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 · 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.
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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.
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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.
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Int J Qual Health Care · Apr 2013
Randomized Controlled TrialThe effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.
Patient handover is an important element of continuity, quality and safety in patient care. Handover without standardized protocols is prone to information loss and might be a possible danger to patient safety. Checklists are established methods that help to structure complex processes in other high-risk fields such as aviation. In the past few years, their implementation has attracted research interest in medicine. We hypothesize that a checklist for handover between anaesthesiologist and post-anaesthesia care unit nurse will increase the amount of information transfer during patient handover after anaesthesia. ⋯ This study suggests that the use of a checklist for post-anaesthesia handover might improve the quality of patient handover by increasing the information handed over.
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Int J Qual Health Care · Apr 2013
Assessment of patient safety culture in Palestinian public hospitals.
To assess the prevalent patient safety culture in Palestinian public hospitals. ⋯ This study highlights the existence of a punitive and blame culture, under-reporting of events, lack of communication openness and inadequate management support that are key challenges for patient safe hospital care. The baseline survey results are valuable for designing and implementing the patient safety program and for measuring future progress.