Abstract:
BACKGROUND:The clinical environment in which health care providers have to work everyday is highly complex; this increases the risk for the occurrence of unintended events. The aim of this randomised controlled trial is to improve patient safety for a vulnerable group of patients that have to go through a complex care chain, namely elderly hip fracture patients. METHODS/DESIGN:A randomised controlled trial that consists of three interventions; these will be implemented in three surgical wards in Dutch hospitals. One surgical ward in another hospital will be the control group. The first intervention is aimed at improving communication between care providers using the SBAR communication tool. The second intervention is directed at stimulating the role of the patient within the care process with a patient safety card. The third intervention consists of a leaflet for patients with information on the most common complications for the period after discharge. The primary outcome measures in this study are the incidence of complications and adverse events, mortality rate within six months after discharge and functional mobility six months after discharge. Secondary outcome measures are length of hospital stay, quality and completeness of information transfer and patient satisfaction with the instruments. DISCUSSION:The results will give insight into the nature and scale of complications and adverse events that occur in elderly hip fracture patients. Also, the implementation of three interventions aimed at improving the communication and information transfer provides valuable possibilities for improving patient safety in this increasing patient group. This study combines the use of three interventions, which is an innovative aspect of the study. TRIAL REGISTRATION:The Netherlands National Trial Register NTR1562.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Merten H,Lubberding S,van Wagtendonk I,Johannesma PC,Wagner Cdoi
10.1186/1472-6963-11-59subject
Has Abstractpub_date
2011-03-21 00:00:00pages
59issn
1472-6963pii
1472-6963-11-59journal_volume
11pub_type
杂志文章,多中心研究,随机对照试验abstract:BACKGROUND:Home care (HC) is a critical component of the ongoing restructuring of healthcare in Canada. It impacts three dimensions of healthcare delivery: primary healthcare, chronic disease management, and aging at home strategies. The purpose of our study is to investigate a significant safety dimension of HC, the o...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-227
更新日期:2013-06-22 00:00:00
abstract:BACKGROUND:A large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the World Health Organization's Problem Management Plus (PM+) and the Early Adolescent Skills for Emoti...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05677-6
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:Patients with type 2 diabetes (T2DM) often have poor glycemic control on first-line pharmacologic therapy and require treatment intensification. Intensification decisions can be difficult because of many available options and their many benefits and risks. The American Diabetes Association recommends patient...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12913-016-1262-4
更新日期:2016-01-14 00:00:00
abstract:BACKGROUND:Involving doctors in management has been intended as one of the strategies to spread organizational principles in healthcare settings. However, professionals often resist taking on relevant managerial responsibility, and the question concerning by which means to engage doctors in management in a manner that ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1394-6
更新日期:2016-05-24 00:00:00
abstract:BACKGROUND:Public-private partnerships (PPPs) are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper co...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-82
更新日期:2011-04-19 00:00:00
abstract:BACKGROUND:Pharmacy databases are commonly used to assess medication usage, and a number of measures have been developed to measure patients' adherence to medication. An extensive literature now supports these measures, although few studies have systematically compared the properties of different adherence measures. M...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-12-155
更新日期:2012-06-12 00:00:00
abstract:BACKGROUND:Since the advent of democracy, the South African government has been putting charters, policies, strategies and plans in place in an effort to strengthen public health system performance and enhance service delivery. However, public health programme performance and outcomes remained poor while the burden of ...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/s12913-019-4862-y
更新日期:2020-01-23 00:00:00
abstract:BACKGROUND:A general trend towards positive patient-reported evaluations of hospitals could be taken as a sign that most patients form a homogeneous, reasonably pleased group, and consequently that there is little need for quality improvement. The objective of this study was to explore this assumption by identifying an...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-73
更新日期:2013-02-21 00:00:00
abstract:BACKGROUND:The decision to obtain a computed tomography CT scan in the emergency department (ED) is complex, including a consideration of the risk posed by the test itself weighed against the importance of obtaining the result. In patients with limited access to primary care follow up the consequences of not making a d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2958-4
更新日期:2018-03-02 00:00:00
abstract:BACKGROUND:Health care on equal terms is a cornerstone of the Swedish health care system. Total hip arthroplasty (THA) is considered a success story in Sweden with low frequency of reoperations and restored health-related quality of life (HRQoL). Administratively, health care in Sweden is locally self-governed by 21 co...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-019-4171-5
更新日期:2019-05-30 00:00:00
abstract:BACKGROUND:Patients with acute coronary syndromes (ACS) are at increased risk of further acute cardiac events. Secondary prevention aims to decrease morbidity and mortality post-ACS. Depression is related to increased risk in this population, and to poorer secondary prevention activities. However, lengthy depression as...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-6-9
更新日期:2006-02-13 00:00:00
abstract:BACKGROUND:Health worker motivation can potentially affect the provision of health services. The HIV pandemic has placed additional strain on health service provision through the extra burden of increased testing and counselling, treating opportunistic infections and providing antiretroviral treatment. The aim of this ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-266
