Michael Simon

Michael Simon
University of Basel | UNIBAS · Institute of Nursing Science

RN, PhD
Quality of Care | Nurse Staffing | Adverse Event Detection

About

182
Publications
70,481
Reads
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3,086
Citations
Citations since 2016
123 Research Items
2581 Citations
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Introduction
Our aim is to improve healthcare quality by developing structures and processes of nursing care. Methodologically we use health services research methodology, data science, causal inference and routine data to make quality of nursing care visible. Our work spans all health care settings and is funded by the Swiss National Science Foundation, the European Union, the Swiss Federal Office of Public Health and others.
Additional affiliations
May 2014 - present
University of Basel
Position
  • Professor (Assistant)
April 2014 - March 2017
University of Basel
Position
  • Professor (Assistant)
April 2011 - April 2014
University of Southampton
Position
  • Senior Researcher
Education
October 2003 - February 2008
Bergische Universität Wuppertal
Field of study
  • Safety Science
October 2001 - September 2003
Universität Witten/Herdecke
Field of study
  • Nursing
October 1997 - September 2001
Universität Witten/Herdecke
Field of study
  • Nursing

Publications

Publications (182)
Article
Full-text available
Background: Unplanned nursing home (NH) transfers are burdensome for residents and costly for health systems. Innovative nurse-led models of care focusing on improving in-house geriatric expertise are needed to decrease unplanned transfers. The aim was to test the clinical effectiveness of a comprehensive, contextually adapted geriatric nurse-led...
Article
Full-text available
Background Health economic evaluations of the implementation of evidence-based interventions (EBIs) into practice provide vital information but are rarely conducted. We evaluated the health economic impact associated with implementation and intervention of the INTERCARE model—an EBI to reduce hospitalisations of nursing home (NH) residents—compared...
Article
Full-text available
Abstract Background Implicit rationing of nursing care is a socio-ecological problem where care workers, due to lack of resources, have to leave necessary nursing care activities undone. Cross-sectional studies on implicit rationing of nursing home care revealed associations with organizational and work environment characteristics. However, little...
Article
Full-text available
Background Emergency department (ED) visits for nursing home residents lead to higher morbidity and mortality. Therefore, inappropriate visits (for conditions treatable elsewhere) or potentially avoidable visits (those avoidable through adequate chronic care management) must be minimized. This study aimed to investigate factors and resource consump...
Article
Full-text available
Background: Adverse event (AE) detection is a major patient safety priority. However, despite extensive research on AEs, reported incidence rates vary widely. Objective: This study aimed: (1) to synthesize available evidence on AE incidence in acute care inpatient settings using Trigger Tool methodology; and (2) to explore whether study characteri...
Article
Full-text available
Background The number of children and adolescents living with life-limiting conditions and potentially in need for specialised paediatric palliative care (SPPC) is rising. Ideally, a specialised multiprofessional team responds to the complex healthcare needs of children and their families. The questions of, how SPPC is beneficial, for whom, and und...
Preprint
Full-text available
Background Effectiveness-implementation hybrid designs are a relatively new approach to evaluate efficacious interventions in real world settings while concurrently gathering information on the implementation. Intervention fidelity can significantly influence the effectiveness of an intervention during implementation. However little guidance exists...
Article
Full-text available
Background While effectiveness outcomes of eHealth-facilitated integrated care models (eICMs) in transplant and oncological populations are promising, implementing and sustaining them in real-world settings remain challenging. Allogeneic stem cell transplant (alloSCT) patients could benefit from an eICM to enhance health outcomes. To combat health...
Article
Background: Workload perception is of interest to researchers and policymakers as it captures subjective assessments of nurses' workload which has implications for staffing and patient outcomes. Aims: We aimed to describe repeated assessments of nurses' perceived workload among registered nurses (RNs) in day and night shifts and to examine the a...
