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A mixed method analysis of patients' complaints: Underpinnings of theory-guided strategies to improve quality of care

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International Journal of Nursing Sciences 2018年第4期5卷 377-382页

作者： Holly Wei Yan Ming Hong Cheng Hui Bian Jie Ming Trent L.Wei East Carolina University College of Nursing GreenvilleNCUSA The Affiliated Hospital of Qingdao University QingdaoChina East Carolina University GreenvilleNCUSA Duke University Medical Center DurhamNCUSA

Purpose:Patients'complaints can be predictors of patient care quality and *** patients'complaints could help healthcare organizations target the areas for *** purpose of this study is to use a mixed method analysis to a)examine the characteristics and categories of patients'complaints,b)explore the relationships of patients'complaints with professions and units,and c)propose theory-based strategies to improve care ***:This is a descriptive mixed method *** examined are patients'complaints filed at a university-affiliated hospital in China from January 2016 to December 2017.A qualitative content analysis was conducted to categorize complaints.A TwoStep cluster analysis was performed to provide an overall profile of patients'***-Square tests were conducted to investigate the relationships among complaints,professions,and ***:838 complaints were filed,with 821 valid cases for *** categories surfaced from the qualitative analysis:uncaring attitudes,unsatisfactory quality of treatment or competence,communication problems,the process of care,fees and billing issues,and other miscellaneous *** received most of the complaints(56.6%).The unit receiving the most complaints were outpatient clinics and medical support units(52.7%).The cluster analysis indicated four distinct *** relationships existed between complaints and professions(x2(20)=178.82,Pquality *** providers should be not only scientifically knowledgeable,but also humanistic ***-based theories may provide guidance in clinical practice.

关键词： Patient complaints Patient safety quality improvements quality of health care

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Hospital management in China in a time of change

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Chinese Medical Journal 2002年第11期115卷 1716-1726页

作者：裴丽昆 David Legge Pauline Stanton School of Public health La Trobe University Bundoora Victoria 3083 Australia

Chinese hospitals face complex challenges: allocating resources equitably and efficiently whilst moving to greater reliance on market mechanisms; maintaining quality despite declining government funding; exercising responsibility in some areas whilst tight government controls remain in others; and generating more revenue from user charges whilst ensuring access to care for the poor.

关键词： Hospital Administration China Financial Management, Hospital health Policy Hospital Information Systems Humans Problem Solving quality of health care

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Nurse staffing and life expectancy at birth and at 65 years old:Evidence from 35 OECD countries

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International Journal of Nursing Sciences 2019年第4期6卷 362-370页

作者： Arshia Amiri Tytti Solankallio-Vahteri JAMK University of Applied Sciences JyväskyläFinland

Objective: To measure the possible magnitude of the role nurse staffing has on increasing life expectancy at birth and at 65 years ***: The statistical technique of panel data analysis was applied to investigate the relationship from the number of practicing nurses' density per 1000 population to life expectancy at birth and at 65 years *** control variables were used as the proxies for the levels of medical staffing,health care financial and physical resources,and medical *** observations of 35 member countries of Organization for Economic Co-operation and Development (OECD) were collected from OECD health Statistics over 2000-2016 ***: There were meaningful relationships from nurse staffing to life expectancy at birth and at 65 years with the long-run elasticities of 0.02 and 0.08,***,the role of nursing characteristics in increasing life expectancy indicators varied among different health care systems of OECD countries and in average were determined at the highest level in Japan (0.25),followed by Iceland (0.24),Belgium (0.21),Czech Republic (0.21),Slovenia (0.20) and Sweden (0.18).Conclusion: A higher proportion of nursing staff is associated with higher life expectancy in OECD countries and the dependency of life expectancy to nursing staff would increase by ***,the findings of this study warn health policy makers about ignoring the effects nursing shortages create *** the risk of actual age-specific mortality,especially in care of elderly people.

