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https://www.readbyqxmd.com/read/28637097/coding-proforma-in-tnflo-clinic-from-a-uk-center-an-audit-of-85-procedures
#1
Hassan Mohammed, David Chrastek, Liam Masterson, Ramez Nassif
Within the NHS and other health service providers, alphanumeric clinical coding has been introduced as a common language to interpret and compare mortality and morbidity data (1) . The two systems of clinical coding commonly utilised are the International Classification of Diseases 10 (ICD-10) devised by the World Health Organisation(1) and the Office of Population Censuses and Surveys 4 (OPCS-4) published in the UK by the Health and Social Care Information Centre (2) . This article is protected by copyright...
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28632482/staff-associate-specialist-and-specialty-doctors-national-audit-on-the-management-of-gonorrhoea-in-the-united-kingdom-2015
#2
Helen Mullan, Jane Richards, John Lee
The British Association for Sexual Health and HIV (BASHH) revised United Kingdom national guideline for the management of gonorrhoea in adults, 2011, identified five auditable outcome measures, namely, that all patients should receive first-line treatment, be screened or treated for chlamydial infection, have a test of cure (TOC), be offered written information and have partner notification carried out. The UK National Guideline for Gonorrhoea Testing, Clinical Effectiveness Group, BASHH, 2012, recommended in addition that all reactive nucleic acid amplification tests (NAATs) from pharynx and rectum should be confirmed by supplementary testing, using a second NAAT which detects a different nucleic acid target, all those with a positive NAAT for gonorrhoea should have culture and antimicrobial susceptibility testing and that TOC should be done by two weeks...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28629884/-evaluation-of-mortality-after-the-analysis-of-the-screening-history-in-women-diagnosed-with-infiltrating-cervical-cancer
#3
Marta Castillo, Aurora Astudillo, Omar Clavero, Julio Velasco, Raquel Ibáñez, Silvia de Sanjosé
OBJECTIVE: To assess the impact of screening history on the incidence of cervical cancer from 2000 to 2010 in Asturias. DESIGN: Retrospective study. LOCATION: All public hospitals in Asturias. MEAN MEASUREMENTS: From 374 women diagnosed with cervical cancer were retrieved. Clinical information, FIGO stage and all previous cytological data were extracted from clinical and histopathological records. Proportional differences were assessed using chi-square tests...
June 16, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28619484/the-new-opt-out-dutch-national-breast-implant-registry-lessons-learnt-from-the-road-to-implementation
#4
Hinne A Rakhorst, Marc A M Mureau, Rodney D Cooter, John McNeil, Miranda van Hooff, René van der Hulst, Juliette Hommes, Marije Hoornweg, Laura Moojen-Zaal, Patricia Liem, Irene M J Mathijssen
An estimated 1-3% of all women in the Netherlands carry breast implants. Since the introduction five decades ago, problems with a variety of breast implants have emerged with direct consequences for the patients' health. Plastic surgeons worldwide reacted through campaigning for auditing on long-term implant quality, surgeon performance, and institutional outcomes in implant registries. Especially, the PIP implant scandal of 2010 demonstrated the paucity of epidemiological data and uncovered a weakness in our ability to even 'track and trace' patients...
May 12, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28618147/feedback-preferences-of-patients-professionals-and-health-insurers-in-integrated-head-and-neck-cancer-care
#5
Lydia F J van Overveld, Robert P Takes, Thomas W Vijn, Jozé C C Braspenning, Jan P de Boer, John J A Brouns, Rolf J Bun, Boukje A C van Dijk, Judith A W F Dortmans, Emilie A C Dronkers, Robert J J van Es, Frank J P Hoebers, Arvid Kropveld, Johannes A Langendijk, Ton P M Langeveld, Sjoukje F Oosting, Hendrik P Verschuur, Jan G A M de Visscher, Stijn van Weert, Matthias A W Merkx, Ludi E Smeele, Rosella P M G Hermens
BACKGROUND: Audit and feedback on professional practice and health care outcomes are the most often used interventions to change behaviour of professionals and improve quality of health care. However, limited information is available regarding preferred feedback for patients, professionals and health insurers. OBJECTIVE: Investigate the (differences in) preferences of receiving feedback between stakeholders, using the Dutch Head and Neck Audit as an example. METHODS: A total of 37 patients, medical specialists, allied health professionals and health insurers were interviewed using semi-structured interviews...
June 15, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28615757/an-audit-of-indian-health-insurance-claims-for-mental-illness-from-pooled-insurance-information-bureau-s-macroindicator-data
#6
Anusa Arunachalam Mohandoss, Rooban Thavarajah
INTRODUCTION: Information on the social and voluntary insurance coverage of mental illness in India is scarce. We attempted to address this lacuna, utilizing a secondary macrodata approach for 3 years. Mental illness per se is not covered by most of existing Indian health insurance policies. MATERIALS AND METHODS: Publicly available de-identified claim macrodata for all health (nonlife) insurance for Indian financial year from 2011-2012 to 2013-2014 were collected...