Article
Full-text available
Background Variable disease presentation and symptom burden in patients living with systemic sclerosis (SSc) require a chronic care approach including competent, coordinated, multidisciplinary collaboration as well as self-management support targeting individual patient needs. The Chronic Care Model (CCM) is a longstanding and widely adopted model...
Article
Full-text available
Background: Physical restraints are used in nursing homes (NHs) despite their negative consequences. Use of surveillance technologies as alternatives to physical forms of restraints and negative staff opinions about the appropriateness of restraint use have been postulated to reduce this practice; however, these have rarely been investigated along...
Article
Full-text available
Background | objective To evaluate the implementation of three intervention elements to reduce hospitalizations in nursing home residents. Design Convergent mixed-method design within a hybrid type-2 effectiveness-implementation study. Setting Eleven nursing homes in the German-speaking region of Switzerland. Participants Quantitative data were...
Article
Full-text available
Adverse events (AEs)-healthcare caused events leading to patient harm or even death-are common in healthcare. Although it is a frequently investigated topic, systematic knowledge on this phenomenon in stroke patients is limited. To determine cumulative incidence of no-harm incidents and AEs, including their severity and preventability, a cohort stu...
Article
Full-text available
Background and Objectives Globally, a culture change in long-term residential care (LTRC) moving towards person-centred care (PCC) has occurred in an attempt to improve resident quality of life (QoL). However, a clear understanding of how different aspects contributing to a PCC approach are interrelated with resident QoL is still lacking. This revi...
Article
Objectives To describe potentially avoidable fall-related transfers to the emergency department (ED), and to identify infrastructure, training needs, and resources deemed appropriate for implementation in nursing homes (NHs) to decrease fall-related transfers to EDs. Design A multi-method design, including (1) in-depth case review by an expert pan...
Article
Full-text available
Models of care have shown effectiveness in reducing unplanned transfers in nursing homes (NHs) from 11.7% to 6.1%. These include coordination of care and access to skilled medical providers such as geriatricians, specialist nurses or registered nurses with additional training. A hybrid type-2 effectiveness-implementation project (INTERCARE) was dev...
Article
Full-text available
The question concerning the relationship of staffing and quality of care of residents in residential long-term care (LTC) has been explored extensively; however, no consistent evidence has been brought forth so far. Inconsistent measurement of staffing might hinder this research field to move forward. We assessed its measurement in a narrative revi...
Article
Full-text available
Falls are common in nursing home (NH) residents and are the predominant reason for an emergency department (ED) transfer. Falls are responsible for 25% - 87% of ED transfers, a proportion of which are potentially avoidable. INTERCARE – an implementation science study reducing unplanned hospitalizations (2018 – 2020) – involved experts to identify p...
Article
Full-text available
Aims The aim of this study was to explore nurses’ shift-work satisfaction variability across time and its shift-specific predictors: perceived workload, patient-to-nurse ratio and rationing of nursing care. Design Longitudinal study of 90 Registered nurses (N = 1,303 responses) in a Lebanese hospital over 91 days of data collection. Methods Intr...
Article
Full-text available
Background Rare disease patient-reported outcome measures (PROMs) require linguistic adaptation to overcome the challenge of geographically dispersed patient populations. Importantly, PROMs such as health-related quality of life (HRQoL) should accurately capture responses to patient-identified concerns. The Systemic Sclerosis Quality of Life Questi...
Article
Objective To describe and understand the challenges of patients with chronic critical illness (CCI), their families and healthcare providers during the disease trajectory. Methodology/Design This qualitative study follows Thorne’s methodology of interpretive description and was guided by the ethnographic method of observation and participation. Fi...
