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Information audit

Anna Brischetto, Ian Gassiep, David Whiley, Robert Norton
There has been a resurgence of syphilis diagnoses in Australia. We investigated whether our Treponema pallidum polymerase chain reaction (PCR) test provides any additional diagnostic information over syphilis serology (chemi-luminescence immunoassay (CMIA), Treponema pallidum particle agglutination (TPPA) and rapid reagin (RPR) flocculation test). A retrospective audit was conducted of all T. pallidum PCR requests that came through our laboratory from January 2010 to June 2017; data collected included age, gender, site of swab, T...
February 14, 2018: Journal of Clinical Microbiology
Stephen E Bartnik, Stephen P Copeland, Angela J Aicken, Angus W Turner
BACKGROUND: Lions Outback Vision has run a state-wide teleophthalmology service since 2011. In September 2015 the Australian federal government introduced a Medicare reimbursement for optometry-facilitated teleophthalmology consultations under specific circumstances. This audit demonstrates the first 12 months experience with this scheme. We aim to provide practical insights for others looking to embed a telemedicine program as part of delivering outreach clinical services. METHODS: A 12-month retrospective audit was performed between September 2015 and August 2016, inclusive...
February 14, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
A Dudina, S Lane, M Butler, M-T Cooney, I Graham
Background: Cardiovascular disease (CVD) is the leading cause of death in patients with chronic obstructive pulmonary disease (COPD) and such patients tend to carry a heavy burden of risk factors for CVD. There is little information on the documentation and management of CVD risk factors in COPD patients. Aim: To audit the recording and management of CVD risk factors in 200 COPD patients attending the respiratory out-patient clinics at two University teaching hospitals...
February 8, 2018: QJM: Monthly Journal of the Association of Physicians
Zila M Sanchez, Adriana Sanudo
BACKGROUND: This study aimed to test the effectiveness of a web-based intervention in preventing alcohol abuse among nightclub patrons. METHODS: A probabilistic sample of the patrons of 31 nightclubs in São Paulo, Brazil, was invited to participate in an online screening using the Alcohol Use Disorders Identification Test (AUDIT). A total of 1057 patrons met the inclusion criteria to participate in the randomized controlled trial, with data collection at 0, 3, 6 and 12 months...
February 9, 2018: Substance Abuse
Katherine Covington, J Aaron Johnson, Dena Henry, Sharon Chalmers, Freida Payne, Linda Tuck, J Paul Seale
Previous research on training health professionals to identify and address unhealthy alcohol and drug use in patients through screening, brief intervention, and referral to treatment (SBIRT) has found that training increases knowledge about substance use and increases students' confidence in addressing substance use in patients. To date, however, there is little information on how health professional students integrate SBIRT into individual practice. Within a U.S. SBIRT training consortium, advanced practice registered nurse (APRN) students were required to practice SBIRT in clinical settings and complete assessment logs for each patient screened...
February 2018: Applied Nursing Research: ANR
Piers Larcombe, Peter Ridd
Research science used to inform public policy decisions, herein defined as "Policy-Science", is rarely subjected to rigorous checking, testing and replication. Studies of biomedical and other sciences indicate that a considerable fraction of published peer-reviewed scientific literature, perhaps half, has significant flaws. To demonstrate the potential failings of the present approaches to scientific Quality Control (QC), we describe examples of science associated with perceived threats to the Great Barrier Reef (GBR), Australia...
January 2018: Marine Pollution Bulletin
Lisa Penrose, Yvette Roe, Natalie A Johnson, Erica L James
The Institute for Urban Indigenous Health (IUIH) aimed to improve access to cataract surgery in urban South East Queensland (SEQ) for Indigenous Australians, without compromising clinical visual outcomes. The Penchansky and Levesque concept of access as the 'fit' between the patient's needs and the ability of the system to meet those needs was used to inform the redesign of the mainstream cataract surgical pathway. The IUIH staff and community stakeholders mapped the traditional external cataract surgical pathway and then innovatively redesigned it to reduce the number of patients being removed by the system at key transition points...
