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Quality metrics

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https://www.readbyqxmd.com/read/28524888/reducing-unplanned-admissions-focusing-on-hospital-admissions-and-emergency-department-visits-for-patients-with-head-and-neck-cancer-during-radiation-therapy%C3%A2
#1
Lauren Terzo, Mary Fleming, Alekhya Yechoor, Jayne Camporeale, Miriam Troxler, Elaine Roth, Xianming Tan, Michael Pignone, Lawrence Marks, Bhishamjit S Chera
BACKGROUND: Head and neck cancer (HNC) treatments cause severe toxicities, leading to high rates of emergency department (ED) visits and unplanned hospital admissions (UHAs). 
. OBJECTIVES: The study aimed to evaluate a quality improvement project to reduce ED visits and UHAs.
. METHODS: A weekly nurse/nurse practitioner-led symptom management clinic was created for patients with HNC receiving radiation therapy deemed at high risk for an ED visit or UHA...
June 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28522667/baseline-survey-of-the-neuroradiology-work-environment-in-the-united-states-with-reported-trends-in-clinical-work-nonclinical-work-perceptions-of-trainees-and-burnout-metrics
#2
J Y Chen, F J Lexa
BACKGROUND AND PURPOSE: Neuroradiologists have faced continuously increasing clinical workloads. Our aim was to establish and report a baseline survey of the current neuroradiology work environment in the United States and of experiential changes in recent years. MATERIALS AND METHODS: A voluntary survey was sent to practicing and out-of-training members of the American Society of Neuroradiology in the United States. Selected measures included workday volume and length, burnout symptoms, participation in academic and practice-building duties; effects on perceived interpretation quality, communication of abnormal results, and consideration of early retirement or career changes, among others...
May 18, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28522252/optical-quality-of-rotationally-symmetrical-contact-lenses-derived-from-their-power-profiles
#3
Antonio J Del Águila-Carrasco, Daniel Monsálvez-Romín, Eleni Papadatou
PURPOSE: To present a methodology for evaluating the optical quality of rotationally symmetrical contact lenses (CLs) from a single power profile. METHODS: Simulated rotationally symmetrical power profiles corresponding to different CLs designs (monofocal, two-zone center-near bifocal, and four-zone center-distance bifocal) were used to calculate the wavefront error profile by means of numerical integration. Then, each lens wavefront error profile was spun around the center to obtain the lens wavefront error surface...
May 15, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28522170/optimization-of-the-alpha-image-reconstruction-an-iterative-ct-image-reconstruction-with-well-defined-image-quality-metrics
#4
Sergej Lebedev, Stefan Sawall, Michael Knaup, Marc Kachelrieß
PURPOSE: Optimization of the AIR-algorithm for improved convergence and performance. METHODS: The AIR method is an iterative algorithm for CT image reconstruction. As a result of its linearity with respect to the basis images, the AIR algorithm possesses well defined, regular image quality metrics, e.g. point spread function (PSF) or modulation transfer function (MTF), unlike other iterative reconstruction algorithms. The AIR algorithm computes weighting images α to blend between a set of basis images that preferably have mutually exclusive properties, e...
May 15, 2017: Zeitschrift Für Medizinische Physik
https://www.readbyqxmd.com/read/28522108/hospital-readmission-after-ovarian-cancer-surgery-are-we-measuring-surgical-quality
#5
Emma L Barber, Kemi M Doll, Paola A Gehrig
OBJECTIVES: Readmission after surgery is a quality metric hypothesized to reflect the quality of care in the index hospitalization. We examined the link between readmissions and a surrogate of surgical quality - major postoperative complication - among ovarian cancer patients. METHODS: Patients who underwent surgery for ovarian cancer between 2012 and 2013 were identified from the National Surgical Quality Improvement Project (NSQIP). Major complications were defined as grade 3 or ≥complications on the validated Claviden-Dindo scale and included both NSQIP and non-NSQIP defined complications based on readmission ICD-9 code...
