Background Medical care for admitted patients in hospitals is increasingly reallocated to physician assistants (PAs). There is limited evidence about the consequences for the quality and safety of care. This study aimed to determine the effects of substitution of inpatient care from medical doctors (MDs) …

Background: Guidance of patients treated with antidepressants is paramount for successful therapy. The aim was to assess patients’ needs and suggestions for improvement of guidance by physicians and pharmacists during second generation antidepressant (SGA) therapy. Methods: Five focus group discussions …

This article explores the criteria for ‘good research’ employed by lecturers in traditional universities and institutes of higher professional education. The implementation of research-related activities in the latter created a repositioning of both types of Dutch institutions, similar as in many European …

While condition-based maintenance (CBM) has been established as an effective maintenance strategy in comparison with time-based maintenance (TBM), it has not garnered popularity in the maritime industry. Instead, TBM has been established as the norm for most maintenance programs on board ships. Research …

In coastal and low-lying vulnerable delta cities, such as the Rotterdam Metropolitan region and Metropolitan Manila, there has been an increase in vulnerability of urban flooding and water quality problems. New approaches address the current and future effects of climate change and increase urban quality, …

This thesis deals with the problem of students who do not always know how to fill in their leisure time. There is limited information on the behaviour of Dutch students in their leisure time. By researching their passion related behaviour I gained insight in the positive and negative points regarding …

This report is written for Barning Telecommunicatie. The goal of this research is to gain insights into the level of customer satisfaction for Barning Telecommunicatie and to come up with an advice on how to improve customer satisfaction. Background information Barning Telecommunicatie is an independent …

AIM: Implementation of a locally developed evidence based nursing shift handover blueprint with a bedside-safety-check to determine the effect size on quality of handover. METHODS: A mixed methods design with: (1) an interrupted time series analysis to determine the effect on handover quality in six …

BACKGROUND: Accurate and timely patient handovers from hospital to other health care settings are essential in order to provide high quality of care and to ensure patient safety. We aim to investigate the effect of a comprehensive discharge bundle, the Transfer Intervention Procedure (TIP), on the time …

Raising the literacy levels of young children is a major concern in many countries for which various programmes have been suggested. One of these is family literacy programmes. In previous meta-analyses wide variability in effects has been found and it has been suggested that this is partly caused by …