📄 Category

health systems and quality improvement

98 papers

Improving health systems means finding smarter ways to deliver care, reduce errors, and ensure patients receive the best possible treatment. This field explores how hospitals and clinics can function more effectively, focusing on the practical changes that lead to better outcomes for everyone involved. It is less about discovering new drugs and more about refining the everyday processes that keep our healthcare networks running smoothly.

At Gist.Science, we track every new preprint in this category from medRxiv to bring you the latest research immediately. Our team processes these papers to provide both detailed technical summaries for experts and clear, plain-language explanations for anyone interested in how healthcare can improve. We believe that understanding these systemic changes is vital for building a more resilient future.

Below are the latest studies and insights from the health systems and quality improvement community, sorted by their recent submission dates.

📄 health systems and quality improvement

Towards Integrated Digital Health Systems for Nutrition and Food Security in Uganda: A Cross-Sectional Survey

This study identifies critical barriers to interoperability, such as technical capacity gaps and fragmented systems, within Uganda's digital health landscape and proposes a data-driven roadmap centered on workforce development, standardized data formats, and formalized governance to transition from isolated "data islands" to an integrated system supporting nutrition and food security.

Samnani, A. A., Kimbugwe, N., Nduhuura, E., Katarahweire, M., Kanagwa, B., Crowley, K., Tierney, A.2026-04-06
📄 health systems and quality improvement

Structured Error Analysis and Corrective Actions in Clinical Laboratory Practice: An Analysis of 7226 External Quality Assurance Participations

This retrospective study of 7,226 External Quality Assurance participations over four years demonstrates that a clinical laboratory's consistent analysis of deviations, which are predominantly analytical and concentrated in clinical chemistry, enables prompt corrective actions that maintain stable performance and a consistently low error rate.

Strasser, B., Mustafa, S., Holly, M., Grünberger, M., Anita, S.2026-04-04
📄 health systems and quality improvement

Implementation Outcomes of a Web-Based Platform for Reporting and Monitoring Continuous Quality Improvement (CQI) Activities: A Mixed-Methods Evaluation

A formative mixed-methods evaluation of a web-based Continuous Quality Improvement platform in Jamaica reveals that while the tool is generally accepted and effective for documentation and oversight, its sustained adoption depends on addressing critical barriers such as inconsistent internet connectivity, limited training, and workflow integration within supportive organizational contexts.

Komba, P., Simmonds, G., Dunbar, E. L., Bundy, K., Irving-Mattocks, N., McDowell, M., Ghee, A. E., Puttkammer, N.2026-04-02
📄 health systems and quality improvement

Socioeconomic inequality in maternal healthcare utilisation in Ghana: evidence from concentration index decomposition of the 2022 Demographic and Health Survey

Despite high overall coverage of basic antenatal care in Ghana, significant pro-rich socioeconomic inequalities persist in maternal healthcare utilization, driven primarily by rural residence and educational disparities, which the National Health Insurance Scheme alone fails to eliminate.

Balinia Adda, R.2026-04-02
📄 health systems and quality improvement

Development of a universal single-item therapeutic empathy scale and validation of the patient-reported version

This study developed and validated a brief, universal single-item therapeutic empathy scale for patients, demonstrating its strong psychometric properties, including high convergent validity with established measures and sensitivity to known group differences, thereby offering a practical tool for clinical, educational, and research applications.

Bennett-Weston, A., Maltby, J., Khunti, K., Leung, C., Narwal, D., Otoo, P., Iyadi-Wilson, B., Howick, J.2026-03-30
📄 health systems and quality improvement

Outcome evaluation of the M-Mama emergency transport system (EmTS) and factors associated with its utilisation among lactating mothers in Kigoma District Council, Tanzania: A cross-sectional study

This cross-sectional study in Kigoma District, Tanzania, reveals that while the utilization of the M-Mama emergency transport system among lactating mothers remains low at 36%, its use is significantly driven by program awareness, parity, and education level.

Masaba, J., Anasel, M. G., Mushi, L.2026-03-28
📄 health systems and quality improvement

Towards clinical implementation of artificial intelligence in cancer care: Concept mapping analysis of provincial workshop findings

This study utilizes concept mapping analysis of a 2024 British Columbia Cancer Summit workshop to identify stakeholder priorities for AI in cancer care, revealing a strong consensus on the high importance and feasibility of clinical benefits and efficiency gains over implementation challenges, thereby providing a structured framework to guide responsible and effective AI integration.

Nayyar, C., Xu, H. H., Bates, A. T., Conati, C., Hilbers, D., Avery, J., Raman, S., Fayaz-Bakhsh, A., Nunez, J.-J.2026-03-27
📄 health systems and quality improvement

The effect of peer support networks in alleviating anxiety and enhancing perceived social support

This study demonstrates that a two-week intervention using the algorithmically mediated digital peer support platform Peer2S significantly reduced anxiety among Japanese university students, while revealing that personality traits like high agreeableness can paradoxically increase anxiety due to cultural tendencies toward conflict avoidance.

She, W.-J., Yip, B., Covaci, A., Yu, S., Ang, C. S., Nakajima, S., Siriaraya, P.2026-03-26
📄 health systems and quality improvement

Understanding Antimicrobial Stewardship in Skilled Nursing Facilities Through a Complex Adaptive Systems Perspective: A Qualitative Study in Southern Arizona

This qualitative study of skilled nursing facilities in Southern Arizona reveals that effective antimicrobial stewardship implementation is best understood as a complex adaptive system shaped by organizational workflows, care transitions, and staff interactions, rather than solely by individual prescribing decisions.

Nakayima Miiro, F., Miiro, F. N., LeGros, T. A., Kelley, C. P., Romine, J. K., Ellingson, K. D.2026-03-25
📄 health systems and quality improvement

Leaving against medical advice as a signal of unmet care needs in adult sickle cell disease hospitalizations

A retrospective analysis of New York City hospitalizations reveals that the high rate of sickle cell disease patients leaving against medical advice, which is strongly associated with subsequent readmissions, serves as a critical indicator of unmet care needs and systemic barriers rather than solely patient responsibility.

Zhilkova, A., Rivlin, K., Jackson, J., Glassberg, J., McCrary, B., Eyssallenne, A.2026-03-24