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https://www.readbyqxmd.com/read/29661752/a-novel-information-retrieval-tool-to-find-hospital-care-team-members-development-and-usability-study
#1
Kyle Morawski, Craig Monsen, Sukhjit Takhar, Adam Landman
BACKGROUND: Hospital communication among members of a patient's care team is a central part of clinical workflow and consumes a large amount of a health care provider's time. Oftentimes the complexity of hospital care leads to difficulty in finding the appropriate contact, which can lead to inefficiencies and frustration. Squire is a Web-based information retrieval app created to improve the speed and efficiency in reaching the appropriate team member during the care of a hospitalized patient...
April 16, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29661387/pre-hospital-advanced-airway-management-by-anaesthetist-and-nurse-anaesthetist-critical-care-teams-a-prospective-observational-study-of-2028-pre-hospital-tracheal-intubations
#2
M Gellerfors, E Fevang, A Bäckman, A Krüger, S Mikkelsen, J Nurmi, L Rognås, E Sandström, G Skallsjö, C Svensén, D Gryth, H M Lossius
BACKGROUND: Pre-hospital tracheal intubation success and complication rates vary considerably among provider categories. The purpose of this study was to estimate the success and complication rates of pre-hospital tracheal intubation performed by physician anaesthetist or nurse anaesthetist pre-hospital critical care teams. METHODS: Data were prospectively collected from critical care teams staffed with a physician anaesthetist or a nurse anaesthetist according to the Utstein template for pre-hospital advanced airway management...
May 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29655631/detection-of-rotavirus-before-and-after-monovalent-rotavirus-vaccine-introduction-and-vaccine-effectiveness-among-children-in-mainland-tanzania
#3
Bhavin Jani, Adolfine Hokororo, Jackson Mchomvu, Margaret M Cortese, Christopher Kamugisha, Delphinius Mujuni, Dotto Kallovya, Umesh D Parashar, Jason M Mwenda, DaFrossa Lyimo, Antonia Materu, Kakuri Frank Omari, Mark Waziri, Theresia Laswai, Hamisi Juma, Josephine Mlay, Juliana Dogani, Eugenia Stephen, Mwanisha Seugendo, Uyanjo Nkumbi, Anna Lyakurwa, Anivera Matojo, Elice Bendera, Jonathan Senyota, Veronica Msingwa, Yohana Fungo, Fausta Michael, Amina Mpamba, Alfred Chambo, Happy Cholobi, Faraja Lyamuya, Inviollatha Chami, Esther Mchome, Amina Mohamed Mshana, Edward Mushi, Uforo Mariki, Ronica Chard, Deborah Tuju, Nuswe Ambokile, Fatuma Lukwale, Furaha Kyessi, Asha Khamis, Innocent Michael, Doreen Macha, Angelina Saguti
BACKGROUND: Monovalent rotavirus vaccine (RV1) was introduced in Tanzania in January 2013 under the Reach Every Child initiative, to be given at ages 6 and 10 weeks. We used the sentinel hospital rotavirus surveillance system to examine the rotavirus detection rate before and after vaccine introduction and estimate vaccine effectiveness. METHODS: Before vaccine introduction, rotavirus surveillance was established at two mainland hospitals; children admitted for acute diarrhea were eligible for enrollment and stools were tested for rotavirus antigen...
April 11, 2018: Vaccine
https://www.readbyqxmd.com/read/29643951/effectiveness-of-surface-cleaning-and-disinfection-in-a-brazilian-healthcare-facility
#4
Aires G Santos-Junior, Adriano M Ferreira, Oleci P Frota, Marcelo A Rigotti, Larissa da S Barcelos, Alvaro Francisco Lopes de Sousa, Denise de Andrade, Odanir G Guerra, Mara C R Furlan
Background: Failures in the processes of cleaning and disinfecting health service surfaces may result in the spread and transfer of pathogens that are often associated with healthcare-related infections and outbreaks. Aims: To assess the effectiveness of environmental surface cleaning and disinfection in a hospital clinic. Method: The study was conducted in a nursing ward with 45 beds. A total of 80 samples from five high-touch surfaces were evaluated before and after cleaning and disinfection, using the following methods: visual inspection, adenosine triphosphate bioluminescence assay, aerobic colony count, Staphylococcus aureus colony count, and evaluation of resistance to methicillin...