May 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/28615546/assessment-of-spatial-and-physical-neighborhood-characteristics-that-influence-sound-quality-and-herewith-well-being-and-health
#7
Jeroen Devilee, Elise van Kempen, Wim Swart, Irene van Kamp, Caroline Ameling
Environmental noise and health studies seldom address the positive effect of environments with high acoustic quality. Sound quality, in turn, is influenced by a large number of factors, including the spatial-physical characteristics of a neighborhood. In general, these characteristics cannot be retrieved from existing databases. In this article, we describe the design of an audit instrument and demonstrate its value for gathering information about these characteristics of neighborhoods. The audit instrument used was derived from research in other fields than environmental health...
May 2017: Noise & Health
https://www.readbyqxmd.com/read/28615409/outcome-tools-for-diabetes-specific-quality-of-life-study-performed-in-a-private-family-practice-clinic
#8
Rajesh Nair, Paul Kachan
OBJECTIVE: To critically review and evaluate the psychometric properties and practical considerations of administering generic and diabetes-specific quality-of-life (QoL) tools in the clinical environment and provide recommendations. DATA SOURCES AND TOOL SELECTION: A MEDLINE search was carried out from January 1950 to August 2015 using the MeSH terms diabetes, quality of life, and questionnaires. Four generic and 4 diabetes-specific tools were selected based on the frequency of their use and the existence of published evidence of strong psychometric properties in patients with diabetes (either type 1 or 2)...
June 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28615270/understanding-how-and-why-audits-work-protocol-for-a-realist-review-of-audit-programmes-to-improve-hospital-care
#9
Lisanne Hut-Mossel, Gera Welker, Kees Ahaus, Rijk Gans
INTRODUCTION: Many types of audits are commonly used in hospital care to promote quality improvements. However, the evidence on the effectiveness of audits is mixed. The objectives of this proposed realist review are (1) to understand how and why audits might, or might not, work in terms of delivering the intended outcome of improved quality of hospital care and (2) to examine under what circumstances audits could potentially be effective. This protocol will provide the rationale for using a realist review approach and outline the method...
June 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/28614990/screening-organization-and-recall-rate-in-a-regional-breast-screening-programme
#10
Tina Beruchashwili, Rema Gvamichava, Stephen W Duffy
Objective To use results on recall rates from a regional non-population-based breast screening programme to inform practice in a planned national population-based programme. Methods We analysed data on rates of recall for further assessment in 27,327 mammographic screening episodes in 2015-2016 in the breast screening programme in the city of Tbilisi, Georgia. Screening was done by two-view digital mammography with double reading in women aged 40-70, and further assessment took place at the same clinic and during the same visit as the initial screening mammogram...
January 1, 2017: Journal of Medical Screening
https://www.readbyqxmd.com/read/28607686/improving-care-for-patients-with-or-at-risk-for-chronic-kidney-disease-using-electronic-medical-record-interventions-a-pragmatic-cluster-randomized-trial-protocol
#11
Danielle M Nash, Noah M Ivers, Jacqueline Young, R Liisa Jaakkimainen, Amit X Garg, Karen Tu
BACKGROUND: Many patients with or at risk for chronic kidney disease (CKD) in the primary care setting are not receiving recommended care. OBJECTIVE: The objective of this study is to determine whether a multifaceted, low-cost intervention compared with usual care improves the care of patients with or at risk for CKD in the primary care setting. DESIGN: A pragmatic cluster-randomized trial, with an embedded qualitative process evaluation, will be conducted...
2017: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/28607682/improving-inpatient-care-for-older-adults-implementing-dementia-commissioning-for-quality-and-innovation-cquin
#12
Judith R Harrison
Dementia is a common condition, and people with dementia occupy around 25% of hospital beds. Commissioning for Quality and Innovation (CQUIN) is an NHS payment framework that links part of English healthcare providers' income to quality improvement. The dementia CQUIN goals are designed to encourage the recognition of dementia in hospital. The Royal Surrey County Hospital, Guildford, introduced new procedures to meet the dementia CQUIN targets. Adherence to the changes was a problem. This project aimed to improve hospital's implementation strategy...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28606570/comparing-nutritional-requirements-provision-and-intakes-among-patients-prescribed-therapeutic-diets-in-hospital-an-observational-study
#13
Megan Rattray, Ben Desbrow, Shelley Roberts
OBJECTIVE: Nutrition is an important part of recovery for hospitalized patients. The aim of this study was to assess the nutritional adequacy of meals provided to and consumed by patients prescribed a therapeutic diet. METHODS: Patients (N = 110) prescribed a therapeutic diet (texture-modified, low-fiber, oral fluid, or food allergy or intolerance diets) for medical or nutritional reasons were recruited from six wards of a tertiary hospital. Complete (24-h) dietary provisions and intakes were directly observed and analyzed for energy (kJ) and protein (g) content...
