A5046592051- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Patient Satisfaction in Healthcare
- Hospital Admissions and Outcomes
- Healthcare Quality and Management
- Health Systems, Economic Evaluations, Quality of Life
- Geriatric Care and Nursing Homes
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Healthcare Policy and Management
- Trauma and Emergency Care Studies
- Heart Failure Treatment and Management
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Delphi Technique in Research
- Frailty in Older Adults
- Intensive Care Unit Cognitive Disorders
- Healthcare professionals’ stress and burnout
- Healthcare Technology and Patient Monitoring
- Family and Patient Care in Intensive Care Units
- Ethics in medical practice
- Healthcare cost, quality, practices
- Medication Adherence and Compliance
Radboud University Nijmegen
2015-2025
Radboud University Medical Center
2015-2025
HAN University of Applied Sciences
2021
University Medical Center
2015-2019
University Hospital and Clinics
2019
TropIQ Health Sciences
2014
Demos
2014
University of Tokyo Hospital
2014
University Medical Center Utrecht
2012
Background Advocates for quality and safety have called healthcare that is patient-centred decision-making involves patients. Objective The aim of the paper to explore barriers facilitators care in hospital discharge process. Methods A qualitative study using purposive sampling 192 individual interviews 26 focus group was conducted five European Union countries with patients and/or family members, physicians nurses, community general practitioners nurses. modified Grounded Theory approach...
There is a growing impetus to reorganize the hospital discharge process reduce avoidable readmissions and costs. The aim of this study was provide insight into problems underlying causes, give an overview solutions that guide providers policy-makers in improving discharge. Intervention Mapping framework used. First, problem analysis studying scale, consequences ineffective carried out. based on primary data from 26 focus group interviews 321 individual with patients relatives, involved...
Wearable devices can be used for continuous patient monitoring in the general ward, increasing safety. Little is known about experiences and expectations of patients health care professionals regarding with these devices.This study aimed to identify positive negative effects as well barriers facilitators use two wearable devices: ViSi Mobile (VM) HealthPatch (HP).In this randomized controlled trial, 90 admitted internal medicine surgical wards a university hospital Netherlands were randomly...
Abstract Background Emergency department (ED) visits due to non-coronavirus disease 2019 (COVID-19) conditions have drastically decreased since the outbreak of COVID-19 pandemic. This study aimed identify magnitude, characteristics and underlying motivations ED visitors with delayed healthcare seeking behaviour during first wave Methods Between March 9 July 92,020, adults visiting an academic hospital in East Netherlands received online questionnaire collect self-reported data on delay...
Organizational culture is seen as having a growing impact on quality and safety of health care, but its hospital to community patient discharge relatively unknown.To explore aspects organizational develop deeper understanding the process.A qualitative study stakeholders in process. Grounded Theory was used analyze data.In 5 European Union countries, 192 individual 25 focus group interviews were conducted with patients relatives, physicians, nurses, general practitioners, nurses.Three themes...
To identify barriers experienced and perceived at discharge by physicians, nurses, patients relatives. We developed questionnaires based on focus group interviews with hospital community care providers, individual A survey was conducted among patients, relatives related nurses physicians from care. One university the area in Netherlands. Thirty health-care providers eight and/or participated interviews. Questionnaires were returned 344 206 Information to is often incomplete, unclear delayed....
Background Safe patient transitions depend on effective communication and a functioning care coordination process. Evidence suggests that primary physicians are not satisfied with at transition points between inpatient ambulatory care, often is provided in timely manner, omits essential information, or contains ambiguities put patients risk. Objective Our aim was to demonstrate how process mapping can illustrate current handover practices settings, identify existing barriers facilitators of...
Patient safety experts have postulated that increasing patient participation in communications during handovers will improve the quality of transitions, and this may reduce hospital readmissions. Choosing strategies enhance through improved requires better understanding experiences preferences for participation.The aim paper is to explore patients' perspectives related between their primary care providers inpatient hospital.A qualitative secondary analysis was performed, based on individual...
Abstract Background The coronavirus disease 2019 (COVID-19) outbreak has been associated with stress and challenges for healthcare professionals, especially those working in the front-line of treating COVID-19 patients. This study aimed to: 1) assess changes well-being perceived symptoms Dutch emergency department (ED) staff course first wave, 2) explore stressors experienced by ED since outbreak. Methods We conducted a cross-sectional study. An online questionnaire was administered during...
Background Much of the research on improving patient handovers has focused enhancing communication within hospital system, but there have been relatively few efforts aimed at addressing challenges interface between and primary care setting. Methods A qualitative thematic analysis using a clinical microsystems lens applied to 28 semi-structured key stakeholder interviews in Netherlands. Data were organised into seven ‘virtual’ microsystem datasets composed patients, hospital-based physicians,...
The optimal treatment plan for patients with cancer is discussed in multidisciplinary team meetings (MDTMs). Effective require all participants to have collaboration and communication competences. Participating residents (defined as qualified doctors training become a specialist) are expected develop these competences by observing their supervisors. However, the current generation of medical specialists not trained work teams; currently, mainly focuses on This study aims identify barriers...
Objective Older adults are prone to unplanned emergency department (ED) return visits (URVs). Knowledge about patient perspectives on the preventability and reasons for these URVs is limited lacks a representable ED study population. This aims determine proportion of explore underlying causes as perceived by wide range older their caregivers. Design A multicentre mixed-methods study. Setting The one academic regional hospital in Netherlands. Participants Patients aged ≥70 years with URV...
Objective Older adults are hospitalised from the emergency department (ED) without potentially needing hospital care. Knowledge about rates, associative factors and causes of these preventable admissions (PEAs) is limited. This study aimed to determine for PEAs older adults. Design A mixed-method observational study. Setting The EDs two Dutch hospitals. Participants 492 patients aged >70 years ED. Measurements Quantitative data were retrospectively extracted electronical medical record...
Objectives: Gaining an understanding of postoperative patients’ environmental needs, barriers, and facilitators for optimal healing. Background: An hospital environment (the “healing environment”) can enhance recovery shorten length stay. However, insights lack into lived needs healing after surgery how these are being met. Method: A qualitative study was conducted between August 2016 2017 with 21 patients who underwent elective major abdominal in a Dutch university hospital. Data were...
Background Optimal oncological care nowadays requires discussing every patient in a multidisciplinary team meeting (MDTM). The number of patients to be discussed is rising rapidly due the increasing incidence and prevalence cancer emergence new treatment options. This puts MDTMs under considerable time pressure. aim this study therefore identify facilitators barriers with regard performing an efficient, competent high-quality MDTM. Methods Semistructured interviews were conducted Dutch...
Emergency departments (EDs) are challenged with a growing population of older patients. These patients at risk for prolonged length stay (LOS) the ED and face more complications poorer clinical outcomes. We aimed to identify factors LOS ED. For this retrospective database study, we analyzed medical records 2000 ≥70 years old presenting large level I trauma center in Netherlands. above 75th percentile our ED, 293 minutes, was considered prolonged. After bivariate analysis, identified...