Data
Average patient clinical complexity levels by days, days of the week (Monday to Sunday) and weekdays vs weekends over a year for five Swiss general hospital types. https://jmir.org/api/download?alt_name=jmir_v23i8e27163_app3.pdf&filename=7a56aa6ae3a695bb1a7a0e4f6c56797b.pdf
Article
Full-text available
Objectives: We engaged patients with systemic sclerosis (SSc) and healthcare professionals to assess electronic health (eHealth) literacy and needs relating to web-based support using internet-based information and communication technologies (ICT). Methods: We employed an explanatory sequential mixed methods design. First, we conducted a cross-s...
Article
Full-text available
Background Primary health care is subject to regional variation, which may be due to unequal and inefficient distribution of services. One key measure of such variation are potentially avoidable hospitalisations, i.e., hospitalisations for conditions that could have been dealt with in situ by sufficient primary health care provision. Particularly,...
Article
Full-text available
Background The quality of care is often poorly assessed in mental health settings, and accurate evaluation requires the monitoring and comparison of not only the outcomes but also the structures and processes. The resulting data allow hospital administrators to compare their patient outcome data against those reported nationally. As Swiss psychiatr...
Article
Full-text available
Objectives This study aimed to provide a comprehensive overview of cost indicators and outcome measures used to measure financial burden in families of children with life-limiting conditions. Methods A scoping review methodology was used to map the existing literature and provide an overview of available cost indicators and outcome measures. Key me...
Article
Full-text available
Background: Variations in hospitals care demand relies not only on the patient’s volume but also on the disease severity. Understanding both daily severity and patients’ volume in hospitals could help to identify pressure zones in hospitals for better hospital capacity planning and policymaking. Objective: This longitudinal study explores daily...
Article
Full-text available
This analysis (1) describes the prevalence and severity of psychiatric inpatient violence against nurses in Switzerland’s German-speaking region and (2) investigates the associations between nurse-related characteristics (socio-demographics; previous exposure to severe forms of psychiatric inpatient violence; attitude towards psychiatric inpatient...
Chapter
This chapter is aimed at summarizing an overview regarding: (a) the study designs used to date in the field of missed nursing care; (b) the validated instruments available to measure the occurrence of the phenomenon and its reasons in the clinical practice, by also providing some psychometric characteristics of them as evaluated to date; and (c) th...
Article
Full-text available
Background: Omissions in nursing care can compromise patient safety. To date, this phenomenon has been investigated almost exclusively via nurse surveys. However, such surveys restrict the range of activities which can be assessed for omissions, and patient level analysis. As an alternative, retrospective chart review methodology has been used succ...
Chapter
This chapter discusses client and family experiences of care, i.e., person-centered care (PCC). Although PCC is a widely used concept, there are several dimensions to PCC that are not applied uniformly across studies. By embedding PCC into the Quality Health Outcomes Model (QHOM), characteristics and interventions influencing PCC outcomes can be ex...
Article
Full-text available
In implementation science (IS), conducting well-targeted and reproducible literature searches is challenging due to non-specific and varying terminology that is fragmented over multiple disciplines. A list of journals that publish IS-relevant content for use in search strings can support this process. We conducted a cross-sectional online survey of...
Technical Report
Full-text available
Die Schweiz erlebt wie die meisten Länder weltweit einen Wandel in der Erbringung von Gesundheitsdienstleistungen, der durch demografische, wirtschaftliche und technologische Trends angetrieben wird. Angesichts einer alternden Bevölkerung steigt die Zahl älterer Menschen, die Pflege benötigen. Gleichzeitig ist es schwierig, genügend Personal für di...
Article
Full-text available
Background: Worldwide, hospitals face pressure to reduce costs. Some respond by working with a reduced number of nurses or less qualified nursing staff. Objective: This study aims at examining the relationship between mortality and patient exposure to shifts with low or high nurse staffing. Methods: This longitudinal study used routine shift-, un...
Preprint
Full-text available
Background Primary health care is subject to regional variation, which may be due to unequal and inefficient distribution of services. One key measure of such variation are avoidable hospitalisations, i.e., hospitalisations for conditions that could have been dealt with in situ by sufficient primary health care provision. Particularly, avoidable ho...