July 2017: Nutrition
https://www.readbyqxmd.com/read/28606198/clinical-information-transfer-between-ems-staff-and-emergency-medicine-assistants-during-handover-of-trauma-patients
#14
Seyedeh Almas Fahim Yegane, Ali Shahrami, Hamid Reza Hatamabadi, Seyed-Mostafa Hosseini-Zijoud
Introduction Clinical handover by Emergency Medical Services (EMS) staff, as the first people who have contact with trauma patients, in the emergency department (ED), is very important. Therefore, effective communication to transfer clinical information about patients in a concise, rational, clear, and time-bound manner is essential. In Iran, the transfer of necessary information in clinical handover in EDs was carried out orally and without following standard instructions. This study aimed to audit the current clinical handover according to the Identify, Situation, Background, Assessment, and Recommendation (ISBAR) tool and survey the effect of training the ISBAR tool to Emergency Medicine Assistants (EMAs) and EMS staff on improvement of the clinical handover of patients to the ED...
June 13, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28603870/advice-about-infant-feeding-for-allergy-prevention-a-confusing-picture-for-australian-consumers
#15
Merryn J Netting, Katrina J Allen
AIM: Early feeding plays an important role in programming the immune system, particularly the risk of food allergy. There are many infant feeding guides published for consumers available in Australia, with most based on the National Health and Medical Research Council (NHMRC) 2012 Infant Feeding Guidelines for Health Workers and the Australasian Society of Clinical Immunology and Allergy (ASCIA) Infant Feeding Advice for allergy prevention. We sought to compare allergy-specific content of infant feeding educational material written for parents with these two documents...
June 12, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28601729/small-for-gestational-age-and-perinatal-mortality-at-term-an-audit-in-a-dutch-national-cohort-study
#16
Martine Eskes, Adja J M Waelput, Sicco A Scherjon, Klasien A Bergman, Ameen Abu-Hanna, Anita C J Ravelli
OBJECTIVE: To assess the underlying risk factors for perinatal mortality in term born small for gestational age infants. STUDY DESIGN: We performed a population based nationwide cohort study in the Netherlands of 465,532 term born infants from January 2010 to January 2013. Logistic regression analyses were performed. Also audit results were studied for detailed care information. RESULTS: We studied 162 small for gestational age infants who died in the perinatal period...
June 8, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28588423/dysphagia-screening-after-acute-stroke-a-quality-improvement-project-using-criteria-based-clinical-audit
#17
Jorun Sivertsen, Birgitte Graverholt, Birgitte Espehaug
BACKGROUND: Dysphagia is common after stroke and represents a major risk factor for developing aspiration pneumonia. Early detection can reduce the risk of pulmonary complications and death. Despite the fact that evidence-based guidelines recommend screening for swallowing deficit using a standardized screening tool, national audits has identified a gap between practice and this recommendation. The aim was to determine the level of adherence to an evidence-based recommendation on swallow assessment and to take actions to improve practice if necessary...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28585154/systematic-reviews-of-diagnostic-tests-in-endocrinology-an-audit-of-methods-reporting-and-performance
#18
Gabriela Spencer-Bonilla, Naykky Singh Ospina, Rene Rodriguez-Gutierrez, Juan P Brito, Nicole Iñiguez-Ariza, Shrikant Tamhane, Patricia J Erwin, M Hassan Murad, Victor M Montori
BACKGROUND: Systematic reviews provide clinicians and policymakers estimates of diagnostic test accuracy and their usefulness in clinical practice. We identified all available systematic reviews of diagnosis in endocrinology, summarized the diagnostic accuracy of the tests included, and assessed the credibility and clinical usefulness of the methods and reporting. METHODS: We searched Ovid MEDLINE, EMBASE, and Cochrane CENTRAL from inception to December 2015 for systematic reviews and meta-analyses reporting accuracy measures of diagnostic tests in endocrinology...
June 5, 2017: Endocrine
https://www.readbyqxmd.com/read/28584697/managing-your-aging-patient-population
#19
Ann L McNary
This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company...
March 2017: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28584585/an-audit-on-the-appropriateness-of-coronary-computed-tomography-angiography-referrals-in-a-tertiary-cardiac-center
#20
Ahmed Ali Alderazi, Mary Lynch
BACKGROUND: In response to growing concerns regarding the overuse of coronary computed tomography angiography (CCTA) in the clinical setting, multiple societies, including the American College of Cardiology Foundation, have jointly published revised criteria regarding the appropriate use of this imaging modality. However, previous research indicates significant discrepancies in the rate of adherence to these guidelines. AIM: To assess the appropriateness of CCTA referrals in a tertiary cardiac center in Bahrain...
January 2017: Heart Views: the Official Journal of the Gulf Heart Association
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