[ { "key": "L4DSDNUA", "version": 14750, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/L4DSDNUA", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/L4DSDNUA", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/SRJFUINC", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "L4DSDNUA", "version": 14750, "parentItem": "SRJFUINC", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T16:00:53Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41674005", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/XIBBWHW8" }, "dateAdded": "2026-04-14T13:21:07Z", "dateModified": "2026-04-14T13:21:07Z" } }, { "key": "SRJFUINC", "version": 14749, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/SRJFUINC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/SRJFUINC", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Cheong et al.", "parsedDate": "2026-03", "numChildren": 1 }, "data": { "key": "SRJFUINC", "version": 14749, "itemType": "journalArticle", "title": "The Effectiveness of a Digital Solution on Improving Patient Experience", "creators": [ { "creatorType": "author", "firstName": "Shing Hui Reina", "lastName": "Cheong" }, { "creatorType": "author", "firstName": "Peijin Esther Monica", "lastName": "Fan" }, { "creatorType": "author", "firstName": "Fazila", "lastName": "Aloweni" }, { "creatorType": "author", "firstName": "Shin Yuh", "lastName": "Ang" }, { "creatorType": "author", "firstName": "Gaik Nai", "lastName": "Ng" }, { "creatorType": "author", "firstName": "Tracy Carol", "lastName": "Ayre" } ], "abstractNote": "Patient experience is increasingly recognized as a key performance indicator in healthcare. A tertiary hospital in Singapore introduced bedside tablets to enhance patient engagement and informed care. The tablets provide patients with access to health information and communication with healthcare teams. The study team hypothesized that patient experience would improve over time from pre-implementation of the initiative to post-implementation and with each addition of functionality. This prospective observational study, conducted at Singapore General Hospital, used sequential cross-sectional samples collected across different phases of bedside tablet implementation. Patient experience was evaluated using four specific domains of the validated Picker Patient Experience Questionnaire related to nurse communication, patient involvement, addressing patient concerns, and family information provision. Positive scores were calculated following the questionnaire guidelines, based on the proportion of patients reporting the most favourable responses. Data were collected from June 2019 to July 2024 and analyzed using descriptive statistics and Kruskal-Wallis tests. Nurse communication clarity and patient involvement positive scores increased overall, consistently receiving high positive scores across all stages. Patient involvement scores peaked in stage 3, coinciding with added functionalities like self-charting and electronic medical records synchronization. In contrast, addressing patients' concerns received the lowest positive scores, and family information provision demonstrated a steady decline across all stages. Kruskal-Wallis tests indicated significant differences for patient involvement and family information provision. However, post-hoc tests revealed no significant pairwise differences. The implementation of bedside tablets improved nurse communication clarity and patient involvement in care decisions, although areas for improvement remain, particularly in addressing patient concerns and family information provision. However, the calculation of positive scores, which only account for the most favourable responses, may obscure nuanced patient experiences. Future research would benefit from combining quantitative data with qualitative insights to gain a more comprehensive understanding of patient and family needs.", "publicationTitle": "Clinical Nursing Research", "publisher": "", "place": "", "date": "2026-03", "volume": "35", "issue": "2-3", "section": "", "partNumber": "", "partTitle": "", "pages": "84-92", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Clin Nurs Res", "DOI": "10.1177/10547738251414275", "citationKey": "", "url": "", "accessDate": "", "PMID": "41674005", "PMCID": "", "ISSN": "1552-3799", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Communication", "type": 1 }, { "tag": "Cross-Sectional Studies", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Patient Participation", "type": 1 }, { "tag": "Patient Satisfaction", "type": 1 }, { "tag": "Prospective Studies", "type": 1 }, { "tag": "Singapore", "type": 1 }, { "tag": "Surveys and Questionnaires", "type": 1 }, { "tag": "acute care setting", "type": 1 }, { "tag": "clinical research areas", "type": 1 }, { "tag": "health care settings", "type": 1 }, { "tag": "health technology", "type": 1 }, { "tag": "innovations in clinical practice", "type": 1 }, { "tag": "nursing interventions", "type": 1 }, { "tag": "patient education", "type": 1 } ], "collections": [ "9Q3UPFUD" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/JLBPIQGJ" }, "dateAdded": "2026-04-14T13:21:07Z", "dateModified": "2026-04-14T13:21:07Z" } }, { "key": "HPZ3MRS9", "version": 14748, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/HPZ3MRS9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/HPZ3MRS9", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/JIMR2QIG", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "HPZ3MRS9", "version": 14748, "parentItem": "JIMR2QIG", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:39Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41873631", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/CMJNNDBC" }, "dateAdded": "2026-04-13T16:41:52Z", "dateModified": "2026-04-13T16:41:52Z" } }, { "key": "JIMR2QIG", "version": 14747, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/JIMR2QIG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/JIMR2QIG", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Kimmins and Leloch", "parsedDate": "2026-03-24", "numChildren": 1 }, "data": { "key": "JIMR2QIG", "version": 14747, "itemType": "journalArticle", "title": "Improving door-to-needle time for antibiotic treatment of neutropenic sepsis: a quality improvement project", "creators": [ { "creatorType": "author", "firstName": "Catherine Louise", "lastName": "Kimmins" }, { "creatorType": "author", "firstName": "Daniella", "lastName": "Leloch" } ], "abstractNote": "Neutropenic sepsis is a serious, potentially fatal complication of systemic anticancer therapy. Patients with suspected neutropenic sepsis require treatment with intravenous antibiotics within one hour of presentation to hospital. However, national and local audits suggest that this door-to-needle time target is not always met. This article details a quality improvement project (QIP) undertaken in a medical assessment unit (MAU) that aimed to increase the percentage of patients with suspected neutropenic sepsis receiving antibiotics within the one hour door-to-needle time target by 25%. The QIP comprised several components, including audit of door-to-needle times, staff training and a series of improvement initiatives. The results of the audit showed that 60% ( n =30/50) of patients received antibiotics within one hour of presentation to the MAU, an increase of 30% compared with baseline audit data. Although the QIP did not achieve universal adherence to the target door-to-needle time, there was significant improvement which demonstrates that small changes can enhance patient care.", "publicationTitle": "Emergency nurse: the journal of the RCN Accident and Emergency Nursing Association", "publisher": "", "place": "", "date": "2026-03-24", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Emerg Nurse", "DOI": "10.7748/en.2026.e2261", "citationKey": "", "url": "", "accessDate": "", "PMID": "41873631", "PMCID": "", "ISSN": "2047-8984", "archive": "", "archiveLocation": "", "shortTitle": "Improving door-to-needle time for antibiotic treatment of neutropenic sepsis", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "antibiotics", "type": 1 }, { "tag": "bacterial infections", "type": 1 }, { "tag": "blood", "type": 1 }, { "tag": "blood disorders", "type": 1 }, { "tag": "change management", "type": 1 }, { "tag": "infection", "type": 1 }, { "tag": "medicines", "type": 1 }, { "tag": "neutropenia", "type": 1 }, { "tag": "sepsis", "type": 1 }, { "tag": "service improvement", "type": 1 } ], "collections": [ "M4ABBDEC" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/EYJXWGFK" }, "dateAdded": "2026-04-13T16:41:52Z", "dateModified": "2026-04-13T16:41:52Z" } }, { "key": "KWG8N6VW", "version": 14746, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/KWG8N6VW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/KWG8N6VW", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/BRB8CUJW", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "KWG8N6VW", "version": 14746, "parentItem": "BRB8CUJW", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:59Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/40813147", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/KKS34F9W" }, "dateAdded": "2026-04-13T16:37:29Z", "dateModified": "2026-04-13T16:37:29Z" } }, { "key": "BRB8CUJW", "version": 