Pub Date : 2025-01-01DOI: 10.1016/j.jhqr.2024.10.001
N. Yanal , A.M. Al Massri , E.A. Hammad
<div><h3>Introduction and objectives</h3><div>The EQ-5D VAS is a widely used measure for health-related quality of life (HRQol). The EQ-5D health states often weighted using the time trade-off (TTO). The assessment of the EQ-5D, VAS, TTO psychometric properties is necessary to inform adaption across countries and populations due to cross-cultural and language diversity. The objective of the study is to evaluate validity, reliability, and feasibility of the Arabic version of the EQ-5D-3L, VAS, and TTO among a broad sample of Arabic-speaking Jordanians.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using structured face-to-face interviews with 1007 participants attending outpatient clinics at a central university affiliated hospital. The participants completed the EQ-5D-3L, described own health via VAS and in words (excellent, very good, good, fair, and poor). Additionally, participants requested to answer a TTO question. Validity was assessed using correlation analysis, while test–retest methods were used to evaluate reliability. Perspectives of participants on how easy to complete or understand the study measures were investigated.</div></div><div><h3>Results</h3><div>Completion rates were 100% for the EQ-5D, 98% for VAS and 77% for TTO. The construct validity of EQ-5D, VAS, and TTO was supported by significant correlation across each other and participants’ characteristics. Higher severity of EQ-5D health states was significantly associated with lower VAS scores (<em>r</em><sub>s</sub> <!-->=<!--> <!-->−0.38, <em>p</em> <!--><<!--> <!-->0.01). Usual activity and pain/discomfort had the strongest correlations with VAS scores (−0.40 and −0.39, respectively, <em>p</em> <!--><<!--> <!-->0.001). A higher willingness to trade years was observed with more severe EQ-5D states (<em>r</em><sub>s</sub> <!-->=<!--> <!-->0.32, <em>p</em> <!--><<!--> <!-->0.001), with usual activity, and pain/discomfort showing the strongest associations. Self-reported health via VAS and words was highly correlated (<em>r</em><sub>s</sub> <!-->=<!--> <!-->0.76, <em>p</em> <!--><<!--> <!-->0.001). Reliability of the weighted Cohen's <em>k</em> for EQ-5D dimension ranged between 0.3 and .72. Intraclass correlation coefficients for VAS were 0.80 and 0.92 for TTO, all <em>p</em> value <0.001. VAS showed substantial test–retest reliability (ICC<!--> <!-->=<!--> <!-->0.80), and TTO showed excellent reliability (ICC<!--> <!-->=<!--> <!-->0.92). However, only 62.3% and 54.6% found EQ-5D and TTO easy to understand, respectively, while 89.4% found the VAS easy to use.</div></div><div><h3>Conclusion</h3><div>The Arabic EQ-5D-3L, VAS, and TTO demonstrated validity and reliability for measuring HRQoL among Jordanians. The study highlights the importance of cultural and linguistic contexts in HRQoL measures adaption. Future research should focus on refining TTO to improve cultural appropriateness and understanding among Arabic-speaking population
{"title":"Validity, reliability, and feasibility of EQ-5D-3L, VAS, and time trade-off among Jordanians","authors":"N. Yanal , A.M. Al Massri , E.A. Hammad","doi":"10.1016/j.jhqr.2024.10.001","DOIUrl":"10.1016/j.jhqr.2024.10.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The EQ-5D VAS is a widely used measure for health-related quality of life (HRQol). The EQ-5D health states often weighted using the time trade-off (TTO). The assessment of the EQ-5D, VAS, TTO psychometric properties is necessary to inform adaption across countries and populations due to cross-cultural and language diversity. The objective of the study is to evaluate validity, reliability, and feasibility of the Arabic version of the EQ-5D-3L, VAS, and TTO among a broad sample of Arabic-speaking Jordanians.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using structured face-to-face interviews with 1007 participants attending outpatient clinics at a central university affiliated hospital. The participants completed the EQ-5D-3L, described own health via VAS and in words (excellent, very good, good, fair, and poor). Additionally, participants requested to answer a TTO question. Validity was assessed using correlation analysis, while test–retest methods were used to evaluate reliability. Perspectives of participants on how easy to complete or understand the study measures were investigated.</div></div><div><h3>Results</h3><div>Completion rates were 100% for the EQ-5D, 98% for VAS and 77% for TTO. The construct validity of EQ-5D, VAS, and TTO was supported by significant correlation across each other and participants’ characteristics. Higher severity of EQ-5D health states was significantly associated with lower VAS scores (<em>r</em><sub>s</sub> <!