February 9, 2018: Australian Journal of Primary Health
Pol Bruguera, Pablo Barrio, Clara Oliveras, Fleur Braddick, Carolina Gavotti, Carla Bruguera, Hugo López-Pelayo, Laia Miquel, Lídia Segura, Joan Colom, Lluisa Ortega, Eduard Vieta, Antoni Gual
BACKGROUND AND AIMS: SBIRT programmes (Screening Brief Intervention and Referral to Treatment) have been developed, evaluated and shown to be effective, particularly in primary care and general practice. Nevertheless, effectiveness of SBIRT in emergency departments (ED) has not been clearly established. We aimed to evaluate the feasibility and efficacy of an SBIRT programme conducted by highly specialized professionals in the ED of a tertiary hospital. METHODS: We conducted a randomized controlled trial to study the feasibility and efficacy of an SBIRT programme conducted by alcohol specialists for at-risk drinkers presenting to the ED, measured with the AUDIT-C...
February 8, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Ailís Ní Riain, Claire Collins, Tony O'Sullivan
Purpose Carrying out minor surgery procedures in the primary care setting is popular with patients, cost effective and delivers at least as good outcomes as those performed in the hospital setting. This paper aims to describe the central role of clinical leadership in developing an accreditation system for general practitioners (GPs) undertaking community-based surgery in the Irish national setting where no mandatory accreditation process currently exists. Design/methodology/approach In all, 24 GPs were recruited to the GP network...
February 5, 2018: Leadership in Health Services
Maria Hälleberg Nyman, Henrietta Forsman, Lars Wallin, Joan Ostaszkiewicz, Ami Hommel, Ann Catrine Eldh
RATIONALE, AIMS, AND OBJECTIVES: The risk of developing urinary incontinence (UI) is associated with older age and hip surgery. There has been limited focus on factors that promote evidence-based UI practice in the orthopaedic context. The aim of this study was to evaluate an implementation intervention to support evidence-based practice for UI in patients aged 65 or older undergoing hip surgery. METHODS: A 3-month intervention was delivered in 2014 to facilitate the implementation of UI knowledge in orthopaedic units in 2 hospitals in Sweden...
February 7, 2018: Journal of Evaluation in Clinical Practice
Angkana Sommanustweechai, Sunicha Chanvatik, Varavoot Sermsinsiri, Somsajee Sivilaikul, Walaiporn Patcharanarumol, Shunmay Yeung, Viroj Tangcharoensathien
Objective: To analyse how antibiotics are imported, manufactured, distributed and regulated in Thailand. Methods: We gathered information, on antibiotic distribution in Thailand, in in-depth interviews - with 43 key informants from farms, health facilities, pharmaceutical and animal feed industries, private pharmacies and regulators- and in database and literature searches. Findings: In 2016-2017, licensed antibiotic distribution in Thailand involves over 700 importers and about 24 000 distributors - e...
February 1, 2018: Bulletin of the World Health Organization
Rehana Shrestha, Johannes Flacke, Javier Martinez, Martin van Maarseveen
Cumulative burden assessment (CuBA) has the potential to inform planning and decision-making on health disparities related to multiple environmental burdens. However, scholars have raised concerns about the social complexity to be dealt with while conducting CuBA, suggesting that it should be addressed in an adaptive, participatory and transdisciplinary (APT) approach. APT calls for deliberation among stakeholders by engaging them in a process of social learning and knowledge co-production. We propose an interactive stakeholder-based approach that facilitates a science-based stakeholder dialogue as an interface for combining different knowledge domains and engendering social learning in CuBA processes...
February 3, 2018: International Journal of Environmental Research and Public Health
Caitlyn R Mullins, Monique D Pairis-Garcia, Magnus R Campler, Raymond Anthony, Anna K Johnson, Grahame J Coleman, Jean-Loup Rault
With extensive knowledge and training in the prevention, management, and treatment of disease conditions in animals, veterinarians play a critical role in ensuring good welfare on swine farms by training caretakers on the importance of timely euthanasia. To assist veterinarians and other industry professionals in training new and seasoned caretakers, an interactive computer-based training program was created. It consists of three modules, each containing five case studies, which cover three distinct production stages (breeding stock, piglets, and wean to grower-finisher pigs)...
