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Checklist cardiology

Deepa Rani Nandiwada, Amar Kohli, Megan McNamara, Kenneth J Smith, Shanta Zimmer, Melissa McNeil, Carla Spagnoletti, Doris Rubio, Kathryn Berlacher
BACKGROUND : In an era when value-based care is paramount, teaching trainees to explicitly communicate the evidence behind recommendations fosters high-value care (HVC) in the consultation process. OBJECTIVE : To implement an HVC consult curriculum highlighting the need for clear consult questions, evidence-based recommendations to improve consult teaching, clinical decision-making, and the educational value of consults. METHODS : A pilot curriculum was implemented for residents on cardiology consult electives utilizing faculty and fellows as evidence-based medicine (EBM) coaches...
October 2017: Journal of Graduate Medical Education
W Schwenk, P C Hoffmann
BACKGROUND: Preoperative evaluation of patient risk is an essential component of patient preparation before surgery. Guidelines provide evidence-based algorithms for preoperative assessment of cardiac risk; however, even experienced physicians correctly apply evidence-based algorithms in only 50% of all cases or less. OBJECTIVE: A checklist system for guideline-based cardiopulmonary risk evaluation in adult patients undergoing abdominal or visceral surgery (CAVE checklists) was created to assist in preoperative cardiopulmonary risk assessment and increase correct application of evidence-based algorithms before elective visceral surgery...
December 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Tyler H Harris, Mark Adler, Sharon M Unti, Mary E McBride
BACKGROUND: Training guidelines state that pediatricians should be able to diagnose, manage, and triage patients with heart disease. Acutely ill cardiac patients present infrequently and with high acuity, yet residents receive less exposure to acute cardiac conditions than previous generations. Trainees must learn to manage these situations despite this gap. Simulation has been used successfully to train learners to provide acute care. We hypothesized that a simulation-based cardiac curriculum would improve residents' ability to manage cardiac patients...
July 2017: Congenital Heart Disease
Claudia Fernanda de Lacerda Vidal, Aurora Karla de Lacerda Vidal, José Gildo de Moura Monteiro, Aracele Cavalcanti, Ana Paula da Costa Henriques, Márcia Oliveira, Michele Godoy, Mirella Coutinho, Pollyanna Dutra Sobral, Claudia Ângela Vilela, Bárbara Gomes, Marta Amorim Leandro, Ulisses Montarroyos, Ricardo de Alencar Ximenes, Heloísa Ramos Lacerda
BACKGROUND: Nosocomial pneumonia has correlated to dental plaque and to oropharynx colonization in patients receiving mechanical ventilation. The interruption of this process, by preventing colonization of pathogenic bacteria, represents a potential procedure for the prevention of ventilator-associated pneumonia (VAP). METHODS: The study design was a prospective, randomized trial to verify if oral hygiene through toothbrushing plus chlorhexidine in gel at 0.12% reduces the incidence of ventilatior-associated pneumonia, the duration of mechanical ventilation, the length of hospital stay and the mortality rate in ICUs, when compared to oral hygiene only with chlorhexidine, solution of 0...
January 31, 2017: BMC Infectious Diseases
Varsha K Tanguturi, Elizabeth Temin, Robert W Yeh, Ryan W Thompson, Sandhya K Rao, Aditi Mallick, Elena Cavallo, Timothy G Ferris, Jason H Wasfy
Hospital readmissions are common and costly and, in some cases, may be related to problems with care processes. We sought to reduce readmissions after percutaneous coronary intervention (PCI) in a large tertiary care facility through programs to target vulnerabilities predischarge, after discharge, and during re-presentation to the emergency department. During initial hospitalization, we assessed patients' readmission risk with a validated risk score and used a discharge checklist to ensure access to appropriate medications and close follow-up for high-risk patients...
September 2016: Circulation. Cardiovascular Quality and Outcomes
Nurten Terkes, Hicran Bektas
AIM: To evaluate the psychometric properties of the Diabetes Symptoms Checklist-Revised (DSC-R), as measures of diabetes-related symptoms, in patients with type 2 diabetes in Turkey. METHODS: This research was carried out on 340 patients diagnosed with type 2 diabetes in the Department of Endocrinology and Metabolic Diseases of a university hospital in Turkey, between 25 January 2011 and 1 April 2011. Personal information forms developed by the researchers and the DSC-R were used as the data tools...
