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Accreditation and improvement in process quality of care: a nationwide study.

https://arctichealth.org/en/permalink/ahliterature274471
Source
Int J Qual Health Care. 2015 Oct;27(5):336-43
Publication Type
Article
Date
Oct-2015
Author
Søren Bie Bogh
Anne Mette Falstie-Jensen
Paul Bartels
Erik Hollnagel
Søren Paaske Johnsen
Source
Int J Qual Health Care. 2015 Oct;27(5):336-43
Date
Oct-2015
Language
English
Publication Type
Article
Keywords
Accreditation - statistics & numerical data
Denmark
Follow-Up Studies
Guideline Adherence - statistics & numerical data
Heart Failure - therapy
Hospital Bed Capacity
Hospitals, Public - statistics & numerical data
Humans
Peptic Ulcer - therapy
Practice Guidelines as Topic
Quality Improvement - statistics & numerical data
Quality Indicators, Health Care - statistics & numerical data
Residence Characteristics
Stroke - therapy
Abstract
To examine whether performance measures improve more in accredited hospitals than in non-accredited hospital.
A historical follow-up study was performed using process of care data from all public Danish hospitals in order to examine the development over time in performance measures according to participation in accreditation programs.
All patients admitted for acute stroke, heart failure or ulcer at Danish hospitals.
Hospital accreditation by either The Joint Commission International or The Health Quality Service.
The primary outcome was a change in opportunity-based composite score and the secondary outcome was a change in all-or-none scores, both measures were based on the individual processes of care. These processes included seven processes related to stroke, six processes to heart failure, four to bleeding ulcer and four to perforated ulcer.
A total of 27 273 patients were included. The overall opportunity-based composite score improved for both non-accredited and accredited hospitals (13.7% [95% CI 10.6; 16.8] and 9.9% [95% 5.4; 14.4], respectively), but the improvements were significantly higher for non-accredited hospitals (absolute difference: 3.8% [95% 0.8; 8.3]). No significant differences were found at disease level. The overall all-or-none score increased significantly for non-accredited hospitals, but not for accredited hospitals. The absolute difference between improvements in the all-or-none score at non-accredited and accredited hospitals was not significant (3.2% [95% -3.6:9.9]).
Participating in accreditation was not associated with larger improvement in performance measures for acute stroke, heart failure or ulcer.
PubMed ID
26239473 View in PubMed
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Caesarean Section--A Density-Equalizing Mapping Study to Depict Its Global Research Architecture.

https://arctichealth.org/en/permalink/ahliterature274038
Source
Int J Environ Res Public Health. 2015 Nov;12(11):14690-708
Publication Type
Article
Date
Nov-2015
Author
Dörthe Brüggmann
Lena-Katharina Löhlein
Frank Louwen
David Quarcoo
Jenny Jaque
Doris Klingelhöfer
David A Groneberg
Source
Int J Environ Res Public Health. 2015 Nov;12(11):14690-708
Date
Nov-2015
Language
English
Publication Type
Article
Keywords
Biomedical Research - statistics & numerical data
Cesarean Section - statistics & numerical data
Female
Finland
Geographic Mapping
Great Britain
Humans
Ireland
Israel
Norway
Pregnancy
Publications - statistics & numerical data
Sweden
United States
Abstract
Caesarean section (CS) is a common surgical procedure. Although it has been performed in a modern context for about 100 years, there is no concise analysis of the international architecture of caesarean section research output available so far. Therefore, the present study characterizes the global pattern of the related publications by using the NewQIS (New Quality and Quantity Indices in Science) platform, which combines scientometric methods with density equalizing mapping algorithms. The Web of Science was used as a database. 12,608 publications were identified that originated from 131 countries. The leading nations concerning research activity, overall citations and country-specific h-Index were the USA and the United Kingdom. Relation of the research activity to epidemiologic data indicated that Scandinavian countries including Sweden and Finland were leading the field, whereas, in relation to economic data, countries such as Israel and Ireland led. Semi-qualitative indices such as country-specific citation rates ranked Sweden, Norway and Finland in the top positions. International caesarean section research output continues to grow annually in an era where caesarean section rates increased dramatically over the past decades. With regard to increasing employment of scientometric indicators in performance assessment, these findings should provide useful information for those tasked with the improvement of scientific achievements.
Notes
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PubMed ID
26593932 View in PubMed
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Canadian research contributions to low-vision rehabilitation.

