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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.

Research Institutes & Clusters - Patient Safety (PSAF)

Mostrando recursos 1 - 20 de 41

  1. maximal oxygen uptake capacity (VO2max) can be predicted by fixed-rate step tests.

    HANSEN, D.; JACOBS, N.; BEX, S.; DENDALE, Paul; D'HAENE, G.; CLAES, Neree
    Maximal oxygen uptake capacity (VO2max) can be predicted by fixed-rate step tests. It remains however to be analyzed what exercise intensities are reached during such tests to address medical safety. In this study, we compared the physiological response to a standardized fixed-rate step test with maximal cardiopulmonary exercise testing (CPET). Methods: 113 healthy adults executed a maximal CPET on bike, followed by a standardized fixed-rate step test one week later. During these tests heart rate (HR) and oxygen uptake (VO2) was monitored continuously. From the maximal CPET, the ventilatory threshold (VT) was calculated. Next, the physiological response between maximal CPET and step...

  2. Cardiovascular is a major cause of mortality and morbidity and its prevalence is set to increase

    CLAES, Neree; JACOBS, Nele; Clays, E.; SCHROOTEN, Ward
    Cardiovascular is a major cause of mortality and morbidity and its prevalence is set to increase. While the benefits of medical and lifestyle interventions is established, the effectiveness of interventions which seek to improve the way preventive care is delivered in primary care is less so. The purpose was to study the effectiveness of 2 intervention programs in reducing cardiovascular risk factors within primary care. Methods: A randomized controlled trial conducted in Belgium 2007-2010 with 295 participants allocated to a medical (=MP) and a medical + behavioral (=MBP) program. The MP consisted of medical assessments (screening and follow-up) by a general...

  3. The evaluation of time and cost saving modifications of HFMEA: an experimental approach in radiotherapy.

    VLAYEN, Annemie; VAN DER SCHAAF, Tjerk; GEURTS, Karolien; Reijnders-Thijssen, Petra; Simons, Pascale

  4. Effect of a cardiovascular prevention program on health behavior and BMI in highly educated adults: A randomized controlled trial

    JACOBS, Nele; De Bourdeaudhuij, Ilse; THIJS, Herbert; DENDALE, Paul; CLAES, Neree
    Objective: To examine the effects and dose–response effects of an intervention on health behavior (fat intake, physical activity, and smoking) and Body Mass Index (BMI) in a sample of highly educated adults. Methods: Participants were randomized to a ‘usual care’ condition (=medical assessment) (n = 106) and an intervention condition (=cardiovascular prevention program) that additionally included a website and one-on-one coaching (by e-mail, telephone, and/or face-to-face) (n = 208). The participants could select their own intervention dose and delivery mode. Results: Participants completed questionnaires at baseline (n = 93; n = 194) and 6 months post-baseline (n = 84; n = 168)....

  5. Screening for Atrial Fibrillation in Belgium: a multicentre trial

    CLAES, Neree; Goethals, M.; Goethals, P.; Mairesse, Georges H.; Schwagten, B.; Nuyens, D.; SCHROOTEN, Ward; Vijgen, J.
    Screening for Atrial Fibrillation (AF) in Belgium: a multicentre trial Claes Neree, Goethals Marnix, Goethals Peter, Mairesse Georges, Schwagten Bruno, Nuyens Dieter, Schrooten Ward, Vijgen Johan Introduction 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...

  6. Evaluating Benchmarking to Optimize Management of Type 2 Diabetes Patients: The Belgian Data of the Optimise study

    HERMANS, M.P.; MULS, E.; NOBELS, F.; KRZENTOWSK, G.; CLAES, Neree; DEBACKER, N.; Matthys, An
    Background Micro- and macrovascular complications of diabetes have an important impact on survival, quality of life and health care costs. Effective treatments and lifestyle interventions reduce such burden and improve quality of care. Benchmarking, an innovative intervention technique, with the potential to further improve quality of care, incorporates the provision of feedback on physician’s individual performance compared with preset targets according to current guidelines and mean performance of a peer group. Methods Belgium is one among 6 European countries participating in the observational OPTIMISE study (NCT00681850), other countries involved being the United Kingdom, Spain, Greece, Portugal and Luxemburg. The aim was to...

  7. Surfing depth on a behaviour change website: Predictors and effects on behaviour

    JACOBS, Nele; DE BOURDEAUDHUIJ, Ilse; CLAES, Neree
    The primary objectives of the present study were to gain insight into website use and to predict the surfing depth on a behaviour change website and its effect on behaviour. Two hundred eight highly educated adults from the intervention condition of a randomised trial received access to a medical intervention, individual coaching (by e-mail, post, telephone or face-to-face) and a behaviour change website. Website use (e.g. surfing depth, page view duration) was registered. Online questionnaires for physical activity and fat intake were filled out at baseline and after 6 months. Hierarchical linear regression was used to predict surfing depth and its effect on behaviour. Seventy-five per...