2018: Open Nursing Journal
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#5
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29624189/improving-the-safety-of-opioid-use-for-acute-noncancer-pain-in-hospitalized-adults-a-consensus-statement-from-the-society-of-hospital-medicine
#6
Shoshana J Herzig, Hilary J Mosher, Susan L Calcaterra, Anupam B Jena, Teryl K Nuckols
Hospital-based clinicians frequently treat acute, noncancer pain. Although opioids may be beneficial in this setting, the benefits must be balanced with the risks of adverse events, including inadvertent overdose and prolonged opioid use, physical dependence, or development of opioid use disorder. In an era of epidemic opioid use and related harms, the Society of Hospital Medicine (SHM) convened a working group to develop a consensus statement on opioid use for adults hospitalized with acute, noncancer pain, outside of the palliative, end-of-life, and intensive care settings...
April 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29622470/clinician-tasking-in-ambulance-control-improves-the-identification-of-major-trauma-patients-and-pre-hospital-critical-care-team-tasking
#7
Neil Sinclair, Paul A Swinton, Michael Donald, Lisa Curatolo, Peter Lindle, Steph Jones, Alasdair R Corfield
INTRODUCTION: Trauma remains the fourth leading cause of death in western countries and is the leading cause of death in the first four decades of life. NICE guidance in 2016 advocated the attendance of pre-hospital critical care trauma team (PHCCT) in the pre-hospital stage of the care of patients with major trauma. Previous publications support dispatch by clinicians who are also actively involved in the delivery of the PHCCT service; however there is a lack of objective outcome measures across the current reviewed evidence base...
March 30, 2018: Injury
https://www.readbyqxmd.com/read/29621923/laparoscopic-hysterectomy-for-endometrial-cancer-impact-of-age-on-clinical-outcomes
#8
W W Ee, V Nellore, W McMullen, K Ragupathy
INTRODUCTION: Improvement in preoperative care for the ageing population has resulted in an increasing number of elderly patients to be considered for surgery. With an increased incidence of endometrial cancer, it is inevitable that a significant number of elderly patients are referred for surgery, despite the concerns over co-morbid conditions and diminished cardiopulmonary reserves. AIM: To evaluate the clinical outcomes of laparoscopic hysterectomy for elderly women operated on for endometrial cancer with comparison to younger patients...
April 6, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29620922/immediate-symptom-relief-after-a-first-session-of-massage-therapy-or-reiki-in-hospitalized-patients-a-5-year-clinical-experience-from-a-rural-academic-medical-center
#9
Maxwell T Vergo, Briane M Pinkson, Kathleen Broglio, Zhongze Li, Tor D Tosteson
OBJECTIVES: There is an increasing demand for and use of alternative and complementary therapies, such as reiki and massage therapy, in hospital-based settings. Most controlled studies and practice-based reports include oncology and surgical patient populations; thus the effect in a more heterogeneous hospitalized patient population is hard to estimate. We examined the immediate symptom relief from a single reiki or massage session in a hospitalized population at a rural academic medical center...
April 5, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29593428/can-patient-safety-be-improved-by-reducing-the-volume-of-inappropriate-prescribing-tasks-handed-over-to-out-of-hours-junior-doctors
#10
Samuel Martin Amis, Tobin Henry Edgar Osicki
Background: First-year doctors found that during out-of-hours shifts they were being delayed and distracted from reviewing potentially sick/deteriorating patients by a high volume of prescribing tasks. This predominately consisted of oral anticoagulation prescribing and rewrites of drug charts. We hoped that if we could reduce this burden of "inappropriate prescribing tasks", we could not only improve junior doctors' job satisfaction and opportunities for training but also give them more time for patient reviews...
