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Subject = Quality of Health Care;
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Displaying Results 1 - 9 of 9 on page 1 of 1
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Appropriate use of elective coronary angiography in patients with suspected stable coronary artery disease
(2019)
Hanrahan, Michael T.; O'Flynn, Anne Marie; McHugh, Sheena M.; Kearney, Peter; Kear...
Appropriate use of elective coronary angiography in patients with suspected stable coronary artery disease
(2019)
Hanrahan, Michael T.; O'Flynn, Anne Marie; McHugh, Sheena M.; Kearney, Peter; Kearney, Patricia M.
Abstract:
Introduction: The American College of Cardiology Foundation (ACCF) with other professional societies developed appropriate use criteria (AUC) for diagnostic coronary angiography. This study aims to examine the appropriate use of elective coronary angiography for patients with suspected stable coronary artery disease in an Irish tertiary referral center. Methods: A retrospective chart review of all elective outpatient diagnostic coronary angiograms performed in Cork University Hospital in 2014 was carried out. Data on demographics, risk factors, clinical presentation, and prior non-invasive investigations were extracted. Each patient was evaluated according to the 2012 ACCF appropriate use criteria and classified as appropriate, uncertain, or inappropriate. Univariable and multivariable logistic regression analysis was performed to investigate the factors that predict patients undergoing appropriate diagnostic coronary angiography. Results: Of 417 elective outpatient diagnostic coron...
http://hdl.handle.net/10468/7432
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Cardiac rehabilitation staff views about discussing sexual issues with coronary heart disease patients: A national survey in Ireland
(2012)
Doherty, Sally; Byrne, Molly; Murphy, Andrew W.
Cardiac rehabilitation staff views about discussing sexual issues with coronary heart disease patients: A national survey in Ireland
(2012)
Doherty, Sally; Byrne, Molly; Murphy, Andrew W.
Abstract:
Journal article
Background: While a healthy sexual life is regarded as an important aspect of quality of life, sexual counselling from healthcare providers for cardiac patients has received little attention in the literature. Aim: To document current practice and assess the needs of cardiac rehabilitation service providers in Ireland with regard to sexual assessment and management for patients. Methods: Cardiac rehabilitation staff in all relevant centres in Ireland responded to a postal questionnaire. Sexual health management was assessed by a series of questions on current practice, staff attitudes, beliefs and perceived barriers to discussing sexual problems. Results: Staff (N=60; 61% response rate) reported a lack of assessment and counselling protocols for addressing sexual health problems, with little or no onward referral system available. Results also suggest staff believe that patients do not expect them to ask about their sexual concerns. Barriers reported included an ...
http://hdl.handle.net/10379/2866
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Community first responders for out-of-hospital cardiac arrest in adults and children
(2019)
Barry, Tomas; Doheny, Maeve C.; Masterson, Siobhán; Conroy, Niall; Klimas, Jan; Segurad...
Community first responders for out-of-hospital cardiac arrest in adults and children
(2019)
Barry, Tomas; Doheny, Maeve C.; Masterson, Siobhán; Conroy, Niall; Klimas, Jan; Segurado, Ricardo; Codd, Mary; Bury, Gerard
Abstract:
Background: Mobilization of community first responders (CFRs) to the scene of an out-of-hospital cardiac arrest (OHCA) event has been proposed as a means of shortening the interval from occurrence of cardiac arrest to performance of cardiopulmonary resuscitation (CPR) and defibrillation, thereby increasing patient survival. Objectives: To assess the effect of mobilizing community first responders (CFRs) to out-of-hospital cardiac arrest events in adults and children older than four weeks of age, in terms of survival and neurological function. Search methods We searched the following databases for relevant trials in January 2019: CENTRAL, MEDLINE (Ovid SP), Embase (Ovid SP), and Web of Science. We also searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) and ClinicalTrials.gov, and we scanned the abstracts of conference proceedings of the American Heart Association and the European Resuscitation Council. Selection criteria We included ran...
http://hdl.handle.net/10197/11236
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Focus on quality in healthcare in Ireland.
(2008)
Collins, Chris G; Joyce, Pauline
Focus on quality in healthcare in Ireland.
(2008)
Collins, Chris G; Joyce, Pauline
Abstract:
<p>This article is also available at <a href="http://www.emeraldinsight.com/doi/full/10.1108/09526860810859067">http://www.emeraldinsight.com/doi/full/10.1108/09526860810859067</a></p>
<p>PURPOSE: The purpose of this paper is to summarise the recent debates and issues on the healthcare system in Ireland, which have come to the fore through media exposure. The implications for these debates on quality are suggested and questions are raised to stimulate further debate.</p> <p>DESIGN/METHODOLOGY/APPROACH: Recent reports and media opinion articles are reviewed in the light of the health reform programme and the increased prosperity due to the Celtic Tiger era in Ireland.</p> <p>FINDINGS: The Health Service in Ireland is not what it should be. Progress has been made but resistance at all levels is significant due to the mistrust and miscommunication between the managerial and clinical personnel which have built up durin...
https://epubs.rcsi.ie/smedart/1
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Impact of language barriers on stroke care and outcomes
(2018)
Shah, Baiju R.; Khan, Nadia A.; O’Donnell, Martin J.; Kapral, Moira K.
Impact of language barriers on stroke care and outcomes
(2018)
Shah, Baiju R.; Khan, Nadia A.; O’Donnell, Martin J.; Kapral, Moira K.