May 15, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/28522086/correlates-of-sleep-quality-in-midlife-and-beyond-a-machine-learning-analysis
#6
Katherine A Kaplan, Prajesh P Hardas, Susan Redline, Jamie M Zeitzer
OBJECTIVES: In older adults, traditional metrics derived from polysomnography (PSG) are not well correlated with subjective sleep quality. Little is known about whether the association between PSG and subjective sleep quality changes with age, or whether quantitative electroencephalography (qEEG) is associated with sleep quality. Therefore, we examined the relationship between subjective sleep quality and objective sleep characteristics (standard PSG and qEEG) across middle to older adulthood...
June 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28519966/understanding-the-relationship-between-olfactory-specific-quality-of-life-objective-olfactory-loss-and-patient-factors-in-chronic-rhinosinusitis
#7
Jose L Mattos, Rodney J Schlosser, Kristina A Storck, Zachary M Soler
BACKGROUND: Chronic rhinosinusitis (CRS) significantly impacts olfaction. However, the relationship between objective olfaction and patient-reported olfactory-specific quality of life (QOL) is not well understood. Furthermore, objective olfactory testing can be time consuming, so we sought to determine if patient-reported olfactory QOL can be used as screening tool for olfactory dysfunction. METHODS: Olfactory dysfunction was evaluated in 109 patients with CRS using the Questionnaire of Olfactory Disorders-Negative Statements (QOD-NS) and the Sniffin' Sticks Test, assessing for olfactory threshold, discrimination, identification, and overall composite scores (TDI; composite score of threshold, discrimination, and identification)...
May 18, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28516154/wbc-associates-with-readmission-following-cystectomy
#8
Andrew G McIntosh, Tianyu Li, Timothy Ito, Jason Mannion, Mark Dziemianowicz, Nikhil Waingankar, Mohammed Haseebuddin, David Y T Chen, Richard E Greenberg, Rosalia Viterbo, Alexander Kutikov, Robert G Uzzo, Marc C Smaldone, Philip H Abbosh
Background: Radical cystectomy is associated with perioperative complication rates exceeding 50% in some series. Readmission rates are increasingly used as a surgical quality metric. White blood cell count is a crude surrogate for physiologic processes which may reflect postoperative complications leading to readmission. Objective: We assessed the association between final white blood cell count at discharge and risk of readmission following radical cystectomy. Methods: Records on 477 patients undergoing radical cystectomy from 2006-2013 were reviewed...
April 27, 2017: Bladder Cancer
https://www.readbyqxmd.com/read/28516139/dataset-of-two-experiments-of-the-application-of-gamified-peer-assessment-model-into-online-learning-environment-meututor
#9
Thyago Tenório, Ig Ibert Bittencourt, Seiji Isotani, Alan Pedro, Patrícia Ospina, Daniel Tenório
In this dataset, we present the collected data of two experiments with the application of the gamified peer assessment model into online learning environment MeuTutor to allow the comparison of the obtained results with others proposed models. MeuTutor is an intelligent tutoring system aims to monitor the learning of the students in a personalized way, ensuring quality education and improving the performance of its members (Tenório et al., 2016) [1]. The first experiment evaluated the effectiveness of the peer assessment model through metrics as final grade (result), time to correct the activities and associated costs...
June 2017: Data in Brief
https://www.readbyqxmd.com/read/28515155/building-an-ideal-quality-metric-for-esrd-health-care-delivery
#10
Jesse D Schold, Laura D Buccini, Michael P Phelan, Colleen L Jay, David A Goldfarb, Emilio D Poggio, John R Sedor
No abstract text is available yet for this article.
