autoclaves, consumption of materials, and visits to the PCCs. Between 04/2023-03/2024, improvement actions were implemented: purchasing plan, use of Chemical Indicators (CHI) and Biological Indicators (BI), training with prior knowledge surveys, work procedure, and processes traceability.</div></div><div><h3>Results</h3><div>In total 11 autoclaves were acquired. The percentage of BI completion was ≥ 45%, and 80% of professionals were trained. The following improvements were obtained: detergent technical data sheet in the washing Area (45% to 73%), sterilization dates traceability (10% to 78%), sterilization cycles traceability (11% to 66%), use of instrument brush (55% to 74%), bag labeling (45% to 68%), correct storage (45% to 78%), and use of tap water to generate steam (2% to 0%).</div></div><div><h3>Conclusions</h3><div>The implementation of an improvement cycle, through the training of professionals, standardization of procedures, and traceability of processes, in addition to having an expert nurse as a reference, increases the quality in the reprocessing of medical devices.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101124"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiencias, percepciones y emociones de los pacientes crónicos hospitalizados tras un programa de intervencion musical 音乐干预方案后住院的慢性病患者的经历、感受和情绪

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-04-02 DOI: 10.1016/j.jhqr.2025.101121

L. Ortiz de Villacián-Fernández , I. Apraiz-Sánchez , N. Martínez-Domínguez , A. Picón-Santamaría , S. Ballesteros-Peña

Aim

Musical interventions for hospitalized patients have shown benefits such as improved mood and reduced stress, but their impact from a qualitative perspective is under-explored. This study aimed to understand the experiences, perceptions, and emotions of chronically ill hospitalized patients who participated in a program of individual micro-concerts during their hospital stay.

Methodology

A qualitative study was conducted in a hospital in Bilbao, Spain, in 2024. Hospitalized patients were offered 20-minute micro-concerts three times a week. Semi-structured interviews were conducted with 21 patients selected through purposive sampling. The interviews were transcribed and analyzed inductively to identify thematic patterns.

Results

The analysis identified four categories. The first was emotional and cognitive well-being, where patients reported improvements in mood and cognitive stimulation. The second category, the operational aspects of the intervention, highlighted the positive perception of the frequency, duration, and personalization of the sessions. The third category was personal evaluation, where the role of the music therapist was highlighted as a key factor in the success of the intervention. Finally, suggestions for improvement included recommendations to extend the program to other areas of the hospital and combine musical interventions with complementary activities.

Conclusions

Personalized musical interventions have a positive impact on the emotional and cognitive well-being of patients. It is essential to design flexible interventions that adapt to individual needs and promote integrated care models.

AimMusical对住院患者的干预已经显示出改善情绪和减轻压力等益处，但从定性角度来看，它们的影响尚未得到充分探讨。本研究旨在了解慢性疾病住院患者在住院期间参加个人微音乐会的体验、感知和情绪。方法于2024年在西班牙毕尔巴鄂的一家医院进行定性研究。住院患者每周有三次20分钟的微音乐会。采用目的抽样法对21例患者进行半结构化访谈。对访谈进行转录和归纳分析，以确定主题模式。结果分析确定了四类。第一个是情绪和认知健康，患者报告情绪和认知刺激有所改善。第二类，即干预的操作方面，强调了对会议频率、持续时间和个性化的积极看法。第三类是个人评估，其中音乐治疗师的作用被强调为干预成功的关键因素。最后，改进建议包括将该项目扩展到医院的其他领域，并将音乐干预与补充活动结合起来。结论个性化音乐干预对患者的情绪和认知健康有积极影响。必须设计适应个人需要的灵活干预措施，并促进综合护理模式。

{"title":"Experiencias, percepciones y emociones de los pacientes crónicos hospitalizados tras un programa de intervencion musical","authors":"L. Ortiz de Villacián-Fernández , I. Apraiz-Sánchez , N. Martínez-Domínguez , A. Picón-Santamaría , S. Ballesteros-Peña","doi":"10.1016/j.jhqr.2025.101121","DOIUrl":"10.1016/j.jhqr.2025.101121","url":null,"abstract":"<div><h3>Aim</h3><div>Musical interventions for hospitalized patients have shown benefits such as improved mood and reduced stress, but their impact from a qualitative perspective is under-explored. This study aimed to understand the experiences, perceptions, and emotions of chronically ill hospitalized patients who participated in a program of individual micro-concerts during their hospital stay.</div></div><div><h3>Methodology</h3><div>A qualitative study was conducted in a hospital in Bilbao, Spain, in 2024. Hospitalized patients were offered 20-minute micro-concerts three times a week. Semi-structured interviews were conducted with 21 patients selected through purposive sampling. The interviews were transcribed and analyzed inductively to identify thematic patterns.</div></div><div><h3>Results</h3><div>The analysis identified four categories. The first was emotional and cognitive well-being, where patients reported improvements in mood and cognitive stimulation. The second category, the operational aspects of the intervention, highlighted the positive perception of the frequency, duration, and personalization of the sessions. The third category was personal evaluation, where the role of the music therapist was highlighted as a key factor in the success of the intervention. Finally, suggestions for improvement included recommendations to extend the program to other areas of the hospital and combine musical interventions with complementary activities.</div></div><div><h3>Conclusions</h3><div>Personalized musical interventions have a positive impact on the emotional and cognitive well-being of patients. It is essential to design flexible interventions that adapt to individual needs and promote integrated care models.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 4","pages":"Article 101121"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical challenges of AI-based innovation in the Spanish National Health System 西班牙国家卫生系统中基于人工智能创新的伦理挑战。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-07-01 Epub Date: 2025-03-06 DOI: 10.1016/j.jhqr.2025.02.004

I. de Lecuona

引用次数: 0