-->=<!--> <!-->−0.38, <em>p</em> <!--><<!--> <!-->0.01). Usual activity and pain/discomfort had the strongest correlations with VAS scores (−0.40 and −0.39, respectively, <em>p</em> <!--><<!--> <!-->0.001). A higher willingness to trade years was observed with more severe EQ-5D states (<em>r</em><sub>s</sub> <!-->=<!--> <!-->0.32, <em>p</em> <!--><<!--> <!-->0.001), with usual activity, and pain/discomfort showing the strongest associations. Self-reported health via VAS and words was highly correlated (<em>r</em><sub>s</sub> <!-->=<!--> <!-->0.76, <em>p</em> <!--><<!--> <!-->0.001). Reliability of the weighted Cohen's <em>k</em> for EQ-5D dimension ranged between 0.3 and .72. Intraclass correlation coefficients for VAS were 0.80 and 0.92 for TTO, all <em>p</em> value <0.001. VAS showed substantial test–retest reliability (ICC<!--> <!-->=<!--> <!-->0.80), and TTO showed excellent reliability (ICC<!--> <!-->=<!--> <!-->0.92). However, only 62.3% and 54.6% found EQ-5D and TTO easy to understand, respectively, while 89.4% found the VAS easy to use.</div></div><div><h3>Conclusion</h3><div>The Arabic EQ-5D-3L, VAS, and TTO demonstrated validity and reliability for measuring HRQoL among Jordanians. The study highlights the importance of cultural and linguistic contexts in HRQoL measures adaption. Future research should focus on refining TTO to improve cultural appropriateness and understanding among Arabic-speaking population","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 29-38"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751073","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jhqr.2024.07.004
M.R. Shen , J.K. Silver
{"title":"Letter to the Editor on “Loneliness impact on healthcare utilization in primary care: A retrospective study”","authors":"M.R. Shen , J.K. Silver","doi":"10.1016/j.jhqr.2024.07.004","DOIUrl":"10.1016/j.jhqr.2024.07.004","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 62-64"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297423","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jhqr.2024.04.002
O. Tornero-Torres , R. Fuentes-Irigoyen , Á. Berbel García , C. Resino Luis , C. Ruiz-Huerta García de Viedma
{"title":"¿Qué conocimientos tienen los pacientes sobre su tratamiento? Estrategias «no hacer» en el uso adecuado de los medicamentos","authors":"O. Tornero-Torres , R. Fuentes-Irigoyen , Á. Berbel García , C. Resino Luis , C. Ruiz-Huerta García de Viedma","doi":"10.1016/j.jhqr.2024.04.002","DOIUrl":"10.1016/j.jhqr.2024.04.002","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 56-58"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140783600","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}
It is important to determine the health-related quality of life (HRQoL) to devise population-based cost-effective service delivery models. The present study aimed to evaluate the HRQoL of patients with refractive errors (RE) using generic and vision-specific instruments, identify the determinants of HRQoL, and examine the validity between the quality-of-life instruments for refractive errors.
Methods
Face-to-face interviews were conducted with 515 participants with RE using generic as well as vision-specific HRQoL measures. Mean EuroQol-five dimensions-five levels (EQ-5D-5L) utility value, National Eye Institute-Visual Function Questionnaire-25 (NEI-VFQ-25) composite score, and EuroQol-Visual analogue scale (EQ-VAS) score were computed, and determinants of quality of life were determined using generalized linear regression model. The validity between generic and disease-specific measures was ascertained using Pearson's coefficient.
Results
The mean EQ-5D-5L utility score for patients with RE was estimated as 0.72 (95% CI: 0.70–0.75). The mean NEI-VFQ-25 composite score and EQ-VAS score were 71.3 (95% CI: 69.8–73), and 74.7 (95% CI: 73.4–76.1), respectively. Visual acuity, gender, and presence of co-morbidities were significantly associated with quality of life. The concurrence between the generic and vision-specific instruments was found to be low to moderate.
Conclusion
The findings of the study indicate the importance of the value of quality of life for patients with RE, which could be taken into account by health administrators, doctors and researchers to carry out economic evaluations, since these measures provide a basis for an evaluation more precisely the impact of RE and guide the determination of efficient ways to alleviate the burden of treatable visual impairment.
