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Joint commission international

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https://www.readbyqxmd.com/read/29848811/does-the-status-of-surgical-resident-compared-to-that-of-consultant-have-an-impact-on-patient-s-satisfaction-over-the-informed-consent-process
#1
Riccardo Pravisani, Luca Seriau, Matteo Faion, Marina Pighin, Andrea Risaliti, Vittorio Bresadola
OBJECTIVE: The informed consent process is a fundamental element of best practice in the surgical patient's care. The aim of the present study is to investigate the value of informed consent from the patient's perspective in a Teaching Hospital. In particular, the role of the Residents within this process is analyzed to compare their performance with that of Consultants. DESIGN: This is a prospective observational study based on a consecutive cohort of patients who were offered an elective surgical procedure during the period April 2015 - September 2015...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29792258/nurses-and-patients-perceptions-of-the-quality-of-psychiatric-nursing-care-in-jordan
#2
Wafa S Alsyouf, Ayman M Hamdan-Mansour, Shaher H Hamaideh, Khaled M Alnadi
BACKGROUND: The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients' outcomes. OBJECTIVES: The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan...
May 1, 2018: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29772681/global-asbestos-disaster
#3
Sugio Furuya, Odgerel Chimed-Ochir, Ken Takahashi, Annette David, Jukka Takala
Introduction : Asbestos has been used for thousands of years but only at a large industrial scale for about 100⁻150 years. The first identified disease was asbestosis, a type of incurable pneumoconiosis caused by asbestos dust and fibres. The latest estimate of global number of asbestosis deaths from the Global Burden of Disease estimate 2016 is 3495. Asbestos-caused cancer was identified in the late 1930's but despite today's overwhelming evidence of the strong carcinogenicity of all asbestos types, including chrysotile, it is still widely used globally...
May 16, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29738660/-results-of-certification-audit-in-mexican-hospitals-a-review-from-2009-to-2012
#4
Ángel Fernando Galván-García, José de Jesús Vértiz-Ramírez, Alma Lucila Sauceda-Valenzuela, Ofelia Poblano-Verástegui, Enrique Ruelas-Barajas, Mario Salvador Sánchez-Domínguez
OBJECTIVE: To analyze the participation of Mexican hospitals in the certification process (equivalent to accreditation in other countries). MATERIAL AND METHODS: Crosssectional study that analyzes results of 136 establishments audited between 2009 and 2012. Standards with an excellent rating (9.0-10.0), approving (6-8.9) and non-approving (0-5.9) were identified. With a multinomial model, the probability of obtaining non-approving, approving and excellent qualification was calculated...
March 2018: Salud Pública de México
https://www.readbyqxmd.com/read/29697515/estimating-fluoroscopic-peak-skin-dose-using-manual-calculations
#5
Kendall Elizabeth Berry
Not all healthcare providers can afford to purchase commercially available programs that can quickly and easily provide peak skin dose estimations for patients undergoing diagnostic and international fluoroscopic procedures. The air kerma reference point exposure, Ka,r, available on all equipment manufactured after 2006, may over or under estimate the patient's peak skin dose. The total air kerma reference point exposure provided at the end of a case might be on the order of 20 Gy for a patient, indicating that a Joint Commission 'sentinel event' may have occurred...
June 2018: Health Physics
https://www.readbyqxmd.com/read/29651871/outcome-of-the-european-initiative-for-radiation-protection-research-and-future-perspectives
#6
J Repussard
In 2009, the European Commission published the report of the high-level expert group that had been mandated to consider the scientific challenges posed by the issues of low dose effects of ionising radiation, and to formulate proposals for research policy evolution in this field at European level. This report formulated a first draft of a strategic research agenda. International scientific cooperation and an integrated approach are essential for the further development and enhancement of the international framework of radiation protection...
