Facilitators for using data from a quality registry in local quality improvement work: a cross-sectional survey of the Danish Cardiac Rehabilitation Database

ObjectivesTo investigate use of data from a clinical quality registry for cardiac rehabilitation in Denmark, considering the extent to which data are used for local quality improvement and what facilitates the use of these data, with a particular focus on whether there are differences between frontline staff and managers.DesignCross-sectional nationwide survey study.Setting, methods and participantsA previously validated, Swedish questionnaire regarding use of data from clinical quality registries was translated and emailed to frontline staff, mid-level managers and heads of departments (n=175) in all 30 hospital departments participating in the Danish Cardiac Rehabilitation Database. Data were analysed descriptively and through multiple linear regression.ResultsSurvey response rate was 58% (101/175). Reports of registry use at department level (measured through an index comprising seven items; score min 0, max 7, where a low score indicates less use of data) varied significantly between groups of respondents: frontline staff mean score 1.3 (SD=2.0), mid-level management mean 2.4 (SD=2.3) and heads of departments mean 3.0 (SD=2.5), p=0.006. Overall, department level use of data was positively associated with higher perceived data quality and usefulness (regression coefficient=0.22, p=0.019), management request for data (regression coefficient=0.40, p=0.008) and personal motivation of the respondent (regression coefficient=1.63, p<0.001). Among managers, use of registry data was associated with data quality and usefulness (regression coefficient=0.43, p=0.027), and among frontline staff, reported data use was associated with management involvement in quality improvement work (regression coefficient=0.90, p=0.017) and personal motivation (regression coefficient=1.66, p<0.001).ConclusionsThe findings suggest relatively sparse use of data in local quality improvement work. A complex interplay of factors seem to be associated with data use with varying aspects being of importance for frontline staff and managers.

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Monitoring, Evaluation, Disease Surveillance, and Quality Improvement

10.1093/oso/9780190662455.003.0010 ◽

2017 ◽

Author(s):

Joia S. Mukherjee

Keyword(s):

Quality Improvement ◽

Medical Records ◽

Disease Surveillance ◽

Program Planning ◽

Health Data ◽

Quality Data ◽

Electronic Systems ◽

Health Delivery ◽

Use Of Data ◽

Improve Health

Quality data are necessary to make good decisions in health delivery for both individuals and populations. Data can be used to improve care and achieve equity. However, systems for health data management were historically weak in most impoverished countries. Health data are not uncommonly compiled in stacks of poorly organized paper records. Efforts to streamline and improve health information discussed in this chapter include patient-held booklets, demographic health surveys, and the use of common indicators. This chapter also focuses on the evolution of medical records, including electronic systems. The use of data for monitoring, evaluation, and quality improvement is explained. Finally, this chapter reviews the use of frameworks—such as logic models and log frames—for program planning, evaluation, and improvement.

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Be Aware of Burnout! The Role of Changes in Academic Burnout in Problematic Facebook Usage among University Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18158055 ◽

2021 ◽

Vol 18 (15) ◽

pp. 8055

Author(s):

Katarzyna Tomaszek ◽

Agnieszka Muchacka-Cymerman

Keyword(s):

Regression Coefficient ◽

Population Sample ◽

Cross Sectional ◽

Academic Burnout ◽

Independent Variables ◽

Social Motive ◽

Explained Variance ◽

The Impact ◽

The Relationship

Most previous research has examined the relationship between FB addiction and burnout level by conducting cross-sectional studies. Little is known about the impact of changes in burnout on FB addiction in an educational context. Through a two-way longitudinal survey of a student population sample (N = 115), this study examined the influence of changes in academic burnout over time and FB motives and importance (measured at the beginning and the end of the semester) on FB intrusion measured at the end of the academic semester. The findings show that: (1) increases in cynicism and in FB motives and importance significantly predicted time2 FB intrusion; (2) FB importance enhanced the prediction power of changes in the academic burnout total score, exhaustion and personal inefficacy, and reduced the regression coefficient of changes in cynicism; (3) the interaction effects between FB social motive use and changes in academic burnout, as well as between FB importance and personal inefficacy and exhaustion, accounted for a significant change in the explained variance of time2 FB intrusion. About 20–30% of the variance in time2 FB intrusion was explained by all the examined variables and by the interactions between them. The results suggest that changes in academic burnout and FB motives and importance are suppressive variables, as including these variables in the regression model all together changed the significance of the relationship between independent variables and FB intrusion.

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Attitudes of pharmacy students towards patient safety: a cross-sectional study from six developing countries

BMJ Open ◽

10.1136/bmjopen-2020-039459 ◽

2020 ◽

Vol 10 (12) ◽

pp. e039459

Author(s):

Abdallah Y Naser ◽

Zahra Khalil Alsairafi ◽

Ahmed Awaisu ◽

Hassan Alwafi ◽

Oriana Awwad ◽

...

Keyword(s):

Developing Countries ◽

Saudi Arabia ◽

Patient Safety ◽

Quality Improvement ◽

Core Competencies ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Pharmacy Students ◽