More research is required to explore the potential integration of a vision component, the sixth dimension, into the EQ-5D-5L instrument, given the moderate agreement observed between the generic and specific assessment tools.
{"title":"Analysis of quality of life of patients with refractive errors in India","authors":"Neha Purohit , Aarti Goyal , Parul Chawla Gupta , Kathirvel Soundappan , Atul Kotwal , Shankar Prinja","doi":"10.1016/j.jhqr.2024.08.001","DOIUrl":"10.1016/j.jhqr.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>It is important to determine the health-related quality of life (HRQoL) to devise population-based cost-effective service delivery models. The present study aimed to evaluate the HRQoL of patients with refractive errors (RE) using generic and vision-specific instruments, identify the determinants of HRQoL, and examine the validity between the quality-of-life instruments for refractive errors.</div></div><div><h3>Methods</h3><div>Face-to-face interviews were conducted with 515 participants with RE using generic as well as vision-specific HRQoL measures. Mean EuroQol-five dimensions-five levels (EQ-5D-5L) utility value, National Eye Institute-Visual Function Questionnaire-25 (NEI-VFQ-25) composite score, and EuroQol-Visual analogue scale (EQ-VAS) score were computed, and determinants of quality of life were determined using generalized linear regression model. The validity between generic and disease-specific measures was ascertained using Pearson's coefficient.</div></div><div><h3>Results</h3><div>The mean EQ-5D-5L utility score for patients with RE was estimated as 0.72 (95% CI: 0.70–0.75). The mean NEI-VFQ-25 composite score and EQ-VAS score were 71.3 (95% CI: 69.8–73), and 74.7 (95% CI: 73.4–76.1), respectively. Visual acuity, gender, and presence of co-morbidities were significantly associated with quality of life. The concurrence between the generic and vision-specific instruments was found to be low to moderate.</div></div><div><h3>Conclusion</h3><div>The findings of the study indicate the importance of the value of quality of life for patients with RE, which could be taken into account by health administrators, doctors and researchers to carry out economic evaluations, since these measures provide a basis for an evaluation more precisely the impact of RE and guide the determination of efficient ways to alleviate the burden of treatable visual impairment.</div><div>More research is required to explore the potential integration of a vision component, the sixth dimension, into the EQ-5D-5L instrument, given the moderate agreement observed between the generic and specific assessment tools.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 12-21"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146481","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jhqr.2024.09.003
Ana Martí, Clara Grau, Emmanuel Giménez, Karla Salas-Gama, Marta Aguayo, Antonio Román, Albert Salazar
Objective
Democratise healthcare and research through a model that ensures the participation of patients and professionals.
Method
Weaknesses are analysed and corrections are articulated with a model through biweekly meetings between the hospital's citizen attention and healthcare management.
Results
The resulting model is proactive in nature, deployed between November-2021 and December-2023 and had three elements: Information, Co-creation and Strategy (ICE). The Information is materialized with: an Association Attention Office (AAO) and an Easy Reading Commission (ERC). Co-creation is organized through Stable Work Commissions (SWC) formed by professional-patient. The Strategy that is materialized through a Strategic Plan for institutional participation and a Strategic Committee for participation. The AAO has registered 304 entities and managed 112 projects. The ERC has evaluated 41 documents in 2023. 13 SWCs related to therapeutic areas were generated where 108 professionals and 101 patient representatives participated and 42 objectives were agreed upon, working on templates for informative documents, guides or organizing informative days. The Strategic Participation Plan is translated into 8 lines with objectives and actions, creating the Strategic Participation Committee as the governing body.
Conclusions
The ICE-VH model is a replicable opportunity to implement patient and professional participation in any hospital and improve person-centered care by incorporating the values and preferences of all stakeholders.
