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Crisis decision making

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https://www.readbyqxmd.com/read/29739369/increasing-advance-personal-planning-the-need-for-action-at-the-community-level
#1
Amy Waller, Rob Sanson-Fisher, Nola Ries, Jamie Bryant
BACKGROUND: Advance personal planning is the process by which people consider, document and communicate their preferences for personal, financial and health matters in case they lose the ability to make decisions or express their wishes in the future. DISCUSSION: Advance personal planning is most often undertaken by individuals who are seriously ill, often in the context of a medical crisis and/or at the time of admission to hospital. However, the clinical utility and legal validity of the planning process may be compromised in these circumstances...
May 9, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29720253/relieving-total-pain-in-an-adolescent-a-case-report
#2
Tharin Phenwan
BACKGROUND: Total pain is a concept that approaches pain holistically: physically, psychologically, socially, and spiritually. Any individual may experience pain in each domain at a different level. This is the case report of an adolescent who suffered from total pain and how his healthcare team and peers helped to relieve it. CASE PRESENTATION: A 15-years-old Thai male was diagnosed with recurrent T-cell lymphoma and readmitted to hospital. He was admitted to an adult ward and suffered from pain due to his disease and from the fear of being alienated...
May 2, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29716576/protocol-a-multi-level-intervention-program-to-reduce-stress-in-9-1-1-telecommunicators
#3
Hendrika Meischke, Michelle Lilly, Randal Beaton, Rebecca Calhoun, Ann Tu, Scott Stangenes, Ian Painter, Debra Revere, Janet Baseman
BACKGROUND: Nationwide, emergency response systems depend on 9-1-1 telecommunicators to prioritize, triage, and dispatch assistance to those in distress. 9-1-1 call center telecommunicators (TCs) are challenged by acute and chronic workplace stressors: tense interactions with citizen callers in crisis; overtime; shift-work; ever-changing technologies; and negative work culture, including co-worker conflict. This workforce is also subject to routine exposures to secondary traumatization while handling calls involving emergency situations and while making time urgent, high stake decisions over the phone...
May 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29702452/decision-making-performance-of-depressed-patients-within-72-h-following-a-suicide-attempt
#4
Klára M Hegedűs, Andrea Szkaliczki, Bernadett I Gál, Bálint Andó, Zoltán Janka, Péter Z Álmos
BACKGROUND: The significance of decision-making in suicidal behaviour is often highlighted; however, the performance of persons in suicide crisis is unknown. This study aimed to explore the comprehensive decision-making profile of depressed patients following a suicide attempt. METHODS: Decision-making was measured by reward- ("ABCD") and punishment- ("EFGH") sensitive versions of the Iowa Gambling Task (IGT) in 59 medication-free depressed patients within 72 h after a suicide attempt and in 46 healthy control subjects...
April 16, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29629392/empowerment-of-women-and-mental-health-improvement-with-a-preventive-approach
#5
Shahin Shooshtari, M R Abedi, M Bahrami, Rahele Samouei
AIM AND BACKGROUND: Mental health and empowerment are two of the women's essential needs. These two related concepts play an important role in women's lives. Therefore, this study aimed to investigate empowerment of women and its relation with mental health problem prevention during difficult situations. METHODS: This qualitative study was conducted through semi-structured interviews with 33 experts in the fields of psychology, social sciences, women studies, medicine and crisis management specialists using snowball sampling in cities of Tehran, Isfahan, Tabriz, and Mashhad during the year 1395 (March 2016-March 2017)...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29592827/managing-stress-in-a-crisis
#6
Alison Wright-Reid
Crisis situations are inherently uncertain and threatening. Although the primal stress reactions they provoke deliver some advantages, they so severely restrict intellect and behaviour that consultants observe crisis teams making the same mistakes over and again. Stress risks can be managed before, during and after a crisis. Crisis planning can select the right people, control the crisis team environment, and mitigate fatigue risks and memory demands. Because stress reactions are primitive, stress can be manipulated at a remarkably primitive level and teams can increase their resilience through such basics as sleep and breathing skills...
January 1, 2018: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/29580243/factors-associated-with-the-use-of-cognitive-aids-in-operating-room-crises-a-cross-sectional-study-of-us-hospitals-and-ambulatory-surgical-centers
#7
Shehnaz Alidina, Sara N Goldhaber-Fiebert, Alexander A Hannenberg, David L Hepner, Sara J Singer, Bridget A Neville, James R Sachetta, Stuart R Lipsitz, William R Berry
BACKGROUND: Operating room (OR) crises are high-acuity events requiring rapid, coordinated management. Medical judgment and decision-making can be compromised in stressful situations, and clinicians may not experience a crisis for many years. A cognitive aid (e.g., checklist) for the most common types of crises in the OR may improve management during unexpected and rare events. While implementation strategies for innovations such as cognitive aids for routine use are becoming better understood, cognitive aids that are rarely used are not yet well understood...