February 5, 2018: Journal of Veterinary Medical Education
Sonya Nicholl, Holly Seale, Nathan Saul, Sue Campbell-Lloyd
PROBLEM: Typically there is limited opportunity for stakeholder engagement to determine service delivery gaps when implementing an outbreak or supplementary vaccination program. BACKGROUND: In response to increasing pertussis notifications in NSW, Australia, an antenatal pertussis vaccination program was introduced offering pertussis containing vaccine to all pregnant women in the third trimester. AIM: To explore the effectiveness of consulting with midwives prior to and during a new state-wide vaccination program...
February 1, 2018: Women and Birth: Journal of the Australian College of Midwives
Nicolas Bertholet, Joseph Studer, John A Cunningham, Gerhard Gmel, Bernard Burnand, Jean-Bernard Daeppen
AIM: To estimate the long-term efficacy of an internet-based brief intervention (IBI) in decreasing alcohol use among men on 1.) number of drinks/week and 2.) monthly or more binge drinking prevalence. In addition, overall changes in alcohol use were assessed. DESIGN: Participants in a cohort study were recruited in a two parallel-group randomized controlled trial of an IBI versus no-intervention control condition, showing a positive intervention effect at 6 months...
February 3, 2018: Addiction
Agnieszka Sorokowska, Anna Oleszkiewicz, Piotr Sorokowski
Human attractiveness is a potent social variable, and people assess their potential partners based on input from a range of sensory modalities. Among all sensory cues, visual signals are typically considered to be the most important and most salient source of information. However, it remains unclear how people without sight assess others. In the current study, we explored the relative importance of sensory modalities other than vision (smell, touch, and audition) in the assessment of same- and opposite-sex strangers...
February 2, 2018: Archives of Sexual Behavior
M N Baig, Orna Ni Bhroin, Rajnita Auckloo, Cathal Mac Dhaibheid, Usman Baig, Fergus Byrne
Introduction The British Orthopaedic Association Standards for Trauma (BOAST) Guideline 7 informs the standard of care patients should expect when they come to orthopaedic fracture clinics in the United Kingdom (UK). Objectives We compared our fracture clinic's practice against the standards set by BOAST Guideline 7 to make changes for aligning with the standard of care. We aimed to then re-audit our practice for further evaluation against the guidelines. Material and methods We prospectively collected data from 100 patients presenting to the fracture clinics of different orthopaedic consultants working in our hospital, using the Royal College of Surgeons in Ireland's (RCSI's) satisfaction with outpatients services (SWOPS) questionnaire...
November 29, 2017: Curēus
Viktor Dombrádi, Barnabás Margitai, Csaba Dózsa, Orsolya Karola Bárdos-Csenteri, János Sándor, Tibor Gáll, Sándor Gődény
OBJECTIVE: Quantitative studies have shown the various benefits for having accreditation in hospitals. However, neither of these explored the general conditions before applying for an accreditation. To close this gap, this study aimed to investigate the possible association between joining an accreditation programme with various hospital characteristics. DESIGN: A cross-sectional study was implemented using the databases of the 2013 Hungarian hospital survey and of the Hungarian State Treasury...
February 1, 2018: BMJ Open
Nicola Oswald, John Hardman, Amy Kerr, Ehab Bishay, Richard Steyn, Pala Rajesh, Maninder Kalkat, Babu Naidu
BACKGROUND: Receiving information about their disease and treatment is very important to patients with cancer. There is an association between feeling appropriately informed and better quality of life. This audit aimed to estimate patient satisfaction with perioperative information in those undergoing surgery for lung cancer and any change in satisfaction over time. METHODS: A questionnaire (EORTC-Info-25) was administered prospectively to patients preoperatively and up to six months postoperatively...
February 1, 2018: Journal of Cardiothoracic Surgery
Mary Furniss, Molly Conroy, Sara Filoche, E Jane MacDonald, Stacie E Geller, Beverley Lawton
OBJECTIVE: To determine what information, support, and follow-up were offered to women who had experienced severe maternal morbidity (SMM). METHODS: The present retrospective case review included patients who experienced SMM (admission to intensive care during pregnancy or up to 42 days postpartum) who had previously been reviewed for potential preventability as part of a nationwide New Zealand study performed between January 1 and December 31, 2014. Data were audited to ascertain documented evidence of an event debrief or explanation; referral to social support and/or mental health services; a detailed discharge letter; and a follow-up appointment with a specialist...
February 1, 2018: International Journal of Gynaecology and Obstetrics
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