Abstract:
BACKGROUND:Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addressed. There exists no feasible and reliable quality surveillance tool assessing all important areas related to PIVC quality. Thus, we aimed to develop and test feasibility and reliability for an efficient quality assessment tool of overall PIVC quality. METHODS:The Peripheral Intravenous Catheter- mini Questionnaire, PIVC-miniQ, consists of 16 items calculated as a sum score of problems regarding the insertion site, condition of dressing and equipment, documentation, and indication for use. In addition, it contains background variables like PIVC site, size and insertion environment. Two hospitals tested the PIVC-miniQ for feasibility and inter-rater agreement. Each PIVC was assessed twice, 2-5 min apart by two independent raters. We calculated the intraclass correlation coefficient (ICC) for each hospital and overall. For each of the 16 items, we calculated negative agreement, positive agreement, absolute agreement, and Scott's pi. RESULTS:Sixty-three raters evaluated 205 PIVCs in 177 patients, each PIVC was assessed twice by independent raters, in total 410 PIVC observations. ICC between raters was 0.678 for hospital A, 0.577 for hospital B, and 0.604 for the pooled data. Mean time for the bedside assessment of each PIVC was 1.40 (SD 0.0007) minutes. The most frequent insertion site symptom was "pain and tenderness" (14.4%), whereas the most prevalent overall problem was lack of documentation of the PIVC (26.8%). Up to 50% of PIVCs were placed near joints (wrist or antecubital fossae) or were inserted under suboptimal conditions, i.e. emergency department or ambulance. CONCLUSIONS:Our study highlights the need for PIVC quality surveillance on ward and hospital level and reports the PIVC-miniQ to be a reliable and time efficient tool suitable for frequent point-prevalence audits.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Høvik LH,Gjeilo KH,Lydersen S,Rickard CM,Røtvold B,Damås JK,Solligård E,Gustad LTdoi
10.1186/s12913-019-4497-zsubject
Has Abstractpub_date
2019-09-05 00:00:00pages
636issue
1issn
1472-6963pii
10.1186/s12913-019-4497-zjournal_volume
19pub_type
杂志文章,多中心研究abstract:BACKGROUND:The aim of this study is to evaluate the performance of the first certified regional trauma network in Germany, the Trauma Network Eastern Bavaria (TNO) addressing the following specific research questions: Do standard and maximum care facilities produce comparable (risk-adjusted) levels of patient outcome? ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1468-5
更新日期:2016-07-11 00:00:00
abstract:BACKGROUND:The Whole Systems Demonstrator was a large, pragmatic, cluster randomised trial that compared telehealth with usual care among 3,230 patients with long-term conditions in three areas of England. Telehealth involved the regular transmission of physiological information such as blood glucose to health professi...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-14-334
更新日期:2014-08-06 00:00:00
abstract:BACKGROUND:The Swedish government has increasingly begun to rely on so called informative governance when regulating healthcare. The question this article sets out to answer is: considered to be "the backbone" of the Swedish state's strategy for informative governance in healthcare, what kind of regulatory arrangement ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0509-1
更新日期:2014-11-05 00:00:00
abstract:BACKGROUND:China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major policy goal of health care system during the progression towards universal coverage. METHODS:We used p...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2798-7
更新日期:2017-12-29 00:00:00
abstract:BACKGROUND:Attempts to reduce high utilisation of psychiatric inpatient care by targeting the critical time of hospital discharge have been rare. METHODS:This paper presents design and methods of the study "Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of P...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-8-152
更新日期:2008-07-21 00:00:00
abstract:BACKGROUND:Proton pump inhibitors (PPIs) remain one of the world's most frequently prescribed medications and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The objective of this observational retrospective study was to assess changes in PPI prescribing trends over the past...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3358-5
更新日期:2018-07-11 00:00:00
abstract:BACKGROUND:Ensuring access to timely and appropriate primary healthcare for people living in poverty is an issue facing all countries, even those with universal healthcare systems. The transformation of healthcare practices and organization could be improved by involving key stakeholders from the community and the heal...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-92
更新日期:2013-03-11 00:00:00
abstract:BACKGROUND:According to the World Health Organization, essential surgery should be recognized as an essential component of universal health coverage. In Ghana, insurance is associated with a reduction in maternal mortality and improved access to essential medications, but whether it eliminates financial barriers to sur...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-4887-2
更新日期:2020-01-17 00:00:00
abstract:BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...