January 1, 2018: Annals of the ICRP
https://www.readbyqxmd.com/read/29587353/implementation-of-a-medication-reconciliation-process-in-an-internal-medicine-clinic-at-an-academic-medical-center
#7
Kathryn M Holt, Amy N Thompson
Discrepancies in medication orders at transitions of care have been shown to affect patient outcomes in a negative way. The Joint Commission recognizes the importance of medication reconciliation through their National Patient Safety Goals, with an emphasis placed on maintaining accurate medication information for each patient. The primary objective of this study was to assess the effectiveness of implementing a medication reconciliation process in an internal medicine clinic at an academic medical center. A retrospective chart review of patients seen at an Internal Medicine Clinic within and Academic Medical Center, a continuity and teaching clinic for Internal Medicine residents and faculty practice clinic, was conducted...
March 24, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29533004/comparison-and-validation-of-the-prognostic-value-of-preoperative-systemic-immune-cells-in-hepatocellular-carcinoma-after-curative-hepatectomy
#8
Rui Liao, Cong Peng, Ming Li, De-Wei Li, Ning Jiang, Pei-Zhi Li, Xiong Ding, Qiao Wu, Cheng-You Du, Jian-Ping Gong
In this study, we aimed to compare and validate the prognostic abilities of preoperative systemic immune cells in hepatocellular carcinoma (HCC) after curative hepatectomy. We developed two nomograms to predict the postoperative recurrence-free survival (RFS) and overall survival (OS) after comparisons of the systemic immune cell prognostic scores. The two nomograms were constructed based on 305 patients who underwent curative hepatectomy for HCC. The predictive accuracy and discriminative ability of the nomograms were compared with six commonly used staging systems for HCC...
April 2018: Cancer Medicine
https://www.readbyqxmd.com/read/29487416/rd-connect-neuromics-and-eurenomics-collaborative-european-initiative-for-rare-diseases
#9
Hanns Lochmüller, Dorota M Badowska, Rachel Thompson, Nine V Knoers, Annemieke Aartsma-Rus, Ivo Gut, Libby Wood, Tina Harmuth, Andre Durudas, Holm Graessner, Franz Schaefer, Olaf Riess
Although individually uncommon, rare diseases (RDs) collectively affect 6-8% of the population. The unmet need of the rare disease community was recognized by the European Commission which in 2012 funded three flagship projects, RD-Connect, NeurOmics, and EURenOmics, to help move the field forward with the ambition of advancing -omics research and data sharing at their core in line with the goals of IRDiRC (International Rare Disease Research Consortium). NeurOmics and EURenOmics generate -omics data and improve diagnosis and therapy in rare renal and neurological diseases, with RD-Connect developing an infrastructure to facilitate the sharing, systematic integration and analysis of these data...
February 27, 2018: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/29455231/impact-of-a-multicenter-mentored-quality-collaborative-on-hospital-associated-venous-thromboembolism
#10
Ian Jenkins, Tamra O'Bryan, Janet Holdych, Gregory Maynard
BACKGROUND: Reliable prophylaxis of hospitalassociated venous thromboembolism (HA-VTE) is not achieved in many hospitals. Efforts to improve prophylaxis have had uneven results. OBJECTIVE: To reduce HA-VTE with a scalable quality improvement collaborative. DESIGN: A prospective, unblinded, open-intervention study with historical controls. PARTICIPANTS AND SETTING: All adult inpatients at 35 community hospitals in California, Arizona, and Nevada...
February 13, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29394187/functional-stroke-mimics-incidence-and-characteristics-at-a-primary-stroke-center-in-the-middle-east
#11
Stacy Schantz Wilkins, Paula Bourke, Abdul Salam, Naveed Akhtar, Atlantic D'Souza, Saadat Kamran, Zain Bhutta, Ashfaq Shuaib
OBJECTIVE: Approximately 30% of acute stroke cases are found to be stroke mimics (SM); with functional/psychological stroke mimics (FSM) accounting for up to 6.4% of all stroke presentations. Middle Eastern countries may have higher rates of somatization of emotional distress. The aim of this study was to evaluate the incidence and characteristics of functional SM at a large general hospital in the Middle East. METHODS: All patients presenting with an initial diagnosis of stroke from June 2015 through September 2016 were eligible for this study...