{"title":"Un modelo práctico para implementar la participación de pacientes en hospitales terciarios (modelo ICE)","authors":"Ana Martí, Clara Grau, Emmanuel Giménez, Karla Salas-Gama, Marta Aguayo, Antonio Román, Albert Salazar","doi":"10.1016/j.jhqr.2024.09.003","DOIUrl":"10.1016/j.jhqr.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>Democratise healthcare and research through a model that ensures the participation of patients and professionals.</div></div><div><h3>Method</h3><div>Weaknesses are analysed and corrections are articulated with a model through biweekly meetings between the hospital's citizen attention and healthcare management.</div></div><div><h3>Results</h3><div>The resulting model is proactive in nature, deployed between November-2021 and December-2023 and had three elements: Information, Co-creation and Strategy (ICE). The Information is materialized with: an Association Attention Office (AAO) and an Easy Reading Commission (ERC). Co-creation is organized through Stable Work Commissions (SWC) formed by professional-patient. The Strategy that is materialized through a Strategic Plan for institutional participation and a Strategic Committee for participation. The AAO has registered 304 entities and managed 112 projects. The ERC has evaluated 41 documents in 2023. 13<!--> <!-->SWCs related to therapeutic areas were generated where 108 professionals and 101 patient representatives participated and 42 objectives were agreed upon, working on templates for informative documents, guides or organizing informative days. The Strategic Participation Plan is translated into 8<!--> <!-->lines with objectives and actions, creating the Strategic Participation Committee as the governing body.</div></div><div><h3>Conclusions</h3><div>The ICE-VH model is a replicable opportunity to implement patient and professional participation in any hospital and improve person-centered care by incorporating the values and preferences of all stakeholders.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 3-11"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476740","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}
Pub Date : 2025-01-01DOI: 10.1016/j.jhqr.2024.09.002
José Antonio González-Gutiérrez , Iker Apraiz-Sánchez , Arantxa Picón-Santamaría , María Begoña de la Fuente-Martínez , Sendoa Ballesteros-Peña
Introduction
Measuring social value has always been a challenge for organizations that generate such value, including foundations, NGOs, social enterprises, and governmental entities. Often, the benefits of these initiatives are perceived as intangible or long-term, making them difficult to quantify. Assessing social value demonstrates the impact of investments and accountability to stakeholders.Healthcare organizations should be evaluated from a broad perspective, where the quality of healthcare services is an integral part of the social value with multiple beneficiaries.This study aims to determine the economic and social impact of Hospital Santa Marina on the Bizkaia (Basque Country) population in 2023, as well as to evaluate the evolution of the hospital's social value from 2018 to 2023.
Materials and methods
The study was conducted from the multifaceted perspective of social accounting (stakeholder theory), utilizing the Social Return on Investment (SROI) tool. The economic value of the hospital (both direct and indirect) and the hospital's specific social value were calculated based on areas identified by stakeholders. Subsequently, the hospital's integrated social value and socio-emotional value were determined.
Results
The hospital contributed €34,696,178.20 to society in Direct and Indirect Market Social Value (SROI), and the Non-Market Social Value amounted to €119,758,230.71. This generated an integrated social value of the hospital of €154,454,408.91, which, considering the satisfaction index for the year 2023 was 0.9805, leads to a socio-emotional value of €211,998,238.76.
Conclusions
Hospital Santa Marina generates significant economic value for the society, beyond its direct contribution to the population's health. These findings underscore the importance of adopting a broader perspective on health and highlight the role of healthcare institutions as drivers of sustainable development.
{"title":"Valor social integrado generado en un hospital monográfico de pacientes crónicos","authors":"José Antonio González-Gutiérrez , Iker Apraiz-Sánchez , Arantxa Picón-Santamaría , María Begoña de la Fuente-Martínez , Sendoa Ballesteros-Peña","doi":"10.1016/j.jhqr.2024.09.002","DOIUrl":"10.1016/j.jhqr.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Measuring social value has always been a challenge for organizations that generate such value, including foundations, NGOs, social enterprises, and governmental entities. Often, the benefits of these initiatives are perceived as intangible or long-term, making them difficult to quantify. Assessing social value demonstrates the impact of investments and accountability to stakeholders.Healthcare organizations should be evaluated from a broad perspective, where the quality of healthcare services is an integral part of the social value with multiple beneficiaries.This study aims to determine the economic and social impact of Hospital Santa Marina on the Bizkaia (Basque Country) population in 2023, as well as to evaluate the evolution of the hospital's social value from 2018 to 2023.