May 17, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28514670/radiation-safety-in-children-with-congenital-and-acquired-heart-disease-a-scientific-position-statement-on-multimodality-dose-optimization-from-the-image-gently-alliance
#11
REVIEW
Kevin D Hill, Donald P Frush, B Kelly Han, Brian G Abbott, Aimee K Armstrong, Robert A DeKemp, Andrew C Glatz, S Bruce Greenberg, Alexander Sheldon Herbert, Henri Justino, Douglas Mah, Mahadevappa Mahesh, Cynthia K Rigsby, Timothy C Slesnick, Keith J Strauss, Sigal Trattner, Mohan N Viswanathan, Andrew J Einstein
There is a need for consensus recommendations for ionizing radiation dose optimization during multi-modality medical imaging in children with congenital and acquired heart disease (CAHD). These children often have complex diseases and may be exposed to a relatively high cumulative burden of ionizing radiation from medical imaging procedures including cardiac computed tomography, nuclear cardiology studies and fluoroscopically guided diagnostic and interventional catheterization and electrophysiology procedures...
May 17, 2017: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/28513911/sperm-capacitation-pretreatment-positively-impacts-bovine-intracytoplasmic-sperm-injection
#12
L Águila, F Zambrano, M E Arias, Felmer R
The efficiency of intracytoplasmic sperm injection (ICSI) in bovines is low compared to other species due in part to inadequate egg activation and sperm nucleus decondensation after injection. We hypothesized that this low efficiency is due to the lack of complete sperm capacitation, so we evaluated the effects of isobutylmethylxanthine (IBMX) and methyl-β-cyclodextrin (MβCD) on bovine sperm capacitation and on the preimplantation developmental potential of bovine embryos generated by ICSI. Treatment with IBMX and MβCD decreased sperm viability (between 13 to 30%); nevertheless, 0...
May 17, 2017: Molecular Reproduction and Development
https://www.readbyqxmd.com/read/28512523/student-buy-in-toward-formative-assessments-the-influence-of-student-factors-and-importance-for-course-success
#13
Kathleen R Brazeal, Brian A Couch
Formative assessment (FA) techniques, such as pre-class assignments, in-class activities, and post-class homework, have been shown to improve student learning. While many students find these techniques beneficial, some students may not understand how they support learning or may resist their implementation. Improving our understanding of FA buy-in has important implications, since buy-in can potentially affect whether students fully engage with and learn from FAs. We investigated FAs in 12 undergraduate biology courses to understand which student characteristics influenced buy-in toward FAs and whether FA buy-in predicted course success...
April 2017: Journal of Microbiology & Biology Education: JMBE
https://www.readbyqxmd.com/read/28511884/the-impact-of-quality-variations-on-patients-undergoing-surgery-for-renal-cell-carcinoma-a-national-cancer-database-study
#14
Keith A Lawson, Olli Saarela, Robert Abouassaly, Simon P Kim, Rodney H Breau, Antonio Finelli
BACKGROUND: Despite efforts to define metrics assessing hospital-level quality for renal cell carcinoma (RCC) surgical care there remains a paucity of real-world data validating their ability to benchmark performance. Consequently, whether poor performance on hospital-level quality indicators is associated with inferior patient outcomes remains unknown. OBJECTIVES: To determine hospital-level variations in RCC surgical quality after adjusting for differences in patient- and tumor-specific factors...
May 13, 2017: European Urology
https://www.readbyqxmd.com/read/28506225/healthrecsys-a-semantic-content-based-recommender-system-to-complement-health-videos
#15
Carlos Luis Sanchez Bocanegra, Jose Luis Sevillano Ramos, Carlos Rizo, Anton Civit, Luis Fernandez-Luque
BACKGROUND: The Internet, and its popularity, continues to grow at an unprecedented pace. Watching videos online is very popular; it is estimated that 500 h of video are uploaded onto YouTube, a video-sharing service, every minute and that, by 2019, video formats will comprise more than 80% of Internet traffic. Health-related videos are very popular on YouTube, but their quality is always a matter of concern. One approach to enhancing the quality of online videos is to provide additional educational health content, such as websites, to support health consumers...
