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JOURNAL ARTICLE
Tiffany A Gardner, Alexandra Fuher, August Longino, Eric M Sink, James Jurica, Bryan Park, Jonathan Lindquist, Todd M Bull, Peter Hountras
BACKGROUND: The management of acute pulmonary embolism (PE) has become increasingly complex with the expansion of advanced therapeutic options, resulting in the development and widespread adoption of multidisciplinary Pulmonary Embolism Response Teams (PERTs). Much of the literature evaluating the impact of PERTs has been limited by pre- postimplementation study design, leading to confounding by changes in global practice patterns over time, and has yielded mixed results. To address this ambiguity, we conducted a retrospective cohort study to evaluate the impact of the distinct exposures of PERT availability and direct PERT consultation...
April 19, 2024: Thrombosis Journal
#22
JOURNAL ARTICLE
Jo Sessions, Jo Marsden, Louise Bringloe, Irene Gilsenan
Following a serious incident and inquest after the death of a patient due to choking at Sheffield Teaching Hospitals NHS Foundation Trust, the Trust put in place an action plan and implemented strategies to reduce the risk of recurrence. Four key actions were identified as essential to try to reduce the risk of a similar event: introduction of a standard operating procedure for mealtimes that included a pre-meal safety 'pause'; use of an electronic communication icon to indicate modified diet/fluid requirements, from emergency department and onward as a patient is transferred; job-specific mealtime safety training; and use of bedside posters with specific dietary requirements (in line with the International Dysphagia Diet Standards Initiative Framework)...
April 18, 2024: British Journal of Nursing: BJN
#23
JOURNAL ARTICLE
M D Canales-Siguero, C García-Muñoz, J M Caro-Teller, S Piris-Borregas, S Martín-Aragón, J M Ferrari-Piquero, M T Moral-Pumarega, C R Pallás-Alonso
PURPOSE: To compare the frequency of electronic prescription errors when the prescription was validated by the clinical pharmacist vs. when it was not. METHODS: This prospective randomised controlled study was conducted in three phases. A randomised phase, in which patients were divided into control and intervention groups, and a pre- and post-intervention phase were consecutively performed to analyse the impact of pharmaceutical validation of prescriptions in a neonatal intensive care unit (NICU)...
2024: Frontiers in Pediatrics
#24
JOURNAL ARTICLE
Annabelle J Bockey, Cornelia Braun, Johannes Camp, Aleš Janda, Winfried V Kern, Anne-Maria Müller, Katarina Stete, Siegbert R Rieg, Berit Lange
BACKGROUND: Limited evidence on utilisation of health care by recently arrived asylum seekers and refugees in high-income countries is available. This study aims to describe the implementation of an integrated care facility (ICF) in an initial reception centre and measure the utilisation of care and the influence of operational parameters. METHODS: In a retrospective cohort study design, using medical records, we followed inhabitants of a reception centre in Germany between 11...
2024: PloS One
#25
JOURNAL ARTICLE
Sung-Mok Jung, Sara L Loo, Emily Howerton, Lucie Contamin, Claire P Smith, Erica C Carcelén, Katie Yan, Samantha J Bents, John Levander, Jessi Espino, Joseph C Lemaitre, Koji Sato, Clifton D McKee, Alison L Hill, Matteo Chinazzi, Jessica T Davis, Kunpeng Mu, Alessandro Vespignani, Erik T Rosenstrom, Sebastian A Rodriguez-Cartes, Julie S Ivy, Maria E Mayorga, Julie L Swann, Guido España, Sean Cavany, Sean M Moore, T Alex Perkins, Shi Chen, Rajib Paul, Daniel Janies, Jean-Claude Thill, Ajitesh Srivastava, Majd Al Aawar, Kaiming Bi, Shraddha Ramdas Bandekar, Anass Bouchnita, Spencer J Fox, Lauren Ancel Meyers, Przemyslaw Porebski, Srini Venkatramanan, Aniruddha Adiga, Benjamin Hurt, Brian Klahn, Joseph Outten, Jiangzhuo Chen, Henning Mortveit, Amanda Wilson, Stefan Hoops, Parantapa Bhattacharya, Dustin Machi, Anil Vullikanti, Bryan Lewis, Madhav Marathe, Harry Hochheiser, Michael C Runge, Katriona Shea, Shaun Truelove, Cécile Viboud, Justin Lessler
BACKGROUND: Coronavirus Disease 2019 (COVID-19) continues to cause significant hospitalizations and deaths in the United States. Its continued burden and the impact of annually reformulated vaccines remain unclear. Here, we present projections of COVID-19 hospitalizations and deaths in the United States for the next 2 years under 2 plausible assumptions about immune escape (20% per year and 50% per year) and 3 possible CDC recommendations for the use of annually reformulated vaccines (no recommendation, vaccination for those aged 65 years and over, vaccination for all eligible age groups based on FDA approval)...