14745, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/BRB8CUJW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/BRB8CUJW", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wilkie-Miskin et al.", "parsedDate": "2026-03", "numChildren": 1 }, "data": { "key": "BRB8CUJW", "version": 14745, "itemType": "journalArticle", "title": "Gloves off!: Environmental and financial impacts of an educational intervention to improve hand hygiene. A quality improvement study", "creators": [ { "creatorType": "author", "firstName": "Tina", "lastName": "Wilkie-Miskin" }, { "creatorType": "author", "firstName": "Mya Abigail", "lastName": "Acosta" }, { "creatorType": "author", "firstName": "Sarah", "lastName": "Browning" }, { "creatorType": "author", "firstName": "Kristen", "lastName": "Pickles" }, { "creatorType": "author", "firstName": "Sally", "lastName": "Munnoch" }, { "creatorType": "author", "firstName": "Patricia", "lastName": "Knight" }, { "creatorType": "author", "firstName": "Amy", "lastName": "Bernotas" }, { "creatorType": "author", "firstName": "Stanley", "lastName": "Chen" }, { "creatorType": "author", "firstName": "Rachel", "lastName": "Ng" }, { "creatorType": "author", "firstName": "Erin", "lastName": "Mathieu" }, { "creatorType": "author", "name": "NSW Health Net Zero Clinical Leads Program" } ], "abstractNote": "BACKGROUND: Non-sterile gloves are often used inappropriately in clinical care, with associated poorer hand hygiene, and financial and environmental waste.\nMETHODS: This before and after study assessed the impact of an educational intervention on non-sterile glove use, hand hygiene compliance, knowledge and attitudes, and environmental and financial metrics. Participants were clinical staff working in two acute surgical wards of an adult tertiary referral hospital from May 2023 to March 2024. The intervention, 'Gloves Off!', was a multi-modal education intervention delivered during July-August 2023. The main outcome measures were: glove purchase numbers and associated carbon footprint, waste to landfill, financial cost; hand hygiene compliance and unnecessary glove use; staff hand hygiene knowledge and attitudes. Measures were taken at baseline, post-intervention, and seven-month follow-up.\nRESULTS: Glove purchase numbers fell by an average of 6.9 gloves per occupied bed day after the intervention. The estimated monthly reduction of 13,020 gloves for two wards equates to reductions in carbon footprint of 443kgCO2e, waste 44.8 kg and cost AUD$651. Hand hygiene compliance improved from 59 % (151/254) at baseline to 83 % (125/150) at follow-up and unnecessary use glove use fell from 60 % (152/252) at baseline to 23 % (13/56) at follow-up. Survey results showed that after education, staff demonstrated significant improvements in aspects of hand hygiene and glove use knowledge.\nCONCLUSION: A 'Gloves Off!' intervention was successful in improving glove use behaviour and staff hand hygiene, knowledge and attitudes as measured by observational audits, staff surveys, and glove purchase data. Significant cost, waste and carbon footprint reductions were achieved.", "publicationTitle": "Infection, Disease & Health", "publisher": "", "place": "", "date": "2026-03", "volume": "31", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "100382", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Infect Dis Health", "DOI": "10.1016/j.idh.2025.07.003", "citationKey": "", "url": "", "accessDate": "", "PMID": "40813147", "PMCID": "", "ISSN": "2468-0869", "archive": "", "archiveLocation": "", "shortTitle": "Gloves off!", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Carbon Footprint", "type": 1 }, { "tag": "Education", "type": 1 }, { "tag": "Environment", "type": 1 }, { "tag": "Gloves, Protective", "type": 1 }, { "tag": "Guideline Adherence", "type": 1 }, { "tag": "Hand Hygiene", "type": 1 }, { "tag": "Hand hygiene", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Health Personnel", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Quality Improvement", "type": 1 } ], "collections": [ "KC7RVDCG" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/6B9MV8G3" }, "dateAdded": "2026-04-13T16:37:29Z", "dateModified": "2026-04-13T16:37:29Z" } }, { "key": "RXXN98WU", "version": 14744, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/RXXN98WU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/RXXN98WU", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/3NLV7KHD", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "RXXN98WU", "version": 14744, "parentItem": "3NLV7KHD", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:59:30Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41916741", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/JVA5674A" }, "dateAdded": "2026-04-13T16:23:50Z", "dateModified": "2026-04-13T16:23:50Z" } }, { "key": "3NLV7KHD", "version": 14743, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/3NLV7KHD", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/3NLV7KHD", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Dervishi et al.", "parsedDate": "2026-03-31", "numChildren": 1 }, "data": { "key": "3NLV7KHD", "version": 14743, "itemType": "journalArticle", "title": "Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations: a rapid scoping review", "creators": [ { "creatorType": "author", "firstName": "Qëndresa Rramani", "lastName": "Dervishi" }, { "creatorType": "author", "firstName": "Yannick", "lastName": "Blum" }, { "creatorType": "author", "firstName": "Larissa", "lastName": "Brust" }, { "creatorType": "author", "firstName": "Matthias", "lastName": "Weigl" } ], "abstractNote": "OBJECTIVE: Enhancing patient safety is a global priority and active involvement of patient and family advisory councils (PFACs) has been proposed as a key strategy in this endeavour. Preparing and supporting PFAC's activities in the field of patient safety is a crucial step in sustainably implementing patient engagement in healthcare organisations. However, to what extent and through which means remains unclear. Considering these shortcomings, we aimed to synthesise the current literature base, identify and map existing resources designed to educate and support PFACs in patient safety within healthcare organisations.\nMETHODS: We conducted a rapid scoping review. Drawing on predefined eligibility criteria, we reviewed peer-reviewed and grey literature on educational resources on patient-safety-related topics aimed at PFACs in healthcare organisations. We searched three databases (PubMed, Web of Science and Scopus) as well as websites of relevant stakeholders and institutions.\nRESULTS: Overall, we obtained 13 eligible sources. They featured resources ranging from reading materials to more intensive workshop sessions-combining active and passive learning approaches. Definition of key concepts and stakeholder roles were common topics in most sources. Yet, contents specific to patient safety showed considerable variability, likely due to context-specific approaches, local practices and lack of overall guidelines. Standardised resources tailored to PFACs' unique needs in patient safety were largely absent.\nCONCLUSION: This review highlights the limited availability of comprehensive, well-documented resources for PFACs. It further corroborates the need for systematic approaches to support patient engagement activities and meaningful involvement in patient safety.\nPRACTICE IMPLICATIONS: Our findings provide a first synthesis of the literature, inform future research as well as the development of respective patient engagement initiatives in patient safety. Moreover, they underscore the importance of developing standardised, yet adaptable resources to equip PFACs for their role in fostering safer healthcare systems.\nTRIAL REGISTRATION NUMBER: DRKS00034733.", "publicationTitle": "BMJ open quality", "publisher": "", "place": "", "date": "2026-03-31", "volume": "15", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "e004040", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMJ Open Qual", "DOI": "10.1136/bmjoq-2025-004040", "citationKey": "", "url": "", "accessDate": "", "PMID": "41916741", "PMCID": "PMC13052535", "ISSN": "2399-6641", "archive": "", "archiveLocation": "", "shortTitle": "Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Advisory Committees", "type": 1 }, { "tag": "Education", "type": 1 }, { "tag": "Health services research", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Patient Participation", "type": 1 }, { "tag": "Patient Safety", "type": 1 }, { "tag": "Patient safety", "type": 1 } ], "collections": [ "9Q3UPFUD" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/FQ77KB3A" }, "dateAdded": "2026-04-13T16:23:50Z", "dateModified": "2026-04-13T16:23:50Z" } }, { "key": "MQFI5EJV", "version": 14742, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/MQFI5EJV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/MQFI5EJV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/SH97955P", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "MQFI5EJV", "version": 14742, "parentItem": "SH97955P", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:37Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41883610", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/NLCD93AC" }, "dateAdded": "2026-04-13T16:21:36Z", "dateModified": "2026-04-13T16:21:36Z" } }, { "key": "SH97955P", "version": 14741, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/SH97955P", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/SH97955P", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Finch et al.", "parsedDate": "2025-09", "numChildren": 1 }, "data": { "key": "SH97955P", "version": 14741, "itemType": "journalArticle", "title": "Empowering Culture Change and Safety on the Journey to Zero Harm With Huddle Cards", "creators": [ { "creatorType": "author", "firstName": "Michael T.", "lastName": "Finch" }, { "creatorType": "author", "firstName": "Brandon", "lastName": "Mason" }, { "creatorType": "author", "firstName": "Nicole", "lastName": "Volek" }, { "creatorType": "author", "firstName": "Brittany", "lastName": "Phillips" }, { "creatorType": "author", "firstName": "Jennifer", "lastName": "Shoaf" }, { "creatorType": "author", "firstName": "Debbie", "lastName": "Brown" }, { "creatorType": "author", "firstName": "Ashley R.", "lastName": "McCormack" }, { "creatorType": "author", "firstName": "Jessica J.", "lastName": "Estell" } ], "abstractNote": "BACKGROUND: Safety event reporting plays an important role in improving patient safety. The US Department of Veterans Affairs has focused on minimizing or eliminating harm to patients.