February 1, 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29373085/spread-of-vancomycin-resistant-enterococcus-faecium-isolates-despite-validated-infection-control-measures-in-an-italian-hospital-antibiotic-resistance-and-genotypic-characterization-of-the-endemic-strain
#12
Raffaela Bressan, Anna Knezevich, Jacopo Monticelli, Floriana Campanile, Marina Busetti, Maria Santagati, Lucilla Dolzani, Annalisa Milan, Dafne Bongiorno, Manuela Di Santolo, Enrico A Tonin, Stefania Stefani, Roberto Luzzati, Cristina Lagatolla
An alarming increase of vancomycin-resistant Enterococcus faecium (VREfm) isolates was detected in an Italian referral hospital subjected to policies of infection control validated by the Joint Commission International. Analysis of the population structure of 122 consecutive, nonreplicate VREfm isolates collected over an 18-month period identified a single major clone that spread around the whole hospital, rapidly establishing an endemic state. It belonged to sequence type (ST) 17 and showed a highly multidrug-resistant phenotype, being resistant to all antimicrobial classes for the carriage of several resistance determinants...
January 26, 2018: Microbial Drug Resistance: MDR: Mechanisms, Epidemiology, and Disease
https://www.readbyqxmd.com/read/29325693/updates-in-the-eighth-edition-of-the-tumor-node-metastasis-staging-classification-for-urologic-cancers
#13
REVIEW
Gladell P Paner, Walter M Stadler, Donna E Hansel, Rodolfo Montironi, Daniel W Lin, Mahul B Amin
The Tumor-Node-Metastasis (TNM) classification on cancer staging, jointly developed by the American Joint Commission on Cancer (AJCC) and the Union for International Cancer Control (UICC), has been updated to its 8th edition with two contemporaneous versions published by the AJCC and UICC. While the goal of the AJCC and UICC is to have identical TNM staging systems, differences exist between these two publications including in the staging of urologic cancers. Among several new facets in the AJCC staging manual, a select few of greater import include an expanded section on imaging, presentation of levels of evidence for significant changes, and endorsement of risk assessment models that pass the AJCC quality criteria such as in prostate cancer...
April 2018: European Urology
https://www.readbyqxmd.com/read/29248986/the-impact-of-pharmacist-led-medication-reconciliation-during-admission-at-tertiary-care-hospital
#14
Khulood H Abdulghani, Mohammed A Aseeri, Ahmed Mahmoud, Rayf Abulezz
Background Medication errors represent the most common type of error that compromises patient safety, with approximately 20% believed to result in harm. Over 40% of these errors are believed to result from inadequate medication reconciliation during admission, transfer, and discharge of patients and many of these errors could be prevented if adequate medication reconciliation processes were in place. In an effort to minimize adverse events caused during these care transitions, the Joint Commission has stated medication reconciliation as one of its National Patient Safety Goals and health care providers and organizations are encouraged to perform the process at various patient care transitions...
February 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29239885/the-present-state-of-neurointensivist-training-in-the-united-states-a-comparison-to-other-critical-care-training-programs
#15
Evie G Marcolini, David B Seder, Jordan B Bonomo, Thomas P Bleck, J Claude Hemphill, Lori Shutter, Fred Rincon, Shelly D Timmons, Paul Nyquist
OBJECTIVE: This manuscript describes the state of neurocritical care fellowship training, compares its written standards to those of other critical care fellowship programs, and discusses how programmatic oversight by the United Council for Neurological Subspecialties should evolve to meet American College of Graduate Medical Education standards. This review is a work product of the Society of Critical Care Medicine Neuroscience section and was reviewed and approved by the Council of the Society of Critical Care Medicine...
