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Repository of the University of Hasselt containing publications in the fields of statistics, computer science, information strategies and material from the Institute for behavioural sciences.

Behaviour, Communication & Linguistics - Behavioural Sciences - Health

Mostrando recursos 1 - 20 de 71

  1. Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal costs

    Leupe, P.; Hox, V.; Debruyne, F.; Schrooten, W.; Claes, Neree; Lemkens, N.; Lemkens, P.
    Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal cost. Introduction and aim: Tonsillectomy is one of the most commonly performed surgical procedures in children; its main indications are recurrent episodes of acute tonsillitis and adenotonsillar hypertrophy. The effectiveness of tonsillectomy for severe recurrent tonsillitis is generally accepted; however its socio-economic cost is less well investigated. This study aims to determine and compare the societal cost of a tonsillectomy and a severe throat infection. Materials and methods: The costs for both tonsillectomy and severe throat infection were evaluated. Costs of the surgical procedure and hospital stay were...

  2. Design of a medical record review study on the incidence and preventability of adverse events requiring a higher level of care in Belgian hospitals

    Vlayen, Annemie; Marquet, Kristel; Schrooten, Ward; Vleugels, Arthur; Hellings, Johan; De Troy, Elke; Weekers, Frank; Claes, Neree
    BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse events in Belgian hospitals has never been assessed systematically. FINDINGS: A multistage retrospective review study of patients requiring a transfer to a higher level of care will be conducted in six hospitals in the province of Limburg. Patient records are reviewed starting from January 2012 by a clinical team consisting of a research nurse, a physician and a clinical pharmacist. Besides...

  3. A nationwide Hospital Survey on Patient Safety Culture in Belgian hospitals: setting priorities at the launch of a 5-year patient safety plan

    Vlayen, Annemie; Hellings, Johan; Claes, Neree; Peleman, Hilde; Schrooten, Ward
    Objective: To measure patient safety culture in Belgian hospitals and to examine the homogeneous grouping of underlying safety culture dimensions. Methods: The Hospital Survey on Patient Safety Culture was distributed organisation-wide in 180 Belgian hospitals participating in the federal program on quality and safety between 2007 and 2009. Participating hospitals were invited to submit their data to a comparative database. Homogeneous groups of underlying safety culture dimensions were sought by hierarchical cluster analysis. Results: 90 acute, 42 psychiatric and 11 long-term care hospitals submitted their data for comparison to other hospitals. The benchmark database included 55 225 completed questionnaires (53.7% response...

  4. Prevalence of atrial fibrillation in adults participating in a large-scale voluntary screening programme in Belgium

    Claes, Neree; Van Laethem, Christophe; Goethals, Marnix; Goethals, Peter; Mairesse, Georges H.; Schwagten, Bruno; Nuyens, Dieter; Schrooten, Ward; Vijgen, Johan
    Objective Atrial fibrillation (AF) is a common arrhythmia in clinical practice. AF fulfils many of the criteria for a screening programme. No data about the prevalence of AF in non-hospitalized patients are available in Belgium. The aim of the study was to assess feasibility and effectiveness of a nationwide-organized voluntary screening programme in the general population in Belgium. Methods A total of 13.564 participants were screened, of whom 10,758 were older than 40 years (GSP group). Participants filled in stroke risk stratification questionnaires (CHADS2 and CHA2DS2-VASc). A one-lead electrocardiogram was performed. Results 228 participants had AF at the time of...

  5. Benchmark report on Belgian Hospital Survey on Patient Safety Culture.

    Vlayen, Annemie; Schrooten, Ward; Hellings, Johan; Claes, Neree
    Objectives: To examine whether safety culture evolved in Belgian hospitals after a period of three years and to explore the opportunities for benchmarking. Methods: Patient safety culture was measured on 12 dimensions using the validated versions of the Belgian Hospital Survey on Patient Safety Culture. Hospitals were invited to participate in a second nationwide benchmark database. Results: In total, the benchmark database contains the safety culture perceptions of 115 764 respondents from 176 hospitals. Of these, 147 hospitals conducted a first measurement (53.6% response rate) and 140 hospitals repeated the measurement after three years (50.6% response rate). For 111 hospitals which participated...

  6. Understanding Patient Safety Culture: Measuring variability in Belgian acute hospitals

    Vlayen, Annemie; Schrooten, Ward; Aerts, Marc; Wami, Welcome; Claes, Neree; Hellings, Johan
    The aim of this study was to measure differences in safety culture between work areas and professional groups. The aggregated data (47635 respondents) of the Hospital Survey on Patient Safety Culture from 90 acute Belgian hospitals were used for quantitative analysis. We found differences in response rates between medical staff (34.9%) and employees (55%). Handoffs and transitions, Staffing and Management support for patient safety were considered as major problem areas. Positive dimensional scores were higher for respondents working in pediatrics, psychiatry and revalidation in comparison with the emergency department, operating theatre and multiple hospital units. We found an important gap...

