Bmc Health Serv Res
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Bmc Health Serv Res · May 2012
Randomized Controlled Trial Multicenter StudyThe impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.
Proximal femur fracture (PFF) is associated with considerable morbidity and mortality. The European Quality of Care Pathway (EQCP) study on PFF (NCT00962910) was designed to determine how care pathways (CP) for hospital treatment of PFF affect consistency of care, adherence to evidence-based key interventions, and clinical outcome. ⋯ The EQCP study constitutes the first international cRCT on care pathways. The EQCP project was designed as both a research and a quality improvement project and will provide a real-world framework for process evaluation to improve our understanding of why and when CP can really work.
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Bmc Health Serv Res · May 2012
Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study.
Violence at work is one of the major concerns in health care activities. The aim of this study was to identify the prevalence of physical and non-physical violence in a general health care facility in Italy and to assess the relationship between violence and psychosocial factors, thereby providing a basis for appropriate intervention. ⋯ Our study shows that health care workers in an Italian local health care facility are exposed to violence. Workplace violence was associated with high demand and psychological disorders, while job control, social support and organizational justice were protective factors.