Quality improvement interventions to prevent the use of hospital services among nursing home residents: protocol for a systematic review and meta-analysis. in BMJ open / BMJ Open. 2023 Sep 27;13(9):e074684. doi: 10.1136/bmjopen-2023-074684.

2023
AOU Città della Salute di Torino
ASL Vercelli

Tipo pubblicazione

Research Support, Non-U.S. Gov't

Autori/Collaboratori (6)Vedi tutti...

Campagna S
Department of Public Health and Pediatrics, Università degli Studi di Torino, Torino, Italy.
Caristia S
Department of Medicina Traslazionale, Università degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy.
Bassi E
Department of Medicina Traslazionale, Università degli Studi del Piemonte Orientale Amedeo Avogadro, Vercelli, Italy.

et alii...

Abstract

INTRODUCTION: Quality improvement interventions are a promising strategy for reducing hospital services use among nursing home residents. However, evidence for their effectiveness is limited. It is unclear which characteristics of the quality improvement intervention and activities planned to facilitate implementation may promote fidelity to organisational and system changes. This systematic review and meta-analysis will assess the effectiveness of quality improvement interventions and implementation strategies aimed at reducing hospital services use among nursing home residents. METHODS AND ANALYSIS: The MEDLINE, CINAHL, Cochrane Library, Embase and Web of Science databases will be comprehensively searched in September 2023. The eligible studies should focus on the implementation of a quality improvement intervention defined as the systematic, continuous approach that designs, tests and implements changes using real-time measurement to reduce hospitalisations or emergency department visits among long-stay nursing home residents. Quality improvement details and implementation strategies will be deductively categorised into effective practice and organisation of care taxonomy domains for delivery arrangements and implementation strategies. Quality and bias assessments will be completed using the Quality Improvement Minimum Quality Criteria Set and the Joanna Briggs Institute Critical Appraisal Tools.The results will be pooled in a meta-analysis, by combining the natural logarithms of the rate ratios across the studies or by calculating the rate ratio using the generic inverse-variance method. Heterogeneity will be assessed using the I(2) or H(2) statistics if the number of included studies will be less than 10. Raw data will be requested from the authors, as required. ETHICS AND DISSEMINATION: Ethical approval is not required. The results will be published in a peer-review journal and presented at (inter)national conferences. PROSPERO REGISTRATION NUMBER: CRD42022364195.

Accesso banca dati bibliografica

PMID : 37758680

DOI : 10.1136/bmjopen-2023-074684

Keywords

Nursing Care; Hospitalization; Change management; Aging; Nursing Homes; Hospitals; Meta-Analysis as Topic; Systematic Reviews as Topic; Quality Improvement; Humans; Systematic Review;