Article
Nursing
Scott Lamont, Andrew Murray, Emine Tetik, Jiaming Yeo, Bianca Blair
Summary: This study aimed to explore the rigor of nurse-led quality improvement projects involving education, training, or continuing professional development and examine the evaluation frameworks used. The findings revealed that most projects did not meet the internationally recognized standards for quality improvement reporting, highlighting the need to follow the SQUIRE international consensus guidelines in designing and reporting such projects.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Obstetrics & Gynecology
Scarlett D. Karakash, Elliott K. Main, Shen Chih Chang, Gary M. Shaw, David K. Stevenson, Jeffrey B. Gould
Summary: This study uses single year birth certificate data to identify regional and hospital variation in rates of short interpregnancy interval (IPI < 6 months). The results confirm the association between short IPI rates and preterm birth. Variations in short IPI rates are observed among different races and Hispanic nativity.
AMERICAN JOURNAL OF PERINATOLOGY
(2023)
Article
Clinical Neurology
Nitin Agarwal, Brett Youngerman, Wayel Kaakaji, Greg Smith, John M. McGregor, Ciaran J. Powers, Bharat Guthikonda, Richard Menger, Clemens M. Schirmer, Joshua M. Rosenow, Jeffrey Cozzens, Kristopher T. Kimmell
Summary: This review discusses the importance of clinical practice guidelines and quality improvement initiatives in enhancing healthcare quality and optimizing patient outcomes.
WORLD NEUROSURGERY
(2021)
Article
Health Care Sciences & Services
Christina Davidson, Stacie Denning, Kristin Thorp, Lynda Tyer-Viola, Michael Belfort, Haleh Sangi-Haghpeykar, Manisha Gandhi
Summary: The objective of this study was to assess the impact of quality improvement and patient safety measures, as well as data stratification, on racial disparities in severe maternal morbidity from hemorrhage. The findings suggest that incorporating race and ethnicity data stratification into quality improvement and patient safety initiatives has the potential to reduce disparities in severe maternal morbidity.
BMJ QUALITY & SAFETY
(2022)
Article
Multidisciplinary Sciences
Tawanda Nyengerai, Motshana Phohole, Nelson Iqaba, Constance Wose Kinge, Elizabeth Gori, Khumbulani Moyo, Charles Chasela
Summary: The study evaluated the impact of coaching, provision of standard operating procedures and guidelines, mentoring, and on-site in-service training on improving the quality of VMMC services in South Africa. The results showed significant improvements in infection prevention, male circumcision surgical procedure, counselling, HIV testing, management systems, leadership and planning, and supplies and equipment after the implementation of the continuous quality improvement intervention. Regular visits and intensive support are needed for sites performing below quality standards.
Article
Pharmacology & Pharmacy
Yingya Wang, Anette Muellertz, Jukka Rantanen
Summary: This study employed Quality by Design principles to investigate the factors affecting the fabrication of drug-loaded products produced by Binder Jetting (BJ) 3D printing. It was found that binder content and multiple material properties and process parameters influenced the integrity and microstructure of the printed products. Quality by Design is an efficient approach for designing products with desired quality in BJ 3D printing.
EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES
(2022)
Article
Medicine, General & Internal
Janet C. Long, Mitchell N. Sarkies, Emilie Francis Auton, Hoa Mi Nguyen, Chiara Pomare, Rebecca Hardwick, Jeffrey Braithwaite
Summary: This study reviewed the implementation strategies used in large-scale hospital initiatives and proposed initial program theories for how they worked across different contexts. The results showed that large-scale hospital initiatives were characterized by a top-down approach, external and internal support, and the use of evidence-based interventions.
