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 · Jun 2015
Randomized Controlled TrialThe business case for pediatric asthma quality improvement in low-income populations: examining a provider-based pay-for-reporting intervention.
To measure the return on investment (ROI) for a pediatric asthma pay-for-reporting intervention initiated by a Medicaid managed care plan in New York State. ⋯ A pay-for-reporting, chart audit intervention is unlikely to achieve the meaningful reductions in utilization of high-cost services that would be necessary to produce a financial ROI in 2.5 years.
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Int J Qual Health Care · Jun 2015
Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses.
To develop and determine the psychometrics properties of an instrument (V-scale) and to explore nurses' attitudes towards vital signs monitoring in the detection of clinical deterioration in general wards. ⋯ This exploratory study provides evidence for the psychometric properties of the V-scale. It reveals a need for continuous professional development to improve ward nurses' attitudes towards vital signs monitoring. Vital signs monitoring needs to be prioritized in workload planning.
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Int J Qual Health Care · Jun 2015
What are hospital nurses' strengths and weaknesses in patient safety competence? Findings from three Korean hospitals.
To examine hospital nurses' patient safety competencies and the association between these competencies and safety climate. ⋯ Nurses' safety competency was rated as moderate. In particular, nurses lacked confidence in teamwork. Nurses with higher safety competency perceived safety climate more positively. Efforts emphasizing teamwork to enhance nurses' safety competency should be prioritized, thereby contributing to improvement of safety climates.