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https://www.readbyqxmd.com/read/28081195/assessment-of-volumetric-versus-manual-measurement-in-disseminated-testicular-cancer-no-difference-in-assessment-between-non-radiologists-and-genitourinary-radiologist
#1
Çiğdem Öztürk, Ton Velleman, Alphons H H Bongaerts, L M Bergman, Robert J van Ginkel, Jourik A Gietema, Harald J Hoekstra
BACKGROUND: The aim of this study was to assess the feasibility and reproducibility of semi-automatic volumetric measurement of retroperitoneal lymph node metastases in testicular cancer (TC) patients treated with chemotherapy versus the standardized manual measurements based on RECIST criteria. METHODS: 21 TC patients with retroperitoneal lymph node metastases of testicular cancer were studied with a CT scan of chest and abdomen before and after cisplatin based chemotherapy...
2017: PloS One
https://www.readbyqxmd.com/read/28073903/assessing-patient-safety-culture-in-tunisian-operating-rooms-a-multicenter-study
#2
Manel Mallouli, Mohamed Ayoub Tlili, Wiem Aouicha, Mohamed Ben Rejeb, Chekib Zedini, Amrani Salwa, Ali Mtiraoui, Mohamed Ben Dhiab, Thouraya Ajmi
OBJECTIVE: To assess the patient safety culture (PSC) in operating rooms (ORs) and to determine influencing factors. DESIGN: A cross-sectional descriptive multicenter study which was conducted over a period of 7 months (October 2014-April 2015) using the French validated version of the Hospital Survey On Patient Safety Culture questionnaire. SETTING: Of the note, 15 ORs of public and private healthcare institutions. PARTICIPANTS: In total, there were 368 participants including surgeons, anesthesiologists, surgical and anesthesia technicians, nurses and caregivers, divided into 316 professionals exercising in public sector and 52 working in private one...
January 9, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28065962/compliance-of-surgical-hand-washing-before-surgery-role-of-remote-video-surveillance
#3
Ambreen Khan, Sidrah Nausheen
OBJECTIVE: To evaluate and increase the compliance of surgical hand scrubbing with periodic feedback. METHODS: This study was conducted at the Aga Khan Hospital for Women and Children, Karachi, Pakistan, from April to July 2014. A remote video auditing system consisting of human auditors was used for visualising surgical hand wash compliance of the surgical team. The equipment, which used motion sensor, was installed in the scrub area wall, visualising the scrub sink only...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28048996/-eeg-technician-nurse-collaboration-during-stereo-electroencephalography
#4
REVIEW
Caroline Jomard, Mouna Benghezal, Isabelle Cheramy, Ségolène De Beaumont
Drug-resistant epilepsy has significant repercussions on the daily life of children. Surgery may represent a hope. The nurse and the electroencephalogram technician carry out important teamwork during pre-surgical assessment tests and notably the stereo-electroencephalography.
January 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28033432/association-between-endothelial-cell-density-and-transplant-suitability-of-corneal-tissue-with-type-1-and-type-2-diabetes
#5
Jordan A Margo, Wuqaas M Munir, Clayton H Brown, Caroline K Hoover
Importance: The rate of types 1 and 2 diabetes in the United States is increasing. The effect of diabetes on corneal donor tissue is unknown. Objectives: To determine the association between endothelial cell density and suitability for transplantation in cornea donors with type 1 or 2 diabetes and determine the effect of diabetes on technician-induced endothelial damage during cornea donor tissue processing. Design, Setting, and Participants: Donor information was obtained from the SightLife Eye Bank for donors from June 1, 2012, to June 30, 2015...
December 29, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28007224/efficacy-of-surgical-safety-checklist-assessing-orthopaedic-surgical-implant-readiness
#6
Benjamin G Thomasson, David Fuller, John Mansour, Robert Marburger, Erin Pukenas
INTRODUCTION: Our institution employs a Surgical Universal Protocol Preoperative Checklist in accordance with World Health Organization guidelines to promote patient safety. It is used in part to evaluate orthopaedic surgical equipment and implant readiness prior to the initiation of each surgical case. Our goal is to measure the preoperative checklist's efficacy in assessing orthopaedic equipment readiness preoperatively and its ability to prevent orthopaedic equipment failures (OEF)...
December 2016: Healthcare
https://www.readbyqxmd.com/read/27933637/association-of-temporal-variations-in-staffing-with-hospital-acquired-pressure-injury-in-military-hospitals
#7
Patricia A Patrician, Mary S McCarthy, Pauline Swiger, Dheeraj Raju, Sara Breckenridge-Sproat, Xiaogang Su, Kelly H Randall, Lori A Loan
To more precisely evaluate the effects of nurse staffing on hospital-acquired pressure injury (HAPI) development, data on nursing care hours per patient day (NCHPPD), nursing skill mix, patient turnover (i.e., admissions, transfers, and discharges), and patient acuity were merged with patient information from pressure injury prevalence surveys that were collected annually for the Military Nursing Outcomes Database (MilNOD) project. The MilNOD included staffing and adverse events from 56 medical-surgical, stepdown, and critical care units in 13 military hospitals over a 4-year-period...
