Scoping review of balanced scorecards for use in healthcare settings: development and implementation

ObjectiveBalanced scorecards (BSCs) were developed in the early 1990s in corporate settings as a strategic performance management tool that emphasised measurement from multiple perspectives. Since their introduction, BSCs have been adapted for a variety of industries, including to healthcare settings. The aim of this scoping review was to describe the application of BSCs in healthcare.MethodsMedline, Embase and CINHAL databases were searched using keywords and medical subject headings for ‘balanced scorecard’ and related terms from 1992 to 17/04/2020. Title and abstract screening and full text review were conducted in duplicate by two reviewers. Studies describing the development and/or implementation of a BSC in a healthcare setting were included. Data were abstracted using pilot-tested forms and reviewed for key themes and findings.Results8129 records were identified and 841 underwent a full text review. 87 articles were included. Over 26 countries were represented and the majority of BSCs were applied at a local level (54%) in hospital settings (41%). While almost all discussed Kaplan and Norton’s original BSC (97%), only 69% described alignment with a strategic plan. Patients/family members were rarely involved in development teams (3%) which typically were comprised of senior healthcare leaders/administrators. Only 21% of BSCs included perspectives using identical formatting to the original BSC description. Lessons learnt during development addressed three main themes: scorecard design, stakeholder engagement and feasibility.ConclusionsBSC frameworks have been used in various healthcare settings but frequently undergo adaptation from the original description in order to suit a specific healthcare context. Future BSCs should aim to include patients/families to promote patient-centred healthcare systems. Considering the heterogeneity evident in development approaches, methodological guidance in this area is warranted.

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Irritant-Induced Chronic Cough Triggers: A Scoping Review and Clinical Checklist

American Journal of Speech-Language Pathology ◽

10.1044/2021_ajslp-20-00362 ◽

2021 ◽

pp. 1-31

Author(s):

Mary J. Sandage ◽

Elizabeth S. Ostwalt ◽

Lauren H. Allison ◽

Grace M. Cutchin ◽

Mariah E. Morton ◽

...

Keyword(s):

Scoping Review ◽

Full Text ◽

Chronic Cough ◽

English Language ◽

Meta Analysis ◽

Occupational Exposures ◽

Unique Contribution ◽

International Scope ◽

Scoping Reviews ◽

Full Text Review

Purpose The primary aim of this review was to identify environmental irritants known to trigger chronic cough through the life span and develop a comprehensive clinically useful irritant checklist. Method A scoping review was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews, checklist, and explanation. English-language, full-text resources were identified through Medline, PsycINFO, SPORTDiscus, Web of Science, and ProQuest Dissertations and Theses Global. Results A total of 1,072 sources were retrieved; of these, 109 were duplicates. Titles of abstracts of 963 articles were screened, with 295 selected for full-text review. Using the exclusion and inclusion criteria listed, 236 articles were considered eligible and 214 different triggers were identified. Triggers were identified from North America, Europe, Africa, Asia, and Australia. Occupational exposures were also delineated. Conclusions A clinically useful checklist of both frequently encountered triggers and idiosyncratic or rare triggers was developed. The clinical checklist provides a unique contribution to streamline and standardize clinical assessment of irritant-induced chronic cough. The international scope of this review extends the usefulness of the clinical checklist to clinicians on most continents.

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Dashboards in Healthcare Settings: A Scoping Review Protocol (Preprint)

10.2196/preprints.34894 ◽

2021 ◽

Author(s):

Danielle Helminski ◽

Jacob E. Kurlander ◽

Anjana Deep Renji ◽

Jeremy B. Sussman ◽

Paul N. Pfeiffer ◽

...

Keyword(s):