2018: International Journal of General Medicine
https://www.readbyqxmd.com/read/29589174/asking-a-variety-of-questions-on-walk-rounds-a-pilot-study
#11
Helen M Shields, Stephen R Pelletier, Christopher L Roy, James P Honan
BACKGROUND: Morning walk rounds have lost some of their engagement while remaining a useful and valued practice. AIM: We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions. SETTING: One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method. PARTICIPANTS: Participants included attendings and residents in Internal Medicine on medical teams...
March 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29580958/cerebral-saturation-in-cardiac-arrest-patients-measured-with-near-infrared-technology-during-pre-hospital-advanced-life-support-results-from-copernicus-i-cohort-study
#12
Cornelia Genbrugge, Cathy De Deyne, Ward Eertmans, Anseeuw Kurt, Voet Dirk, Mertens Ilse, Sabbe Marc, Stroobants Jan, Bruckers Liesbeth, Mesotten Dieter, Frank Jans, Willem Boer, Jo Dens
AIM: To date, monitoring options during pre-hospital advanced life support (ALS) are limited. Regional cerebral saturation (rSO2 ) may provide more information concerning the brain during ALS. We hypothesized that an increase in rSO2 during ALS in out-of hospital cardiac arrest (OHCA) patients is associated with return of spontaneous circulation (ROSC). METHODS: A prospective, non-randomized multicenter study was conducted in the pre-hospital setting of six hospitals in Belgium...
March 23, 2018: Resuscitation
https://www.readbyqxmd.com/read/29579132/implementation-of-a-seven-day-hospitalist-program-to-improve-the-outcomes-of-the-weekend-admission-a-retrospective-before-after-study-in-taiwan
#13
Nin-Chieh Hsu, Chun-Che Huang, Chin-Chung Shu, Ming-Chin Yang
OBJECTIVE: Patients admitted during weekends may have worse outcomes than those during weekdays. Adjusting the practice of senior physicians over weekends may reduce the weekend effect. DESIGN: A controlled before-after study, with propensity score matching (PSM) for potential confounding variables, to compare outcomes between weekday and weekend admissions. SETTING: A 2000-bed medical centre in Taiwan. PARTICIPANTS: Hospitalised general medicine patients cared for by traditional internal medicine teams (pre-intervention cohort) and those cared for by hospitalists after introducing a seven-day hospitalist program in the first six-month (post-intervention cohort) and following three-year periods...
2018: PloS One
https://www.readbyqxmd.com/read/29578403/patient-reported-outcomes-pros-argue-against-the-limited-use-of-peritoneal-dialysis-in-end-stage-renal-disease
#14
Carola W H de Fijter, Anouk T N van Diepen, Fariba Amiri, Friedo W Dekker, Ray T Krediet
AIM: Approximately 40% of dialysis patients are durably treated with peritoneal dialysis (PD) in our teaching hospital. Patients' perspectives were studied by patient-reported outcome measurements (PROMs) to find possible explanations for why the generally-reported decline in the use of PD hardly occurred in our facility. MATERIALS AND METHODS: All 75 prevalent adult dialysis patients hemodialysis (HD) duration 27, PD 16 months) were included. All had received predialysis care and education for > 6 month...
March 26, 2018: Clinical Nephrology
https://www.readbyqxmd.com/read/29548356/operating-room-efficiency
#15
David H Rothstein, Mehul V Raval
The operating room is the financial hub of any hospital, and maximizing operating room efficiency has important implications for cost savings, patient satisfaction, and medical team morale. Over the past decade, manufacturing principles and processes such as Lean and Six Sigma have been applied to various aspects of healthcare including the operating room. Although time consuming, process mapping and deep examinations of each step of the patient journey from pre-operative visit to post-operative discharge can have multiplicative benefits that extend from cost savings to maintaining the focus on improving quality and patient safety...
