International journal for quality in health care : journal of the International Society for Quality in Health Care
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Int J Qual Health Care · Mar 2018
Randomized Controlled Trial Multicenter Study Comparative StudyA comparison of outcomes between Canada and the United States in patients recovering from hip fracture repair: secondary analysis of the FOCUS trial.
To determine if adjusted mortality, walking ability or return home differed after hip fracture surgery between Canada and the USA. ⋯ Adjusted survival favored Canadians post hip fracture while walking ability and return home were not different between countries. The reason(s) for mortality differences warrant further investigation.
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Int J Qual Health Care · Jun 2017
Randomized Controlled TrialUnannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial.
To evaluate the effectiveness of unannounced versus announced surveys in detecting non-compliance with accreditation standards in public hospitals. ⋯ Unannounced hospital surveys were not more effective than announced surveys in detecting quality problems in Danish hospitals.
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Int J Qual Health Care · Jun 2015
Randomized Controlled TrialThe business case for pediatric asthma quality improvement in low-income populations: examining a provider-based pay-for-reporting intervention.
To measure the return on investment (ROI) for a pediatric asthma pay-for-reporting intervention initiated by a Medicaid managed care plan in New York State. ⋯ A pay-for-reporting, chart audit intervention is unlikely to achieve the meaningful reductions in utilization of high-cost services that would be necessary to produce a financial ROI in 2.5 years.
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Int J Qual Health Care · Aug 2014
Randomized Controlled TrialFeasibility and evaluation of a pilot community health worker intervention to reduce hospital readmissions.
To pilot-test the feasibility and preliminary effect of a community health worker (CHW) intervention to reduce hospital readmissions. ⋯ Under performance-based payment systems, identifying cost-effective solutions for reducing hospital readmissions will be crucial to the economic survival of all hospitals, especially safety-net systems. This pilot study suggests that with appropriate supportive infrastructure, hospital-based CHWs may represent a feasible strategy for improving transitional care among vulnerable populations. An ongoing, randomized, controlled trial of a CHW intervention, developed according to the lessons of this pilot, will provide further insight into the utility of this approach to reducing readmissions.
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Int J Qual Health Care · Jul 2013
Randomized Controlled Trial Comparative StudyClassroom and simulation team training: a randomized controlled trial.
To test the hypotheses that classroom and simulation-based crew resource management (CRM) training interventions improve teamwork attitudes and behaviours of participants and that classroom training combined with simulation-based training provide synergistic improvements. ⋯ Classroom-based training alone resulted in improvements in participant knowledge and observed teamwork behaviour. The study found no additional impact of simulation training.