Organizational Performance ◽

Scoping Review ◽

Full Text ◽

End Users ◽

Healthcare Sector ◽

Cochrane Library ◽

Routine Practice ◽

End User ◽

Healthcare Organizations ◽

Healthcare Settings

BACKGROUND Healthcare organizations increasingly depend on business intelligence tools, including “dashboards,” to capture, analyze, and present data on performance metrics. Ideally, dashboards allow users to quickly visualize actionable data to inform and optimize clinical and organizational performance. In reality, dashboards are typically embedded in complex healthcare organizations, with massive data streams, and end users with distinct needs. Thus, designing effective dashboards is a challenging task. Yet, theoretical underpinnings of healthcare dashboards are poorly characterized; even the concept of the dashboard remains ill-defined. Researchers, informaticists, clinical managers, and healthcare administrators will benefit from a clearer understanding of how dashboards have been developed, implemented, and evaluated, and how the design, end-user, and context influence their uptake and effectiveness. OBJECTIVE This scoping review first aims to survey the vast published literature of “dashboards” to describe where, why, and for whom they are used in healthcare settings, as well as how they are developed, implemented, and evaluated. Further, we will examine how dashboard design and content is informed by intended purpose and end-users. METHODS In July 2020, we searched Medline, EMBASE, Web of Science, and the Cochrane Library for peer-reviewed literature using a targeted strategy developed with a research librarian and retrieved 5,188 results. Following deduplication, 3,306 studies were screened in duplicate for title and abstract. Any abstracts mentioning a healthcare dashboard were retrieved in full-text and are undergoing duplicate review for eligibility. Articles will be included for data extraction and analysis if they describe the development, implementation, or evaluation of a dashboard that was successfully used in routine workflow. Articles will be excluded if they were published before 2015, unavailable in full-text, in a non-English language, or describe dashboards used for public health tracking, in settings where direct patient care is not provided, or in undergraduate medical education. Any discrepancies in eligibility determination will be adjudicated by a third reviewer. We chose to focus on articles published after 2015 and those that describe dashboards that were successfully used in routine practice to identify the most recent and relevant literature to support future dashboard development in the rapidly evolving field of healthcare informatics. RESULTS All articles have undergone dual review for title and abstract, with 2,019 articles mentioning use of a healthcare dashboard retrieved in full-text for further review. We are currently reviewing all full-text articles in duplicate. We aim to publish findings by summer of 2022. Findings will be reported following guidance from the PRISMA-ScR checklist. CONCLUSIONS This scoping review will provide stakeholders with an overview of existing dashboard tools, highlighting the ways in which dashboards have been developed, implemented, and evaluated in different settings and end-user groups, and identify potential research gaps. Findings will guide efforts to design and utilize dashboards in the healthcare sector more effectively.

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Study protocol for a scoping review on rehabilitation scoping reviews

Clinical Rehabilitation ◽

10.1177/0269215516688514 ◽

2017 ◽

Vol 31 (9) ◽

pp. 1249-1256 ◽

Cited By ~ 15

Author(s):

Heather L Colquhoun ◽

Tiago S Jesus ◽

Kelly K O’Brien ◽

Andrea C Tricco ◽

Adora Chui ◽

...

Keyword(s):

Scoping Review ◽

Full Text ◽

Keyword Search ◽

Second Phase ◽

Research Practice ◽

Scoping Reviews ◽

Full Text Review ◽

Methodological Improvement ◽

Two Phases ◽

Abstract Screening

Introduction: Scoping reviews are increasingly popular in rehabilitation. However, significant variability in scoping review conduct and reporting currently exists, limiting potential for the methodology to advance rehabilitation research, practice and policy. Our aim is to conduct a scoping review of rehabilitation scoping reviews in order to examine the current volume, yearly distribution, proportion, scope and methodological practices involved in the conduct of scoping reviews in rehabilitation. Key areas of methodological improvement will be described. Methods and analysis: We will undertake the review using the Arksey and O’Malley scoping review methodology. Our search will involve two phases. The first will combine a previously conducted scoping review of scoping reviews (not distinct to rehabilitation, with data current to July 2014) together with a rehabilitation keyword search in PubMed. Articles found in the first phase search will undergo a full text review. The second phase will include an update of the previously conducted scoping review of scoping reviews (July 2014 to current). This update will include the search of nine electronic databases, followed by title and abstract screening as well as a full text review. All screening and extraction will be performed independently by two authors. Articles will be included if they are scoping reviews within the field of rehabilitation. A consultation exercise with key targets will inform plans to improve rehabilitation scoping reviews. Ethics and dissemination: Ethics will be required for the consultation phase of our scoping review. Dissemination will include peer-reviewed publication and conferences in rehabilitation-specific contexts.

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Approaches and criteria for provenance in biomedical data sets/workflows: a scoping review (Preprint)

10.2196/preprints.31750 ◽

2021 ◽

Author(s):

Kerstin Gierend ◽

Frank Krüger ◽

Dagmar Waltemath ◽

Maximilian Fünfgeld ◽

Atinkut Alamirrew Zeleke ◽

...