Article
Full-text available
Introduction The persistent fragmentation of home healthcare reflects inadequate coordination between care providers. Still, while factors at the system (e.g., regulations) and organisational (e.g., work environment) levels crucially influence homecare organisation, coordination and ultimately quality, knowledge of these factors and their relations...
Article
Background: Underutilization of evidence-based pain management in nursing homes (NHs) is common. Evidence toward effective approaches to improve adoption of evidence-based practices in NHs is limited. Application of theory in evaluation approaches can increase understanding of implementation challenges. Aim: To get a better understanding of the...
Article
Full-text available
Background: Nursing homes (NHs) are increasingly implementing electronic health records (EHRs); however, little information is available on EHR use in NH settings. It remains unclear how care workers perceive its safety, quality, and efficiency, and whether EHR use might ease the burden of documentation, thereby reducing its implicit rationing. O...
Article
Full-text available
Background and Objectives: As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents’ and relatives’ needs and experiences with acute changes in the residents’ health situations. As part of the larger INTERCARE implementation study, we explored these persons’ experiences of acute...
Article
Full-text available
Background and Objectives As new models of care aiming to reduce hospitalizations from nursing homes emerge, their implementers must consider residents’ and relatives’ needs and experiences with acute changes in the residents’ health situations. As part of the larger INTERCARE implementation study, we explored these persons’ experiences of acute si...
Article
Full-text available
Aim To define both competencies and envisaged outcomes for registered nurses in expanded roles in Swiss nursing homes to be implemented and evaluated within a new model of care. Background In regions where Advanced Practice Nurses are rare or absent, registered nurses take up clinical leadership and expanded roles. To allow effective implementatio...
Preprint
BACKGROUND Variations in hospitals’ care demand relies not only on the patient volume but also on the disease severity. Understanding both daily severity and patient volume in hospitals could help to identify hospital pressure zones to improve hospital-capacity planning and policy-making. OBJECTIVE This longitudinal study explored daily care deman...
Article
Full-text available
Background Understanding how comorbidity measures contribute to patient mortality is essential both to describe patient health status and to adjust for risks and potential confounding. The Charlson and Elixhauser comorbidity indices are well-established for risk adjustment and mortality prediction. Still, a different set of comorbidity weights migh...
Article
Full-text available
Unfinished, rationed, missed, or otherwise undone nursing care is a phenomenon observed across health‐care settings worldwide. Irrespective of differing terminology, it has repeatedly been linked to adverse outcomes for both patients and nursing staff. With growing numbers of publications on the topic, scholars have acknowledged persistent barriers...
Preprint
BACKGROUND The quality of care is often poorly assessed in mental health settings, and accurate evaluation requires the monitoring and comparison of not only the outcomes but also the structures and processes. The resulting data allow hospital administrators to compare their patient outcome data against those reported nationally. As Swiss psychiatr...
Article
Full-text available
Quality indicators are used in nursing homes to assess physical restraint use. Switzerland introduced two publicly reported indicators measuring the use of 1) bedrails and 2) trunk fixation or seating that prevent standing up. Whether these indicators show good between-provider variability is unknown. The study aimed to measure the prevalence of ph...
Article
Full-text available
Nursing home quality indicators are often used to publicly report the quality of nursing home care. In Switzerland, six national nursing home quality indicators covering four clinical domains (polypharmacy, pain, use of physical restraints and weight loss) were recently developed. To allow for meaningful comparisons, these indicators must reliably...
Article
Full-text available
Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, p...
Preprint
Full-text available
BACKGROUND Nursing homes (NHs) are increasingly implementing electronic health records (EHRs); however, little information is available on EHR use in NH settings. It remains unclear how care workers perceive its safety, quality, and efficiency, and whether EHR use might ease the burden of documentation, thereby reducing its implicit rationing. OBJ...