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https://www.readbyqxmd.com/read/27912778/medical-priority-dispatch-codes-comparison-with-national-early-warning-score
#1
Marko Hoikka, Sami Länkimäki, Tom Silfvast, Tero I Ala-Kokko
BACKGROUND: In Finland, calls for emergency medical services are prioritized by educated non-medical personnel into four categories-from A (highest risk) to D (lowest risk)-following a criteria-based national dispatch protocol. Discrepancies in triage may result in risk overestimation, leading to inappropriate use of emergency medical services units and to risk underestimation that can negatively impact patient outcome. To evaluate dispatch protocol accuracy, we assessed association between priority assigned at dispatch and the patient's condition assessed by emergency medical services on the scene using an early warning risk assessment tool...
December 3, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27882026/reflection-of-medical-error-highlighted-on-media-in-turkey-a-retrospective-study
#2
Oguz Isik, Gamze Bayin, Ozgur Ugurluoglu
OBJECTIVE: This study was performed with the aim of identifying how news on medical errors have be transmitted, and how the types, reasons, and conclusions of medical errors have been reflected to by the media in Turkey. METHODS: A content analysis method was used in the study, and in this context, the data for the study was acquired by scanning five newspapers with the top editions on the national basis between the years 2012 and 2015 for the news about medical errors...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27876220/breaking-bad-news-to-patients-with-cancer-a-randomized-control-trial-of-a-brief-communication-skills-training-module-incorporating-the-stories-and-preferences-of-actual-patients
#3
James Gorniewicz, Michael Floyd, Koyamangalath Krishnan, Thomas W Bishop, Fred Tudiver, Forrest Lang
OBJECTIVE: This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS: This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structured clinical examination (OSCE) performance of communication skills using Common Ground Assessment and Breaking Bad News measures. RESULTS: Follow-up performance scores of intervention group students improved significantly regarding BBN (colon cancer (CC), p=0...
November 13, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27849669/hospital-rating-systems-and-implications-for-patient-travel-to-better-rated-hospitals
#4
Arun Subramanian, Joel T Adler, Nilay D Shah, Joseph A Hyder
Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS)...
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27845576/assisted-suicide-as-a-remedy-for-suffering-the-end-of-life-preferences-of-british-suicide-tourists
#5
Naomi Richards
The highly charged debate about the moral status of assisted suicide features regularly in the news media in medically advanced countries. In the UK, the debate has been dominated in recent years by a new mode of death: assisted suicide in Switzerland, so-called 'suicide tourism'. Drawing on in-depth interviews with people who were actively planning on 'going to Switzerland', alongside participant-observation at a do-it-yourself self-deliverance workshop, I discuss how participants arrived at their decision to seek professionalized assistance...
November 15, 2016: Medical Anthropology
https://www.readbyqxmd.com/read/27833489/perioperative-death-its-implications-and-management
#6
REVIEW
J P Attri, R Makhni, V Chatrath, N Bala, R Kumar, P Jain
Death to most people is a major life event. Nothing in this world prepares us to face and manage the perioperative death although the majority of anesthesiologists will be involved in an intraoperative death during the course of their careers. Whether death on the table was expected or occurred when least expected or may be even later, the anesthesiologist is most likely to be affected emotionally, physically in his personal life, and as well as will have an influence on his professional career. Anesthesiologists as perioperative physicians are likely to experience death on the operating table at some time in their careers...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27829646/october-surprises
#7
(no author information available yet)
Ushered in with the rampage of Hurricane Matthew, later days brightened in this month that has often been harbinger of both good and bad news for Cuba and the world. Hurricane Matthew ripped through Eastern Cuba, devastating the historic town of Baracoa (Cuba's first capital, founded in 1511) and the village of Maisí, where the morning sun first rises over Cuban territory. Wind and flood leveled hundreds of homes, brought down the power grid and destroyed crops. Yet there was no loss of human life, unlike in neighboring Haiti and other countries in Matthew's path, and unlike in Cuba in 1963, when Hurricane Flora caused more than 1200 deaths...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27806115/leveraging-big-data-for-exploring-occupational-diseases-related-interest-at-the-level-of-scientific-community-media-coverage-and-novel-data-streams-the-example-of-silicosis-as-a-pilot-study
#8
Nicola Luigi Bragazzi, Guglielmo Dini, Alessandra Toletone, Francesco Brigo, Paolo Durando
OBJECTIVE: Silicosis is an untreatable but preventable occupational disease, caused by exposure to silica. It can progressively evolve to lung impairment, respiratory failure and death, even after exposure has ceased. However, little is known about occupational diseases-related interest at the level of scientific community, media coverage and web behavior. This article aims at filling in this gap of knowledge, taking the silicosis as a case study. METHODS: We investigated silicosis-related web-activities using Google Trends (GT) for capturing the Internet behavior worldwide in the years 2004-2015...