  7. A nationwide Hospital Survey on Patient Safety Culture in Belgian hospitals: Analysis and benchmarking

    Vlayen, Annemie; Hellings, Johan; Claes, Neree; Peleman, Hilde; Schrooten, Ward
    The objectives of this study were to measure patient safety culture in Belgian hospitals using the Hospital Survey on Patient Safety Culture and to provide benchmarking of the results. The benchmark database includes 55 225 respondents from 90 acute, 42 psychiatric and 11 long-term care hospitals (53.7% response rate). Overall dimensional scores were low, although scores were found to be higher for psychiatric and long-term care hospitals than for acute hospitals.The nationwide safety culture assessment confirms the need for a long-term national initiative to improve patient safety culture and provides each hospital with a baseline patient safety culture profile to...

  8. Incidence and preventability of adverse events requiring intensive care admission: a systematic review

    Vlayen, Annemie; Verelst, Sandra; Bekkering, Geertruida E.; Schrooten, Ward; Hellings, Johan; Claes, Neree
    Rationale, aims and objectives Adverse events are unintended patient injuries or complications that arise from health care management resulting in death, disability or prolonged hospital stay. Adverse events that require critical care are a considerable financial burden to the health care system, but also their global impact on patients and society is probably underestimated. The objectives of this systematic review were to synthesize the best available evidence regarding the estimates of the incidence and preventability of adverse events that necessitate intensive care admission, to determine the type and consequences [mortality, length of intensive care unit (ICU) stay and costs] of...

  9. Breaking the Poverty Cycle: The Human Basis for Sustainable Development

    Vinck, Jan
    Clinical Psychology; Health-Promotion

  10. Interpretation and management of INR results: a case history based survey in 13 countries

    Kristoffersen, Ann-Helen; Thue, Geir; Claes, Neree; Horvath, Andrea Rita; Leonetti, Rina; Kallion, Kaja; Kitchen, Dianne; Kitchen, Steve; Kutt, Marge; Meijer, Piet; Muller, Mathias; Nilsson, Elisabeth; Perich, Carmen; Plum, Inger; Rogic, Dunja; Tirimacco, Rosy; van der Meer, Felix J.M.; Watine, Joseph; Sandberg, Sverre; Ajzner, Eva
    Introduction: Standardisation of treatment with vitamin K antagonists (VKAs) is still an issue after 60 years of use. The study aimed to explore aspects of VKA monitoring in primary and secondary care. Methods: Two case histories were distributed to physicians in 13 countries. Case history A focused on a patient with atrial fibrillation on stable anticoagulation (latest INR 2.3). Physicians were asked about frequency of INR measurement, when to change the VKA dose, and the patient???s annual risk of ischemic stroke and bleeding. Case history B focused on a patient with an unexpected INR of 4.8, asking for the patient???s...

  11. Prevalence of Atrial Fibrillation in adults participating in a large scale voluntary screening program in Belgium

    Claes, Neree; Van Laethem, Christophe; Goethals, Marnix; Goethals, Peter; Mairesse, Georges; Schwagten, Bruno; Nuyens, Dieter; Schrooten, Ward; Vijgen, Johan
    Objectives: Atrial Fibrillation (AF) is a common arrythmia in clinical practice. AF fulfils many of the criteria for a screening program. No data about the prevalence of AF in non-hospitalized patients are available in Belgium. The aim of the study was to assess feasibility and effectiveness of a nationwide-organized voluntary screening program in the general public in Belgium. Methods: A total of 13.564 participants were screened, of which 10.758 were older than 40 years (GSP-group). Participants filled in stroke risk stratification questionnaires (CHADS2 and CHA2DS2-VASc). One lead ECG was performed. Results: 228 participants had AF at the time of screening (AF-group), with...

  12. Multidisciplinair dossieronderzoek naar de incidentie en vermijdbaarheid van adverse events die leiden tot een ongeplande transfer naar een hoger niveau van zorg: een pilootstudie

    Marquet, Kristel; Claes, Neree; De Troy, Elke; Kox, Gaby; Weekers, Frank; Vlayen, Annemie; Vleugels, Arthur
    Een adverse events(AE) wordt gedefinieerd als onbedoelde schade of complicatie, die resulteert in tijdelijke of permanente gezondheidsbeperking en/of verlengd bedrijf of overlijden, hetgeen hoofdzakelijk veroorzaakt is door de gezondheidszorgprofessional of -organisatie (inclusief omissies) eerder dan door de gezondheidstoestand. Wereldwijd beschrijven diverse retrospectieve dossierstudies incidenties van AE tussen 2,9% en 16,6%. Belgisch onderzoek op basis van secundaire gegevens toont gelijkaardige cijfers van 1500 à 2000 sterfgevallen per jaar. Het voorkomen van vermijdbare AE dient de hoofdopdracht te zijn in het streven naar veilige zorg. AEs kunnen op de patiënt een impact hebben dat een transfer naar een hoger niveau van zorg...