\nOBSERVATIONS: The patient safety (PS) and high reliability organization (HRO) teams at the Central Texas Veterans Health Care System (CTVHCS) developed an education model that integrates the Joint Patient Safety Reporting System (JPSR) into huddles. JPSR Huddle Cards provide frontline staff and management with guidance on the purpose of the JPSR, the difference between an adverse event and a near miss, what root causes are, the lifespan of a JPSR, how to celebrate reporting, and key fact checks. Six cards were presented to staff (1 per week) during morning safety huddles to support the CTVHCS journey to high reliability. Participants completed a survey on safety before and after receiving the cards.\nCONCLUSIONS: Posttest scores were consistently higher than pretest scores, with an average increase of around 2 standard deviations across all questions.", "publicationTitle": "Federal practitioner: for the health care professionals of the VA, DoD, and PHS", "publisher": "", "place": "", "date": "2025-09", "volume": "42", "issue": "9", "section": "", "partNumber": "", "partTitle": "", "pages": "336-340", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Fed Pract", "DOI": "10.12788/fp.0597", "citationKey": "", "url": "", "accessDate": "", "PMID": "41883610", "PMCID": "PMC13012422", "ISSN": "1078-4497", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "UKXAXURE" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/J85MQLNS" }, "dateAdded": "2026-04-13T16:21:36Z", "dateModified": "2026-04-13T16:21:36Z" } }, { "key": "MTCZP6KU", "version": 14740, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/MTCZP6KU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/MTCZP6KU", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/TYI4CWQR", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "MTCZP6KU", "version": 14740, "parentItem": "TYI4CWQR", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:42:00Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/40702969", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/TF7DTM7E" }, "dateAdded": "2026-04-13T15:16:57Z", "dateModified": "2026-04-13T15:16:57Z" } }, { "key": "TYI4CWQR", "version": 14739, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/TYI4CWQR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/TYI4CWQR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Warrington et al.", "parsedDate": "2026-03", "numChildren": 1 }, "data": { "key": "TYI4CWQR", "version": 14739, "itemType": "journalArticle", "title": "Designing a new orthopaedic trauma meeting proforma to improve documentation in a large UK teaching hospital", "creators": [ { "creatorType": "author", "firstName": "D. J.", "lastName": "Warrington" }, { "creatorType": "author", "firstName": "C. R.", "lastName": "Yip" }, { "creatorType": "author", "firstName": "A.", "lastName": "Kassir" }, { "creatorType": "author", "firstName": "N.", "lastName": "Nadar" }, { "creatorType": "author", "firstName": "K.", "lastName": "Elcock" }, { "creatorType": "author", "firstName": "C.", "lastName": "Peach" } ], "abstractNote": "INTRODUCTION: In England, around two million fractures occur annually, with 250,000 requiring hospital admission. At Wythenshawe Hospital, the Trauma and Orthopaedic service discusses 10-15 new patient cases every weekday. We aimed to design and implement a structured proforma for the trauma meeting to ensure clear documentation of trauma meeting discussions and orthopaedic plans for each new patient at Wythenshawe Hospital.\nMETHODS: Based on a literature search, input from orthopaedic surgeons and analysis of existing documentation, we created a proforma. We collected data in four phases: pre-implementation (1-10 October 2022), post-initial proforma (11-20 October 2022), post-updated proforma (20-30 October 2022) and long-term effectiveness (20-24 November 2023).\nRESULTS: Phase 1: 90 cases reviewed; 64% had inadequate documentation. Key details were often missing. Phase 2: After proforma implementation, 98 cases reviewed; documentation increased to 94%. Significant improvements in recording consultant names (92%), imaging (59%) and diagnosis (80%). Phase 3: After feedback update, 108 cases reviewed; 88% had documentation. Improvements in documentation of imaging (85%) and weight-bearing status (57%). Phase 4: One year later, 85 cases reviewed; documentation at 84%. Key details such as consultant names and imaging reached 100% completion, diagnosis at 97%.\nCONCLUSIONS: This study proposes a standardised trauma meeting proforma to enhance the efficiency and accuracy of trauma meeting documentation. Our findings highlight the need for professional bodies to establish guidelines for trauma meeting handovers. We encourage further research into effective trauma meetings and suggest our proforma as a template for other orthopaedic departments to adapt to their needs.", "publicationTitle": "Annals of the Royal College of Surgeons of England", "publisher": "", "place": "", "date": "2026-03", "volume": "108", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "207-213", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Ann R Coll Surg Engl", "DOI": "10.1308/rcsann.2025.0043", "citationKey": "", "url": "", "accessDate": "", "PMID": "40702969", "PMCID": "PMC12949692", "ISSN": "1478-7083", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Documentation", "type": 1 }, { "tag": "Fractures, Bone", "type": 1 }, { "tag": "Hospitals, Teaching", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Orthopaedic", "type": 1 }, { "tag": "Orthopedics", "type": 1 }, { "tag": "Quality Improvement", "type": 1 }, { "tag": "Quality improvement", "type": 1 }, { "tag": "Trauma meeting", "type": 1 }, { "tag": "United Kingdom", "type": 1 } ], "collections": [ "UKXAXURE" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/B3SSHEEB" }, "dateAdded": "2026-04-13T15:16:57Z", "dateModified": "2026-04-13T15:16:57Z" } }, { "key": "PBPM9729", "version": 14738, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/PBPM9729", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/PBPM9729", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/250083/items/SBLVU37H", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "PBPM9729", "version": 14738, "parentItem": "SBLVU37H", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:47Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41804246", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/NGASUYAZ" }, "dateAdded": "2026-04-08T14:28:31Z", "dateModified": "2026-04-08T14:28:31Z" } }, { "key": "SBLVU37H", "version": 14737, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/SBLVU37H", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/SBLVU37H", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Evans et al.", "parsedDate": "2026-03-10", "numChildren": 1 }, "data": { "key": "SBLVU37H", "version": 14737, "itemType": "journalArticle", "title": "CPD focus: using the Model for Improvement to enhance the quality of patient care", "creators": [ { "creatorType": "author", "firstName": "Luke", "lastName": "Evans" }, { "creatorType": "author", "firstName": "Kristian", "lastName": "Rennie" }, { "creatorType": "author", "firstName": "Jill", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Gudefin" } ], "abstractNote": "The Model for Improvement is a quality improvement (QI) method widely use in health and social care. It comprises two stages: first, the QI project team answers three questions to determine what the issue is, decide how improvement will be measured and collate ideas for change; then second, the team conducts plan, do, study, act (PDSA) cycles to test its ideas. Sufficient understanding of this methodology is essential for nurses, particularly nurse leaders and managers, whose roles include fostering QI. This article describes the Model for Improvement and how it can be applied in practice settings. The methodology is illustrated by a fictional case study on a nurse-led QI project for improving tracheostomy