Abstract:
Background and Purpose-Language barriers may lead to poor quality of care, particularly for conditions like acute stroke for which diagnosis and treatment decision making rely on taking an accurate patient history. The purpose of this study was to determine the impact of patient language barriers on quality of stroke care and clinical outcomes. Methods-This retrospective cohort study used data from the Registry of the Canadian Stroke Network. All Ontario patients who were admitted with acute stroke or transient ischemic attack between July 2003 and March 2008 were selected. Mortality, stroke outcomes, in-hospital complications, quality of care, and disposition were compared between those without (n=12 787) and with (n=1506) language barriers, which was defined based on the patient's preferred language. Hierarchical multivariable regression models determined the effect of language barriers, independent of baseline covariates. Results-Patients with language barriers had better 7-...
http://hdl.handle.net/10379/13872
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Improving the quality of STI care by private general practitioners: a South African case study.
(2005)
Schneider, Helen; Chabikuli, Nzapfurundi Otto; Blaauw, Duane; Funani, Itumeleng; Brugha...
Improving the quality of STI care by private general practitioners: a South African case study.
(2005)
Schneider, Helen; Chabikuli, Nzapfurundi Otto; Blaauw, Duane; Funani, Itumeleng; Brugha, Ruairi
Abstract:
<p>This article is also available from <a href="http://www.bmj.com">www.bmj.com</a></p>
<p>OBJECTIVES: Evaluation of an intervention to improve quality of sexually transmitted infections (STI) care among 64 private general practitioners (GPs) working in two urban districts in Gauteng Province, South Africa.</p> <p>METHODS: We implemented a multifaceted intervention, the core of which were four interactive continuing medical education seminars. Changes in STI treatment practices were evaluated through record reviews before and after the continuing medical education intervention in 17 randomly selected practices in the intervention districts and in nine randomly selected practices from a reference GP group (n = 34).</p> <p>RESULTS: There were statistically significant improvements in the quality of drug treatment for urethral discharge but not pelvic inflammatory disease among both intervention and reference GPs.</...
https://epubs.rcsi.ie/ephmart/33
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Quality care, public perception and quick-fix service management: a Delphi study on stressors of hospital doctors in Ireland.
(2015)
Hayes, Blanaid; Fitzgerald, Deirdre; Doherty, Sally; Walsh, Gillian
Quality care, public perception and quick-fix service management: a Delphi study on stressors of hospital doctors in Ireland.
(2015)
Hayes, Blanaid; Fitzgerald, Deirdre; Doherty, Sally; Walsh, Gillian
Abstract:
<p>This article was published in BMJ Open following peer review and can also be viewed on the journal’s website at <a href="http://bmjopen.bmj.com/content/5/12/e009564.full.pdf+html">http://bmjopen.bmj.com/content/5/12/e009564.full.pdf+html</a></p>
<p>OBJECTIVES: To identify and rank the most significant workplace stressors to which consultants and trainees are exposed within the publicly funded health sector in Ireland.</p> <p>DESIGN: Following a preliminary semistructured telephone interview, a Delphi technique with 3 rounds of reiterative questionnaires was used to obtain consensus. Conducted in Spring 2014, doctors were purposively selected by their college faculty or specialty training body.</p> <p>SETTING: Consultants and higher specialist trainees who were engaged at a collegiate level with their faculty or professional training body. All were employed in the Irish publicly funded health sector by the Health ...
https://epubs.rcsi.ie/psycholart/104
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Quality of care and health professional burnout: narrative literature review.
(2014)
Humphries, Niamh; Morgan, Karen; Conry, Mary Catherine; McGowan, Yvonne; Montgomery, An...
Quality of care and health professional burnout: narrative literature review.
(2014)
Humphries, Niamh; Morgan, Karen; Conry, Mary Catherine; McGowan, Yvonne; Montgomery, Anthony; McGee, Hannah
Abstract:
<p>The original article is available at http://www.emeraldinsight.com</p>
<p>PURPOSE: Quality of care and health professional burnout are important issues in their own right, however, relatively few studies have examined both. The purpose of this paper is to explore quality of care and health professional burnout in hospital settings.</p> <p>DESIGN/METHODOLOGY/APPROACH: The paper is a narrative literature review of quality of care and health professional burnout in hospital settings published in peer-reviewed journals between January 2000 and March 2013. Papers were identified via a search of PsychInfo, PubMed, Embase and CINNAHL electronic databases. In total, 30 papers which measured and/or discussed both quality of care and health professional burnout were identified.</p> <p>FINDINGS: The paper provides insight into the key health workforce-planning issues, specifically staffing levels and workloads, which impact upon health professio...
https://epubs.rcsi.ie/psycholart/107
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Quality of End-of-Life Care in Acute and Community Hospitals from Relatives' Perspectives and Stakeholder Perceptions of the Potential of their Views to Inform Positive Change in Care
(2017)
McCarthy, Siobhan E
Quality of End-of-Life Care in Acute and Community Hospitals from Relatives' Perspectives and Stakeholder Perceptions of the Potential of their Views to Inform Positive Change in Care
(2017)
McCarthy, Siobhan E
Abstract:
<p>The study investigated the quality of end-of-life care in hospitals settings and the utility of bereaved relatives’ views for improving care. It was conducted over ten years utilizing a multi-phased mixed methods design. In Ireland, 30,000 people die each year. Two thirds die in hospital settings. Yet prior to the initiation of this study in 2007, there was little research examining bereaved relatives’ perspectives of the quality of end-of-life care in hospital settings. There was a gap in the research comparing quality between acute and community hospitals.</p> <p>The first phase of the study (Part A) began in 2007. It compared the quality of end-of-life care, rated retrospectively by bereaved relatives, between two acute and two community hospitals. It examined the importance of hospital type (acute versus community) in comparison to patient and family factors, in influencing bereaved relatives’ perception of two outcomes measures (a) unmet needs for specific ...
https://epubs.rcsi.ie/phdtheses/193
Displaying Results 1 - 9 of 9 on page 1 of 1
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NUI Galway (2)
Royal College of Surgeons i... (5)
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