April 17, 2024: PLoS Medicine
#26
JOURNAL ARTICLE
Cengiz Çanakcı, Orkunt Özkaptan, Erdinç Dinçer, Osman Murat Ipek, Gürkan Dalgıç, Ahmet Sahan
PURPOSE: To compare 90-day perioperative complications and pathological outcomes between laparoscopic radical cystectomy (LRC) and extraperitoneal radical cystectomy (EORC) approaches. MATERIALS AND METHODS: All operations were performed in a single high-volume tertiary referee center by the same surgical team.Males ≥ 18 years with pre-cystectomy clinical T1-T3 disease and having undergone an ileal conduit were included. Exclusion criteria included patients with inflammatory bowel disease, previous pelvic and/or abdominal irradiation, neo-adjuvant chemotherapy, and/or clinical T4 disease...
April 13, 2024: Urology Journal
#27
JOURNAL ARTICLE
Tzu-Hao Wang, Chih-Chin Kao, Tzu-Hao Chang
PURPOSE: Our objectives were to (1) employ ensemble machine learning algorithms utilizing real-world clinical data to predict 90-day prognosis, including dialysis dependence and mortality, following the first hospitalized dialysis and (2) identify the significant factors associated with overall outcomes. PATIENTS AND METHODS: We identified hospitalized patients with Acute kidney injury requiring dialysis (AKI-D) from a dataset of the Taipei Medical University Clinical Research Database (TMUCRD) from January 2008 to December 2020...
2024: Journal of Multidisciplinary Healthcare
#28
JOURNAL ARTICLE
Corey M Forster, Shannon Halls, Sabrina Allarakhia, Dimpy Modi, Wiley Chung, Kendra Derry, Genevieve Digby, Jennifer Flemming, John McGugan, Heather Mackulin, Steven Montague, Stephanie Sibley, Samuel A Silver, Angela Sirosky-Yanyk, Andrew Stevens, Kerstin de Wit, Liying Zhang, Jeannie Callum
BACKGROUND: Intravenous albumin has limited indications supported by randomised controlled trials, yet it is often prescribed for indications not supported by evidence. AIM: To reduce unnecessary transfusion of albumin. INTERVENTIONS: Under the leadership of a multidisciplinary quality improvement team, evidence-based recommendations were disseminated in tandem with a new electronic order set, an educational strategy, qualitative interviews with prescribers and a return policy change to reduce wastage...
April 15, 2024: BMJ Open Quality
#29
JOURNAL ARTICLE
Samuel Law, Aly Kassam, Michaela Beder, Saadia Sediqzadah, Matthew Levy, John Maher
Assertive Community Treatment (ACT) model is the gold standard in community psychiatry serving people with severe mental illness. With its outreach-based design, the pandemic has profoundly affected the operations and functioning of ACT. The Dartmouth ACT Scale (DACTS) provides a standardized comprehensive and quantitative way to evaluate ACT quality. Results could inform nature of impact and identify areas for improvement. Current online survey used DACTS during the pandemic in April-May 2021. Clinical and administrative leadership of the 80 ACT teams in Ontario, Canada cross-sectionally rated ACT quality one-year pre-Covid (2018-2019) and one-year post the start of Covid (2020-2021)...