December 9, 2016: Research in Nursing & Health
https://www.readbyqxmd.com/read/27872987/the-ir-evolution-in-oncology-tools-treatments-and-guidelines
#8
Thierry de Baere
Early focus of interventional oncologists was developing tools and imaging guidance, performing "procedures" acting as a skillful technician without knowledge of clinical patient outcomes, beyond post-treatment image findings. Interventional oncologists must deliver "treatments" and not "procedures", and focus on clinically relevant outcomes, provide clinical continuity of care, which means stand at multidisciplinary tumor boards, see patients in consultation before treatment and for follow-up. Interventional oncologists have fought for the same "market" with surgery in a head to head, bloody competition called red ocean strategy in marketing terms, resulting in many aborted trials...
January 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27658344/transfusion-medicine-in-the-formosa-fun-coast-water-park-explosion-the-role-of-combined-tissue-and-blood-banking
#9
REVIEW
Chih-Chun Chang, Chin-Chuan Yeh, Fang-Yeh Chu
The Formosa Fun Coast explosion, occurring in a recreational water park located in the Northern Taiwan on 27 June 2015, made 499 people burn-injured. For those who had severe burn trauma, surgical intervention and fluid resuscitation were necessary, and potential blood transfusion therapy could be initiated, especially during and after broad escharotomy. Here, we reviewed the literature regarding transfusion medicine and skin grafting as well as described the practicing experience of combined tissue and blood bank in the burn disaster in Taiwan...
October 2016: Transfusion and Apheresis Science
https://www.readbyqxmd.com/read/27583465/statistical-analysis-of-interactive-surgical-planning-using-shape-descriptors-in-mandibular-reconstruction-with-fibular-segments
#10
Megumi Nakao, Shimpei Aso, Yuichiro Imai, Nobuhiro Ueda, Toshihide Hatanaka, Mao Shiba, Tadaaki Kirita, Tetsuya Matsuda
This study was performed to quantitatively analyze medical knowledge of, and experience with, decision-making in preoperative virtual planning of mandibular reconstruction. Three shape descriptors were designed to evaluate local differences between reconstructed mandibles and patients' original mandibles. We targeted an asymmetrical, wide range of cutting areas including the mandibular sidepiece, and defined a unique three-dimensional coordinate system for each mandibular image. The generalized algorithms for computing the shape descriptors were integrated into interactive planning software, where the user can refine the preoperative plan using the spatial map of the local shape distance as a visual guide...
2016: PloS One
https://www.readbyqxmd.com/read/27573276/online-time-and-resource-management-based-on-surgical-workflow-time-series-analysis
#11
M Maktabi, T Neumuth
PURPOSE: Hospitals' effectiveness and efficiency can be enhanced by automating the resource and time management of the most cost-intensive unit in the hospital: the operating room (OR). The key elements required for the ideal organization of hospital staff and technical resources (such as instruments in the OR) are an exact online forecast of both the surgeon's resource usage and the remaining intervention time. METHODS: This paper presents a novel online approach relying on time series analysis and the application of a linear time-variant system...
August 29, 2016: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/27493469/quality-of-communication-in-robotic-surgery-and-surgical-outcomes
#12
Lauren Schiff, Ziv Tsafrir, Joelle Aoun, Andrew Taylor, Evan Theoharis, David Eisenstein
BACKGROUND AND OBJECTIVES: Robotic surgery has introduced unique challenges to surgical workflow. The association between quality of communication in robotic-assisted laparoscopic surgery and surgical outcomes was evaluated. METHODS: After each gynecologic robotic surgery, the team members involved in the surgery completed a survey regarding the quality of communication. A composite quality-of-communication score was developed using principal component analysis...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27472213/strategies-to-improve-follow-up-of-children-after-surgery-for-cataract-findings-from-child-eye-health-tertiary-facilities-in-sub-saharan-africa-and-south-asia
#13
E Kishiki, K van Dijk, P Courtright
PurposeWe sought to conduct a systematic literature review on follow-up of children with ocular surgical management (primarily childhood cataract) in developing countries. Second, we sought to determine the current practices regarding follow-up for clinical, optical, low vision, rehabilitation, and educational placement among children receiving surgical services at Child Eye Health Tertiary Facilities (CEHTF) in sub-Saharan Africa (SSA) and South Asia.MethodsA systematic literature review was conducted. Separately, we conducted a cross-sectional study among CEHTF in SSA and South Asia (India, Nepal, and Bangladesh) to assess current capacities and practices related to follow-up and educational placement...