February 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29223672/education-and-the-pediatric-surgeon
#16
REVIEW
Joe I Curry, Celeste Hollands
There have been many changes in the domain of clinical surgery over the last 2 decades, but probably none more so than in education. The British Association of Pediatric Surgeons recognizes the importance of this topic and has commissioned a special session on this subject jointly with the International Pediatric Endosurgery Group. Free papers presented on a number of educational subjects and specific topics of recruitment and simulation were covered in invited lectures. The session was completed with a keynote lecture from the renowned educationalist Professor Roger Kneebone...
February 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29222894/international-hospital-accreditation-and-clinical-nutrition-service-in-acute-care-hospitals-in-south-korea-results-of-a-nationwide-cross-sectional-survey
#17
Mi Hyang Um, Eun Soon Lyu, Song Mi Lee, Yoo Kyoung Park
BACKGROUND AND OBJECTIVES: Beginning in 2007, 29 hospitals in South Korea have received accreditation from Joint Commission International (JCI). The present study aimed to identify differences in clinical nutrition service provisions between JCI accredited acute care hospitals and non-accredited acute care hospitals. A survey questionnaire was sent to all 43 acute care hospitals in South Korea. METHODS: A total of 35 sets of clinical nutrition service surveys, 234 sets of clinical dietitian job satisfaction surveys, and five-day daily work logs from 129 clinical dietitians were received...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29215327/factors-modifying-the-radon-related-lung-cancer-risk-at-low-exposures-and-exposure-rates-among-german-uranium-miners
#18
M Kreuzer, C Sobotzki, M Schnelzer, N Fenske
It is still not fully understood whether and how factors such as time, age and smoking modify the relationship between lung cancer and radon at low exposures and exposure rates. Improved knowledge is necessary for the dose conversion of radon in working level month (WLM) into effective dose, as currently discussed by the International Commission on Radiological Protection (ICRP). An update of the German uranium miner cohort study (n = 58,974 men) with a 10-year extension of mortality follow-up (1946-2013) was used to further examine this issue...
February 2018: Radiation Research
https://www.readbyqxmd.com/read/29130224/-interpretation-of-2017-national-comprehensive-cancer-network-nccn-guidelines-for-the-diagnosis-and-treatment-of-esophageal-squamous-cell-carcinoma-through-the-new-tnm-staging-of-esophageal-carcinoma-eighth-edition-by-the-union-for-international-cancer-control
#19
Wentao Fang
The eighth edition of Union for International Cancer Control (UICC) and the American Joint Committee on Cancer(AJCC) announced in 2017 the new staging of esophageal cancer, focusing on the prognostic significance of accurate staging and lymph node metastasis before treatment of esophageal carcinoma, the rationality of early tumor therapy, and the importance of induction therapy. The modified 2017 edition of the National Comprehensive Cancer Network (NCCN) guidelines, based on above contents matching UICC/AJCC eighth edition of the new staging of esophageal cancer, added preoperative clinical staging to guide the selection of treatment, and re-defined the indications of endoscopic resection and operation for early esophageal squamous cell carcinoma, meanwhile emphasized once again the importance of preoperative induction therapy for locally advanced esophageal squamous cell carcinoma...
October 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29072376/-padeh-poriya-a-culture-of-quality-and-excellence-in-the-galilee
#20
Avi Peretz, Erez Onn
A culture based on quality and excellence is the cornerstone to a successful healthcare system. Padeh-Poriya Medical Center integrates clinical activity with extensive research, including basic research, clinical research and research in the field of nursing, while ensuring high standards expressed in the accreditation survey of the Joint Commission International, national quality indicators and patient satisfaction surveys of the Ministry of Health. As a general medical center, it provides medical services to residents of the Galilee, along with continuous development and improvement in quality and range, as well as implementation of new technologies...
October 2017: Harefuah
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