Keyword(s):

Scoping Review ◽

Full Text ◽

Web Of Science ◽

Scientific Data ◽

Management Tool ◽

Biomedical Data ◽

Knowledge Gaps ◽

Provenance Information ◽

Scientific Results ◽

Full Text Screening

BACKGROUND Provenance supports the understanding of data genesis and it is a key factor to ensure the trustworthiness of the digital objects containing (sensitive) scientific data. Provenance information contributes to a better understanding of scientific results and fosters collaboration on existing data as well as data-sharing. This encompasses defining comprehensive concepts and standards for transparency and traceability, reproducibility, validity and quality assurance during clinical and scientific data workflows and/or research. OBJECTIVE The aim of this scoping review is to investigate approaches and challenges for provenance tracking as well as disclosing current knowledge gaps in the area. The review covers modeling aspects as well as metadata frameworks for capturing meaningful and usable provenance information during creation, collection and processing of (sensitive) scientific biomedical data. The objective of the review also includes the examination of quality aspects of provenance criteria. METHODS The scoping review will follow the methodological framework by Arksey and O'Malley. Relevant publications will be obtained by querying PubMed and Web of Science. All articles in English language will be included, within the time period between 2006 and 23-March 2021. Database retrieval will be accompanied by manual search for grey literature. Potential publications will then be exported into a reference management software, and duplicates will be removed. Afterwards, the obtained set of papers will be transferred into a systematic review management tool. All publications will be screened, extracted and analyzed: title and abstract screening will be carried out by 4 independent reviewers. Majority vote is required for consent to eligibility of articles based on defined inclusion and exclusion criteria. Full-text reading will be performed independently by 2 reviewers and in the last step key information will be extracted on a template which has been evaluated by the reviewers beforehand. If agreement cannot be reached, the conflict will be resolved by a domain expert. Charted data will be analyzed by categorizing and summarizing the individual data items based on the research questions. Tabular or graphical overviews will be given, if applicable. RESULTS The reporting follows the extension of the PRISMA statements for scoping reviews (PRISMA-ScR). Electronic database searches in PubMed and Web of Science resulted in 469 matches after deduplication. As of June 2021, the scoping review is in the full text screening stage. The data extraction using the pretested charting template will follow the full text screening stage. We expect the scoping review report to be completed by the end of 2021. CONCLUSIONS Information about the origin of healthcare data has a major impact on the quality and the reusability of scientific results as well as follow-up activities. This scoping review will provide information about current approaches, challenges or knowledge gaps with provenance tracking in biomedical sciences.

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English public management reform after 2010

10.1093/oso/9780198777212.003.0004 ◽

2018 ◽

Author(s):

Ewan Ferlie ◽

Sue Dopson ◽

Chris Bennett ◽

Michael D. Fischer ◽

Jean Ledger ◽

...

Keyword(s):

Performance Management ◽

Public Management ◽

New Public Management ◽

Global Financial Crisis ◽

Local Level ◽

Management Reform ◽

Big Society ◽

New Public ◽

Primary Care Sector ◽

The Global Financial Crisis

This chapter characterizes the overall strategy of public services reform apparent in England after the global financial crisis of 2008 and during the period of the UK’s Coalition government 2010–15. It argues that what can be termed a ‘proto narrative’ of reform, orientated around so-called ‘Big Society’ ideas, emerged around 2010. However, we argue it was trumped in the end by Treasury-led and New Public Management-friendly austerity discourse. The concrete example is taken of the health policy to form new clinical commissioning groups in the primary care sector. They were presented as a mechanism which could promote professional engagement in commissioning. However, they were soon subjected to top-down performance management pressures and systems, including strong attempts to prevent financial deficits from emerging at a local level, which eroded bottom-up and professionally driven innovation. We conclude that the Big Society proto reform narrative failed to consolidate itself.

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Practice of Telehealth in Otolaryngology: A Scoping Review in the Era of COVID-19

Otolaryngology ◽

10.1177/01945998211013751 ◽

2021 ◽

pp. 019459982110137

Author(s):

Joseph N. Gonzalez ◽

Lucas G. Axiotakis ◽

Victoria X. Yu ◽

David A. Gudis ◽

Jonathan B. Overdevest

Keyword(s):