关键词： health manpower Life expectancy Nursing services Nursing staff Organization for Economic Co-Operation and Development Panel data analysis quality of health care

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quality indicators for the care of older adults with disabilities in longterm care facilities based on Maslow’s hierarchy of needs

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International Journal of Nursing Sciences 2022年第4期9卷 453-459页

作者： Taomei Zhang Ying Liu Yaling Wang Chunhui Li Xiyu Yang Li Tian Yin Wu Lu Lin Huiling Li School of Nursing Medical College of Soochow UniversitySuzhouChina The First Affiliated Hospital of Soochow University SuzhouChina

Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of ***:The draft of the quality indicators was drawn up based on a literature review and research group *** quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi *** Analytic Hierarchy Process was applied to calculate the indicators’***:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and *** two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(Pquality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level ***:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care *** can provide a reference for evaluating and improving care quality in LTCFs.

关键词： Aged health care quality indicators health services for persons with disabilities Long-term care Nursing care quality of health care

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quality of colonoscopy performed by medical or surgical specialists and trainees in five Australian hospitals

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World Journal of Gastrointestinal Endoscopy 2022年第11期14卷 672-683页

作者： Tsai-Wing Ow Olga A Sukocheva Vy Tran Richard Lin Shawn Zhenhui Lee Matthew Chu Bianca Angelica Christopher K Rayner Edmund Tse Guru Iyngkaran Peter A Bampton Department of Gastroenterology and Hepatology Royal Adelaide HospitalAdelaide 5000SAAustralia Department of Gastroenterology and Hepatology Flinders Medical CentreBedford Park 5042SAAustralia Department of Gastroenterology and Hepatology The Queen Elizabeth HospitalWoodville South 5011SAAustralia Department of Gastroenterology Royal Darwin HospitalDarwin 0810NTAustralia Department of Gastroenterology and Hepatology Royal Melbourne HospitalParkville 3050VICAustralia

BACKGROUND Ensuring colonoscopy procedure quality is vital to the success of screening and surveillance programmes for bowel cancer in Australia. However, the data on the performance of quality metrics, through adequate adenoma detection, bowel preparation, and procedure completion rates, in the Australian public sector is limited. Understanding these can inform quality improvement to further strengthen our capacity for prevention and early detection of colorectal *** To determine the quality of colonoscopy in Australian teaching hospitals and their association with proceduralist specialty, trainee involvement, and *** We retrospectively evaluated 2443 consecutive colonoscopy procedure reports from 1 January to 1 April, 2018 from five public teaching tertiary hospitals in Australia(median 60 years old, 49% male). Data for bowel preparation quality,procedure completion rates, and detection rates of clinically significant adenomas, conventional adenomas, and serrated lesions was collected and compared to national criteria for quality in colonoscopy. Participating hospital, proceduralist specialty, and trainee involvement indicators were used for stratification. Data was analysed using Chi-squared tests of independence, MannWhitney U, One-way ANOVA, and multivariate binary logistic *** Fifty-two point two percent(n = 1276) and 43.3%(n = 1057) were performed by medical and surgical proceduralists respectively, whilst 29.8%(n = 728) involved a trainee. Inadequate bowel preparation affected 7.3% of all procedures. The procedure completion rate was 95.1%, which increased to 97.5% after adjustment for bowel preparation quality. The pooled cancer, adenoma, and serrated lesion detection rates for all five hospitals were 3.5%, 40%, and 5.9% respectively. Assessed hospitals varied significantly by patient age(P < 0.001), work-force composition(P < 0.001), adequacy of bowel preparation(P < 0.001), and adenoma detection rate(P < 0.001). Two hosp

关键词： Colonoscopy quality of health care Adenoma detection rate Bowel preparation quality Hospital-based teaching

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Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries

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International Journal of Nursing Sciences 2019年第3期6卷 239-246页

作者： Arshia Amiri Tytti Solankallio-Vahteri Sirpa Tuomi JAMK University of Applied Sciences JyväskyläFinland