care.", "publicationTitle": "Nursing Management", "publisher": "", "place": "Harrow, London, England : 1994", "date": "2026-03-10", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Manag (Harrow)", "DOI": "10.7748/nm.2026.e2194", "citationKey": "", "url": "", "accessDate": "", "PMID": "41804246", "PMCID": "", "ISSN": "2047-8976", "archive": "", "archiveLocation": "", "shortTitle": "CPD focus", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "change management", "type": 1 }, { "tag": "innovation", "type": 1 }, { "tag": "management", "type": 1 }, { "tag": "methodology", "type": 1 }, { "tag": "outcome measures", "type": 1 }, { "tag": "quality assurance", "type": 1 }, { "tag": "service improvement", "type": 1 } ], "collections": [ "UKXAXURE" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/HIXI5SKI" }, "dateAdded": "2026-04-08T14:28:31Z", "dateModified": "2026-04-08T14:28:31Z" } }, { "key": "5MMHGYFM", "version": 14719, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/5MMHGYFM", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/5MMHGYFM", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wen et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "5MMHGYFM", "version": 14719, "itemType": "journalArticle", "title": "Low-value medical orders: bridging the gap between concept and action in reducing healthcare waste", "creators": [ { "creatorType": "author", "firstName": "J.", "lastName": "Wen" }, { "creatorType": "author", "firstName": "W.", "lastName": "Tao" }, { "creatorType": "author", "firstName": "X.", "lastName": "Yu" } ], "abstractNote": "Healthcare systems worldwide face the dual challenge of improving quality while controlling costs. Value-based healthcare has emerged as a guiding framework, yet a substantial proportion of delivered services remain low-value, providing minimal benefit while consuming resources and potentially causing harm. While low-value care has been extensively studied at the service level, less attention has been paid to the fundamental unit that initiates all healthcare delivery: the medical order. This commentary introduces the concept of low-value medical orders (LVMO) as a complementary framework to existing low-value care paradigms. By focusing on the point of clinical decision-making, LVMO offers a more actionable target for real-time intervention. We distinguish LVMO from low-value care across multiple dimensions and discuss how this framework can inform multilevel strategies combining clinician-focused interventions with broader system reforms. Drawing on recent systematic reviews of de-implementation interventions, we identify critical research gaps and propose directions for developing effective, sustainable approaches to reduce unnecessary ordering.Copyright © 2026 Wen, Tao and Yu.", "publicationTitle": "Frontiers in public health", "publisher": "", "place": "", "date": "2026", "volume": "14", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "1793477", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.3389/fpubh.2026.1793477", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=650658656", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "2296-2565 (electronic) 2296-2565", "archive": "Embase Weekly Updates", "archiveLocation": "650658656", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Clinical Decision-Making" }, { "tag": "*Delivery of Health Care/ec [Economics]" }, { "tag": "*Delivery of Health Care/og [Organization & Administration]" }, { "tag": "*clinical decision making" }, { "tag": "*health care delivery" }, { "tag": "Humans" }, { "tag": "Quality of Health Care" }, { "tag": "economics" }, { "tag": "health care quality" }, { "tag": "human" }, { "tag": "organization and management" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/J3IPBE8Q" }, "dateAdded": "2026-04-07T18:54:16Z", "dateModified": "2026-04-07T18:59:06Z" } }, { "key": "HB9BJ7HX", "version": 14717, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/HB9BJ7HX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/HB9BJ7HX", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wang et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "HB9BJ7HX", "version": 14717, "itemType": "journalArticle", "title": "Determining patients' price sensitivity and willingness to pay for aesthetic surgery: A contingent valuation study", "creators": [ { "creatorType": "author", "firstName": "M. J.", "lastName": "Wang" }, { "creatorType": "author", "firstName": "N.", "lastName": "Matusko" }, { "creatorType": "author", "firstName": "A.", "lastName": "Rastegar" }, { "creatorType": "author", "firstName": "R. J.", "lastName": "Rohrich" }, { "creatorType": "author", "firstName": "P. S.", "lastName": "Cederna" } ], "abstractNote": "Purpose Pricing transparency and patient willingness to pay (WTP) are critical yet underexplored in aesthetic surgery. Cosmetic procedures have been described as exhibiting characteristics consistent with luxury or Veblen goods in certain consumer segments, where demand may rise with higher cost among certain demographics. Understanding these economic behaviors is essential for value-based pricing and patient-centered care. Objective To quantify patient WTP for five common American Society of Plastic Surgeons (ASPA) aesthetic procedures and identify demographic, behavioral, and regional predictors of price sensitivity. Methods Participants evaluated out-of-pocket prices for breast augmentation, blepharoplasty, rhinoplasty, facelift, and abdominoplasty, with price tiers based on ASPS fee benchmarks. Demographic, behavioral, and regional data were analyzed using quantile regression (STATA17, College Station, TX). Results Among the 2335 respondents, higher WTP was associated with younger age (18-24 years), higher income ('$150,000), prior cosmetic surgery, regular exercise, and prior Botox/filler use. Regional differences showed greater WTP in the Midwest, Northeast, and South compared with the West. These patterns were consistent across the 50th and 75th WTP percentiles for rhinoplasty, facelift, and abdominoplasty, indicating variable price sensitivity by patient profile. Conclusions Patient WTP varies systematically with demographic, behavioral, and regional factors. These findings support data-driven, dynamic pricing models and tailored marketing strategies in aesthetic surgery, aligning pricing with patient valuation and advancing transparency in an increasingly price-sensitive market.Copyright © 2026 British Association of Plastic, Reconstructive and Aesthetic Surgeons.", "publicationTitle": "Journal of Plastic, Reconstructive and Aesthetic Surgery", "publisher": "", "place": "", "date": "2026", "volume": "115", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "278–292", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.bjps.2026.02.018", "citationKey": "", "url": "https://www.sciencedirect.com/science/journal/17486815 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2043752803", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1748-6815 1878-0539", "archive": "Embase Weekly Updates", "archiveLocation": "2043752803", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Willingness To Pay" }, { "tag": "*esthetic surgery" }, { "tag": "*price" }, { "tag": "abdominoplasty" }, { "tag": "adult" }, { "tag": "article" }, { "tag": "behavior" }, { "tag": "benchmarking" }, { "tag": "botulinum toxin A" }, { "tag": "breast augmentation" }, { "tag": "contingent valuation" }, { "tag": "controlled study" }, { "tag": "cosmetic procedure" }, { "tag": "eyelid reconstruction" }, { "tag": "female" }, { "tag": "geographic distribution" }, { "tag": "human" }, { "tag": "major clinical study" }, { "tag": "male" }, { "tag": "market" }, { "tag": "medical society" }, { "tag": "middle aged" }, { "tag": "plastic surgeon" }, { "tag": "prospective study" }, { "tag": "quantitative analysis" }, { "tag": "rhinoplasty" }, { "tag": "rhytidoplasty" }, { "tag": "young adult" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/ZEC8ULNI" }, "dateAdded": "2026-04-07T18:54:15Z", "dateModified": "2026-04-07T18:59:03Z" } }, { "key": "EZB7NEK9", "version": 14715, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/EZB7NEK9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/EZB7NEK9", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "van der Wal et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "EZB7NEK9", "version": 14715, "itemType": "journalArticle", "title": "Perceived Applicability of Value-Based Healthcare in Military Health Systems: Results From a Pilot Survey Study", "creators": [ { "creatorType": "author", "firstName": "H.", "lastName": "van der Wal" }, { "creatorType": "author", "firstName": "V.", "lastName": "Sedivcova" }, { "creatorType": "author", "firstName": "F.", "lastName": "Maas" }, { "creatorType": "author", "firstName": "B.", "lastName": "Nishikawa" }, { "creatorType": "author", "firstName": "D.", "lastName": "Lamb" }, { "creatorType": "author", "firstName": "I.", "lastName": "Dijksma" }, { "creatorType": "author", "firstName": "J.", "lastName": "Frassini" }, { "creatorType": "author", "firstName": "M.", "lastName": "Ivan" }, { "creatorType": "author", "firstName": "R.", "lastName": "Hoencamp" }, { "creatorType": "author", "firstName": "H.", "lastName": "Schvach" } ], "abstractNote": "Value-Based