  8. Early involvement of PS in the medical curriculum: the impact of an introductory PS lecture on spontaneous incident reporting by undergraduate medical students.

    VANDERSTEEN, Marjan; VAN MIERLO, Jan; HELLINGS, Johan; VAN DER SCHAAF, Tjerk
    Objective: Reducing harm caused by health care is a global priority. As medical students will play an important role in future health care there is an urgent need to implement Patient Safety (PS) education in their undergraduate curriculum (Sanders et al, 2007; WHO, 2008), aiming at better event recognition and reporting. This study wants to assess the impact of an introductory lecture on PS for undergraduate medical students on their spontaneous medical incidence reporting during a subsequent nursing internship. Methods: As part of the undergraduate curriculum at Hasselt University second year (undergraduate) medical students have to fulfil a two week nursing internship in...

  9. Targeting undergraduate medical students in teaching Patient Safety: a systematic approach.

    VAN MIERLO, Jan; VANDERSTEEN, Marjan; VAN DER SCHAAF, Tjerk
    1) Context Study 1 was performed on second year undergraduate medical students and Study 2 on third year students. Research was done in a university setting. 2) Problem Negative attitudes about Patient Safety (PS) are hard to change. Therefore it seems desirable to involve PS in the early stages of the medical curriculum. However very little is known about the PS related attitudes of undergraduate students. 3) Assessment of problem and analysis of its causes: Question 1 of this study: are medical students sensitive to PS interventions: do they have an opinion about PS? Do they care? Question 2: what should a PS...

  10. Spontane observaties en meldingen van medische fouten van studenten geneeskunde na een verpleegstage: impact van een enkel hoorcollege patiëntveiligheid.

    VANDERSTEEN, Marjan; VAN MIERLO, Jan; VAN DER SCHAAF, Tjerk

  11. Het gebruik van verpleegkundige en medische vignetten om attitudes en percepties rond patiëntveiligheid te meten.

    VAN MIERLO, Jan; VANDERSTEEN, Marjan; VAN DER SCHAAF, Tjerk

  12. Cost-utility of a cardiovascular prevention program in highly educated adults: Intermediate results of a randomized controlled trial

    JACOBS, Nele; EVERS, Silvia; Ament, Andre; CLAES, Neree
    Objectives: Little is known about the costs and the effects of cardiovascular prevention programs targeted at medical and behavioral risk factors. The aim was to evaluate the cost-utility of a cardiovascular prevention program in a general sample of highly educated adults after 1 year of intervention. Methods: The participants were randomly assigned to intervention (n = 208) and usual care conditions (n = 106). The intervention consisted of medical interventions and optional behavior-change interventions (e.g., a tailored Web site). Cost data were registered from a healthcare perspective, and questionnaires were used to determine effectiveness (e.g., quality-adjusted life-years [QALYs]). A cost-utility analysis and sensitivity analyses using bootstrapping were performed on...

  13. Feasibility and reliability of PRISMA-Medical for specialty-based incident analysis

    Snijders, C.; VAN DER SCHAAF, Tjerk; Klip, H.; Lingen, R. A. van; Fetter, W. P. F.; Molendijk, A.
    Aims and objectives: In this study, the feasibility and reliability of the Prevention Recovery Information System for Monitoring and Analysis (PRISMA)-Medical method for systematic, specialty-based analysis and classification of incidents in the neonatal intensive care unit (NICU) were determined. Methods: After the introduction of a Neonatology System for Analysis and Feedback on Medical Events (NEOSAFE) in eight tertiary care NICUs and one paediatric surgical ICU, PRISMA-Medical was started to be used to identify root causes of voluntary reported incidents by multidisciplinary unit patient safety committees. Committee members were PRISMA-trained and familiar with the department and its processes. In this study,...

  14. The Implementation Costs of an Electronic Prevention Program

    CLAES, Neree; JACOBS, Nele; VAN MIERLO, Jan
    Introduction: Guidelines to prevent cardiovascular (CV) disease are widely available. To implement these guidelines an electronic prevention programme (EPP) with a risk calculator for general practitioners (GPs) was developed. The aim of the present study was to calculate the implementation cost per installation. Methods: This cost study is part of a larger clinical trial, studying the effects of interventions in GP-practice on the management of CV risk factors. Participating GPs were asked to install the EPP. They could take part in a group education session or receive education by e-mail, telephone or at home. After a prospective cost registration, the...