2016: PloS One
https://www.readbyqxmd.com/read/27804909/factors-associated-with-patient-preferences-for-communication-of-bad-news
#9
Maiko Fujimori, Tatsuo Akechi, Yosuke Uchitomi
OBJECTIVE: Communication based on patient preferences can alleviate their psychological distress and is an important part of patient-centered care for physicians who have the task of conveying bad news to cancer patients. The present study aimed to explore the demographic, medical, and psychological factors associated with patient preferences with regard to communication of bad news. METHODS: Outpatients with a variety of cancers were consecutively invited to participate in our study after their follow-up medical visit...
November 2, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27782961/using-the-objective-structured-clinical-exam-osce-to-assess-acgme-competencies-in-pediatric-gastroenterology-fellows
#10
Aliza B Solomon, Rachel Reed, Keith Benkov, Joseph Kingsbery, Sarah S Lusman, Lisa B Malter, Jeremiah Levine, Simon Rabinowitz, Martin Wolff, Sondra Zabar, Elizabeth Weinshel
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) has described six core competencies with which trainees should demonstrate proficiency. Using the Objective Structured Clinical Exam (OSCE), we aimed to assess four of these competencies among Pediatric GI fellows (PG). METHODS: Eight first-year PG's from six medical centers in the New York area participated in a four-station OSCE with trained standardized patient (SP) actors. The cases included an "ED Consult" for lower GI bleeding; "Breaking Bad News" focusing on CF nutritional complications; "Second Opinion" for abdominal pain; "Transition of Care" for inflammatory bowel disease...
October 25, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/27779505/scholarly-concentration-program-development-a-generalizable-data-driven-approach
#11
Jesse Burk-Rafel, Patricia B Mullan, Heather Wagenschutz, Alexandra Pulst-Korenberg, Eric Skye, Matthew M Davis
PURPOSE: Scholarly concentration programs-also known as scholarly projects, pathways, tracks, or pursuits-are increasingly common in U.S. medical schools. However, systematic, data-driven program development methods have not been described. METHOD: The authors examined scholarly concentration programs at U.S. medical schools that U.S. News & World Report ranked as top 25 for research or primary care (n = 43 institutions), coding concentrations and mission statements...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27767217/applicant-characteristics-associated-with-successful-matching-into-otolaryngology
#12
Leah J Hauser, Grant M Gebhard, Rachel Blumhagen, Nichole E Carlson, Cristina Cabrera-Muffly
OBJECTIVE: To identify resident applicant characteristics that increase the odds of matching to otolaryngology residency. STUDY DESIGN: Cross-sectional analysis. METHODS: Residency applications to our institution from 2009 through 2013 were reviewed. The available data represented 81.1% of applicants to otolaryngology programs nationwide. Online public records were searched to determine whether an applicant matched to an otolaryngology residency position...
October 21, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27753172/life-science-based-neuroscience-education-at-large-western-public-universities
#13
Volkan Coskun, Ellen M Carpenter
The last 40 years have seen a remarkable increase in the teaching of neuroscience at the undergraduate level. From its origins as a component of anatomy or physiology departments to its current status as an independent interdisciplinary field, neuroscience has become the chosen field of study for many undergraduate students, particularly for those interested in medical school or graduate school in neuroscience or related fields. We examined how life science-based neuroscience education is offered at large public universities in the Western United States...