Outcome Measures ◽

Scoping Review ◽

Medical Center ◽

Randomized Study ◽

Marked Change ◽

Policy Decision ◽

Columbia University ◽

Group Assignment ◽

Scoping Reviews ◽

Full Text Review

Objective The COVID-19 pandemic has spurred widespread adoption and advancement in telehealth activities, representing a marked change in otolaryngology practice patterns. The present study undertakes a scoping review of research focused on telehealth in otolaryngology (teleotolaryngology) to identify key themes and commonly utilized outcome measures that will assist future development in this growing field. Data Sources PubMed, Embase, and Cochrane databases and reference review. Review Methods Per guidelines of the PRISMA Extension for Scoping Reviews, we performed database queries using a comprehensive search strategy developed in collaboration with research librarians at the Columbia University Irving Medical Center. We identified 596 unique references to undergo title and abstract review by 2 independent reviewers, leaving 439 studies for full-text review. Results We included 285 studies for extraction of notable findings, leaving 262 unique studies after accounting for content overlap. We identified core outcome measures, including patient and provider satisfaction, costs and benefits, quality of care, feasibility, and access to care. Publication volume increased markedly over time, though only 4% of studies incorporated randomized study group assignment. Using an iterative approach to thematic development, we organized article content across 5 main themes: (1) exploration of teleotolaryngology evolution, (2) role in virtual clinical encounters, (3) applications in interdisciplinary care and educational initiatives, (4) emerging and innovative technologies, and (5) barriers to implementation. Conclusion This scoping review of teleotolaryngology documents its evolution and identifies current use cases, limitations, and emerging applications, providing a foundation from which to build future studies, inform policy decision making, and facilitate implementation where appropriate.

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Ethical and culturally competent care of transgender patients: A scoping review

Nursing Ethics ◽

10.1177/0969733020988307 ◽

2021 ◽

pp. 096973302098830

Author(s):

Amara Sundus ◽

Sharoon Shahzad ◽

Ahtisham Younas

Keyword(s):

Scoping Review ◽

Healthcare Professionals ◽

Culturally Sensitive ◽

Culturally Competent ◽

Culturally Competent Care ◽

Individual Level ◽

Culturally Sensitive Care ◽

Healthcare Settings ◽

Ethical Approval ◽

Sensitive Issues

Background: Transgender individuals experience discrimination, stigmatization, and unethical and insensitive attitudes in healthcare settings. Therefore, healthcare professionals must be knowledgeable about the ways to deliver ethical and culturally competent care. Ethical considerations: No formal ethical approval was required. Aim: To synthesize the literature and identify gaps about approaches to the provision of ethical and culturally competent care to transgender populations. Design: A Scoping Review Literature Search: Literature was searched within CINAHL, Science Direct, PubMed, Google Scholar, EMBASE, and Scopus databases using indexed keywords such as “transgender,” “gender non-conforming,” “ethically sensitive care,” and “culturally sensitive care.” In total, 30 articles, which included transgender patients and their families and nurses, doctors, and health professionals who provided care to transgender patients, were selected for review. Data were extracted and synthesized using tabular and narrative summaries and thematic synthesis. Findings: Of 30 articles, 23 were discussion papers, 5 research articles, and 1 each case study and an integrative review. This indicates an apparent dearth of literature about ethical and culturally sensitive care of transgender individuals. The review identified that healthcare professionals should educate themselves about sensitive issues, become more self-aware, put transgender individual in charge during care interactions, and adhere to the principles of advocacy, confidentiality, autonomy, respect, and disclosure. Conclusions: The review identified broad approaches for the provision of ethical and culturally competent care. The identified approaches could be used as the baseline, and further research is warranted to develop and assess organizational and individual-level approaches.

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Hyaluronic Acid Fillers for Midface Augmentation: A Systematic Review

Facial Plastic Surgery ◽

10.1055/s-0041-1724122 ◽

2021 ◽

Author(s):

Lily N. Trinh ◽

Amar Gupta

Keyword(s):

Systematic Review ◽

Hyaluronic Acid ◽

Subcutaneous Tissue ◽

Age Groups ◽

Medical Subject Headings ◽

Mesh Terms ◽

Full Text Review ◽

Filler Injections ◽

Subjective Measurements ◽

Meta Analyses

AbstractInjectable fillers represent one of the most requested minimally invasive treatments to rejuvenate the aging face, and its popularity is steadily rising. A vast majority of filler treatments are with hyaluronic acid (HA). The aim of this systematic review is to evaluate patient outcomes, safety profile, and administration techniques of various HA fillers for malar augmentation. A systematic review of the published literature was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and included PubMed, Embase, and Science Direct databases. Medical Subject Headings (MeSH) terms used were “cheek” OR “midface” OR “malar” and “filler” OR “hyaluronic acid” OR “Juvederm” OR “Restylane” OR “Perlane” OR “Belotero.” The initial search identified 699 articles; 256 duplicates were removed. Additional 12 studies were identified from reference lists. A total of 455 were screened by title and abstract and 387 studies were eliminated based on criteria. Also, 68 articles underwent full-text review, and 18 articles were included in the final review and involved seven different HA formulations. Men and women from many age groups were highly satisfied with their results following HA treatment for midface augmentation up to 24 months. The most common adverse events included bruising, swelling, and tenderness, and typically lasted no more than 2 weeks. Upper cheek filler injections near the zygoma should be placed in the submuscular plane while lower cheek injections should be placed in the subcutaneous tissue. HA is an attractive choice for midface augmentation due to its high patient satisfaction, long-lasting effects, and low side-effect profile. Due to the variability in technique, level of expertise, and subjective measurements across studies, one optimal regimen could not be concluded. However, midface augmentation treatment should be personalized to each patient. Additional clinical trials are required to more conclusively determine the most appropriate approach for this procedure.