March 26, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29573572/general-practice-tasters-for-foundation-doctors
#8
Bryony Sales, Mike Masding, Samantha Scallan
BACKGROUND: General practice (GP) is currently not viewed positively as a career choice, compared with other specialties, with GP training programmes struggling to fill posts. Opportunities to change this mindset in the early years of training are limited. Trainees may find themselves applying for entry into GP specialty training just 3-4 months after completing Foundation Year 1 (FY1), yet there are few GP attachments during FY1 that can provide experience of primary care and positively inform career choice...
March 24, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29560070/optimal-implementation-of-prescription-drug-monitoring-programs-in-the-emergency-department
#9
REVIEW
Joshua W Elder, Garrett DePalma, Jesse M Pines
The opioid epidemic is the most significant modern-day, public health crisis. Physicians and lawmakers have developed methods and practices to curb opioid use. This article describes one method, prescription drug monitoring programs (PDMP), through the lens of how to optimize use for emergency departments (ED). EDs have rapidly become a central location to combat opioid abuse and drug diversion. PDMPs can provide emergency physicians with comprehensive prescribing information to improve clinical decisions around opioids...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29510491/crisis-resource-management-in-the-delivery-room-development-of-behavioral-markers-for-team-performance-in-emergency-simulation
#10
Fabrizio Bracco, Gabriele de Tonetti, Michele Masini, Marcello Passarelli, Francesca Geretto, Danilo Celleno
Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room...
March 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29506923/why-france-is-making-eight-new-vaccines-mandatory
#11
Jeremy K Ward, James Colgrove, Pierre Verger
France is one of the countries with the highest prevalence of vaccine hesitancy in the world. In an attempt to raise vaccination coverages, the French government made on January 1, 2018 eight more vaccines mandatory in addition to the three required until then. The process that led to this policy choice is of particular interest. We describe how vaccines became contentious in France and how French authorities came to view mandatory vaccination as the solution to the rise in vaccine hesitancy. In a bold move, French public health authorities turned to a new type of institutional device grounded in the ideal of democracy and public participation to political decision-making: "a citizen consultation"...
March 27, 2018: Vaccine
https://www.readbyqxmd.com/read/29505747/the-prevalence-and-impacts-of-crisis-pregnancy-center-visits-among-a-population-of-pregnant-women
#12
Katrina Kimport, Rebecca Kriz, Sarah C M Roberts
OBJECTIVES: Investigations into Crisis Pregnancy Centers (CPCs) have documented the provision of deceptive information about abortion, but it is unclear how many pregnant women actually visit CPCs and what impact visits have on their pregnancy decision-making. STUDY DESIGN: We conducted a mixed-methods study. We surveyed patients at one of two local abortion clinics and three prenatal clinics in Southern Louisiana about whether they had visited a CPC for this pregnancy and conducted in-depth interviews with prenatal patients who reported a CPC visit about their experience...
March 2, 2018: Contraception
https://www.readbyqxmd.com/read/29476256/lessons-from-the-sky-an-aviation-based-framework-for-maximizing-the-delivery-of-quality-anesthetic-care
#13
Ashley Szabo Eltorai
Though aviation is practiced in airplanes and anesthesiology in operating rooms, the two professions have substantial parallels. Both require readiness to manage a crisis situation, where lives are at stake, at a moment's notice and with incomplete information. The determinants of quality performance in both professions extend far beyond knowledge base and formal training. The science of human factors, a prominent cornerstone of the aviation industry, has not yet found the same place in medicine, but it could change the understanding and execution of medical decision-making in profound ways...
April 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29468055/comparison-of-governance-approaches-for-the-control-of-antimicrobial-resistance-analysis-of-three-european-countries
#14
REVIEW
Gabriel Birgand, Enrique Castro-Sánchez, Sonja Hansen, Petra Gastmeier, Jean-Christophe Lucet, Ewan Ferlie, Alison Holmes, Raheelah Ahmad
Policy makers and governments are calling for coordination to address the crisis emerging from the ineffectiveness of current antibiotics and stagnated pipe-line of new ones - antimicrobial resistance (AMR). Wider contextual drivers and mechanisms are contributing to shifts in governance strategies in health care, but are national health system approaches aligned with strategies required to tackle antimicrobial resistance? This article provides an analysis of governance approaches within healthcare systems including: priority setting, performance monitoring and accountability for AMR prevention in three European countries: England, France and Germany...