Sectional Study ◽

Cross Sectional

ObjectiveTo evaluate the attitudes of undergraduate pharmacy students towards patient safety in six developing countries.DesignA cross-sectional study.SettingParticipants were enrolled from the participating universities in six countries.ParticipantsUndergraduate pharmacy students from the participating universities in six developing countries (Jordan, Saudi Arabia, Kuwait, Qatar, India and Indonesia) were invited to participate in the study between October 2018 and September 2019.Primary outcomeAttitudes towards patient safety was measured using 14-item questionnaire that contained five subscales: being quality-improvement focused, internalising errors regardless of harm, value of contextual learning, acceptability of questioning more senior healthcare professionals’ behaviour and attitude towards open disclosure. Multiple-linear regression analysis was used to identify predictors of positive attitudes towards patient safety.ResultsA total of 2595 students participated in this study (1044 from Jordan, 514 from Saudi Arabia, 134 from Kuwait, 61 from Qatar, 416 from India and 429 from Indonesia). Overall, the pharmacy students reported a positive attitude towards patient safety with a mean score of 37.4 (SD=7.0) out of 56 (66.8%). The ‘being quality-improvement focused’ subscale had the highest score, 75.6%. The subscale with the lowest score was ‘internalising errors regardless of harm’, 49.2%. Female students had significantly better attitudes towards patient safety scores compared with male students (p=0.001). Being at a higher level of study and involvement in or witnessing harm to patients while practising were important predictors of negative attitudes towards patient safety (p<0.001).ConclusionPatient safety content should be covered comprehensively in pharmacy curricula and reinforced in each year of study. This should be more focused on students in their final year of study and who have started their training. This will ensure that the next generation of pharmacists are equipped with the requisite knowledge, core competencies and attitudes to ensure optimal patient safety when they practice.

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An innovative intervention to improve respectful maternity care in three Districts in Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03934-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Birkety Mengistu ◽

Haregeweyni Alemu ◽

Munir Kassa ◽

Meseret Zelalem ◽

Mehiret Abate ◽

...

Keyword(s):

Quality Improvement ◽

Maternity Care ◽

Regression Coefficient ◽

Interrupted Time Series ◽

The Other ◽

Respectful Maternity Care ◽

Experience Of Care ◽

National Initiative ◽

Care Training

Abstract Background Mistreatment of women during facility-based childbirth is a major violation of human rights and often deters women from attending skilled birth. In Ethiopia, mistreatment occurs in up to 49.4% of mothers giving birth in health facilities. This study describes the development, implementation and results of interventions to improve respectful maternity care. As part of a national initiative to reduce maternal and perinatal mortality in Ethiopia, we developed respectful maternity care training module with three core components: testimonial videos developed from key themes identified by staff as experiences of mothers, skills-building sessions on communication and onsite coaching. Respectful maternity care training was conducted in February 2017 in three districts within three regions. Methods Facility level solutions applied to enhance the experience of care were documented. Safe Childbirth Checklist data measuring privacy and birth companion offered during labor and childbirth were collected over 27 months from 17 health centers and three hospitals. Interrupted time series and regression analysis were conducted to assess significance of improvement using secondary routinely collected programmatic data. Results Significant improvement in the percentage of births with two elements of respectful maternal care—privacy and birth companionship offered— was noted in one district (with short and long-term regression coefficient of 18 and 27% respectively), while in the other two districts, results were mixed. The short-term regression coefficient in one of the districts was 26% which was not sustained in the long-term while in the other district the long-term coefficient was 77%. Testimonial videos helped providers to see their care from their clients’ perspectives, while quality improvement training and coaching helped them reflect on potential root causes for this type of treatment and develop effective solutions. This includes organizing tour to the birthing ward and allowing cultural celebrations. Conclusion This study demonstrated effective way of improving respectful maternity care. Use of a multipronged approach, where the respectful maternity care intervention was embedded in quality improvement approach helped in enhancing respectful maternity care in a comprehensive manner.

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Effectiveness of cardiac rehabilitation for prevention and treatment of sarcopenia in patients with cardiovascular disease - a retrospective cross-sectional analysis

The journal of nutrition health & aging ◽

10.1007/s12603-016-0743-9 ◽

2016 ◽

Vol 21 (4) ◽

pp. 449-456 ◽

Cited By ~ 15

Author(s):

H. Harada ◽

H. Kai ◽

H. Niiyama ◽

Y. Nishiyama ◽

A. Katoh ◽

...

Keyword(s):

Cardiovascular Disease ◽

Cardiac Rehabilitation ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Prevention And Treatment ◽

Sectional Analysis

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A Cross-Sectional Study of Medical Students' Knowledge of Patient Safety and Quality Improvement

North Carolina Medical Journal ◽

10.18043/ncm.75.1.15 ◽

2014 ◽

Vol 75 (1) ◽

pp. 15-20 ◽

Cited By ~ 3

Author(s):

Rachel C. Blasiak ◽

Claire L. Stokes ◽

Karen L. Meyerhoff ◽

Rachel E. Hines ◽

Lindsay A. Wilson ◽

...

Keyword(s):

Patient Safety ◽

Quality Improvement ◽

Medical Students ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Data Use Among Principals and Teachers: Divergent Paths or Common Ground?

Journal of School Administration Research and Development ◽

10.32674/jsard.v5i2.2240 ◽

2020 ◽

Vol 5 (2) ◽

pp. 63-76

Author(s):

Waheeb Albiladi ◽

Kara Lasater ◽

Ed Bengtson

Keyword(s):

School Districts ◽

Common Ground ◽

Data Use ◽

Research Approach ◽

Central State ◽

Use Of Data ◽

South Central ◽

Multiple Cycles ◽

The Common ◽

Depth Interviews

This study examines teachers’ and administrators’ use of data to inform their practice in one south-central state. Using a qualitative research approach, the study involved 76 educators representing eight school districts. Data were collected using focus groups with teachers and in-depth interviews with school principals. Data were inductively and deductively analyzed using multiple cycles of coding. Analysis of data revealed three themes that exposed differences in the use of data by teachers and administrators: the challenges of data use, the “levels” at which data are viewed (micro and macro lenses), and the value placed on formal and informal data. Findings suggest that by understanding the differences between teachers’ and administrators’ perspectives on data use and recognizing the common ground that unites their perspectives, schools can create data cultures that foster shared expectations, collaboration, and trust between teachers and administrators.

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