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-291
更新日期:2010-10-14 00:00:00
abstract:BACKGROUND:The rapid HIV antibody test is the diagnostic tool of choice in low and middle-income countries. Previous evidence suggests that rapid HIV diagnostic tests may underperform in the field, failing to detect a substantial number of infections. A research study inadvertently discovered that a clinic rapid HIV te...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-73
更新日期:2010-03-22 00:00:00
abstract:BACKGROUND:A number of studies in the past have looked at determinants of postnatal care. However, many of them do not distinguish between postnatal care (PNC) before discharge and after discharge for women delivering at health facilities. Conceptually and practically, factors associated with PNC before discharge and a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4958-4
更新日期:2020-02-24 00:00:00
abstract:BACKGROUND:Fever is a common reason for attending primary health facilities in Vietnam. Response of health care providers to patients with fever commonly consists of making a presumptive diagnosis and proposing corresponding treatment. In Vietnam, where malaria was brought under control, viral infections, notably dengu...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-10-275
更新日期:2010-09-21 00:00:00
abstract:BACKGROUND:Hip fracture in elderly patients is a rising global public health concern because of population ageing, and increasing frailty. Long-term morbidity related to poor management of hip fracture is associated with decreased quality of life, survival, and increase in healthcare costs. Receiving postoperative reha...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3523-x
更新日期:2018-09-10 00:00:00
abstract:BACKGROUND:The number of requests to pre-hospital emergency medical services (PEMS) has increased in Europe over the last 20 years, but epidemiology of PEMS interventions has little be investigated. The aim of this analysis was to describe time trends of PEMS activity in a region of western Switzerland. METHODS:Use of...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-380
更新日期:2014-09-10 00:00:00
abstract:BACKGROUND:Ergonomic and work stress interventions rarely show long-term positive effect. The municipality participating in this study received orders from the Norwegian Labour Inspectorate due to an identified unhealthy level of time pressure, and responded by effectuating several work environment interventions. The s...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-477
更新日期:2013-11-15 00:00:00
abstract:BACKGROUND:Falls are very common accidents in a hospital. Various risk factors and risk assessment tools are used to predict falls. However, outcomes of falls such as bone fractures have not been considered in these risk assessment tools, and the performance of risk assessment tools in a Japanese hospital setting is no...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-106
更新日期:2010-04-27 00:00:00
abstract:BACKGROUND:Breast-conserving surgery (BCS) followed by radiotherapy is generally the preferred treatment for women diagnosed with early stage breast cancer. This study aimed to investigate the proportion of patients who receive BCS versus mastectomy and post-BCS radiotherapy, and explore factors associated with receipt...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0680-z
更新日期:2015-01-22 00:00:00
abstract:BACKGROUND:Off-patent pharmaceuticals (OPPs) hold vital importance in meeting public health objectives, especially in developing countries where resources are limited. OPPs are comprised of off-patent originals, branded generics and unbranded generics; nonetheless, these products are not identical and often there are d...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3805-3
更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:As of 2015, second opinions are legally implemented in Germany. However, empirical results from German second opinion programs are lacking. The aim of this study was to examine several aspects within a population of a German second opinion program. METHODS:Study population consisted of patients who sought a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-5060-7
更新日期:2020-03-20 00:00:00
abstract:BACKGROUND:Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population level. This study compares the status of pharmacy services and constructs regression model to project an...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3067-0
更新日期:2018-05-03 00:00:00
abstract:BACKGROUND:Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand. The Specific Timely Appointments for Triage (STAT) model, an alternative approach for managing access and triage, reduced waiting time by 34% in a stepped...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05824-z
更新日期:2020-10-21 00:00:00
abstract:BACKGROUND:Governments increasingly require policy documents to be evidence-based. This paper analyses the use of scientific evidence in such documents by reviewing reports from government-appointed committees in Norway to assess the committees' handling of questions of effect. METHODS:This study uses the 'Index of Sc...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-177
更新日期:2009-09-28 00:00:00
abstract:BACKGROUND:Patient safety culture at healthcare organizations plays an important role in guaranteeing, improving and promoting overall patient safety. Although several conceptual frameworks have been proposed in the past, no standard measurement tool has yet been developed for Japan. METHODS:In order to examine possib...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-28
更新日期:2011-02-07 00:00:00
abstract:BACKGROUND:Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known about clinicians' views on the role of patient responsibility in clinical contexts. This paper contribu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05364-6
更新日期:2020-06-03 00:00:00
abstract:BACKGROUND:Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This stu...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-2878-3
更新日期:2018-01-30 00:00:00
abstract:BACKGROUND:The lack of availability of skilled providers in low- and middle- income countries is considered to be an important barrier to achieving reductions in maternal and child mortality. However, there is limited research on programs increasing the availability of skilled birth attendants in developing countries. ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2284-2
更新日期:2017-05-18 00:00:00