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https://www.readbyqxmd.com/read/29045684/lean-management-to-support-choosing-wisely-in-healthcare-the-first-evidence-from-a-systematic-literature-review
#1
Maria Crema, Chiara Verbano
Purpose: Choosing Wisely (CW) is an emergent approach to identify and reduce unnecessary care, such as tests and treatments that do not add value for patients and may even cause harm. The purpose of this paper is to investigate whether and how Lean Healthcare Management (LHM) can support CW objectives, focusing on customer needs and on waste elimination. Data sources: A systematic literature review has been performed in Scopus, PubMed and Web of Science. Study selection: Peer reviewed articles published in English language have been selected...
October 17, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29043447/-lean-management-in-the-pathology-laboratory
#2
A Blank, H Dawson, C Hammer, A Perren, A Lugli
No abstract text is available yet for this article.
October 17, 2017: Der Pathologe
https://www.readbyqxmd.com/read/29031994/clinical-classification-criteria-for-neurogenic-claudication-caused-by-lumbar-spinal-stenosis-the-n-class-criteria
#3
Stéphane Genevay, Delphine S Courvoisier, Kika Konstantinou, Francisco M Kovacs, Marc Marty, James Rainville, Michael Norberg, Jean-François Kaux, Thomas D Cha, Jeffrey N Katz, Steven J Atlas
BACKGROUND CONTEXT: Since imaging findings of lumbar spinal stenosis (LSS) may not be associated with symptoms, clinical classification criteria based on patient symptoms and physical examination findings are needed. PURPOSE: To develop clinical classification criteria that identify patients with neurogenic claudication (NC) caused by LSS. STUDY DESIGN: Two stage process. Phase 1: Delphi process; Phase 2: cross-sectional study. PATIENT SAMPLE: Outpatients recruited from spine clinics in 5 countries...
October 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29029690/identifying-and-eliminating-inefficiencies-in-information-system-usage-a-lean-perspective
#4
Vincent Blijleven, Kitty Koelemeijer, Monique Jaspers
OBJECTIVES: Mismatches frequently occur between information system (IS) dictated workflows and actual workflows of IS users. The resulting impeded workflows negatively influence the efficiency with which goods or services are produced and delivered to customers. Within a healthcare context, impeded workflows can additionally have a negative impact on the safety and effectiveness of care delivered to patients. METHODS: This study evaluates the impact of an electronic health record system of a large university hospital on workflows of healthcare professionals from a lean management waste perspective...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29025038/selective-progesterone-receptor-modulators-for-fertility-preservation-in-women-with-symptomatic-uterine-fibroids
#5
Mohamed Ali, Ayman Al-Hendy
Uterine Fibroids (UF, AKA: leiomyoma) are the most important benign neoplastic threat to women's health, with costs up to hundreds of billions of health care dollars worldwide. UF caused-morbidities exert a tremendous health toll, impacting the quality of life of women of all ethnicities, especially women of color. Clinical presentations include heavy vaginal bleeding, pelvic pain, bulk symptoms, subfertility, and obstetric complications. Current management strategies heavily lean towards surgical procedures, nonetheless the choice of treatment is generally subject to patient's age and her desire to preserve future fertility...
August 28, 2017: Biology of Reproduction
https://www.readbyqxmd.com/read/29024284/how-do-people-with-long-term-mental-health-problems-negotiate-relationships-with-network-members-at-times-of-crisis
#6
Sandra Walker, Anne Kennedy, Ivaylo Vassilev, Anne Rogers
BACKGROUND: Social network processes impact on the genesis and management of mental health problems. There is currently less understanding of the way people negotiate networked relationships in times of crisis compared to how they manage at other times. OBJECTIVE: This paper explores the patterns and nature of personal network involvement at times of crises and how these may differ from day-to-day networks of recovery and maintenance. METHOD: Semi-structured interviews with 25 participants with a diagnosis of long-term mental health (MH) problems drawn from recovery settings in the south of England...
October 10, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28992933/early-life-indicators-predict-mortality-illness-reduced-welfare-and-carcass-characteristics-in-finisher-pigs
#7
Julia Adriana Calderón Díaz, Laura Ann Boyle, Alessia Diana, Finola Catherine Leonard, John Patrick Moriarty, Máire Catríona McElroy, Shane McGettrick, Denis Kelliher, Edgar García Manzanilla
The objective of this study was to investigate associations between early life indicators, lactation management factors and subsequent mortality, health, welfare and carcass traits of offspring. A total of 1016 pigs from a batch born during one week were used. During lactation, number of liveborn piglets, stillborn and mummies, sow parity, number of times cross-fostered, weaning age, birth and weaning body weight (BW) were collected. Mortality was recorded throughout the offspring production cycle. Prior to slaughter, pigs were scored for lameness (1=non-lame to 3=severely lame)...
