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BACKGROUND Little research has been conducted to investigate role stress experienced by faculty members in medical schools in developing countries. This becomes even more important when the process of reform in medical education has already taken place, such as the case of Iran. The objectives of this study were to investigate and assess the level and(More)
BACKGROUND As a response to a changing operating environment, healthcare administrators are implementing modern management tools in their organizations. The balanced scorecard (BSC) is considered a viable tool in high-income countries to improve hospital performance. The BSC has not been applied to hospital settings in low-income countries nor has the(More)
The Centre for Health Program Evaluation (CHPE) is a research and teaching organisation established in 1990 to: • undertake academic and applied research into health programs, health systems and current policy issues; • develop appropriate evaluation methodologies; and • promote the teaching of health economics and health program evaluation, in order to(More)
OBJECTIVE To systematically review the literature regarding how statistical process control--with control charts as a core tool--has been applied to healthcare quality improvement, and to examine the benefits, limitations, barriers and facilitating factors related to such application. DATA SOURCES Original articles found in relevant databases, including(More)
BACKGROUND Translating scientific evidence into daily practice is complex. Clinical guidelines can improve health care delivery, but there are a number of challenges in guideline adoption and implementation. Factors influencing the effective implementation of guidelines remain poorly understood. Understanding of barriers and facilitators is important for(More)
BACKGROUND The aim of this study was to measure six months compliance to Swedish clinical guidelines in psychiatric care after an active supported implementation process, using structured measures derived from the guidelines. METHODS In this observational study four psychiatric clinics each participated in active implementation of the clinical guidelines(More)
BACKGROUND There is growing interest in applying lean thinking in healthcare, yet, there is still limited knowledge of how and why lean interventions succeed (or fail). To address this gap, this in-depth case study examines a lean-inspired intervention in a Swedish pediatric Accident and Emergency department. METHODS We used a mixed methods explanatory(More)