https://arctichealth.org/en/permalink/ahliterature155615
Source
Can J Ophthalmol. 2008 Aug;43(4):414-8
Publication Type
Article
Date
Aug-2008
Author
Joshua C Teichman
Samuel N Markowitz
Author Affiliation
Low Vision Service (University Health Network Hospitals), Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
Source
Can J Ophthalmol. 2008 Aug;43(4):414-8
Date
Aug-2008
Language
English
Publication Type
Article
Keywords
Academic Medical Centers - statistics & numerical data
Biomedical Research - statistics & numerical data
Canada
Databases, Factual - statistics & numerical data
Health Services Research
Humans
MEDLINE - statistics & numerical data
Ophthalmology - statistics & numerical data
Optometry - statistics & numerical data
Publications - statistics & numerical data
Vision, Low - rehabilitation
Abstract
Demographic changes likely to occur in the near future and the need for planning to address them are behind the urgent drive to assess present-day provision and utilization of low-vision rehabilitation (LVR) services in the community. Perhaps even more important is the assessment of supporting research work in this field of health care. The purpose of this study, therefore, was to investigate the current involvement of researchers in Canada in the elucidation of the LVR sciences.
A PubMed search of the MEDLINE database was performed. Publications were identified according to preset criteria and search key words pertinent to various aspects of LVR sciences. Data were collected on the corresponding authors and their affiliations, type of journal and type of study performed, and reported outcome measures.
Approximately 1500 papers were reviewed, and 131 that met the preset criteria were included in the study. Medical doctors published most papers (48.1%), followed by optometrists, those with PhDs, occupational therapists, and others; most of the papers (44.3%) were published in ophthalmology journals. Research was performed mainly at Canadian universities (84%), and the findings were published in the last 3 decades. The studies largely concentrated on rehabilitation services and other aspects of vision rehabilitation (55%), whereas studies focusing on the evaluation of tools used for assessment of either visual functions or functional vision were in the minority (45%).
The majority of research activity in Canada is university based and involves the medical profession in a leading role, thus affording LVR the appropriate medium for promotion and development of a multidisciplinary approach to outstanding research issues. Only a fraction of current research in LVR (12.2%) deals with outcome measures of the therapeutic interventions aimed at restoring functional vision.
Notes
Comment In: Can J Ophthalmol. 2009 Aug;44(4):464; author reply 46419606175
PubMed ID
18711453 View in PubMed
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[Citation analysis of research articles from Norwegian health enterprises, 2005-2011].

https://arctichealth.org/en/permalink/ahliterature257529
Source
Tidsskr Nor Laegeforen. 2014 Aug 19;134(15):1466-70
Publication Type
Article
Date
Aug-19-2014
Author
Fredrik Niclas Piro
Dag W Aksnes
Author Affiliation
Nordisk Institutt for studier av innovasjon, forskning og utdanning (NIFU).
Source
Tidsskr Nor Laegeforen. 2014 Aug 19;134(15):1466-70
Date
Aug-19-2014
Language
Norwegian
Publication Type
Article
Keywords
Bibliometrics
Biomedical Research - statistics & numerical data
Health Services Administration - statistics & numerical data
Hospitals, Public - statistics & numerical data
Humans
International Cooperation
Norway
Abstract
The citation frequency of a publication is often interpreted as an expression of its scientific impact. Previous citation analyses of Norwegian medical research have either focused on universities and university hospitals or on subject areas at the national level. Such analyses have paid little attention to other health enterprises, despite a strong increase in their research activity during the last decade.
For all health enterprises with more than 25 publications in the Web of Science during the period 2005-2011 we have calculated field normalized citation indexes at the institution and subject levels.
On the whole, research undertaken by the health enterprises is frequently cited, and some medium-sized health enterprises stand out in terms of their high average citation indexes: Helse Stavanger Health Enterprise, Diakonhjemmet Hospital and Helse Nord-Tr?ndelag Health Enterprise, although Oslo University Hospital Health Enterprise and Helse Bergen Health Enterprise account for more than half of the most cited articles.
In citation analyses at the aggregated level, highly and infrequently cited research groups/departments may balance each other. This appears to be the case in the largest health enterprises. Some medium-sized health enterprises that have a more concentrated research portfolio will thus accumulate higher average citation indexes than the largest university hospitals.
PubMed ID
25138404 View in PubMed
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[Comparative survey of radiation doses to patients in computed tomography in a federal hospital].

