International journal for quality in health care : journal of the International Society for Quality in Health Care
-
Int J Qual Health Care · Jul 2013
ReviewThe effectiveness of cultural competence programs in ethnic minority patient-centered health care--a systematic review of the literature.
To examine the effectiveness of patient-centered care (PCC) models, which incorporate a cultural competence (CC) perspective, in improving health outcomes among culturally and linguistically diverse patients. ⋯ PCC models that incorporate a CC component are increased practitioners' knowledge about and awareness of dealing with culturally diverse patients. However, there is a considerable lack of research looking into whether this increase in practitioner knowledge translates into better practice, and in turn improved patient-related outcomes. More research examining this specific relationship is, thus, needed.
-
Int J Qual Health Care · Jul 2013
Randomized Controlled Trial Comparative StudyClassroom and simulation team training: a randomized controlled trial.
To test the hypotheses that classroom and simulation-based crew resource management (CRM) training interventions improve teamwork attitudes and behaviours of participants and that classroom training combined with simulation-based training provide synergistic improvements. ⋯ Classroom-based training alone resulted in improvements in participant knowledge and observed teamwork behaviour. The study found no additional impact of simulation training.
-
Int J Qual Health Care · Jul 2013
Comparative StudyAssessment of competency in clinical measurement: comparison of two forms of sequential test and sensitivity of test error rates to parameter choice.
To assess clinical measurement competency by two sequential test formulations [resetting sequential probability ratio test (R-SPRT) and learning curve cumulative summation (LC-CUSUM)]. ⋯ With equivalent parameters, the R-SPRT and LC-CUSUM formulations of sequential tests produced different outcomes, demonstrating that the choice of test method, as well as the choice of parameters, is important in designing a training scheme. The R-SPRT detects incompetence as well as competence and may indicate need for further training. Simulations are valuable in estimating the proportions of trainees expected to be assessed as competent.
-
Int J Qual Health Care · Jul 2013
Clinical TrialVentilator-associated pneumonia prevention by education and two combined bedside strategies.
The objective of the study was to reduce the ventilator-associated pneumonia (VAP) incidence rates through a rational prevention program. ⋯ A reduction in VAP rates and on their risk after a set of preventive tools was observed. However, some other co-interventions not related to the primary interventions may have contributed to these results.