October 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28974539/implementation-of-a-lean-cytopathology-service-towards-routine-same-day-reporting
#8
Ekkehard Hewer, Caroline Hammer, Daniela Fricke-Vetsch, Cinzia Baumann, Aurel Perren, Anja M Schmitt
OBJECTIVES: To systematically assess the effects of a Lean management intervention in an academic cytopathology service. METHODS: We monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology. RESULTS: The intervention resulted in a major reduction of turnaround times for both gynaecological (3rd quartile 4.1 vs 2.3 working days) and non-gynaecological cytology (3rd quartile 1...
September 30, 2017: Journal of Clinical Pathology
https://www.readbyqxmd.com/read/28970681/evaluation-of-process-excellence-tools-in-improving-donor-flow-management-in-a-tertiary-care-hospital-in-south-india
#9
Divya Venugopal, Aboobacker Mohamed Rafi, Susheela Jacob Innah, Bibin T Puthayath
BACKGROUND: Process Excellence is a value based approach and focuses on standardizing work processes by eliminating the non-value added processes, identify process improving methodologies and maximize capacity and expertise of the staff. AIM AND OBJECTIVES: To Evaluate the utility of Process Excellence Tools in improving Donor Flow Management in a Tertiary care Hospital by studying the current state of donor movement within the blood bank and providing recommendations for eliminating the wait times and to improve the process and workflow...
July 2017: Asian Journal of Transfusion Science
https://www.readbyqxmd.com/read/28958963/lean-management-and-medical-laboratory-application-in-transfusionnal-immuno-hematology
#10
Jean-Baptiste Thibert, Françoise Le Vacon, Bruno Danic
Despite a common use in industrial applications, only a few studies describe the lean management methods in medical laboratory. These tools have been evaluated in analysis laboratory of blood donors, especially in immuno-hematology sector. The aim was to optimize the organization and maintain team cohesion and strong staff involvement in a restructuring context. The tools used and the results obtained are presented in this study.
October 1, 2017: Annales de Biologie Clinique
https://www.readbyqxmd.com/read/28944271/the-effect-of-passive-heating-on-heat-shock-protein-70-and-interleukin-6-a-possible-treatment-tool-for-metabolic-diseases
#11
S H Faulkner, S Jackson, G Fatania, C A Leicht
Increasing physical activity remains the most widely publicized way of improving health and wellbeing. However, in populations that benefit most from exercise (EX), adherence is often poor and alternatives to EX are important to bring about health improvements. Recent work suggests a role for passive heating (PH) and heat shock proteins (HSP) in improving cardio-metabolic health. The aim of this study was to investigate the expression of HSP70 and interleukin-6 in response to either EX or PH and the subsequent effect on glucose control...
2017: Temperature: Multidisciplinary Biomedical Journal
https://www.readbyqxmd.com/read/28930295/global-burden-of-nafld-and-nash-trends-predictions-risk-factors-and-prevention
#12
REVIEW
Zobair Younossi, Quentin M Anstee, Milena Marietti, Timothy Hardy, Linda Henry, Mohammed Eslam, Jacob George, Elisabetta Bugianesi
NAFLD is one of the most important causes of liver disease worldwide and will probably emerge as the leading cause of end-stage liver disease in the coming decades, with the disease affecting both adults and children. The epidemiology and demographic characteristics of NAFLD vary worldwide, usually parallel to the prevalence of obesity, but a substantial proportion of patients are lean. The large number of patients with NAFLD with potential for progressive liver disease creates challenges for screening, as the diagnosis of NASH necessitates invasive liver biopsy...
September 20, 2017: Nature Reviews. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28929907/management-of-obesity-after-spinal-cord-injury-a-systematic-review
#13
M H Shojaei, S M Alaviniaa, B C Craven
CONTEXT: Individuals with chronic spinal cord injury (SCI) are susceptible to central and visceral obesity and it's metabolic consequences; consensus based guidelines for obesity management after SCI have not yet been stablished. OBJECTIVES: To identify and compare effective means of obesity management among SCI individuals. METHODS: This systematic review included English and non-English articles, published prior to April 2017 found in the PubMed/Medline, Embase, CINAHL Psychinfo and Cochrane databases...
