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                  <text>VOL. 5 ISSUE 1 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Clinical sustainability assessment of sepsis care bundle: a cross-sectional study (ORIGINAL ARTICLE)</text>
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                <text> sustainability, clinical sustainability assessment, sepsis care bundle, healthcare, Oman</text>
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                <text>Introduction: Clinical sustainability in healthcare ensures long-term delivery of high-quality care. A ‘care bundle’ is a set of interventions specif�ically designed for managing a particular condition, differing from standard care checklists by comprising evidence-based best practices. Care &#13;
bundles like sepsis management are essential for improving patient outcomes and hospital accreditation processes. We assessed the clinical &#13;
sustainability of sepsis care bundle use in practice.&#13;
Methods: The study conducted in a single department at a tertiary public hospital in Oman utilized the clinical sustainability assessment tool &#13;
(C-SAT). This cross-sectional study involved healthcare professionals at Royal Hospital, Oman, using the C-SAT to evaluate sepsis care bundle &#13;
sustainability. Data were collected via a digital survey between June and October 2023. Descriptive statistics summarized demographic char�acteristics and domain scores. Internal consistency was assessed with Cronbach’s alpha, and multivariable regression analysed the impact of &#13;
profession on sustainability scores.&#13;
Results: A total of 121 (n = 245) healthcare professionals participated in the survey (49% response rate), including 97 nurses (80%) and 24 &#13;
physicians (19%). Gender distribution showed 86% female and 14% male respondents. Nurses had more experience (12 years) compared to &#13;
physicians (8 years). Cronbach’s alpha indicated strong internal consistency across various domains, with values ranging from 0.9117 to 0.9541. &#13;
Clinical sustainability scores for sepsis bundles showed no significant variation between nurses and physicians. Multivariable regression analysis &#13;
revealed that nurses had significantly lower scores in Engaged Staff &amp; Leadership compared to physicians (mean difference: −4.16, P = 0.014).&#13;
Conclusions: The study findings emphasize the impact of various factors, such as workload and organizational structure, on sustainability &#13;
perceptions, highlighting the need for targeted interventions to enhance collaboration and sustainability in sepsis care bundle delivery</text>
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                <text>Jehan Al Fannah, Hiba Al Naabi, Thuraiya Al Harthi, Samiha Al Habsi, Fatma Al Fahdi, Salah Al Awaidy</text>
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                <text>DOI:https://doi.org/10.1093/ijcoms/lyaf003</text>
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                <text>Oxford University Press</text>
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                <text>10 April 2025</text>
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                <text>Sri Wahyuni</text>
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                  <text>VOL. 5 ISSUE 1 2025</text>
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                <text>Editorial Board IJQHC Communications Volume 5 Issue 1 Year 2025</text>
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                  <text>VOL. 5 ISSUE 1 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Enhancing surgical safety checklist utilization at a rural primary hospital through a quality improvement project (QIP) (CASE DELIVERY AND PRACTICE IMPROVEMENT)</text>
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                <text>quality improvement (QI); Surgical Safety Checklist; patient safety</text>
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                <text>Background: Despite evidence demonstrating various benefits of the World Health Organization (WHO) Surgical Safety Checklist (SSC), its &#13;
utilization is less frequent in low- and middle-income countries (LMICs). This quality improvement project (QIP) was conducted at a rural primary &#13;
hospital in Ethiopia to address suboptimal utilization of the SSC. At baseline, an average SSC utilization rate was 50% and a completion rate &#13;
was 80% over the prior 6 months (October 2023–March 2024).&#13;
Objective: This study aimed to enhance the utilization and completion rates of the WHO SSC through a structured QIP.&#13;
Methods: A single-cycle Plan-Do-Study-Act approach was employed to enhance adherence. Key interventions included translating the SSC into &#13;
Amharic, conducting a two-day training session, introducing pre- and postoperative briefings, and requiring surgeons to remain in the operation &#13;
theater until checklist completion. Biweekly audits and supervision were conducted to monitor progress. Key performance indicators were SSC &#13;
utilization and completion rates, while secondary indicators included the rate of prophylactic antibiotic administration and SSI. Trend analysis &#13;
using run charts evaluated changes over time, while staff interviews provided insights into behavioral and attitudinal shifts.&#13;
Results: The QIP demonstrated a significant and sustained improvements. Baseline measurements in October 2023 showed a utilization rate &#13;
of 50% and a completion rate of 80%. Following targeted interventions, both metrics steadily improved, reaching 100% by June 2024 and &#13;
maintaining this level through September 2024.&#13;
Conclusion: The QIP demonstrated that achieving 100% utilization and completion of the WHO SSC is feasible even in rural hospitals of LMICs. &#13;
Formal training proved crucial for improving adherence, addressing gaps seen with informal approaches. This underscores the value of structured, &#13;
localized interventions for improving surgical safety practices and encourages broader adoption in similar contexts. To sustain the results, ongoing &#13;
supportive training, monthly supervision, and staff recognition initiatives were initiated.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120727">
                <text>MelakuTeshale Gemechu, Anteneh Cheru Adinew, Elias Ermias Ledamo</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="120728">
                <text>DOI:https://doi.org/10.1093/ijcoms/lyaf004</text>
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                <text>Oxford University Press</text>
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                <text>16 April 2025</text>
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                <text>Sri Wahyuni</text>
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        <name>Patient safety</name>
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        <name>quality improvement (QI)</name>
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        <name>Surgical Safety Checklist</name>
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                  <text>VOL. 5 ISSUE 1 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Introducing optimal performance scenario for an Urban Comprehensive Health Center affiliated with Primary Healthcare Network in Iran (ORIGINAL ARTICLE)</text>
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                <text>UCHC, simulation, scenario, optimal performance, Iran</text>
