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Categorizing Care Delays and Their Impact on Hospital Length of Stay.
Qual Manag Health Care
November 2024
Author Affiliations: Division of Hospital Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Drs Nadler, Kisuule, Michtalik, Kantsiper, Harris, and Gundareddy); Carey Business School, Johns Hopkins University, Baltimore, Maryland (Dr Eid); Integrated Hospital Medicine, Memorial Hermann Health System, Houston, Texas (Dr Eid).
Background And Objective: Unnecessary care delays of hospitalized patients increase the risk of hospital-related complications and drive up health care costs. While health systems focus on reducing the length of stay of hospitalized patients, not many studies looked at specific causes of the care delays that prolong length of stay. In this study, we sought to systematically identify and categorize the various care delays that contribute to prolonged length of stay on a hospital medicine service.
View Article and Find Full Text PDFAssessing post-abortion care using the WHO quality of care framework for maternal and newborn health: a cross-sectional study in two African hospitals in humanitarian settings.
Reprod Health
August 2024
Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Background: Abortion-related complications remain a main cause of maternal mortality. There is little evidence on the availability and quality of post-abortion care (PAC) in humanitarian settings. We assessed the quality of PAC in two hospitals supported by an international organization in Jigawa State (Nigeria) and Bangui (Central African Republic, CAR).
View Article and Find Full Text PDFIs Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review.
J Racial Ethn Health Disparities
March 2024
RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA.
Background: Healthcare provided by a bilingual provider or with the assistance of an interpreter improves care quality; however, their associations with patient experience are unknown. We reviewed associations of patient experience with provider-patient language concordance (LC) and use of interpreters for Spanish-preferring patients.
Method: We reviewed articles from academic databases 2005-2023 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and Joanna Briggs Institute Checklists to rate study quality.
Healthcare Quality from the Perspective of Patients in Gulf Cooperation Council Countries: A Systematic Literature Review.
Healthcare (Basel)
January 2024
Department of Health Services Research, Care and Public Health Research Institute-CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
With the increased focus on patient-centered care, consensus on healthcare outcomes of importance to patients becomes crucial. Based on a systematic review of the literature, this study confirms the perspectives of patients on healthcare quality in GCC countries. Online databases were searched for relevant peer-reviewed articles published from 2012 to 2023.
View Article and Find Full Text PDFContent and Actionability of Recommendations to Providers After Shadow Coaching.
Qual Manag Health Care
September 2022
RAND Corporation, Santa Monica, California (Drs Quigley and Palimaru, Mr Qureshi, and Ms Pham); and UCLA Department of Medicine, Los Angeles, California (Dr Hays).
Background And Objectives: Health care organizations track patient experience data, identify areas of improvement, monitor provider performance, and assist providers in improving their interactions with patients. Some practices use one-on-one provider counseling ("shadow coaching") to identify and modify provider behaviors. A recent evaluation of a large shadow coaching program found statistically significant improvements in coached providers' patient experience scores immediately after being coached.
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