Healthcare (VBHC) is gaining traction in civilian systems, but its relevance and feasibility for Military Health Systems (MHSs) in Central and Eastern Europe (CEE) remain unclear. This pilot study explored familiarity, perceived applicability and desirability of VBHC among military healthcare stakeholders. A pilot cross-sectional perception study was conducted during the 2024 VIMIMED Military Medicine Conference, combining a brief expert introduction with a structured survey. The survey assessed baseline familiarity, perceived applicability in home-base and operational care, and desirability of VBHC implementation. Descriptive statistics were used. The association between familiarity and desirability was explored using Fisher's exact test. Among 65 workshop participants, 37 completed the survey. Over half of respondents reported low baseline familiarity with VBHC (51.4%). Despite this, VBHC was widely perceived as desirable (89.1%). No statistically significant association was found between familiarity and desirability (Fisher's exact test, P = .672). Thirty-five respondents considered VBHC applicable in at least one domain and were included in component-level analyses. The components \"multidisciplinary team,\" \"educate, innovate & improve,\" and \"IT & data\" were most frequently endorsed as applicable. Respondents who perceived VBHC as applicable in both home-base and operational care tended to endorse more components than those who perceived applicability in home-base care only. Despite limited baseline familiarity, VBHC was widely perceived as desirable and contextually applicable within CEE MHSs. These exploratory findings suggest potential for targeted, phased integration of selected VBHC components. Larger and, more representative studies are needed to assess implementation feasibility, pathways, and sustainability of VBHC in MHSs.", "publicationTitle": "Inquiry : a journal of medical care organization, provision and financing", "publisher": "", "place": "", "date": "2026", "volume": "63", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "469580261427434", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1177/00469580261427434", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=650532549", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1945-7243 (electronic) 1945-7243", "archive": "Embase Weekly Updates", "archiveLocation": "650532549", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Military Health Services" }, { "tag": "*Military Personnel" }, { "tag": "*military health service" }, { "tag": "*military personnel" }, { "tag": "Adult" }, { "tag": "Cross-Sectional Studies" }, { "tag": "Female" }, { "tag": "Humans" }, { "tag": "Male" }, { "tag": "Middle Aged" }, { "tag": "Pilot Projects" }, { "tag": "Surveys and Questionnaires" }, { "tag": "Value-Based Health Care" }, { "tag": "adult" }, { "tag": "cross-sectional study" }, { "tag": "female" }, { "tag": "human" }, { "tag": "male" }, { "tag": "middle aged" }, { "tag": "pilot study" }, { "tag": "questionnaire" }, { "tag": "value-based care" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/MJL8RC4R" }, "dateAdded": "2026-04-07T18:54:14Z", "dateModified": "2026-04-07T18:59:01Z" } }, { "key": "VPKV9HQF", "version": 14713, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/VPKV9HQF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/VPKV9HQF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "van Dam et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "VPKV9HQF", "version": 14713, "itemType": "journalArticle", "title": "The Septoplasty Healthcare Monitor: An Outcome Assessment Infrastructure to Enhance the Quality and Transparency of Care", "creators": [ { "creatorType": "author", "firstName": "V. S.", "lastName": "van Dam" }, { "creatorType": "author", "firstName": "D.", "lastName": "Berzenji" }, { "creatorType": "author", "firstName": "F. V. W. J.", "lastName": "van Zijl" }, { "creatorType": "author", "firstName": "M. A. H.", "lastName": "Oude Voshaar" }, { "creatorType": "author", "firstName": "B.", "lastName": "Kremer" }, { "creatorType": "author", "firstName": "F. R.", "lastName": "Datema" } ], "abstractNote": "Objective and Design: The growing demand for transparency about the efficacy of healthcare has accelerated the use of Patient-Reported Outcome Measures (PROMs), but their integration into daily practice is challenging. This observational study describes how the Septoplasty Healthcare Monitor (SHM) addresses these challenges and highlights the benefits of standardised outcome assessments and visualisation for various stakeholders, including physicians and patients. Main Outcome Measure(s): Since 2014, all eligible septoplasty patients have been included in the SHM. Patients are automatically offered the Nasal Obstruction Symptom Evaluation (NOSE) scale and bilateral Visual Analogue Scales (VAS) to assess nasal obstruction before initial consultation and during postoperative visits. Data are entered into a preformatted database and automatically analysed. Real-time results are visually presented on a user-friendly dashboard. Result(s): A total of 173 patients participated. First, the dashboard provides insights into outcomes on a cohort level. The mean NOSE scores significantly decreased from 68.8 +/- 19.0 at baseline to 19.8 +/- 22.3 at 12 months (Cohen's d = -1.96). VAS scores improved from 4.6 +/- 3.0 (left) and 4.7 +/- 2.9 (right) preoperatively to 7.5 +/- 2.1 (left) and 7.6 +/- 1.7 (right) at 12 months (p < 0.001; d = 0.85; d = 1.05). Second, quality of care is monitored through annual performance metrics and can be improved by critically appraising auto-identified underperforming patients. Third, visualisation of individual PROM symptom-severity scores in relation to peers assists in patient-counselling and shared decision-making. Conclusion(s): The integration of standardised outcome assessments into daily practice is highly valuable but challenging. The SHM addresses these challenges and offers opportunities to enhance septoplasty care standards.Copyright © 2026 The Author(s). Clinical Otolaryngology published by John Wiley & Sons Ltd.", "publicationTitle": "Clinical Otolaryngology", "publisher": "", "place": "", "date": "2026", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1111/coa.70099", "citationKey": "", "url": "http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1749-4486 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2043832006", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1749-4478 1749-4486", "archive": "Embase Weekly Updates", "archiveLocation": "2043832006", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*infrastructure" }, { "tag": "*nose obstruction" }, { "tag": "*nose septum" }, { "tag": "*outcome assessment" }, { "tag": "*patient empowerment" }, { "tag": "*patient-reported outcome" }, { "tag": "*quality of life" }, { "tag": "*septoplasty" }, { "tag": "*value-based care" }, { "tag": "adult" }, { "tag": "article" }, { "tag": "consultation" }, { "tag": "controlled study" }, { "tag": "disease severity" }, { "tag": "drug therapy" }, { "tag": "human" }, { "tag": "major clinical study" }, { "tag": "nasal obstruction symptom evaluation scale" }, { "tag": "observational study" }, { "tag": "otorhinolaryngology" }, { "tag": "shared decision making" }, { "tag": "visual analog scale" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/IENDVVU8" }, "dateAdded": "2026-04-07T18:54:14Z", "dateModified": "2026-04-07T18:59:00Z" } }, { "key": "96VKTIFZ", "version": 14710, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/96VKTIFZ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/96VKTIFZ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Valencia et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "96VKTIFZ", "version": 14710, "itemType": "journalArticle", "title": "Texting to Recruit Unassisted Tobacco Users at a Large Safety Net Health System Into Quitline Service for a Medicaid Value-Based Care Program: Pragmatic Randomized Controlled Trial", "creators": [ { "creatorType": "author", "firstName": "Cindy V.", "lastName": "Valencia" }, { "creatorType": "author", "firstName": "Melanie S.", "lastName": "Dove" }, { "creatorType": "author", "firstName": "Karen", "lastName": "Kim" }, { "creatorType": "author", "firstName": "Paul", "lastName": "Giboney" }, { "creatorType": "author", "firstName": "Hal F., Jr.", "lastName": "Yee" }, { "creatorType": "author", "firstName": "Carrie A.", "lastName": "Kirby" }, { "creatorType": "author", "firstName": "Christopher M.", "lastName": "Anderson" }, { "creatorType": "author", "firstName": "Shu-Hong", "lastName": "Zhu" }, { "creatorType": "author", "firstName": "Elisa K.", "lastName": "Tong" } ], "abstractNote": "Background: A growing body of research supports the efficacy of text messaging programs to help tobacco users quit, but texting as a strategy for recruiting tobacco users into other evidence-based cessation services, such as quitline coaching, is less well understood. Texting to offer treatment could increase use of cessation resources, an important consideration for health systems trying to improve their quality metric performance on tobacco assessment and counseling., Objective: The aim of this study is to compare the effects of text messages offering free quitline