Review
Health Care Sciences & Services
Lenzo Robijn, Luc Deliens, Anne-Lore Scherrens, Nele S. Pauwels, Peter Pype, Judith Rietjens, Kenneth Chambaere
Summary: This study reviewed various initiatives to support the practice of continuous sedation until death, including assessment tools of consciousness and discomfort, guidelines and protocols, and expert consultation. The results showed that these initiatives were useful, acceptable, and feasible, although challenges were found with monitoring devices in practice implementation. More research is needed to better understand the feasibility, preconditions, and impact of these initiatives in actual end-of-life care practice.
PALLIATIVE MEDICINE
(2021)
Article
Medicine, General & Internal
Neil Malcolm Harrison, Ashley Dennis
Summary: This study aimed to develop an integrated national simulation-based educational programme for junior doctors in Scotland through a structed, multistep prioritisation process. The key stakeholders reviewed competencies in the UKFP curriculum and identified 18 initial competency areas, which were subsequently prioritised through the analytical hierarchy process to create a targeted simulation-based educational programme. This robust approach to educational design resulted in educator and clinician acceptance and programme funding sustainability.
Article
Education & Educational Research
Margaret Bearman, Rola Ajjawi, Sue Bennett, David Boud
Summary: OSCEs have become a common form of assessment in medical education, but they require significant resources and vary locally. The design and administration of OSCEs are dynamic, social, and situated activities informed by Practice Theory. There is a tension between general expectations like reliability and validity and the improvisational practices associated with design and administration, highlighting the need for coordination over standardization to improve feasibility and sustainability.
ADVANCES IN HEALTH SCIENCES EDUCATION
(2021)
Article
Management
Yan Zhan, Qinrong Xu, Xianghong Qi, Lizhen Shao
Summary: Chinese nurses' views and experiences in quality improvement implementation, as well as the impact of contextual factors on nursing quality improvement initiatives, were investigated in this study. The results suggest a need for efforts to improve organizational culture and reward systems in Chinese hospitals, as well as providing further education to enhance skills and knowledge for effective quality improvement implementation. Management tasks during quality improvement initiatives should focus on increasing nurses' satisfaction, solving skill and knowledge deficits, and clarifying nurses' roles in relation to quality improvement.
JOURNAL OF NURSING MANAGEMENT
(2021)
Article
Astronomy & Astrophysics
Jon A. Bailey, Yong-Chull Jang, Sunkyu Lee, Weonjong Lee, Jaehoon Leem
Summary: By combining experimental data with lattice QCD results, the Cabibbo-Kobayashi-Maskawa matrix elements 1Vcb1 and 1Vub1 can be obtained. It is desirable to use the Oktay-Kronfeld (OK) action for form factor calculation on the lattice, and a matching calculation has been proposed to improve heavy-heavy and heavy-light currents. The final results of the improved currents are being utilized in a lattice QCD calculation of semileptonic form factors.
Article
Chemistry, Physical
Chengpeng Xue, Yu Wang, Junsheng Wang
Summary: This study predicts the metastablity of different Al3X structures and explores the varitions of lattice constant by using first-principle calculation and changing external pressure. It was found that the L12 structure has higher stability and symmetry, and its stability is enhanced under external pressure.
JOURNAL OF ALLOYS AND COMPOUNDS
(2022)
Article
Medicine, General & Internal
Cheng-Hsu Chen, Chia-Tien Hsu, Ming-Ju Wu, Shang-Feng Tsai
Summary: This 5-year project on shared decision making for renal biopsy collected cases of biopsy and bleeding, and launched a quality improvement process for shared decision making, including the use of videos and an information platform. Results showed that shared decision making helped patients better understand renal biopsy, leading to increased satisfaction.
Article
Surgery
Rohan Shah, Adrian Diaz, Laura Phieffer, Carmen Quatman, Andrew Glassman, J. Madison Hyer, Diamantis Tsilimigras, Timothy M. Pawlik
Summary: Study found that within Medicare's Bundled Payment for Care Improvement initiative, robotic total knee arthroplasty had lower costs and better outcomes compared to traditional methods. Patients undergoing robotic total knee arthroplasty had shorter hospital stays and lower rates of complications. Cost savings associated with robotic total knee arthroplasty were only realized when its utilization exceeded 50% of all total knee arthroplasty cases.