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/s12913-020-5056-3
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Bronchiolitis is common in the first two years of life and is the most frequent cause of hospitalization in this age group. No previous studies have used an episode-of-care analysis to describe the frequency, duration, and predictors of bronchiolitis episodes of care during the first two years. METHODS:We c...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-144
更新日期:2012-06-08 00:00:00
abstract:BACKGROUND:Recent developments have made screening tests for foetal abnormalities available earlier in pregnancy and women have a range of testing options accessible to them. It is now recommended that all women, regardless of their age, are provided with information on prenatal screening tests. General Practitioners (...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-114
更新日期:2008-05-28 00:00:00
abstract:BACKGROUND:This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes. METHODS:A comprehensive literature search of electronic bibliographic databases was performed to identify care man...
journal_title:BMC health services research
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1472-6963-12-72
更新日期:2012-03-22 00:00:00
abstract:BACKGROUND:Australia's Aboriginal and Torres Strait Islander women have poorer survival and twice the disease burden from breast cancer compared to other Australian women. These disparities are influenced, but not fully explained, by more diagnoses at later stages. Incorporating breast screening, hospital and out of ho...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4147-5
更新日期:2019-06-14 00:00:00
abstract:BACKGROUND:Although general practitioners (GPs) and community pharmacists (CPs) are encouraged to collaborate, a true collaborative relationship does not exist between them. Our objective was to identify and analyze factors affecting GP-CP collaboration. METHODS:This was a descriptive-exploratory qualitative study car...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-188
更新日期:2012-07-07 00:00:00
abstract:BACKGROUND:Quality indicators (QI) are used in health care to measure quality of service and performance improvement. Health care professionals and organizations caring for patients with injuries need information regarding the quality of care provided and the outcomes experienced in order to target improvement efforts....
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-31
更新日期:2013-01-27 00:00:00
abstract:BACKGROUND:Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women's access to health care services in Rorya District, Mara, Tanzania, we conduct...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3463-5
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:In international comparisons, rates of amputations of the lower limb are relatively high in Germany. This study aims to analyze trends in lower limb amputations over time, as well as outcomes of care concerning in-hospital mortality and reamputation rates during the same hospital stay which might indicate th...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3759-5
更新日期:2019-01-06 00:00:00
abstract:BACKGROUND:To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden. METHODS:Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical cost data were obtai...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05461-6
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Discrete choice experiments (DCEs) are attribute-driven experimental techniques used to elicit stakeholders' preferences to support the design and implementation of policy interventions. The validity of a DCE, therefore, depends on the appropriate specification of the attributes and their levels. There have ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-235
更新日期:2014-05-22 00:00:00
abstract:BACKGROUND:United States health care spending rose rapidly in the 2000s, after a period of temporary slowdown in the 1990s. However, the description of the overall trend and the understanding of the underlying drivers of this trend are very limited. This study investigates how well historical hospital cost/revenue driv...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-230
更新日期:2014-05-21 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 objective was to solve two problems of an already validated scale measuring inpatient opinion on care: 1) a high non-response rate for some items due to the "not applicable" response option and 2) a skewed score distribution with high ceiling effect. METHODS:The EQS-H scale ("échelle de qualité des soin...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-197
更新日期:2007-12-03 00:00:00
abstract:BACKGROUND:Currently there is no standard algorithm to identify whether a subject is residing in a nursing home from administrative claims. Our objective was to develop and validate an algorithm that identifies nursing home admissions at the resident-month level using the MarketScan Medicare Supplemental and Coordinati...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-202
更新日期:2007-12-10 00:00:00
abstract:BACKGROUND:Co-production and co-design approaches to quality improvement (QI) efforts are gaining momentum in healthcare. Yet, these approaches can be challenging, not least when it comes to patient involvement. The aim of this study was to examine what might influence QI efforts in which patients are involved, as expe...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05970-4
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND:Data on nurses' adherence to standard protocol on nasogastric (NG) tube feeding remain scanty in Ghana even though patients in critical medical conditions are routinely managed using this procedure. This study explored self-rated adherence to standard protocols on NG tube feeding among professional and auxil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3931-6
更新日期:2019-02-13 00:00:00
abstract:BACKGROUND:Industry partnerships can help leverage resources to advance HIV/AIDS vaccine research, service delivery, and policy advocacy goals. This often involves capacity building for international and local non-governmental organizations (NGOs). International volunteering is increasingly being used as a capacity bui...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-378
更新日期:2013-10-02 00:00:00
abstract:BACKGROUND:There are many instruments available freely for evaluating obstetric care quality in low-resource settings. However, this profusion can be confusing; moreover, evaluation instruments need to be adapted to local issues. In this article, we present tools we developed to guide the choice of instruments and desc...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-20
更新日期:2010-01-20 00:00:00
abstract:OBJECTIVE:While most studies focused on the relation between volunteering and health-related outcomes, little attention has been given on the association between volunteering and the use of health care services. Thus, with this analysis we aimed at exploring whether and how the voluntary work of older adults is related...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3867-x
更新日期:2019-01-15 00:00:00
abstract:BACKGROUND:To investigate the effects after twelve months related to patient activation and a range of secondary outcomes on persons with chronic pain of a chronic pain self-management course compared to a low-impact outdoor physical activity, delivered in an easily accessible healthcare service in public primary care....
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-018-3843-x
更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:Academic detailing (AD; also known as educational visiting) facilitates the translation of evidence into practice and has been widely adopted internationally to facilitate practice change. The potential of AD linked to a specific patient and delivered by a specialist physician to general practitioners has no...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-015-0861-9
更新日期:2015-05-09 00:00:00