2018: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/29435351/the-impact-of-the-2014-ebola-virus-disease-outbreak-in-liberia-on-parent-preferences-for-harsh-discipline-practices-a-quasi-experimental-pre-post-design
#15
Eric Green, Rhea M Chase, John Zayzay, Amy Finnegan, Eve S Puffer
Background: This paper uses data from a cohort of parents and guardians of young children living in Monrovia, Liberia collected before and after the 2014 outbreak of Ebola virus disease (EVD) to estimate the impact of EVD exposure on implicit preferences for harsh discipline. We hypothesized that parents exposed to EVD-related sickness or death would exhibit a stronger preference for harsh discipline practices compared with non-exposed parents. Methods: The data for this analysis come from two survey rounds conducted in Liberia as part of an intervention trial of a behavioral parenting skills intervention...
2018: Global Mental Health
https://www.readbyqxmd.com/read/29395987/humanitarian-health-computing-using-artificial-intelligence-and-social-media-a-narrative-literature-review
#16
Luis Fernandez-Luque, Muhammad Imran
INTRODUCTION: According to the World Health Organization (WHO), over 130 million people are in constant need of humanitarian assistance due to natural disasters, disease outbreaks, and conflicts, among other factors. These health crises can compromise the resilience of healthcare systems, which are essential for achieving the health objectives of the sustainable development goals (SDGs) of the United Nations (UN). During a humanitarian health crisis, rapid and informed decision making is required...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29383464/patient-centered-values-and-experiences-with-emergency-department-and-mental-health-crisis-care
#17
Kathleen C Thomas, Hillary Owino, Sana Ansari, Leslie Adams, Julianne M Cyr, Bradley N Gaynes, Seth W Glickman
Little is known about what patients value in psychiatric crisis services or how they compare community-based services with those received in the emergency department. Three focus groups (n = 27) were held of participants who had received psychiatric crisis services in emergency departments or a community mental health center. Participants described care experiences and preferences. Focus groups were audio recorded, transcribed, and coded using a value-based lens. Themes included appreciation for feeling respected, basic comforts, and shared decision-making as foundations of quality care...
January 30, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29360958/connections-between-unemployment-insurance-poverty-and-health-a-systematic-review
#18
Emilie Renahy, Christiane Mitchell, Agnes Molnar, Carles Muntaner, Edwin Ng, Farihah Ali, Patricia O'Campo
Background: Since the global economic crisis in 2007, unemployment rates have escalated in most European and North American countries. Unemployment protection policies, particularly the unemployment insurance (UI) system, have become a weighty issue for many modern welfare states. Decades of research have established concrete findings on the adverse impacts of unemployment on poverty- and health-related outcomes. This provided a foundation for further exploration into the potential protective effects of UI in offsetting these adverse outcomes...
April 1, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29325025/towards-an-understanding-of-resilience-responding-to-health-systems-shocks
#19
Johanna Hanefeld, Susannah Mayhew, Helena Legido-Quigley, Frederick Martineau, Marina Karanikolos, Karl Blanchet, Marco Liverani, Esther Yei Mokuwa, Gillian McKay, Dina Balabanova
The recent outbreak of Ebola Virus Disease (EVD) in West Africa has drawn attention to the role and responsiveness of health systems in the face of shock. It brought into sharp focus the idea that health systems need not only to be stronger but also more 'resilient'. In this article, we argue that responding to shocks is an important aspect of resilience, examining the health system behaviour in the face of four types of contemporary shocks: the financial crisis in Europe from 2008 onwards; climate change disasters; the EVD outbreak in West Africa 2013-16; and the recent refugee and migration crisis in Europe...
April 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29244105/the-gendered-health-workforce-mixed-methods-analysis-from-four-fragile-and-post-conflict-contexts
#20
Sophie Witter, Justine Namakula, Haja Wurie, Yotamu Chirwa, Sovanarith So, Sreytouch Vong, Bandeth Ros, Stephen Buzuzi, Sally Theobald
It is well known that the health workforce composition is influenced by gender relations. However, little research has been done which examines the experiences of health workers through a gender lens, especially in fragile and post-conflict states. In these contexts, there may not only be opportunities to (re)shape occupational norms and responsibilities in the light of challenges in the health workforce, but also threats that put pressure on resources and undermine gender balance, diversity and gender responsive human resources for health (HRH)...
December 1, 2017: Health Policy and Planning
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