September 2016: Eye
https://www.readbyqxmd.com/read/27460326/a-selective-laser-sintering-prototype-guide-used-to-fabricate-immediate-interim-fixed-complete-arch-prostheses-in-flapless%C3%A2-dental-implant-surgery-technique-description-and%C3%A2-clinical-results
#14
Giovanni de A P Di Giacomo, Patricia R Cury, Airton M da Silva, Jorge V L da Silva, Sergio A Ajzen
STATEMENT OF PROBLEM: Extensive occlusal adjustments and misfit of the prosthesis to prosthetic components are frequent problems related to fixed interim prosthesis fabrication with immediate dental implant loading. PURPOSE: The purpose of this clinical trial was to evaluate a prosthetic guide made with a rapid prototype model based on virtual surgical planning. This prosthetic guide was used to fabricate fixed interim prostheses that would allow immediate implant loading after computer-guided implant installation...
December 2016: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/27397414/sharps-and-needlestick-injuries-among-medical-students-surgical-residents-faculty-and-operating-room-staff-at-a-single-academic-institution
#15
Lynn Y Choi, Rosalicia Torres, Sohail Syed, Sean Boyle, Ashar Ata, Todd D Beyer, Carl Rosati
BACKGROUND: The hospital is a place of high risk for sharps and needlestick injuries (SNI) and such injuries are historically underreported. METHODS: This institutional review board approved study compares the incidence of SNI among all surgical personnel at a single academic institution via an anonymous electronic survey distributed to medical students, surgical residents, general surgery attendings, surgical technicians, and operating room nurses. RESULTS: The overall survey response rate was 37% (195/528)...
January 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/27348430/intraoperative-handoffs-and-postoperative-complications-among-patients-undergoing-gynecologic-oncology-operations
#16
Kemi M Doll, Jessica A Lavery, Anna C Snavely
There is evidence that systems-based factors influence surgical outcomes of intraoperative and postoperative morbidity. The goal of this study was to provide an exploratory analysis of systems-based variables and their associations with surgical outcomes in gynecologic oncology patients. We merged electronic records from operating room software with billing claims from major surgeries performed from 2011 to 2013, at a tertiary care academic medical center. Univariate and bivariate analyses were performed to evaluate the relationship between baseline demographic and clinical covariates (age, comorbidity, procedure type, and surgeon volume), the main exposure variables (case start time, case order, and personnel handoffs), and the primary outcome of 30-day postoperative complications...
June 24, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27337663/preoperative-pelvic-tilt-analysis-reduces-fluoroscopy-time-in-direct-anterior-total-hip-arthroplasty
#17
Colleen A Weeks, Stephen Preston, James L Howard, Edward M Vasarhelyi, Jacob Matz, Brent A Lanting
The direct anterior approach for total hip arthroplasty (THA) requires the use of intraoperative imaging, exposing the patient and surgical team to radiation. The authors hypothesized that calculation of the preoperative pelvic tilt angle and communication of this value with the fluoroscopy technician may result in a decrease in intraoperative fluoroscopy use. The study also examined total radiation exposure during the procedure to ensure that it was within safe limits. The pelvic tilt was calculated preoperatively for 100 consecutive patients undergoing THA by the direct anterior approach...
September 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27301836/managing-disruptions-to-patient-flow-capacity-rapid-cycle-improvement-in-a-pediatric-cardiac-procedure-complex
#18
Debbie McKetta, T Eugene Day, Virginia Jones, Alexis Perri, Susan C Nicolson
BACKGROUND: Managing service disruptions is a challenge in every health care environment. Discrete event simulation (DES)--a computer modeling tool used to build in silico (that is, in a digital computer) testbeds for potential changes in complex systems--has been deployed in health care for research and quality improvement (QI), specifically in surgical suite management. A strategy for managing a 6-week planned service disruption needed to be enacted 12 weeks after the announcement, in late October 2014, of the closure of the Hybrid Suite (operating room/catheterization laboratory) for renovation, at The Children's Hospital of Philadelphia's Cardiac Center's Cardiac Operative and Imaging Complex (COIC)...
July 2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27273615/the-success-of-battlefield-surgical-airway-insertion-in-severely-injured-military-patients-a-uk-perspective
#19
Tony Kyle, S le Clerc, A Thomas, I Greaves, V Whittaker, J E Smith
BACKGROUND: The insertion of a surgical airway in the presence of severe airway compromise is an uncommon occurrence in everyday civilian practice. In conflict, the requirement for insertion of a surgical airway is more common. Recent military operations in Afghanistan resulted in large numbers of severely injured patients, and a significant proportion required definitive airway management through the insertion of a surgical airway. OBJECTIVE: To examine the procedural success and survival rate to discharge from a military hospital over an 8-year period...
December 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27188751/surgical-teams-attitudes-and-opinions-towards-the-safety-of-surgical-procedures-in-public-hospitals-in-the-brazilian-federal-district
#20
Heiko Thereza Santana, Maria Cristina Soares Rodrigues, Maria do Socorro Nantua Evangelista
BACKGROUND: According to the World Health Organization, the WHO surgical safety checklist can prevent complications, improve communication and contribute to postsurgical safety culture; hence, there is a need to investigate the attitudes and opinions of surgical teams regarding safety utilizing the WHO instrument. The aim of this study was to assess the attitudes and opinions towards surgical safety among operating room professionals in three public hospitals in the Brazilian Federal District...
May 17, 2016: BMC Research Notes
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