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            <description>An account of the resource</description>
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                <text>Background: The Urban Comprehensive Health Center (UCHC) is a vital institution that offers healthcare services to the people residing in cities &#13;
in Iran, and its efficient functioning is critical.&#13;
Objectives: This study aimed to introduce optimal performance scenarios for a UCHC using a new methodology to help managers make more &#13;
efficient decisions.&#13;
Methods: This empirical study was conducted in 2021 at a UCHC in the south of Tehran City, Iran. The study comprised five phases: collecting &#13;
information about the center, recording the number of patients and the time taken to provide services, analyzing the current state of the center, &#13;
creating scenarios, and comparing scenarios to identify the best solution. We used Arena21 software to generate scenarios and quantitative &#13;
criteria, the nominal group technique to analyze proposed decisions, and qualitative criteria and expert choice.&#13;
Results: We extracted three scenarios. The changes in quantitative criteria in the third scenario compared to the current situation were patients &#13;
entered (94% increase), patients served (137% increase), patients’ waiting time (−107% decrease), and employee productivity rate (3% &#13;
increase). Qualitative criteria were presented to validate the scenarios. The scores for the quantitative criteria for the current situation and &#13;
the first, second, and third scenarios were 111, 141, 347, and 401, respectively. For the qualitative criteria, the scores were 116, 208, 216, and &#13;
458, respectively.&#13;
Conclusions: The third scenario was the optimal performance scenario. We recommend using simulation tools, extracting decision methods &#13;
and proposed scenarios, validating scenarios, and making decisions about them for other UCHCs.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Seyed Hadi Hosseini, AmirhosseinTakian, Ahad Bakhtiari, Batool Ahmadi, Mohammad Amerzadeh, Leila Keikavoosi Arani</text>
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            <elementTextContainer>
              <elementText elementTextId="120706">
                <text>DOI:https://doi.org/10.1093/ijcoms/lyaf002</text>
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              <elementText elementTextId="120707">
                <text>Oxford University Press</text>
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                <text>14 February 2025</text>
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                <text>Sri Wahyuni</text>
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                  <text>VOL. 5 ISSUE 1 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Patient safety improvement in the ear, nose, and throat (ENT) speciality: A scoping review of improvement initiatives and involvement of frontline staff (SYSTEMATIC REVIEW)</text>
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                <text>Background The success of patient safety improvement initiatives depends on frontline staff engaging with improvement efforts. However, in &#13;
the ear, nose, and throat (ENT) speciality, there is less patient safety research compared to other healthcare specialities, and limited evidence &#13;
on staff perspectives regarding safety improvement and the factors influencing their engagement.&#13;
Objectives To map the literature on safety improvement efforts in the ENT speciality in UK settings, and to explore staff involvement and &#13;
engagement with initiatives to improve patient safety in ENT.&#13;
Methods A literature search was conducted using the PubMed, Ovid MEDLINE, and SCOPUS databases to retrieve studies reporting the &#13;
implementation of patient safety initiatives in ENT departments in the UK, and studies exploring frontline staff perspectives on improving safety &#13;
in ENT. The selected studies were peer-reviewed, written in English and published between 2013 and 2023. Data were extracted and synthesized &#13;
in accordance with the predefined research questions.&#13;
Results A total of 1661 studies were screened and 10 met the selection criteria. Findings demonstrated evidence of staff initiating, designing, &#13;
and implementing safety improvement initiatives. Frontline staff engagement and senior staff/managerial involvement were identified as key &#13;
contributors to successful implementation. Only one study addressed frontline staff priorities for safety improvement, in the context of improving &#13;
tracheostomy, with the author stating that results indicated that frontline staff are unwilling to implement low priority interventions.&#13;
Conclusion Further research is needed to explore the factors influencing staff perspectives on how patient safety can be improved in ENT and &#13;
the factors influencing their engagement. This could lead to recommendations for the development of successful and sustainable initiatives. &#13;
The authors of this review recommend establishing the following as standard practice: (i) appointing staff as quality/safety champions, and (ii) &#13;
involving frontline staff and senior managers in co-developing improvement strategies</text>
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                <text>Osedebamen Onolememen, Natalie Armstrong , CarolynTarrant</text>
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                <text>DOI:https://doi.org/10.1093/ijcoms/lyaf001</text>
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                <text>Oxford University Press</text>
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                <text>Sri Wahyuni</text>
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                <text>Standards in health accreditation programs are defined as ‘a &#13;
desired and achievable level of performance against which &#13;
actual performance is measured’ [1]. Among several coun�tries, standards enable health organizations to achieve high &#13;
levels of quality and patient safety in their daily operations [2]. &#13;
More than 70 national healthcare accreditation agencies have &#13;
developed and implemented standards for healthcare services &#13;
and facilities [3]. ISQua documented credible methodologies &#13;
to promote transparent, open, and comprehensive standards &#13;
development processes [4]. Depending on the settings, hier�archy of command, policies, and regulations, countries have &#13;
adapted and innovated frameworks and models in the devel�opment of standards [5]. Previous studies demonstrated that &#13;
the Saudi Central Board for Accreditation of Healthcare Insti�tutions (CBAHI) has proven improvement in infection control &#13;
practices and quality [6, 7]. In addition to maintaining the &#13;
improvement over time across healthcare institutes [8], these &#13;
improvements were involved across hospital settings, health�care providers, and healthcare services across Saudi Arabia &#13;
regions [9–11]</text>
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                <text>Alsuhaimi Abdulmunim, Ahmed Newera, Khalid Alkhurayji</text>
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              <elementText elementTextId="120739">
                <text>DOI:https://doi.org/10.1093/ijcoms/lyaf005</text>
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