April 16, 2024: Administration and Policy in Mental Health
#30
JOURNAL ARTICLE
Ming-Ju Hsieh, Chung-Jung Lin, Yen-Heng Lin, Ling-Chieh Kung, Jiun-Yu Yu, Chia-Wei Kuo
BACKGROUND/PURPOSE: This study addresses the delicate balance between healthcare personnel burnout and medical accessibility in the context of endovascular thrombectomy (EVT) services in urban areas. We aimed to determine the minimum number of hospitals providing EVT on rotation each day without compromising patient access. METHODS: Employing an optimization model, we developed shift schedules based on patient coverage rates and volumes during the pre-pandemic (2016-2018) and pandemic (2019-2021) periods...
April 12, 2024: Journal of the Formosan Medical Association
#31
JOURNAL ARTICLE
Laura Angelici, Carmen Angioletti, Luigi Pinnarelli, Paola Colais, Antonio Giulio de Belvis, Andriy Melnyk, Emanuele La Gatta, Sara Farchi, Marina Davoli, Nera Agabiti, Anna Acampora
The EASY-NET network program (NET-2016-02364191)-effectiveness of audit and feedback (A&F) strategies to improve health practice and equity in various clinical and organizational settings), piloted a novel and more structured A&F strategy. This study compared the effectiveness of the novel strategy against the sole periodic dissemination of indicators in enhancing the appropriateness and timeliness of emergency health interventions for patients diagnosed with acute myocardial infarction (AMI) and ischemic stroke in the Lazio Region...
March 27, 2024: Healthcare (Basel, Switzerland)
#32
JOURNAL ARTICLE
Theresa Tenge, Manuela Schallenburger, Yann-Nicolas Batzler, Sebastian Roth, René M Pembele, Alexandra Stroda, Lennert Böhm, Michael Bernhard, Christian Jung, Stefan Meier, Detlef Kindgen-Milles, Peter Kienbaum, Jacqueline Schwartz, Martin Neukirchen
IMPORTANCE: Cardiopulmonary resuscitation (CPR) is an exceptional physical situation and may lead to significant psychological, spiritual, and social distress in patients and their next of kin. Furthermore, clinicians might experience distress related to a CPR event. Specialist palliative care (sPC) integration could address these aspects but is not part of routine care. OBJECTIVES: This study aimed to explore perspectives on sPC integration during and after CPR...
April 2024: Critical care explorations
#33
JOURNAL ARTICLE
Jin-Lain Ming, Shu-Chiung Lee, Shu-Fen Chen, Hsiu-Fen Huang, Yin-Chen Chen, Hsing-Jung Li, Shang-Liang Wu
BACKGROUND: Good nursing leadership management positively correlates with patient care quality and an organization's performance. Plans to nurture top-notch talents and strengthen management functions are essential to retain key talents and achieve sustainability. The leadership training for nursing staff should begin early to cope with complex clinical situations. OBJECTIVES: To compare the impact of leadership training on high-performing young nurses' (young nursing elite) management functions and team behavior...
March 24, 2024: Nurse Education Today
#34
JOURNAL ARTICLE
Karolina Brochado Jorge, Gabriela Silveira Viana, Renan Trevisan Jost, Eduardo Brasil Rabolini, Renan Timoteo de Oliveira, Antonio Rebello Horta Gorgen, Patric Machado Tavares, Tiago Elias Rosito
INTRODUCTION: Urethral stricture is a common, albeit complex, condition that predominantly affects men. The aim of this study was to translate, culturally adapt, and validate the Patient-Reported Outcome Measure questionnaire for patients undergoing urethroplasty (USS-PROM) into Brazilian Portuguese using validated psychometric criteria. MATERIALS AND METHODS: The process involved translating and culturally adapting the original USS-PROM into Brazilian Portuguese (USS-PROMbr), synthesizing, back-translating, cross-culturally adapting, and analyzing the pre-final version with experts from our committee...