https://arctichealth.org/en/permalink/ahliterature274000
Source
Vestn Rentgenol Radiol. 2016 Jan-Feb;97(1):41-7
Publication Type
Article
Author
E I Matkevich
V E Sinitsyn
E A Mershina
Source
Vestn Rentgenol Radiol. 2016 Jan-Feb;97(1):41-7
Language
Russian
Publication Type
Article
Keywords
Abdominal Cavity - radiography
Adolescent
Adult
Aged, 80 and over
Brain - radiography
Female
Hospitals, Public - statistics & numerical data
Humans
Male
Pelvis - radiography
Radiation Exposure - analysis
Radiography, Thoracic - methods
Radiologic Health - methods
Reference Values
Russia
Tomography, X-Ray Computed
Abstract
to analyze radiation exposure due to computed tomography (CT) of brain, chest, abdomen and pelvis in a large multi-field federal hospital and feasibility of low-dose CT-examinations.
Retrospective analysis was performed using data from electronic patient records and PACS from a single multi-field hospital. Data were obtained from 1626 records of patients (794 men, 832 women; age range 17-93) scanned with 3 MDCT during one year. CT-examinations of good quality were selected, volumetric CT dose index (CTDI) and dose-length product (DLP) were collected for each of them. The effective doses (ED) were calculated using the normalized coefficients according to Russian Guidance. RESULTS. Number and structure of CT-examinations for the years 2012-2014 in a multi-field hospital were analyzed. The mean effective dose (M ± m) values with/without contrast medium (respectively), according to anatomical areas were as follows: brain--2.34 ± 0.03/3, 52 ± 0.23, chest--4.83 ± 0.11/11.02 ± 0.82, abdomen-pelvis--9.81 ± 0.40/36.6 ± 1.17, chest-abdomen-pelvis - 12.41 ± 0.79/35.63 ± 1.81 mSv. CONCLUSION. Results of this study give an example of CT dose values and distribution in a multi-field hospital. They are compa- rable with reference levels published of other authors. This expe- rience should be expanded for creation of CT national reference values and for co-operation with international initiatives (EUROSAFE projects).
PubMed ID
27192772 View in PubMed
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Declining incidence of acromioplasty in Finland.

https://arctichealth.org/en/permalink/ahliterature263173
Source
Acta Orthop. 2015 Apr;86(2):220-4
Publication Type
Article
Date
Apr-2015
Author
Juha Paloneva
Vesa Lepola
Jaro Karppinen
Jari Ylinen
Ville Äärimaa
Ville M Mattila
Source
Acta Orthop. 2015 Apr;86(2):220-4
Date
Apr-2015
Language
English
Publication Type
Article
Keywords
Acromion - surgery
Adult
Aged
Arthroplasty - trends
Databases, Factual
Female
Finland
Hospitals, Private - statistics & numerical data
Hospitals, Proprietary - statistics & numerical data
Hospitals, Public - statistics & numerical data
Humans
Male
Middle Aged
Orthopedic Procedures - trends
Physician's Practice Patterns - trends
Shoulder Impingement Syndrome - surgery
Abstract
An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register.
During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older.
The incidence of acromioplasty increased by 117% from 75 to 163 per 10(5) person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10(5) person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics.
We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.
Notes
Cites: J Bone Joint Surg Am. 2011 Nov 2;93(21):1953-6022048089
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Cites: Scand J Public Health. 2012 Aug;40(6):505-1522899561
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PubMed ID
25340548 View in PubMed
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Epidemiology of 411 140 cataract operations performed in public hospitals and private hospitals/clinics in Denmark between 2004 and 2012.