Objectives: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD).Methods: The number of practicing nurses' density per 1000 population and five surgical complications indicators including foreign body left in during procedure (FBL),postoperative pulmonary embolism (PPE) and deep vein thrombosis (DVT) after hip and knee replacement,postoperative sepsis after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were collected in crude rates per 100,000 hospital discharges for age group of 15 years old and over within 30 days after surgery based on surgical admission-related and all admission-related *** observations of 21 OECD countries were collected from OECD health Statistics during 2010-2015 *** statistical technique of panel data analysis including unit root test,co-integration test and dynamic long-run analysis were used to estimate the possible relationship between our panel ***: There were significant relationships from nurse-staffing level to reducing FBL,PPE,DVT,PSA and PWD with long-run magnitudes of-2.91,-1.30,-1.69,-2.81 and-1.12 based on surgical admission method as well as-6.12,-14.57,-7.29,-1.41 and-0.88 based on all admission method,***: A higher proportion of nurses is associated with higher patient safety resulting from lower surgical complications and adverse clinical outcomes in OECD ***,we alert policy makers about the risk of underestimating the impact of nurses on improving patient safety as well as the quality of health care services in OECD countries.

关键词： Nursing staff Organization for Economic Co-Operation and development Panel data analysis Patient discharge Patient safety Perioperative complication quality of health care

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Importance-performance analysis: Revisiting a tool for the evaluation of clinical services

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health 2014年第5期6卷 285-291页

作者： Juliana Rocha Goncalves Andres Pinto Marilia Jesus Batista Antonio Carlos Pereira Glaucia Maria Bovi Ambrosano Department of Community Oral health Piracicaba Dental SchoolUniversity of Campinas—UNICAMP PiracicabaBrazil Department of Oral and Maxillofacial Medicine and Diagnostic Sciences University Hospitals Case Medical Center and School of Dental MedicineCase Western Reserve UniversityClevelandUSA

The importance-performance analysis method (IPA) is used in market research in order to measure the level of customer satisfaction. The aim of this study was to evaluate and highlight the use of IPA as a management tool to measure quality of dental services. We suggest that this method can be easily implemented in a dental educational setting, as a performance outcome measure that includes patient input. The study was conducted in a dental service through a valid questionnaire, SERVQUAL. This instrument explores levels of service quality perceived by patients. It was conducted in four companies in Brazil in 2011 (derived from different industry segments;two from textiles, one from hospital care and the other from the manufacturing industry) in two States (S?o Paulo and Minas Gerais). These companies were covered by the same dental managed care organization which contracted with independent dentists to provide care. The study was divided into two stages: the first, in which beneficiaries answered the questionnaire prior to receiving dental treatment, and the second when the same beneficiaries answered after completing their dental treatment. Data obtained from SERVQUAL generated graphs that were used to characterize the IPA matrix using several dimensions of care. The Assurance Dimension had the highest average in both expectation and perception. The Reliability dimension showed the value of the most negative GAP among the dimensions, and the best value occurred in the Responsiveness dimension. The IPA tool may be effective in Dental Medicine since it highlights the key points to be improved in the delivery of dental services in a clinical setting.

关键词： quality of health care quality Indicators health care Dental health Education health Services Evaluation

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Current status and perspective of diagnosis and treatment of thoracolumbar fracture in China

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Chinese Journal of Traumatology 2003年第6期6卷 323-325页

作者：唐天驷俞杭平 The Orthopaedics Department the First Affiliated Hospital Suzhou Medical College

Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery in China was late, we have gained some advanced achievements owing to various international communications benefited from the open policy. Therefore, it is essential to evaluate the current status and perspective of diagnosis and treatment of thoracolumbar fracture. There are several issues we would like to discuss here.

关键词： China Female Follow-Up Studies Fracture Fixation Fracture Healing Humans Injury Severity Score Lumbar Vertebrae Male quality of health care Spinal Cord Injuries Spinal Fractures Thoracic Vertebrae

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