</div></div><div><h3>Materials and methods</h3><div>The study was conducted from the multifaceted perspective of social accounting (stakeholder theory), utilizing the Social Return on Investment (SROI) tool. The economic value of the hospital (both direct and indirect) and the hospital's specific social value were calculated based on areas identified by stakeholders. Subsequently, the hospital's integrated social value and socio-emotional value were determined.</div></div><div><h3>Results</h3><div>The hospital contributed €34,696,178.20 to society in Direct and Indirect Market Social Value (SROI), and the Non-Market Social Value amounted to €119,758,230.71. This generated an integrated social value of the hospital of €154,454,408.91, which, considering the satisfaction index for the year 2023 was 0.9805, leads to a socio-emotional value of €211,998,238.76.</div></div><div><h3>Conclusions</h3><div>Hospital Santa Marina generates significant economic value for the society, beyond its direct contribution to the population's health. These findings underscore the importance of adopting a broader perspective on health and highlight the role of healthcare institutions as drivers of sustainable development.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"40 1","pages":"Pages 22-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476741","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jhqr.2024.07.001
H. Knezevic Krajina , J. Mira , B. Knezevic , I. Carrillo , P. Sousa
{"title":"Promoting second victims’ intervention support programs","authors":"H. Knezevic Krajina , J. Mira , B. Knezevic , I. Carrillo , P. Sousa","doi":"10.1016/j.jhqr.2024.07.001","DOIUrl":"10.1016/j.jhqr.2024.07.001","url":null,"abstract":"","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 405-407"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753007","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jhqr.2024.09.006
A. Cervera Barajas , L. López Rodríguez , E. Pérez Fernández , D. Moreno Borrego , R.M. Romero Ruiz , P. Bonachela Solás
Objective
To improve the safety's management in the urology paediatric surgical process of the Ambulatory Major Surgery Unit (AMSU) through the use of this tool.
Material and methods
Observational study lasting 9 months divided into a PRE-period for collecting information on the safety indicators defined by the team and reflected in the Pulse Point Arrow, using the “Hoja de Ruta”, an intervention period and a POST collection stage of the same information.
Results
In both periods, a total of 1464 “Hojas de Ruta” were collected in the CMA unit, 55.8% of the total corresponding to the PRE-period, and the rest to the POST.
The selected indicators improved significantly, highlighting the correct placement of bracelets, bed assignment, allergy registration, and administration of preoperative treatment.
Conclusions
The use of new management tools in healthcare systems is essential for improving healthcare processes and achieving better health outcomes. In our experience the introduction of Pulse Point Arrow improved results of surgical safety of the paediatric patient.
目的通过使用该工具，改善门诊大手术室（AMSU）泌尿科儿科手术过程的安全管理：观察研究为期 9 个月，分为前期（使用 "Hoja de Ruta "收集由团队定义并反映在脉搏点箭头中的安全指标信息）、干预期和后期（收集相同信息）：结果：在干预期和干预后两个阶段，CMA 共收集了 1464 条 "Hojas de Ruta"，其中 55.8%属于干预前阶段，其余属于干预后阶段。所选指标明显改善，突出表现在正确放置手环、床位分配、过敏登记和术前治疗管理等方面：在医疗系统中使用新的管理工具对于改善医疗流程和取得更好的医疗效果至关重要。根据我们的经验，脉冲点箭的引入提高了儿科患者的手术安全性。
{"title":"Resultados del uso de Pulse Point Arrow como herramienta de lean healthcare en la gestión de la seguridad del paciente pediátrico en el área quirúrgica","authors":"A. Cervera Barajas , L. López Rodríguez , E. Pérez Fernández , D. Moreno Borrego , R.M. Romero Ruiz , P. Bonachela Solás","doi":"10.1016/j.jhqr.2024.09.006","DOIUrl":"10.1016/j.jhqr.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>To improve the safety's management in the urology paediatric surgical process of the Ambulatory Major Surgery Unit (AMSU) through the use of this tool.</div></div><div><h3>Material and methods</h3><div>Observational study lasting 9 months divided into a PRE-period for collecting information on the safety indicators defined by the team and reflected in the Pulse Point Arrow, using the “Hoja de Ruta”, an intervention period and a POST collection stage of the same information.</div></div><div><h3>Results</h3><div>In both periods, a total of 1464 “Hojas de Ruta” were collected in the CMA unit, 55.8% of the total corresponding to the PRE-period, and the rest to the POST.</div><div>The selected indicators improved significantly, highlighting the correct placement of bracelets, bed assignment, allergy registration, and administration of preoperative treatment.</div></div><div><h3>Conclusions</h3><div>The use of new management tools in healthcare systems is essential for improving healthcare processes and achieving better health outcomes. In our experience the introduction of Pulse Point Arrow improved results of surgical safety of the paediatric patient.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 399-404"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629625","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jhqr.2024.06.007
E. Esquivel-Prados , E. Pareja-Martínez , J.P. García-Corpas
Introduction and objectives
Poor adherence to oral antidiabetic drugs (Adh-OAD) is a risk factor for poor control of type 2 diabetes mellitus (T2DM). Therefore, it is necessary to quantify the Adh-OAD. This quantification is possible through electronic dispensing records from the community pharmacy.