September 20, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28929858/partnering-to-develop-a-talent-pipeline-for-emerging-health-leaders-in-operations-research
#14
Alfred Ng, Carly Henshaw, Michael Carter
In initiating its first central office for Quality Improvement (QI), The Scarborough Hospital (TSH) sought to accelerate momentum towards achieving its "Quality and Sustainability" strategic priority by building internal capacity in the emerging QI specialty of operations research. The Scarborough Hospital reviewed existing models of talent management in conjunction with Lean and improvement philosophies. Through simple guiding principles and in collaboration with the University of Toronto's Centre for Healthcare Engineering, TSH developed a targeted approach to talent management for Operations Research (OR) in the Office of Innovation and Performance Improvement, reduced the time from staffing need to onboarding, accelerated the development of new staff in delivering QI and OR projects, and defined new structures and processes to retain and develop this group of new emerging health leaders...
May 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28913928/a-new-complementary-approach-for-oral-health-and-diabetes-management-health-coaching
#15
Ayse Basak Cinar, Ruth Freeman, Lone Schou
BACKGROUND: Health coaching (HC) is based on 'partnering with clients in a thought-provoking and creative process that inspires them to maximise their personal and professional potential' to adopt healthy lifestyles through 'building awareness and empowerment'. This study's objective is to assess, for the first time to our knowledge, the effectiveness of HC compared with health education (HE) using clinical and subjective measures among type 2 diabetes (DM2) patients in Turkey and Denmark...
September 14, 2017: International Dental Journal
https://www.readbyqxmd.com/read/28884881/effects-of-a-randomized-weight-loss-intervention-trial-in-obese-adolescents-on-tibia-and-radius-bone-geometry-and-volumetric-density
#16
Jennifer C Kelley, Nicolas Stettler-Davis, Mary B Leonard, Douglas Hill, Brian H Wrotniak, Justine Shults, Virginia A Stallings, Robert Berkowitz, Melissa S Xanthopoulos, Elizabeth Prout-Parks, Sarah B Klieger, Babette S Zemel
Obese adolescents have increased fracture risk, but effects of alterations in adiposity on bone accrual and strength in obese adolescents are not understood. We evaluated 12-month changes in trabecular and cortical volumetric bone mineral density (vBMD) and cortical geometry in obese adolescents undergoing a randomized weight management program, and investigated the effect of body composition changes on bone outcomes. Peripheral quantitative CT of the radius and tibia, and whole body DXA scans were obtained at baseline, six and 12 months in 91 obese adolescents randomized to standard care versus behavioral intervention for weight loss...
September 8, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28878719/different-and-similar-at-the-same-time-cultural-competence-through-the-leans-of-healthcare-providers
#17
Giuseppina Dell'Aversana, Andreina Bruno
Cultural competence (CC) for professionals and organizations has been recognized as a key strategy to reduce health care inequalities for migrants and to promote responsiveness to diversity. For decades its main aim has been matching health services to the cultural needs of migrant users. Otherwise literature highlighted the need to find a pragmatic middle way between the 'static' and the 'dynamic' views of culture that are recognizable in CC approaches. A pragmatic middle way to CC will be proposed as the way to respect diversity, even responding to cultural issues, without stereotyping or discriminating...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28877618/a-value-based-taxonomy-of-improvement-approaches-in-healthcare
#18
Christian Colldén, Ida Gremyr, Andreas Hellström, Daniella Sporraeus
Purpose The concept of value is becoming increasingly fashionable in healthcare and various improvement approaches (IAs) have been introduced with the aim of increasing value. The purpose of this paper is to construct a taxonomy that supports the management of parallel IAs in healthcare. Design/methodology/approach Based on previous research, this paper proposes a taxonomy that includes the dimensions of view on value and organizational focus; three contemporary IAs - lean, value-based healthcare, and patient-centered care - are related to the taxonomy...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28873220/patterns-and-predictors-of-frailty-transitions-in-older-men-the-osteoporotic-fractures-in-men-study
#19
Lauren R Pollack, Stephanie Litwack-Harrison, Peggy M Cawthon, Kristine Ensrud, Nancy E Lane, Elizabeth Barrett-Connor, Thuy-Tien Dam
OBJECTIVES: To describe the natural history of frailty transitions in a large cohort of community-dwelling older men and identify predictors associated with progression to or improvement from states of greater frailty. DESIGN: Prospective cohort study. SETTING: Six U.S. sites. PARTICIPANTS: Community-dwelling men aged 65 and older (N = 5,086). MEASUREMENTS: Frailty was measured at baseline and an average of 4...
September 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28870249/improving-emergency-department-radiology-transportation-time-a-successful-implementation-of-lean-methodology
#20
Eveline A Hitti, Ghada R El-Eid, Hani Tamim, Rana Saleh, Miriam Saliba, Lena Naffaa
BACKGROUND: Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor time to reducing length of stay. The objective of this study is to determine the effectiveness of using Lean management methods on improving Emergency Department transportation times for plain radiography...
September 5, 2017: BMC Health Services Research
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