  13. Response to letter from RJ Shephard ‘Problems of medical supervision and physiological validity encountered with fixed-rate step tests’

    Hansen, Dominique; Dendale, Paul; Claes, Neree

  14. Dossieronderzoek naar de klinische indicator "ongeplande opnames op de intensieve zorgen komende vanuit een hospitalisatieafdeling"

    Marquet, Kristel; Claes, Neree; De Troy, Elke; Kox, Gaby; Weekers, Frank; Vleugels, Arthur
    Doelstelling: Het in kaart brengen van de klinische indicator "ongeplande opname op intensieve zorgen" door middel van een dossieronderzoek. Methodologie: (1) retrospectief dossieronderzoek van alle ongeplande opnames op intensieve zorgen in een Limburgs ziekenhuis gedurende twee maanden (2) chirurgische, inwendige, gemengde intensieve zorgen eenheden en cardiac care unit werden geïncludeerd (3) de ongeplande opnames werden geselecteerd door de hoofden van de intensieve zorgen eenheden en patiëntveiligheidscoördinator (4) vervolgens werd het patiëntendossier van deze patiënten geanalyseerd naar demografische, klinische en outcome parameters (5) een anesthesist beoordeelde aan de hand van het dossier de American Society of Anesthesiologists(ASA)score Conclusie: (1) 13,9% van...

  15. Frequentie van opvolging van de parameters voorafgaande aan een ongeplande transfer naar intensieve zorgen

    Marquet, Kristel; Claes, Neree; De Troy, Elke; Weekers, Frank; Vleugels, Arthur
    Doelstelling: Het in kaart brengen van de opvolging van de parameters op de verpleegafdeling voorafgaande aan de ongeplande transfer naar intensieve zorgen. Methodologie: (1) retrospectief dossieronderzoek van alle ongeplande opnames op intensieve zorgen(UIA) in een Limburgs ziekenhuis gedurende 2 maanden (2) UIA omvatten alle patiënten die ongepland opgenomen worden op intensieve zorgen komende van een lager niveau van zorgverlening in het ziekenhuis gedurende dezelfde onderzoeksperiode (3) chirurgische, inwendige, gemengde intensieve zorgen eenheden en cardiac care unit werden geïncludeerd (4) de patiënten werden geselecteerd door de hoofden van de intensieve zorgen eenheden en patiëntveiligheidscoördinator (5) vervolgens werd het patiëntendossier van deze...

  16. Atrial Fibrillation (AF) is the most common arrhythmia in clinical practice

    Claes, Neree; Goethals, M.; Goethals, P.; Mairesse, Georges H.; Schwagten, B.; Nuyens, Dirk; Schrooten, Ward; Vijgen, J.
    Purpose: Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. The estimated prevalence is 0.4-1% in the general population, increasing with age to 8% in those older than 80y - . Epidemiological data of this arrhythmia in Belgium are scarce. It is important to screen for AF because patients with AF have a 5 times more risk for an ischemic stroke . The CHA2DS2-VASscore calculates the risk for stroke in those patients, a score ≥2 necessitate a therapy with anticoagulants. Methods: Patients above 40 years were invited through different channels (TV, radio, journals, website, posters, leaflets) for a free...

  17. Incidence and preventability of adverse events requiring intensive care admission: a systematic review.

    Vlayen, Annemie; Verelst, Sandra; Bekkering, GE; Schrooten, Ward; Hellings, Johan; Claes, Neree
    Rationale, aims and objectives  Adverse events are unintended patient injuries or complications that arise from health care management resulting in death, disability or prolonged hospital stay. Adverse events that require critical care are a considerable financial burden to the health care system, but also their global impact on patients and society is probably underestimated. The objectives of this systematic review were to synthesize the best available evidence regarding the estimates of the incidence and preventability of adverse events that necessitate intensive care admission, to determine the type and consequences [mortality, length of intensive care unit (ICU) stay and costs] of...

  18. Evaluating benchmarking to optimize management of type 2 diabetes patients: The Belgian data from the OPTIMISE study

    Hermans, Michel P.; Muls, Erik; Nobels, Frank; Krzentowski, Georges; Claes, Neree; Debacker, Noëmi; Matthys, An
    Background. Type 2 diabetes is frequently associated with micro- and macrovascular complications which markedly impact on survival, quality of life and health care costs. Standards of care that include provision of effective drug therapies combined with lifestyle interventions reduce such burden and contribute to improved quality of care. Benchmarking is a comparative technique with the potential to further improve quality of care. Benchmarking incorporates two-sided feedback of physician’s individual performance graded alongside the current mean achievement of a peer group, as well as patient’s target attainment. This study aimed at assessing the effect of benchmarking on quality of care in type...

  19. Medical record review on adverse events requiring a higher level of care: a pilot study

    Marquet, Kristel; Claes, Neree; De Troy, Elke; Kox, Gaby; Weekers, Frank; Vlayen, Annemie; Vleugels, Arthur

  20. Prospectieve risicoanalyse met behulp van de SAFER binnen het dagchirurgisch proces van NKO patiënt

    Marquet, Kristel; Claes, Neree; Postelmans, Tilly; Lemkens, Peter; Torfs, Ann; Rosseel, Maarten; Vleugels, Arthur
    Limburg Sterk Merk

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