coaching or free nicotine patches on engagement with quitline services by patients identified in electronic health records as unassisted tobacco users., Methods: Participants (N=4171) were adult patients of Los Angeles County Department of Health Services who had had a clinical visit in the past 12 months, were willing to receive text messages, and were identified as unassisted tobacco users (ie, those with no documented advice or assistance to quit in the past 24 months). They included 3139 English speakers and 1032 Spanish speakers. Participants were stratified by language, then randomly assigned to one of two groups. Group 1 received a text offering free quitline coaching. Group 2 received a text offering free nicotine patches. The texts were sent in April and May 2022. Outcome measures were the proportions calling the quitline and receiving evidence-based cessation treatments. Data were analyzed in 2025., Results: Overall, 1.5% (61/4171) of participants called the quitline, including 1.3% (28/2086) in Group 1 and 1.6% (33/2085) in Group 2, and 0.5% (21/4171) received treatment, including 0.4% (8/2086) in Group 1 and 0.6% (13/2085) in Group 2. There was no significant difference either in calls (P=.52) or receiving treatment (P=.29). However, Spanish speakers were significantly more likely to call than English speakers, 2.3% (24/1032) vs 1.2% (37/3139), respectively (P=.008), and engaged in treatment at approximately twice the rate of English speakers, 0.9% (9/1032) vs 0.4% (12/3139), although the latter difference was nonsignificant (P=.07)., Conclusions: A single text was effective in connecting unassisted tobacco users with evidence-based quitline services for both English and Spanish speakers, but especially the latter. A population health approach of reaching out to tobacco-using patients outside clinical visits can meaningfully supplement provider referral. Research is needed on ways to increase the population health impact of this strategy. Copyright © Cindy Valencia, Melanie Dove, Karen Kim, Paul Giboney, Hal F Yee Jr, Carrie Kirby, Christopher Anderson, Shu-Hong Zhu, Elisa K Tong. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org).", "publicationTitle": "JMIR Public Health and Surveillance", "publisher": "", "place": "", "date": "2026", "volume": "12", "issue": "", "section": "Valencia, Cindy V. Center for Healthcare Policy Research, University of California, Davis, 4150 V Street, Suite 2400, Sacramento, CA, 95817, United States. Dove, Melanie S. Department of Public Health Sciences, University of California, Davis, Sacramento, CA, United States. Kim, Karen. Los Angeles County Department of Health Services, Los Angeles, CA, United States. Giboney, Paul. Los Angeles County Department of Health Services, Los Angeles, CA, United States. Yee, Hal F Jr. Los Angeles County Department of Health Services, Los Angeles, CA, United States. Kirby, Carrie A. Moores Cancer Center, University of California, San Diego, La Jolla, CA, United States. Anderson, Christopher M. Moores Cancer Center, University of California, San Diego, La Jolla, CA, United States. Zhu, Shu-Hong. Moores Cancer Center, University of California, San Diego, La Jolla, CA, United States. Tong, Elisa K. Department of Internal Medicine and Center for Healthcare Policy Research, University of California, Davis, 4150 V Street, Suite 2400, Sacramento, CA, 95817, United States, 1 916 734 7005.", "partNumber": "", "partTitle": "", "pages": "e83269", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.2196/83269", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=41773565", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "2369-2960", "archive": "Ovid MEDLINE(R)", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Hotlines/sn [Statistics & Numerical Data]" }, { "tag": "*Smoking Cessation/mt [Methods]" }, { "tag": "*Text Messaging/sn [Statistics & Numerical Data]" }, { "tag": "*hotline" }, { "tag": "*smoking cessation" }, { "tag": "*text messaging" }, { "tag": "Adult" }, { "tag": "California" }, { "tag": "Female" }, { "tag": "Humans" }, { "tag": "Los Angeles" }, { "tag": "Male" }, { "tag": "Medicaid/og [Organization & Administration]" }, { "tag": "Medicaid/sn [Statistics & Numerical Data]" }, { "tag": "Middle Aged" }, { "tag": "Safety-net Providers/og [Organization & Administration]" }, { "tag": "Safety-net Providers/sn [Statistics & Numerical Data]" }, { "tag": "United States" }, { "tag": "adult" }, { "tag": "controlled study" }, { "tag": "female" }, { "tag": "human" }, { "tag": "male" }, { "tag": "medicaid" }, { "tag": "middle aged" }, { "tag": "organization and management" }, { "tag": "procedures" }, { "tag": "randomized controlled trial" }, { "tag": "safety net health care" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/5YA6IZKU" }, "dateAdded": "2026-04-07T18:54:13Z", "dateModified": "2026-04-07T18:58:58Z" } }, { "key": "DVDPZE8E", "version": 14602, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/DVDPZE8E", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/DVDPZE8E", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Usman et al.", "parsedDate": "2025", "numChildren": 0 }, "data": { "key": "DVDPZE8E", "version": 14602, "itemType": "journalArticle", "title": "Development of an economic model to quantify the impact of clubhouses on societal costs", "creators": [ { "creatorType": "author", "firstName": "M.", "lastName": "Usman" }, { "creatorType": "author", "firstName": "Joshua", "lastName": "Seidman" }, { "creatorType": "author", "firstName": "Kevin", "lastName": "Rice" } ], "abstractNote": "OBJECTIVE: The primary objective of this study was to develop and apply an economic model to estimate cost savings associated with participation in the clubhouse program for individuals with serious mental illness., METHODS: Using a prevalence-based economic model, this study estimated per-person annual cost savings for clubhouse participants. Data from existing research incorporates adjustment factors such as serious mental illness type, health care utilization, participation years, and visit frequency. Costs are calculated across six categories: inpatient and noninpatient mental health care, physical health care, criminal legal system costs, Supplemental Security Income/Social Security Disability Insurance benefits, and productivity losses., RESULTS: Results indicate estimated cost savings of $11,374 annually for clubhouse participants compared with nonparticipants. These savings are based on a prototypical participant with average needs, characterized by a general serious mental illness diagnosis, average health care utilization levels, 4 years of participation, and three-monthly visits. Significant cost reductions were observed across all categories, particularly in productivity losses, criminal legal system costs, and health care expenditures., CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Findings suggest that clubhouse participation may generate substantial cost savings by reducing health care needs and productivity losses through clubhouse's community-focused therapeutic model. These results support integrating community-based social support programs into value-based care models. Future research should validate these findings with real-world cohort data and examine the mechanisms driving cost savings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).", "publicationTitle": "Psychiatric rehabilitation journal", "publisher": "", "place": "", "date": "2025", "volume": "", "issue": "", "section": "Usman, M. Fountain House. Seidman, Joshua. Fountain House. Rice, Kevin. Fountain House.", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1037/prj0000675", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=41182724", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1559-3126 1095-158X", "archive": "Ovid MEDLINE(R) Epub Ahead of Print", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Cost Savings/sn [Statistics & Numerical Data]" }, { "tag": "*Cost of Illness" }, { "tag": "*Health Care Costs/sn [Statistics & Numerical Data]" }, { "tag": "*Health Expenditures/sn [Statistics & Numerical Data]" }, { "tag": "*Mental Disorders/ec [Economics]" }, { "tag": "*Mental Disorders/rh [Rehabilitation]" }, { "tag": "*Models, Economic" }, { "tag": "*Psychiatric Rehabilitation/ec [Economics]" }, { "tag": "*cost control" }, { "tag": "*cost of illness" }, { "tag": "*economic model" }, { "tag": "*health care cost" }, { "tag": "*mental disease" }, { "tag": "*psychosocial rehabilitation" }, { "tag": "Adult" }, { "tag": "Female" }, { "tag": "Humans" }, { "tag": "Male" }, { "tag": "Middle Aged" }, { "tag": "adult" }, { "tag": "economics" }, { "tag": "female" }, { "tag": "human" }, { "tag": "male" }, { "tag": "middle aged" }, { "tag": "rehabilitation" } ], "collections": [ "ZMH2C79A" ], "relations": { "dc:replaces": [ "http://zotero.org/groups/250083/items/BCMGR6X6", "http://zotero.org/groups/250083/items/DVCCHXLX" ] }, "dateAdded": "2026-03-03T20:39:33Z", "dateModified": "2026-04-07T18:58:55Z" } }, { "key": "8PL88AYE", "version": 14706, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/8PL88AYE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/8PL88AYE", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Syed and Lee", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "8PL88AYE", "version": 