April 2016: Japan Journal of Nursing Science: JJNS
Jea-Geun Lee, Joon Hyouk Choi, Song-Yi Kim, Ki-Seok Kim, Seung-Jae Joo
BACKGROUND AND OBJECTIVES: A cardiologist's evaluation of psychiatric symptoms in patients with chest pain is rare. This study aimed to determine the psychiatric characteristics of patients with and without coronary artery disease (CAD) and explore their relationship with the intensity of chest pain. SUBJECTS AND METHODS: Out of 139 consecutive patients referred to the cardiology outpatient department, 31 with atypical chest pain (heartburn, acid regurgitation, dyspnea, and palpitation) were excluded and 108 were enrolled for the present study...
March 2016: Korean Circulation Journal
S Marlene Grenon, Christopher D Owens, Hugh Alley, Sandra Perez, Mary A Whooley, Thomas C Neylan, Kirstin Aschbacher, Warren J Gasper, Joan F Hilton, Beth E Cohen
BACKGROUND: Current research in behavioral cardiology reveals a significant association between posttraumatic stress disorder (PTSD) and increased risk for cardiovascular disease and mortality; however, the underlying mechanisms remain poorly understood. We hypothesized that patients with PTSD would exhibit endothelial dysfunction, a potential mechanism involved in the development and progression of cardiovascular disease. METHODS AND RESULTS: A total of 214 outpatients treated at the San Francisco Veterans Affairs Medical Center underwent tests of endothelial function and evaluation for PTSD...
March 23, 2016: Journal of the American Heart Association
Kari L Struemph, Lydia R Barhight, Deepika Thacker, Erica Sood
OBJECTIVE: To examine the clinical utility of the Pediatric Symptom Checklist 17 for identifying psychosocial concerns and improving access to psychology services within a paediatric cardiology clinic. METHOD: Parents of 561 children (aged 4-17 years) presenting for follow-up of CHD, acquired heart disease, or arrhythmia completed the Pediatric Symptom Checklist 17 as part of routine care; three items assessing parental (1) concern for learning/development, (2) questions about adjustment to cardiac diagnosis, and (3) interest in discussing concerns with a behavioural healthcare specialist were added to the questionnaire...
August 2016: Cardiology in the Young
Michał Hawranek, Paweł M Gąsior, Piotr Buchta, Marek Gierlotka, Krystyna Czapla, Mateusz Tajstra, Łukasz Pyka, Andrzej Lekston, Lech Poloński, Mariusz Gąsior
BACKGROUND: Interventional cardiology and electrophysiology are disciplines with a growing number of complex procedures, which are exposed to the occurrence of many complications. AIM: To assess efficacy and legitimacy of the periprocedural checklist in prevention of cardiovascular adverse events, in elective patients undergoing invasive diagnostic and treatment. METHODS: A total of 2064 patients directed to treatment in the catheterisation laboratory between May 2011 to August 2012 were analysed...
2015: Kardiologia Polska
P M J C Kuijpers, J J M H Strik, R Lousberg, F H van de Veen, H M van Praag, H J J Wellens, A Honig
OBJECTIVE: To detect possible cardiological risk factors in the acute phase of MI for developing depressive symptoms after first MI. DESIGN: Retrospective analysis of cardiac and psychiatric data of 111 consecutive patients admitted with a first MI. METHODS: During one year, all consecutive patients with a first MI, less than 12 hours chest pain and a maximal aspartate aminotransferase (ASAT) value of at least 80 U/l, admitted to the University Hospital of Maastricht, were screened for the presence of depressive symptoms using the 90-item 'Symptom checklist' (SCL-90) questionnaire at one month post-MI...
November 2003: Netherlands Heart Journal
Matthew Sibbald, Anique B H de Bruin, Eric Yu, Jeroen J G van Merrienboer
Making a diagnosis involves ratifying or verifying a proposed answer. Formalizing this verification process with checklists, which highlight key variables involved in the diagnostic decision, is often advocated. However, the mechanisms by which a checklist might allow clinicians to improve their verification process have not been well studied. We hypothesize that using a checklist to verify diagnostic decisions enhances analytic scrutiny of key variables, thereby improving clinicians' ability to find and fix mistakes...
