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 2019
Differences in healthcare outcomes between teaching and non teaching hospitals for patients with delirium: a retrospective cohort study.
The physician workforce at teaching hospitals differs compared to non-teaching hospitals, and data suggest that patient outcomes may also be dissimilar. Delirium is a common, costly disorder among hospitalized patients and approaches to care are not standardized. ⋯ Patients with delirium admitted to non-teaching hospitals had comparable clinical and process outcomes achieved at lower costs. Further research can be conducted to explore the contextual issues and reasons for these differences in healthcare costs.
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Int J Qual Health Care · May 2019
Cross-cultural adaptation and validation of the Romanian Hip disability and Osteoarthritis Outcome Score for Joint Replacement.
Perform translation, cultural adaptation and psychometric testing of the Romanian translation of the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS_JR). ⋯ The translated HOOS_JR is a reliable, reproducible and valid measure of function in patients with chronic hip disability.
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Int J Qual Health Care · Nov 2018
Speaking up behaviors and safety climate in an Austrian university hospital.
To analyze speaking up behavior and safety climate with a validated questionnaire for the first time in an Austrian university hospital. ⋯ We identified speaking up behaviors for the first time in an Austrian university hospital. Only moderately frequent concerns were in conflict with frequent speaking up behaviors. These results clearly show that a paradigm shift is needed to increase speaking up culture.
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Int J Qual Health Care · Oct 2018
Frequent use of emergency departments by older people: a comparative cohort study of characteristics and outcomes.
To characterise older people who frequently use emergency departments (EDs) and compare patient outcomes with older non-frequent ED attenders. ⋯ Older frequent ED attenders had more chronic disease and care needs requiring hospital admission than non-frequent attenders. A new approach to care planning and coordination is recommended, to optimise the patient journey and improve outcomes.
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Int J Qual Health Care · Mar 2018
Randomized Controlled Trial Multicenter Study Comparative StudyA comparison of outcomes between Canada and the United States in patients recovering from hip fracture repair: secondary analysis of the FOCUS trial.
To determine if adjusted mortality, walking ability or return home differed after hip fracture surgery between Canada and the USA. ⋯ Adjusted survival favored Canadians post hip fracture while walking ability and return home were not different between countries. The reason(s) for mortality differences warrant further investigation.