14706, "itemType": "journalArticle", "title": "The cobra effect of volume-based incentives in health care: Why moving toward value-based care matters for population health", "creators": [ { "creatorType": "author", "firstName": "M. A.", "lastName": "Syed" }, { "creatorType": "author", "firstName": "A. C. K.", "lastName": "Lee" } ], "abstractNote": "Healthcare payment systems routinely shape organizational behavior in ways their designers do not intend. One example is the \"Cobra Effect\" where incentives aimed at improving performance end up rewarding proxy activities rather than meaningful outcomes. Fee-for-service payment, which compensates activity rather than health improvement, has followed this pattern across diverse health systems. Although originally intended to preserve access and fairly reward professional effort, it has tended over time to encourage overuse, fragmented care, and underinvestment in prevention. Drawing on international experience from activity-based hospital payments in the United Kingdom to fee-for-service systems in the United States and Japan we argue that value-based care is a necessary paradigm shift to achieve better population health outcomes. We highlight design principles from initiatives such as bundled payments in Sweden, shared savings in U.S. Medicare, and Singapore's Healthier SG program, emphasizing balanced measurement, credible risk adjustment, safeguards for access, and meaningful patient involvement. When incentives are anchored to outcomes that matter to patients and populations, payment systems can shift from distorting care to supporting it.Copyright © 2026 The Royal Society for Public Health.", "publicationTitle": "Public Health", "publisher": "", "place": "", "date": "2026", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "106262", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.puhe.2026.106262", "citationKey": "", "url": "https://www.sciencedirect.com/science/journal/00333506 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2044157787", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0033-3506 1476-5616", "archive": "Embase Weekly Updates", "archiveLocation": "2044157787", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Delivery of Health Care/ec [Economics]" }, { "tag": "*Naja" }, { "tag": "*Population Health" }, { "tag": "*Reimbursement, Incentive" }, { "tag": "*incentive" }, { "tag": "*population health" }, { "tag": "*value-based care" }, { "tag": "Fee-for-Service Plans/ec [Economics]" }, { "tag": "Humans" }, { "tag": "Japan" }, { "tag": "Singapore" }, { "tag": "Sweden" }, { "tag": "United Kingdom" }, { "tag": "United States" }, { "tag": "editorial" }, { "tag": "human" }, { "tag": "medical fee" }, { "tag": "medicare" }, { "tag": "patient participation" }, { "tag": "prevention" }, { "tag": "risk assessment" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/XARWW7IH" }, "dateAdded": "2026-04-07T18:54:12Z", "dateModified": "2026-04-07T18:58:54Z" } }, { "key": "KEDSPFTW", "version": 14703, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/KEDSPFTW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/KEDSPFTW", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Smolderen et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "KEDSPFTW", "version": 14703, "itemType": "journalArticle", "title": "Evolving dynamic needs for patient-reported outcomes assessment in individuals with an abdominal aortic aneurysm (AAA): A systematic review", "creators": [ { "creatorType": "author", "firstName": "K. G.", "lastName": "Smolderen" }, { "creatorType": "author", "firstName": "C.", "lastName": "Tapia" }, { "creatorType": "author", "firstName": "B.", "lastName": "Dennis" }, { "creatorType": "author", "firstName": "S.", "lastName": "Callegari" }, { "creatorType": "author", "firstName": "M.", "lastName": "Dahl" }, { "creatorType": "author", "firstName": "J. S.", "lastName": "Lindholt" }, { "creatorType": "author", "firstName": "I.", "lastName": "Van Herzeele" }, { "creatorType": "author", "firstName": "G.", "lastName": "Romain" }, { "creatorType": "author", "firstName": "C.", "lastName": "Mena-Hurtado" } ], "abstractNote": "Abdominal aortic aneurysm (AAA) affects over 35 million individuals and poses a potentially fatal risk. Risk stratification and surveillance strategies are well established, but their impact on patient-reported outcomes (PROs) remains diffuse and may vary by clinical and biopsychosocial profiles. It is also unclear whether individuals with this often 'silent' condition experience thriving or growth concepts referred to as 'flourishing.' To address these gaps, we systematically reviewed PRO studies in AAA to answer three questions: (1) Are there instruments tailored to AAA phenotypes (rupture, elective repair, surveillance, screening), and what patient-centered dimensions are measured? (2) What mental health assessments are commonly used? (3) Do existing PROs capture elements of flourishing? We included 16 studies. Generic PRO tools were frequently used but limited in scope. Five AAA-specific instruments were identified, focusing on physical symptoms, treatment satisfaction, and disease burden. Most were developed using Classical Test Theory, with item burden ranging from 11 to 70 items, and primarily targeted surveillance or elective surgery populations. Mental health assessment was minimal - typically single items embedded in health status instruments addressing anxiety and depression. Flourishing was indirectly assessed through measures of social connection and emotional well-being. Current PRO approaches fail to capture the heterogeneous, patient-centered experience of living with AAA. We propose a growth-based framework for PRO evaluation using adaptive testing to accommodate clinical complexity while minimizing response burden, supporting integrative, value-based, patient-centered care.Copyright © The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).", "publicationTitle": "Vascular Medicine (United Kingdom)", "publisher": "", "place": "", "date": "2026", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1177/1358863X261417234", "citationKey": "", "url": "https://journals.sagepub.com/home/VMJ https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2044321179", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1358-863X 1477-0377", "archive": "Embase Weekly Updates", "archiveLocation": "2044321179", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*abdominal aortic aneurysm" }, { "tag": "*patient-reported outcome" }, { "tag": "*positive psychology" }, { "tag": "anxiety" }, { "tag": "depression" }, { "tag": "elective surgery" }, { "tag": "health status" }, { "tag": "human" }, { "tag": "mental health" }, { "tag": "open access" }, { "tag": "phenotype" }, { "tag": "review" }, { "tag": "systematic review" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/66M2KMN6" }, "dateAdded": "2026-04-07T18:54:11Z", "dateModified": "2026-04-07T18:58:50Z" } }, { "key": "SCDN8QF5", "version": 14700, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/SCDN8QF5", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/SCDN8QF5", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Scheurwater et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "SCDN8QF5", "version": 14700, "itemType": "journalArticle", "title": "Optimising the atrial fibrillation ablation pathway using vascular closure devices: effects on length of stay, procedure time and outcomes", "creators": [ { "creatorType": "author", "firstName": "M. A.", "lastName": "Scheurwater" }, { "creatorType": "author", "firstName": "B.", "lastName": "de Louw" }, { "creatorType": "author", "firstName": "D.", "lastName": "van Veghel" }, { "creatorType": "author", "firstName": "D. N.", "lastName": "Schulz" }, { "creatorType": "author", "firstName": "A. J.", "lastName": "Ouss" }, { "creatorType": "author", "firstName": "R. P. J.", "lastName": "de Bruin" }, { "creatorType": "author", "firstName": "L. R. C.", "lastName": "Dekker" } ], "abstractNote": "Background: The rising prevalence of atrial fibrillation has led to increasing the numbers of pulmonary vein isolations. Optimising care pathway efficiency is essential for sustainable healthcare delivery. This study aimed to evaluate the impact of closure devices (CD) within the care pathway on hospital stay, patient satisfaction, staff workload, and costs, following catheter ablation for atrial fibrillation. Method(s): This study compared the standard care pathway following catheter ablation using manual compression (MC, December 2023-February 2024) to a modified pathway incorporating suture-mediated CD (March-May 2024). Primary outcomes included process indicators (e.g., hospitalisation duration), clinical outcomes (e.g., bleeding complications), and patient experience. Secondary outcomes included staff experience and healthcare costs associated with procedural changes. Result(s): A total of 159 patients participated (MC: 81 patients, CD: 78 patients). Patients received an average of 2 percutaneous sutures. Treatment with CDs resulted in a 3.7-hour reduction in hospitalisation duration (p <. 001), 10-minute shorter procedure time in first-time ablations (p =.006), and 4-hour shorter bed rest (p <. 