Review
Health Care Sciences & Services
Laura Lennox, Susan Barber, Neil Stillman, Sophie Spitters, Emily Ward, Vanessa Marvin, Julie E. Reed
Summary: This study advances the conceptualisation of interventions by explicitly considering how evidence-based practices are operationalised in complex systems. The proposed new conceptualisation describes intervention components in relation to their proximity to the evidence base, component interdependence, function, adaptation, and effort.
BMJ QUALITY & SAFETY
(2022)
Review
Health Care Sciences & Services
Fabio Gama, Daniel Tyskbo, Jens Nygren, James Barlow, Julie Reed, Petra Svedberg
Summary: This literature review demonstrates that the implementation of AI in healthcare practice is still in its early stages of development. Existing frameworks do not fully consider the unique needs of AI implementation, highlighting the need for further research to develop comprehensive implementation frameworks.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Health Care Sciences & Services
Petra Svedberg, Julie Reed, Per Nilsen, James Barlow, Carl Macrae, Jens Nygren
Summary: This research program aims to bridge the gap between knowledge and practice in the implementation of AI in healthcare by developing a theoretically-informed framework and conducting empirical studies. The program also seeks to apply the framework in clinical practice to build regional capacity for AI implementation. The program will use a logic model and involve collaboration between researchers, healthcare professionals, and other stakeholders.
JMIR RESEARCH PROTOCOLS
(2022)
Article
Geriatrics & Gerontology
Mable Nakubulwa, Cornelia Junghans, Vesselin Novov, Clare Lyons-Amos, Derryn Lovett, Azeem Majeed, Paul Aylin, Thomas Woodcock
Summary: This study describes risk factors for long-term adult social care (ASC) in two inner London boroughs and develops a risk prediction model. The findings indicate that age, socioeconomic deprivation, preexisting mental health conditions, and prior health service use are associated with accessing long-term ASC. However, the predictive power of a prognostic model based on risk factors is limited, suggesting the need for a paradigm shift towards more relational, personalized approaches.
Article
Multidisciplinary Sciences
Mable Angela Nakubulwa, Geva Greenfield, Elena Pizzo, Andreas Magusin, Ian Maconochie, Mitch Blair, Derek Bell, Azeem Majeed, Ganesh Sathyamoorthy, Thomas Woodcock
Summary: This study examines patient and call-related characteristics associated with compliance with advice given in NHS 111 calls. The results show that overall compliance with advice given was 49%, with higher compliance among children, women, and those from Asian/Asian British ethnicity. The study provides valuable insights for improving caller compliance with advice and developing remote healthcare services.
Article
Health Care Sciences & Services
Lindsay H. Dewa, Sofia Pappa, Talya Greene, James Cooke, Lizzie Mitchell, Molly Hadley, Martina Di Simplicio, Thomas Woodcock, Paul Aylin
Summary: This study aims to examine the relationship between sleep and suicidality in discharged patients using ecological momentary assessment (EMA) with wearable devices. The study will assess sleep quality and collect data on suicidal ideation and mental states in discharged patients. The results are expected to contribute to a better understanding of the association between suicidality and sleep.
JMIR RESEARCH PROTOCOLS
(2022)
Article
Health Policy & Services
Alan Cribb, Thomas Woodcock
Summary: Qualitative data analysis should be routinely integrated into health service measurement, management, and organizational practices. Its proper use is crucial in ensuring appropriate care and reinforcing the validity and usefulness of quantitative measurement.
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
(2022)
Article
Respiratory System
Thomas Woodcock, Geva Greenfield, Ajit Lalvani, Azeem Majeed, Paul Aylin
Summary: This study compares posthospitalisation outcomes and health system resource use between patients hospitalised with COVID-19 and influenza. The findings show that COVID-19 patients are more likely to die, have longer hospital stays, and interact more with primary care after discharge compared to influenza patients.