  15. The implementation costs of an electronic prevention programme in Belgian general practice

    CLAES, Neree; JACOBS, Nele; VAN MIERLO, Jan
    Introduction: Guidelines to prevent cardiovascular (CV) disease are widely available. To implement these guidelines an electronic prevention programme (EPP) with a risk calculator for general practitioners (GPs) was developed. The aim of the present study was to calculate the implementation cost per installation. Methods: This cost study is part of a larger clinical trial, studying the effects of interventions in GP-practice on the management of CV risk factors. Participating GPs were asked to install the EPP. They could take part in a group education session or receive education by e-mail, telephone or at home. After a prospective cost registration, the...

  16. Integration of prospective and retrospective methods for risk analysis in hospitals

    Kessels-Habraken, M.; VAN DER SCHAAF, Tjerk; De Jonge, J.; Rutte, C.; Kerkvliet, K.
    To explore how hospital management could gain a better picture of risks to support them in setting priorities for patient safety. This study deals with the combined application of prospective and retrospective methods for risk analysis on two units of a Dutch general hospital. In the prospective analyses, employees identified and assessed possible risks in selected processes. In the retrospective analyses, incidents were reported by employees and subsequently investigated. The methods were integrated by using information from retrospective incident reports for prospective risk identification and assessment, and by matching their categorization schemes. Two evaluation forms provided insight into the perceived...

  17. Evaluating Benchmarking to Optimize Management of Type 2 Diabetic Patients: The Belgian Baseline Data

    HERMANS, M; MULS, E; NOBELS, F; CLAES, Neree; KRZENTOWSKI, F; DEBACKER, N; Matthys, An
    Background. An intense diabetic patient care using effective interventions and treatments can significantly reduce the burden of diabetes complications. Benchmarking is a comparative technique that may improve the quality of care. It consists of providing feedback on physician’s individual performance compared with preset targets, according to current guidelines, and mean performance of a peer group. The OPTIMISE study aims to assess the effect of benchmarking on the quality of care in type 2 diabetic patients during a 12-month period in 6 European countries. Methods. For Belgium, 94 General practitioners (GPs) with 1126 patients are assigned to the benchmark group and...

  18. Optimal type 2 diabetes management including benchmarking and standard treatment: the Belgian "OPTIMISE" trial

    HERMANS, M; MULS, E; NOBELS, F; CLAES, Neree; KRZENTOWSKI, F; DEBACKER, N; Matthys, An
    Background. An intense diabetic patient care using effective interventions and treatments can significantly reduce the burden of diabetes complications. Benchmarking is a comparative technique that may improve the quality of care. It consists of providing feedback on physician’s individual performance compared with preset targets, according to current guidelines, and mean performance of a peer group. The OPTIMISE study aims to assess the effect of benchmarking on the quality of care in type 2 diabetic patients during a 12-month period in 6 European countries. Methods. For Belgium, 94 General practitioners (GPs) with 1126 patients are assigned to the benchmark group and...

  19. Optimal type 2 diabetes management including benchmarking and standard treatment: the Belgian "OPTIMISE" trial

    HERMANS, M; MULS, E; NOBELS, F; CLAES, Neree; KRZENTOWSKI, F; DEBACKER, N; Matthys, An
    Background. An intense diabetic patient care using effective interventions and treatments can significantly reduce the burden of diabetes complications. Benchmarking is a comparative technique that may improve the quality of care. It consists of providing feedback on physician’s individual performance compared with preset targets, according to current guidelines, and mean performance of a peer group. The OPTIMISE study aims to assess the effect of benchmarking on the quality of care in type 2 diabetic patients during a 12-month period in 6 European countries. Methods. For Belgium, 94 General practitioners (GPs) with 1126 patients are assigned to the benchmark group and...

  20. Evaluatie van Benchmarking voor de optimalisatie van de zorgverlening van de Type 2 Diabetes Patiënt: De Belgische gegevens

    HERMANS, M; MULS, E; NOBELS, F; KRZENTOWSKI, G; CLAES, Neree; DEBACKER, N; Matthys, An
    Probleemstelling/onderzoeksvraag Micro- and macrovasculaire complicaties van diabetes hebben een belangrijke impact op overleving, kwaliteit van leven en gezondheidskosten. Efficiënte behandelingen en interventies verminderen deze last en verbeteren de kwaliteit van de patiëntenzorg. Benchmarking is een concept welke een meerwaarde zou kunnen bieden in de kwaliteit van de zorgverstrekking. Benchmarking bestaat uit het geven van feedback over de individuele prestatie van de arts, vergeleken met vooropgestelde doelwaarden volgens de huidige richtlijnen en met de gemiddelde prestatie van de groep deelnemende artsen. Methode België is één van de zes deelnemende landen in de niet-interventionele OPTIMISE studie. Deze studie heeft als doel het effect van benchmarking...

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