001). Patients experienced less pain, measured using the Numeric Rating Scale (median 3 vs 1, p =.001), and used less pain medication (p =.006). Discharge comfort was higher in the CD group (p =.009), while complication rates remained similar. 24 nurses participated in the questionnaire. Most nurses reported improved time efficiency and workday organisation. Costs were similar across groups. Conclusion(s): CDs improve care pathways after atrial fibrillation ablation by reducing hospitalisation time, enhancing patient comfort, and improving workflow efficiency without increasing complications.Copyright © The Author(s) 2026.", "publicationTitle": "Netherlands Heart Journal", "publisher": "", "place": "", "date": "2026", "volume": "34", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "133–142", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1007/s12471-026-02020-2", "citationKey": "", "url": "https://www.springer.com/journal/12471 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2043680965", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1568-5888 1876-6250", "archive": "Embase Weekly Updates", "archiveLocation": "2043680965", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*atrial fibrillation" }, { "tag": "*catheter ablation" }, { "tag": "*length of stay" }, { "tag": "*value-based care" }, { "tag": "*vascular closure device" }, { "tag": "adult" }, { "tag": "article" }, { "tag": "bed rest" }, { "tag": "bleeding" }, { "tag": "clinical outcome" }, { "tag": "complication" }, { "tag": "controlled study" }, { "tag": "drug therapy" }, { "tag": "female" }, { "tag": "health care cost" }, { "tag": "health care delivery" }, { "tag": "hospitalization" }, { "tag": "human" }, { "tag": "major clinical study" }, { "tag": "male" }, { "tag": "numeric rating scale" }, { "tag": "pain" }, { "tag": "patient comfort" }, { "tag": "patient satisfaction" }, { "tag": "prevalence" }, { "tag": "pulmonary vein isolation" }, { "tag": "questionnaire" }, { "tag": "therapy" }, { "tag": "workflow" }, { "tag": "working time" }, { "tag": "workload" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/UYU5TT5C" }, "dateAdded": "2026-04-07T18:54:09Z", "dateModified": "2026-04-07T18:58:48Z" } }, { "key": "QSXJCC7R", "version": 14696, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/QSXJCC7R", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/QSXJCC7R", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Rubiera et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "QSXJCC7R", "version": 14696, "itemType": "journalArticle", "title": "HARMONICS: feasibility of a holistic value-based care hybrid programme that maximises clinical outcomes after stroke", "creators": [ { "creatorType": "author", "firstName": "M.", "lastName": "Rubiera" }, { "creatorType": "author", "firstName": "A.", "lastName": "Garcia-Tornel" }, { "creatorType": "author", "firstName": "M.", "lastName": "Muchada" }, { "creatorType": "author", "firstName": "F.", "lastName": "Purroy" }, { "creatorType": "author", "firstName": "J.", "lastName": "Sargento-Freitas" }, { "creatorType": "author", "firstName": "X.", "lastName": "Ustrell" }, { "creatorType": "author", "firstName": "A.", "lastName": "Bustamante" }, { "creatorType": "author", "firstName": "Y.", "lastName": "Silva" }, { "creatorType": "author", "firstName": "M. D.", "lastName": "Alsina" }, { "creatorType": "author", "firstName": "C.", "lastName": "Girao" }, { "creatorType": "author", "firstName": "G.", "lastName": "Mauri" }, { "creatorType": "author", "firstName": "S.", "lastName": "Bernardo-Castro" }, { "creatorType": "author", "firstName": "N.", "lastName": "Canela" }, { "creatorType": "author", "firstName": "E.", "lastName": "Dolz" }, { "creatorType": "author", "firstName": "E.", "lastName": "Ortiz" }, { "creatorType": "author", "firstName": "G.", "lastName": "Colangelo" }, { "creatorType": "author", "firstName": "D.", "lastName": "Cano" }, { "creatorType": "author", "firstName": "M.", "lastName": "Ribo" }, { "creatorType": "author", "firstName": "C. A.", "lastName": "Molina" } ], "abstractNote": "INTRODUCTION: The increasing number of stroke survivors underscores the need for coordinated post-discharge care and systematic outcome monitoring. HARMONICS aimed to provide standardised follow-up, integrating clinician-reported (CROMs) and patient-reported outcomes (PROMs) into a value-based care model. PATIENTS AND METHODS: Using lean methodology, post-stroke care pathways were mapped, and a harmonised workflow was implemented across 6 comprehensive stroke centres (CSCs) in Spain and Portugal. Consecutive patients discharged home or to socio-rehabilitation facilities with an mRS < 5 were offered participation. Follow-up was conducted via a smartphone app or telephone, enabling bidirectional communication with a case manager for health education, vital sign monitoring and PROMs collection. Feasibility required meeting 4 predefined indicators: inclusion > 60%, 3-month retention > 75%, PROMs completion > 60% and satisfaction > 70% measured by patient-reported experience measurement (PREM). Secondary analyses compared outcomes with historical cohorts. RESULT(S): Between 2022 and 2024, 4209 patients were recruited (40.2% women; median age 73 [IQR 62-81]; 75.6% ischaemic; median admission NIHSS 3 [1-6]; median discharge mRS 2 [1-3]). App use occurred in 59.9% (56% independently). Feasibility was achieved for inclusion (82.8%), retention (84.6%) and satisfaction (72.9%), but PROMs completion was 53.7% at 90 days. Despite mild severity, many reported suboptimal PROMs at 3 months, improving modestly by 1 year. Compared with historical controls, HARMONICS patients showed a better 3-month mRS distribution (OR 1.124; 95% CI, 1.042-1.213; P = .0026) and improved PROMs (P < .05). DISCUSSION AND CONCLUSION(S): HARMONICS is a feasible multicentre value-based follow-up model that promotes education, engagement and self-responsibility, with high rates of healthcare satisfaction reported by stroke survivors.Copyright © The Author(s) 2026. Published by Oxford University Press on behalf of the European Stroke Organisation.", "publicationTitle": "European stroke journal", "publisher": "", "place": "", "date": "2026", "volume": "11", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1093/esj/aakag016", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=650654023", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "2396-9881 (electronic) 2396-9881", "archive": "Embase Weekly Updates", "archiveLocation": "650654023", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Patient Reported Outcome Measures" }, { "tag": "*Stroke Rehabilitation/mt [Methods]" }, { "tag": "*Stroke/th [Therapy]" }, { "tag": "*cerebrovascular accident" }, { "tag": "*patient-reported outcome" }, { "tag": "*stroke rehabilitation" }, { "tag": "Aged" }, { "tag": "Aged, 80 and over" }, { "tag": "Feasibility Studies" }, { "tag": "Female" }, { "tag": "Humans" }, { "tag": "Male" }, { "tag": "Middle Aged" }, { "tag": "Portugal" }, { "tag": "Spain" }, { "tag": "Treatment Outcome" }, { "tag": "aged" }, { "tag": "clinical trial" }, { "tag": "feasibility study" }, { "tag": "female" }, { "tag": "human" }, { "tag": "male" }, { "tag": "middle aged" }, { "tag": "multicenter study" }, { "tag": "procedures" }, { "tag": "therapy" }, { "tag": "treatment outcome" }, { "tag": "very elderly" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/YC9TLZQA" }, "dateAdded": "2026-04-07T18:54:07Z", "dateModified": "2026-04-07T18:58:45Z" } }, { "key": "GX2HGJZA", "version": 14694, "library": { "type": "group", "id": 250083, "name": "QSR", "links": { "alternate": { "href": "https://www.zotero.org/groups/qsr", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/250083/items/GX2HGJZA", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/qsr/items/GX2HGJZA", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Revill et al.", "parsedDate": "2026", "numChildren": 0 }, "data": { "key": "GX2HGJZA", "version": 14694, "itemType": "journalArticle", "title": "Toward Value-Based Healthcare in the Arabian Gulf and Wider Regions: New Evidence and Future Directions", "creators": [ { "creatorType": "author", "firstName": "P.", "lastName": "Revill" }, { "creatorType": "author", "firstName": "S.", "lastName": "Al-Dallal" }, { "creatorType": "author", "firstName": "A.", "lastName": "Stanciole" }, { "creatorType": "author", "firstName": "M. A.", "lastName": "Espinoza" } ], "abstractNote": "", "publicationTitle": "Value in Health Regional Issues", "publisher": "", "place": "", "date": "2026", "volume": "52", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "101599", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.vhri.2026.101599", "citationKey": "", "url": "https://www.sciencedirect.com/science/journal/22121099 https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2043777701", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "2212-1099 2212-1102", "archive": "Embase Weekly Updates", "archiveLocation": "2043777701", "shortTitle": "", "language": "English", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Persian Gulf" }, { "tag": "*value-based care" }, { "tag": "editorial" }, { "tag": "human" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/250083/items/YCZGLNRX" }, "dateAdded": "2026-04-07T18:54:07Z", "dateModified": "2026-04-07T18:58:44Z" } } ]