May 15, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28505522/the-knowledge-about-older-patients-quiz-kop-q-for-nurses-cross-cultural-validation-between-the-netherlands-and-united-states-of-america
#16
Jeroen Dikken, Jita G Hoogerduijn, Sharon Klaassen, Mary D Lagerwey, Lillie Shortridge-Baggett, Marieke J Schuurmans
BACKGROUND: The Knowledge about Older Patients-Quiz (KOP-Q) is designed as a unidimensional scale measuring knowledge of hospital nurses about older patients. Furthermore, the KOP-Q measures a second unidimensional construct, certainty of hospital nurses about their knowledge. The KOP-Q is developed and validated in the Netherlands. Whether the KOP-Q can be used in other countries is unknown given the cultural and language differences. OBJECTIVES: Investigate the level of measurement invariance of the KOP-Q between the Netherlands and United States of America (USA)...
May 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28504941/advanced-hierarchical-spherical-parameterizations
#17
Xin Hu, Xiao-Ming Fu, Ligang Liu
Computing spherical parameterizations for genus-zero closed surfaces is a fundamental task for geometric processing and computer graphics. Existing methods usually suffer from a lack of practical robustness or poor quality. In this paper, we present a practically robust method to compute high-quality spherical parameterizations with bijection and low isometric distortion. Our method is based on the hierarchical scheme containing mesh decimation and parameterization refinement. The practical robustness of our method relies on two novel techniques...
May 15, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28499920/patient-understanding-expectations-and-satisfaction-regarding-rotator-cuff-injuries-and-surgical-management
#18
Brian J Cole, Eric J Cotter, Kevin C Wang, Annabelle Davey
Rotator cuff injuries are among the most common in orthopaedics, with rotator cuff repair surgery consistently reported as one of the most commonly performed orthopaedic procedures. Patient satisfaction is becoming an increasingly important outcome metric as health care continues to evolve with regard to quality measures affecting physician reimbursement. Evidence supports that postoperative patient satisfaction, an important quality outcome metric, is highly influenced by preoperative patient expectations, which are in turn governed by patient knowledge and understanding...
May 9, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28499015/mri-exposimetry-how-to-analyze-compare-and-represent-worker-exposure-to-static-magnetic-field
#19
Antoine Delmas, Nicolas Weber, Joris Piffre, Cédric Pasquier, Jacques Felblinger, Pierre-André Vuissoz
Worker exposure to electromagnetic fields (EMF) is a growing concern of international commissions. A European directive from 2013 (2013/35/EU) recommend to estimate or measure EMF exposure of all exposed workers. Magnetic resonance imaging (MRI) workers are specially concerned by this point because they work all day long in the vicinity of a very strong magnet (generally 1.5 or 3 T), which cannot be turned off. Setting up a magnetic field monitoring device on these workers would therefore be a good way to ensure their security...
May 12, 2017: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/28495830/establishing-recommendations-for-stroke-systems-in-the-thrombectomy-era-the-upstate-new-york-stakeholder-proceedings
#20
Zainab Magdon-Ismail, Curtis Benesch, Jeremy T Cushman, Ian Brissette, Andrew M Southerland, Ethan S Brandler, Cemal B Sozener, Sue Flor, Roseanne Hemmitt, Kathleen Wales, Krystal Parrigan, Steven R Levine
BACKGROUND AND PURPOSE: The American Heart Association/American Stroke Association and Department of Health Stroke Coverdell Program convened a stakeholder meeting in upstate NY to develop recommendations to enhance stroke systems for acute large vessel occlusion. METHODS: Prehospital, hospital, and Department of Health leadership were invited (n=157). Participants provided goals/concerns and developed recommendations for prehospital triage and interfacility transport, rating each using a 3-level impact (A [high], B, and C [low]) and implementation feasibility (1 [high], 2, and 3 [low]) scale...
May 11, 2017: Stroke; a Journal of Cerebral Circulation
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