The objective was to evaluate the influence of the Adh-OAD on the control of T2DM and the percentage of glycosylated hemoglobin (%HbA1c) in the patient.
Materials and methods
A cross-sectional descriptive observational study was conducted in 8 community pharmacies in Granada (Spain). Patients older than 18 years with T2DM and on oral antidiabetic drugs (OADs) for at least 6 months were included. The main study variables were the control of T2DM, %HbA1c, and the Adh-OAD considering three cut-off points (≥80%, ≥70%, ≥60%). This relationship was studied using multivariate binary logistic regression and multivariate linear regression, respectively.
Results
A total of 107 patients were included. The mean age was 70.5 years (SD: 9.7), and 54.2% were men. Eighty-five patients (79.4%) had well-controlled T2DM (mean %HbA1c: 6.5%; SD = 0.6). Considering Adh-OAD ≥ 80%, 13.1% (n = 14) had a poor adherence and was related to the %HbA1c (β = 0.742; p = 0.007) and the control of T2DM (OR: 7.327; 95% CI: 1.302–41.241). Poor adherence was found in 9.3% (n = 10) considering Adh-OAD ≥ 70% and in 3.7% (n = 4) considering Adh-OAD ≥ 60%. In both cases, a statistically significant relationship was found between Adh-OAD and the %HbA1c and between Adh-OAD and the control of T2DM.
Conclusions
Adh-OAD influenced the %HbA1c in patients with T2DM and the control of their disease.
{"title":"Relationship between adherence to oral antidiabetic drugs and control of type 2 diabetes mellitus","authors":"E. Esquivel-Prados , E. Pareja-Martínez , J.P. García-Corpas","doi":"10.1016/j.jhqr.2024.06.007","DOIUrl":"10.1016/j.jhqr.2024.06.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Poor adherence to oral antidiabetic drugs (Adh-OAD) is a risk factor for poor control of type 2 diabetes mellitus (T2DM). Therefore, it is necessary to quantify the Adh-OAD. This quantification is possible through electronic dispensing records from the community pharmacy.</div><div>The objective was to evaluate the influence of the Adh-OAD on the control of T2DM and the percentage of glycosylated hemoglobin (%HbA1c) in the patient.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional descriptive observational study was conducted in 8 community pharmacies in Granada (Spain). Patients older than 18 years with T2DM and on oral antidiabetic drugs (OADs) for at least 6 months were included. The main study variables were the control of T2DM, %HbA1c, and the Adh-OAD considering three cut-off points (≥80%, ≥70%, ≥60%). This relationship was studied using multivariate binary logistic regression and multivariate linear regression, respectively.</div></div><div><h3>Results</h3><div>A total of 107 patients were included. The mean age was 70.5 years (SD: 9.7), and 54.2% were men. Eighty-five patients (79.4%) had well-controlled T2DM (mean %HbA1c: 6.5%; SD<!--> <!-->=<!--> <!-->0.6). Considering Adh-OAD<!--> <!-->≥<!--> <!-->80%, 13.1% (<em>n</em> <!-->=<!--> <!-->14) had a poor adherence and was related to the %HbA1c (<em>β</em> <!-->=<!--> <!-->0.742; <em>p</em> <!-->=<!--> <!-->0.007) and the control of T2DM (OR: 7.327; 95% CI: 1.302–41.241). Poor adherence was found in 9.3% (<em>n</em> <!-->=<!--> <!-->10) considering Adh-OAD<!--> <!-->≥<!--> <!-->70% and in 3.7% (<em>n</em> <!-->=<!--> <!-->4) considering Adh-OAD<!--> <!-->≥<!--> <!-->60%. In both cases, a statistically significant relationship was found between Adh-OAD and the %HbA1c and between Adh-OAD and the control of T2DM.</div></div><div><h3>Conclusions</h3><div>Adh-OAD influenced the %HbA1c in patients with T2DM and the control of their disease.</div></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":"39 6","pages":"Pages 346-355"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761487","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}
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