April 2018: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/29545030/facelifts-improving-the-long-term-outcomes-of-lower-face-and-neck-rejuvenation-surgery-the-lower-face-and-neck-rejuvenation-combined-method
#16
Robin Ruiz, Barbara Hersant, Simone La Padula, Jean-Paul Meningaud
Determining which facelift procedures yield the most long-term rejuvenating effects and stability over time is an important question in cosmetic surgery: does radical and invasive surgery produce the most long-lasting results? The experience of our team suggests that using a combination of various techniques (liposuction, lipectomy, myotomies, suspensions, tissular induction techniques) appears to be essential to achieve satisfactory, lasting results. In this paper, we describe the lower facelift and neck rejuvenation combined method...
February 2, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29532507/reducing-blood-glucose-testing-is-safe-in-patients-receiving-parenteral-nutrition
#17
Ashley Ratliff, Amy Nishnick, Robert DeChicco, Rocio Lopez
BACKGROUND: Hyperglycemia is a common adverse event associated with parenteral nutrition (PN); however, there is no consensus on optimal glucose monitoring. Unnecessary point-of-care (POC) blood glucose (BG) testing can result in additional healthcare cost and discomfort to the patient. This study's aim was to determine whether decreasing the frequency of POC glucose testing in patients receiving PN can reduce costs without increasing the frequency of glycemic events. METHODS: This study examined adult, noncritically ill patients who require PN and are managed by a nutrition support team...
March 12, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29530071/a-multidisciplinary-team-oriented-intervention-to-increase-guideline-recommended-care-for-high-risk-prostate-cancer-a-stepped-wedge-cluster-randomised-implementation-trial
#18
Bernadette Brown, Jane Young, David P Smith, Andrew B Kneebone, Andrew J Brooks, Sam Egger, Miranda Xhilaga, Amanda Dominello, Dianne L O'Connell, Mary Haines
BACKGROUND: This study assessed whether a theoretically conceptualised tailored intervention centred on multidisciplinary teams (MDTs) increased clinician referral behaviours in line with clinical practice guideline recommendations. METHODS: Nine hospital Sites in New South Wales (NSW), Australia with a urological MDT and involvement in a state-wide urological clinical network participated in this pragmatic stepped wedge, cluster randomised implementation trial...
March 12, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29526330/reducing-hypotension-and-acute-kidney-injury-in-the-elective-total-joint-arthroplasty-population-a-multi-disciplinary-approach
#19
Vince W Lands, Ajith Malige, Aldo Carmona, Christopher R Roscher, Robert S Gayner, Jaclyn Rowbotham, William G DeLong
BACKGROUND: When critically analyzing our hospital system's rate of hypotension and acute kidney injury (AKI) after total joint arthroplasty, our incidence rates (14.54%, 6.02%) were much higher than our peers (7.17%, 2.03%) and national rates (2.0%, 3.3%). We present a multi-disciplinary management intervention that aimed to decrease overall complication rates. METHOD: A multi-disciplinary team implemented a protocol at our suburban hospital to limit complication rates after joint replacement surgery...
February 5, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29514558/perioperative-surgical-home-reduces-rapid-response-calls-to-a-postoperative-surgical-ward-how-anesthesiologists-are-improving-the-inpatient-safety-net
#20
Tessa L Walters, T Edward Kim, Edward R Mariano, Geoffrey Kenton Lighthall
BACKGROUND: The Perioperative Surgical Home (PSH) is an anesthesiologist-led, coordinated care model that may improve patient experience and safety. We hypothesized that PSH will decrease activation of the rapid response system for surgical inpatients. METHODS: This retrospective study was performed at an academic Veterans Affairs hospital with a PSH. Data from both medical and surgical cohorts admitted to a single ward were analyzed for the Pre-PSH (July 2006 to October 2010) and Post-PSH (November 2011 to May 2015) epochs...
March 1, 2018: Seminars in Cardiothoracic and Vascular Anesthesia
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