October 2015: Advances in Health Sciences Education: Theory and Practice
Yanika Kowitlawakul, Benjamin S H Leong, Adela Lua, Rana Aroos, Jie Jun Wong, Nicola Koh, Nicholette Goh, Kay Choong See, Jason Phua, Amartya Mukhopadhyay
OBJECTIVE: To describe the characteristics and barriers in the handover process in a medical intensive care unit. DESIGN: A cross-sectional descriptive study using a checklist to observe nurses and doctors during handover of patients in and out of the intensive care unit. SETTING: The study was conducted at a 1000-bed tertiary hospital in Singapore. The unit admits all patients under university medicine clusters, except those needing cardiology services...
April 2015: International Journal for Quality in Health Care
Elisabetta Angelino
Effective implementation of change in patients' care is a substantive problem. Organizational learning is viewed as process of seeking, selecting, and adapting new "routines" to improve performance but learning from experience is not automatic, but rather may result from action and reflection within the organization.
March 2014: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Cheryl Brosig, Kai Yang, Raymond G Hoffmann, Mahua Dasgupta, Kathleen Mussatto
The aim of this study was to provide a descriptive analysis of a new clinical program integrating psychology services within a pediatric outpatient cardiology clinic. Patients with congenital heart disease (CHD) (n = 79) were referred for psychological services by their pediatric cardiologist. Parents completed the child behavior checklist, and the pediatric quality of life inventory generic core scales (PedsQL parent report). Teachers completed the teacher report form. Reasons for referral included: emotional problems (29%); attention problems (25%); learning problems (22%); behavior problems (16%); and developmental delay (8%)...
December 2014: Journal of Clinical Psychology in Medical Settings
Anil Vaidya, Manuela A Joore, Arina J ten Cate-Hoek, Marie-Claire Kleinegris, Hugo ten Cate, Johan L Severens
Lower extremity artery disease (LEAD) is a sign of wide spread atherosclerosis also affecting coronary, cerebral and renal arteries and is associated with increased risk of cardiovascular events. Many economic evaluations have been published for LEAD due to its clinical, social and economic importance. The aim of this systematic review was to assess modelling methods used in published economic evaluations in the field of LEAD. Our review appraised and compared the general characteristics, model structure and methodological quality of published models...
January 2014: Thrombosis and Haemostasis
Nahid Hatam, Abbas Banikhalaf, Mohammad Ali Ostovan, Mehrdad Askarian
BACKGROUND AND OBJECTIVES: Coronary angiography is the most accurate and standard method for investigating the anatomic status and blood supply to the heart tissue; however, this method has been overused during the past decade. The present study aimed to investigate the appropriateness of coronary angiography in the patients referred to the selected hospital clinics in Shiraz, Iran. METHODS: This study included 280 outpatients who were referred to seven selected hospitals of Shiraz for coronary angiography...
October 2013: Archives of Iranian Medicine
Wilco Tanis, Jesse Habets, Renee B A van den Brink, Petr Symersky, Ricardo P J Budde, Steven A J Chamuleau
AIMS: For acquired mechanical prosthetic heart valve (PHV) obstruction and suspicion on thrombosis, recently updated European Society of Cardiology guidelines advocate the confirmation of thrombus by transthoracic echocardiography, transesophageal echocardiography (TEE), and fluoroscopy. However, no evidence-based diagnostic algorithm is available for correct thrombus detection, although this is clinically important as fibrinolysis is contraindicated in non-thrombotic obstruction (isolated pannus)...
February 2014: European Heart Journal Cardiovascular Imaging
Lilit Khachatryan, Arin Balalian
To assess the difference of pre- and post-training performance evaluation of continuing medical education (CME) courses in cardio-vascular diseases (CVD) management among physicians at primary health care facilities of Armenian regions we conducted an evaluation survey. 212 medical records were surveyed on assessment of performance before and after the training courses through a self-employed structured questionnaire. Analysis of survey revealed statistically significant differences (p < 0.05) in a number of variables: threefold increased recording of lipids and body mass index (p = 0...
December 2013: Journal of Community Health
Brent M Gordon, Teresa S Lam, Khaled Bahjri, Aijaz Hashmi, Micheal A Kuhn
OBJECTIVE: Preprocedure meetings have become more commonplace in medicine but are not performed routinely in the cardiac catheterization laboratory. We sought to create, implement, and evaluate a preprocedural meeting in the form of a checklist for the cardiac catheterization laboratory. Staff attitudes and perceptions toward safety and sense of teamwork were also analyzed. DESIGN: All procedures performed in the cardiac catheterization laboratory on patients with structural heart disease from January 2010 to February 2012 were retrospectively reviewed for demographics, procedural details, and reported complications...
March 2014: Congenital Heart Disease
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