Article
Health Care Sciences & Services
Perla J. Marang-van de Mheen, Thomas Woodcock
Summary: This article discusses how to use statistical process control (SPC) charts in quality improvement (QI) projects. It emphasizes four often overlooked critical decision points and explains their interrelationships and their impact on drawing inferences about the effectiveness of interventions.
BMJ QUALITY & SAFETY
(2023)
Article
Primary Health Care
Thomas Woodcock, Vesselin Novov, Helen Skirrow, James Butler, Derryn Lovett, Yewande Adeleke, Mitch Blair, Sonia Saxena, Azeem Majeed, Paul Aylin
Summary: This study investigated the uptake of seasonal influenza vaccination among pregnant women in North West London and found that younger and older age groups, Black and unknown ethnicity, living in deprived areas, and having no known risk factors for severe influenza were associated with lower vaccination rates. Targeted approaches and interventions are needed to reduce the disparities in vaccine access, particularly for Black pregnant women, younger and older women, and women living in deprived areas.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Health Care Sciences & Services
Thomas Woodcock, Dionne Matthew, Raffaele Palladino, Mable Nakubulwa, Trish Winn, Hugh Bethell, Stephen Hiles, Susan Moggan, Jackie Dowell, Paul Sullivan, Derek Bell, Martin R. Cowie
Summary: This study evaluates the impact of a care bundle intervention on improving care for patients with acute heart failure. The intervention includes testing NT-proBNP, transthoracic Doppler echocardiography, and specialist evaluation. The study finds that this intervention is associated with reduced emergency readmissions and improved in-hospital mortality for acute heart failure patients.
BMJ QUALITY & SAFETY
(2023)
Article
Medicine, General & Internal
Thomas Beaney, Jonathan Clarke, David Salman, Thomas Woodcock, Azeem Majeed, Mauricio Barahona, Paul Aylin
Summary: The frequency of diagnostic codes for newly diagnosed LTCs is influenced by factors including patient sociodemographics, disease inclusion in QOF, GP practice, and the impact of the COVID-19 pandemic. Natural language processing or other methods using temporally ordered code sequences should account for these factors to minimise potential bias.
Article
Cardiac & Cardiovascular Systems
Kam Ying Wong, Bethan Davies, Yewande Adeleke, Thomas Woodcock, Dionne Matthew, Sara Sekelj, Andi Orlowski, Bradley Porter, Sophia Hashmy, Ammu Mathew, Ron Grant, Agnes Kaba, Brigitte Unger-Graeber, Bruno Petrungaro, Jordan Wallace, Derek Bell, Martin R. Cowie, Sadia Khan
Summary: The study observed a decrease in stroke admissions following the AF QI initiative in Hounslow, suggesting a potential positive impact. However, the lack of significant changes in bleeding admissions and the diminishing effect over time indicate that other factors may have contributed to the observed decrease in stroke rates.
Article
Psychology, Applied
Ulrica von Thiele Schwarz, Karina Nielsen, Kasper Edwards, Henna Hasson, Christine Ipsen, Carl Savage, Johan Simonsen Abildgaard, Anne Richter, Caroline Lornudd, Pamela Mazzocato, Julie E. Reed
Summary: This paper presents a set of principles to guide researchers in designing, implementing, and evaluating organizational interventions. Developed through a transdisciplinary, participatory, and iterative process, these principles emphasize the importance of addressing both real-world impact and scientific rigor simultaneously.
EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY
(2021)
Article
Health Policy & Services
Cicely A. Marston, Rachel Matthews, Alicia Renedo, Julie E. Reed
Summary: Improving healthcare provision involves collaboration between clinicians, academics, and patients. However, challenges such as differing ideas between partners and institutional opposition can hinder this collaboration. Factors that can enhance collaboration include ongoing dialogue, risk-taking, creating an enabling environment, and maintaining a shared end goal.
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
(2021)