https://arctichealth.org/en/permalink/ahliterature264011
Source
Acta Ophthalmol. 2015 Feb;93(1):16-23
Publication Type
Article
Date
Feb-2015
Author
Søren Solborg Bjerrum
Kim Lyngby Mikkelsen
Morten la Cour
Source
Acta Ophthalmol. 2015 Feb;93(1):16-23
Date
Feb-2015
Language
English
Publication Type
Article
Keywords
Age Distribution
Aged
Aged, 80 and over
Cataract - epidemiology
Cataract Extraction - mortality - statistics & numerical data
Denmark - epidemiology
Female
Hospitals, Private - statistics & numerical data
Hospitals, Public - statistics & numerical data
Humans
Male
Middle Aged
Registries - statistics & numerical data
Sex Distribution
Abstract
To study the epidemiology and mortality in patients who had cataract surgery in public hospitals and private hospitals/clinics in Denmark between 2004 and 2012 and to assess the validity of the Danish cataract registries.
Register- and chart-based study.
A total of 411 140 cataract operations were performed in 243 856 patients. Patients who had cataract surgery in public hospitals had an overall statistically significantly 62% higher mortality compared to patients who had cataract surgery in private hospitals/clinics. The decrease in mean age at first eye cataract surgery in private hospitals/clinics was statistically significantly greater compared to the decrease in mean age at first eye cataract surgery in public hospitals (p
PubMed ID
25495244 View in PubMed
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Finnish nurses' views on their research activities.

https://arctichealth.org/en/permalink/ahliterature185056
Source
J Clin Nurs. 2003 Jul;12(4):589-600
Publication Type
Article
Date
Jul-2003
Author
Merja Kuuppelomäki
Jouni Tuomi
Author Affiliation
Seinäjoki Polytechnic, Research and Development Centre for Social Welfare and Health, South Ostrobothnia Hospital District, Koskenalantie 16, FIN-60220 Seinäjoki, Finland. merja.kuuppelomaki@seamk.fi
Source
J Clin Nurs. 2003 Jul;12(4):589-600
Date
Jul-2003
Language
English
Publication Type
Article
Keywords
Adult
Attitude of Health Personnel
Clinical Competence
Education, Nursing - standards - trends
Female
Finland
Humans
Job Satisfaction
Male
Middle Aged
Nursing Research - organization & administration
Nursing Staff, Hospital
Probability
Program Development
Program Evaluation
Publications - statistics & numerical data
Questionnaires
Self Concept
Specialties, Nursing
Statistics, nonparametric
Abstract
The purpose of the study reported here was to describe Finnish nurses' research and publication activities, as well as their views on the availability and utilization of research results in nursing practice. The data were collected using a structured questionnaire in which obstacles to the utilization of research results were measured with a previously developed instrument. A total of 400 nurses from community health centres, a central hospital and a central university hospital took part. Most of the nurses had carried out research on their own. Age, experience, training in research and development and other further training, as well as reading the nursing literature, were associated with doing research. Some of the reasons why the nurses had not carried out research were revealed. Publication of results was very rare. There were problems with the availability of research results. The most common obstacles to research utilization had to do with the presentation of results and the setting. In research utilization, respondents received most support from the ward manager and least support from doctors. If we want to encourage nurses to do research and increase the utilization of research results, greater effort should be invested in teaching research methodology, in introducing more flexible working hours and in developing other support systems.
PubMed ID
12790873 View in PubMed
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34 records – page 1 of 4.