International journal for quality in health care : journal of the International Society for Quality in Health Care
-
Int J Qual Health Care · Dec 2019
Perceived quality of palliative care in intensive care units among doctors and nurses in Taiwan.
To compare perceptions of various aspects of palliative care for doctors and nurses; and examine factors contributing to perceived quality palliative care in intensive care units (ICUs). ⋯ Nurses' participation in EOL decision-making and strengthening spiritual care are imperative to rendering quality palliative care in ICUs. Potential disagreements arose during EOL decision-making between doctors and nurses; and insufficient knowledge of ADs should be addressed.
-
Int J Qual Health Care · Nov 2019
Pediatric clinician perspectives on communicating diagnostic uncertainty.
Diagnosis often evolves over time, involves uncertainty, and is vulnerable to errors. We examined pediatric clinicians' perspectives on communicating diagnostic uncertainty to patients' parents and how this occurs. ⋯ While pediatric clinicians are comfortable discussing diagnostic uncertainty with colleagues, how they communicate uncertainty to parents appears variable. Parent characteristics and parent-clinician relationships affect extent of communication and content discussed. Development and implementation of optimal strategies for managing and communicating diagnostic uncertainty can improve the diagnostic process.
-
Int J Qual Health Care · Aug 2019
High quality of care did not imply increased hospital spending- nationwide cohort study among hip fracture patients.
To examine whether fulfilment of process performance measures reflecting national guidelines is associated with in-hospital costs among hip fracture patients. ⋯ These findings indicate that high quality of care does not imply higher hospital spending and may be associated with cost savings.
-
Int J Qual Health Care · Jul 2019
The Korean Triage and Acuity Scale: associations with admission, disposition, mortality and length of stay in the emergency department.
The Korean Triage and Acuity Scale (KTAS) was implemented in our emergency department (ED) in May 2016 and is fully integrated into the electronic medical record (EMR) system. Our objective was to determine whether the KTAS is associated with changes in admissions to the hospital, admission disposition, inpatient mortality and length of stay (LOS). ⋯ Implementation of the KTAS changed admission and disposition patterns and reduced the LOS and mortality in the ED.
-
Int J Qual Health Care · Jul 2019
An exploration of factors influencing inpatient nurses' care behaviour in an acute hospital setting.
To examine factors influencing caring behaviour of nurses in Singapore. ⋯ Findings from this study raise awareness to the caring behaviours that nurses were lacking in and also offer valuable insights to the potential factors influencing nurses' caring behaviours. This information serves as a foundational knowledge to guide the development of interventions aimed to promote patient-centred care and improve quality of future nursing care.