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Creation of aNovel Preoperative Imaging Review Acronym to Aid in Revision Endoscopic Sinus Surgery

Otolaryngology ◽

10.1177/01945998211053530 ◽

2021 ◽

pp. 019459982110535

Author(s):

Omar A. Karadaghy ◽

Andrew M. Peterson ◽

Meha Fox ◽

Jacob White ◽

Vidur Bhalla ◽

...

Keyword(s):

Full Text ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Preoperative Imaging ◽

Cochrane Central Register ◽

Surgical Morbidity ◽

Screening Criteria ◽

Ovid Medline ◽

Full Text Review ◽

Meta Analyses

Objectives (1) Identify anatomic contributions to chronic rhinosinusitis (CRS) necessitating revision endoscopic sinus surgery (RESS). (2) Create a clinical acronym to guide imaging review prior to RESS that addresses pertinent sites of disease and potential sites of surgical morbidity. Data Sources Ovid MEDLINE, Embase and Medline via Embase.com , Web of Science Core Collection, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar. Review Methods Systematic search was performed using a combination of standardized terms and keywords. Studies were included if they investigated anatomic contributions to persistent CRS requiring RESS or the relationship between anatomic landmarks and surgical morbidity. Identified studies were screened by title/abstract, followed by full-text review. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were strictly followed. Results In total, 599 articles met screening criteria, 89 were eligible for full-text review, and 27 studies were included in the final review. The identified anatomic sites of interests are broad; the most frequently cited anatomic region was retained anterior ethmoid cells (22/27 studies), followed by posterior ethmoid cells (14/27 studies). Using the consolidated information, a clinical acronym, REVISIONS, was created: Residual uncinate, Ethmoid cells (agger, Haller, supraorbital), Vessels (anterior and posterior ethmoid), Infundibulum, Septal deviation, I (eye) compartment, Onodi cell, Natural os, and Skull base slope and integrity. Conclusions The REVISIONS acronym was developed as a tool to distill the unique anatomic contributions of primary endoscopic sinus surgery failure into a format that can be easily incorporated in preoperative radiologic review and surgical planning to optimize outcomes and minimize complications.

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A Scoping Review of Modifiable Risk Factors in Pediatric Onset Multiple Sclerosis: Building for the Future

Children ◽

10.3390/children5110146 ◽

2018 ◽

Vol 5 (11) ◽

pp. 146 ◽

Cited By ~ 2

Author(s):

Julie Pétrin ◽

Max Fiander ◽

Prenitha Doss ◽

E. Yeh

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Vitamin D ◽

Relapse Rate ◽

Scoping Review ◽

Full Text ◽

Lifestyle Factors ◽

Increased Risk ◽

Modifiable Lifestyle Factors ◽

Pediatric Onset

Knowledge of the effect of modifiable lifestyle factors in the pediatric multiple sclerosis (MS) population is limited. We therefore conducted a scoping review, following the framework provided by Arksey and O’Malley. Four databases were searched for pediatric MS and modifiable lifestyle factors using index terms and keywords, from inception to May 2018. All quantitative and qualitative primary articles were included and limited to English and full text. Of the 7202 articles identified and screened, 25 full-text articles were relevant to our objective and were included. These articles focused on diet obesity, physical activity, and sleep. In cross-sectional analyses, these lifestyle factors were associated with increased risk of pediatric onset MS (POMS), and increased disease activity. Diet, particularly vitamin D and vegetable intake, was associated with reduced relapse rate. Obesity was linked to increased risk of POMS, and physical activity was associated with reduced relapse rate and sleep/rest fatigue. Thus, available studies of lifestyle related outcomes in pediatric MS suggest specific lifestyle related factors, including obesity, higher vitamin D levels, and higher physical activity may associate with lower disease burden in POMS. Studies reviewed are limited by their observational designs. Future studies with longitudinal and experimental designs may further clarify the role of modifiable lifestyle factors in this population.

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