International journal for quality in health care : journal of the International Society for Quality in Health Care
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Int J Qual Health Care · Dec 2015
Population experiences of primary care in 11 Organization for Economic Cooperation and Development countries.
To develop a measure of individual user assessments of primary care and test its association with health system performance and quality indicators. ⋯ The measure of individual primary care experience can be used to differentiate among different country's primary care approaches and is strongly associated with overall health system performance and quality indicators.
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Int J Qual Health Care · Dec 2015
Predictors and outcomes of unplanned readmission to a different hospital.
To examine patient, hospital and market factors and outcomes associated with readmission to a different hospital compared with the same hospital. ⋯ Patient, hospital and market characteristics predicted different-hospital readmissions compared with same-hospital readmissions. Mortality and cost outcomes were worse among patients with different-hospital readmissions. Strategies for better care coordination targeting people at risk for different-hospital readmissions are necessary.
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Int J Qual Health Care · Dec 2015
Pathology test-ordering behaviour of Australian general practice trainees: a cross-sectional analysis†.
In the context of increasing over-testing and the implications for patient safety, to establish the prevalence and nature of pathology test-ordering of GP trainees, and to describe the associations of this test-ordering. ⋯ Compared with the established GPs, trainees order more pathology tests per consultation and per problem managed, and in a higher proportion of consultations. Our findings will inform educational policy to enhance quality and safety in general practice training.
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Int J Qual Health Care · Dec 2015
Implementation of a multidisciplinary clinical pathway for the management of postpartum hemorrhage: a retrospective study.
To compare the outcomes of postpartum hemorrhage (PPH) episodes before and after the introduction of a clinical pathway known as the Severance Protocol to save postpartum bleeding through Expeditious care Delivery (SPEED). ⋯ Clinical pathways enable prompt and efficient care for patients experiencing PPH through faster evaluation and access to red blood cell transfusion, resulting in a decrease in maternal mortality.