2024: International Braz J Urol: Official Journal of the Brazilian Society of Urology
#35
JOURNAL ARTICLE
Christine Jiang Wu, Colin Penrose, Sean Patrick Ryan, Michael Paul Bolognesi, Thorsten Markus Seyler, Samuel Secord Wellman
BACKGROUND: With the increasing incidence of total joint arthroplasty (TJA), there is a desire to reduce peri-operative complications and resource utilization. As degenerative conditions progress in multiple joints, many patients undergo multiple procedures. AIM: To determine if both physicians and patients learn from the patient's initial arthroplasty, resulting in improved outcomes following the second procedure. METHODS: The institutional database was retrospectively queried for primary total hip arthroplasty (THA) and total knee arthroplasty (TKA)...
March 18, 2024: World Journal of Orthopedics
#36
JOURNAL ARTICLE
Anna Teréz Sárközi, Ilona Tornyi, Erik Békési, Ildikó Horváth
Background: Post-COVID-19 syndrome, characterized by persistent symptoms emerging more than 12 weeks after acute infection, displays diverse manifestations. This study aimed to analyze co-existing organ dysfunctions in post-COVID-19 patients and explore their potential association with the acute COVID-19 episode and functional impairment. Methods: Data from 238 patients attending post-COVID-19 outpatient care between 1 March 2021 and 1 March 2022, after previous hospitalization for acute COVID-19, were retrospectively analyzed with 80 having comprehensive mapping of organ involvement...
March 2, 2024: Journal of Clinical Medicine
#37
JOURNAL ARTICLE
David A Pearson, Nicole Bensen Covell, Benjamin Covell, Blake Johnson, Cate Lounsbury, Mike Przybysz, Anthony Weekes, Michael Runyon
OBJECTIVE: We sought to identify changes in neurological outcome over time following initial training and subsequent implementation of team-focused CPR in an inpatient setting where responders practice specific roles with emphasis on minimally interrupted chest compressions and early defibrillation. METHODS: This retrospective pre- vs post-intervention study was conducted at an urban 900-bed teaching hospital and Level I Cardiac Resuscitation Center. We included adult patients suffering in-hospital cardiac arrest occurring in non-emergency department and non-intensive care unit areas who received CPR and/or defibrillation...
June 2024: Resuscitation plus
#38
JOURNAL ARTICLE
Kirsty Clarke, Aws Al-Mukhtar, Lina Alim, Amr Nimer, Emma Hatfield, Sanjeeve Sabharwal, Sadie Syed
High-acuity trauma necessitates experienced and rapid intervention to prevent patient harm. However, upskilling junior trainees through hands-on management of real trauma cases is rarely feasible without compromising patient safety. This quality education report sought to investigate whether a simulation course operated via mixed reality (MR) headset devices (Microsoft HoloLens) could enhance the clinical knowledge recall and preparedness to practice of junior trainees with no prior experience managing trauma...
April 8, 2024: BMJ Open Quality
#39
RANDOMIZED CONTROLLED TRIAL
Hatice Toprak, Emre Kandemir
PURPOSE: In children, circumcision is a procedure associated with perioperative pain and parental satisfaction is an important parameter in the evaluation of anesthesia procedures. Inadequate dorsal penile nerve block (DPNB) for the ventral shaft of the penis might impact parental satisfaction negatively. To evaluate this hypothesis, we compared the effects of penile ring block (RB) and dorsal penile nerve block (DPNB) on parental satisfaction. Postoperative pain, need for additional analgesia, intraoperative hemodynamic data, recovery status, side effects, and postoperative complications were evaluated as secondary outcomes between the blocks...
April 8, 2024: Pediatric Surgery International
#40
JOURNAL ARTICLE
Michelle Lee, Gowthan Santhirakumaran, David Waller, Ahmed Elkhouly, Al-Rehan Dhanji, Henrietta Wilson, Steven Stamenkovic
BACKGROUND: Robotic assisted thoracoscopic surgery facilitates complex pulmonary segmentectomy which offers one-stage diagnostic and therapeutic management of small pulmonary nodules. We aimed to explore the potential advantages of a faster, simplified pathway and earlier diagnosis against the disadvantages of unnecessary morbidity in benign cases. METHODS: In an observational study, patients with small, solitary pulmonary nodules deemed suspicious of malignancy by a multidisciplinary team were offered surgery without a pre or intra operative biopsy...
April 5, 2024: European Journal of Cardio-thoracic Surgery
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