December 2016: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/27752635/a-study-on-the-disaster-medical-response-during-the-mauna-ocean-resort-gymnasium-collapse
#14
Myeong-Il Cha, Gi Woon Kim, Chu Hyun Kim, Minhong Choa, Dai Hai Choi, Inbyung Kim, Soon Joo Wang, In Sool Yoo, Han Deok Yoon, Kang Hyun Lee, Suck Ju Cho, Tag Heo, Eun Seog Hong
OBJECTIVE: To investigate and document the disaster medical response during the Gyeongju Mauna Ocean Resort gymnasium collapse on February 17, 2014. METHODS: Official records of each institution were verified to select the study population. All the medical records and emergency medical service run sheets were reviewed by an emergency physician. Personal or telephonic interviews were conducted, without a separate questionnaire, if the institutions or agencies crucial to disaster response did not have official records or if information from different institutions was inconsistent...
September 2016: Clin Exp Emerg Med
https://www.readbyqxmd.com/read/27742522/use-and-implementation-of-standard-operating-procedures-and-checklists-in-prehospital-emergency-medicine-a-literature-review
#15
Chulin Chen, Ting Kan, Shuang Li, Chen Qiu, Li Gui
OBJECTIVES: This review aimed to analyze published literature to introduce the use and implementation of standard operating procedures (SOPs) and checklists in prehospital emergency medicine and their impact on guideline adherence and patient outcome. METHODS: An English literature search was carried out using the Cochrane Library, MEDLINE, EMBASE, Springer, Elsevier, and ProQuest databases. Original articles describing the use and implementation of SOPs or checklists in prehospital emergency medicine were included...
September 28, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27736263/adverse-events-associated-with-pediatric-exposures-to-dextromethorphan
#16
Ian M Paul, Kate M Reynolds, Ralph E Kauffman, William Banner, G Randall Bond, Robert B Palmer, Randy I Burnham, Jody L Green
STUDY OBJECTIVE: Dextromethorphan is the most common over-the-counter (OTC) antitussive medication. We sought to characterize adverse events associated with dextromethorphan in children <12 years old from a surveillance program of OTC cough/cold medication exposures. METHODS: This is a retrospective case series of oral exposures to dextromethorphan with ≥1 adverse event from multiple U.S. sources (National Poison Data System, FDA Adverse Event Reporting System, manufacturer safety reports, news/media, medical literature) reported between 2008 and 2014...
October 13, 2016: Clinical Toxicology
https://www.readbyqxmd.com/read/27712602/consumer-rankings-and-health-care-toward-validation-and-transparency
#17
Bala Hota, Thomas A Webb, Brian D Stein, Richa Gupta, David Ansell, Omar Lateef
BACKGROUND: Differences between the Centers for Medicare & Medicaid Services (CMS)-measured rates of safety events for Rush University Medical Center (RUMC; Chicago) and the U. S. News & World Report (USNWR)-deter mined patient safety score were evaluated in an attempt to validate the USNWR patient safety score-based ranking. METHODS: The USNWR findings for Patient Safety Indicators (PSIs) were compared with findings derived from RUMC internal billing data, and sensitivity analyses were conducted using a simulated data set derived from the Healthcare Cost and Utilization Project (HCUP) state inpatient data sets...
2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27710616/patients-should-be-accorded-full-access-to-their-records
#18
Joyce Robins
So 'allowing' patients online access to their medical records might cause more work for healthcare professionals (news October 27). Dear me.
November 17, 2010: Nursing Standard
https://www.readbyqxmd.com/read/27706280/medical-school-ranking-and-student-research-opportunities
#19
Annika G Havnaer, Paul B Greenberg
OBJECTIVE: This study aimed to characterize the current state of student research opportunities in a sample of US medical schools ranked in three different tiers. METHODS: The authors examined the websites for five US medical schools in each of the first, second, and third tiers per National Institutes of Health funding and U.S. News & World Report rankings. Available research opportunities were identified and categorized. RESULTS: There were 26 schools in the first (n=6), second (n=10), and third (n=10) tiers...
October 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27700324/doctors-and-nurses-are-a-breed-apart
#20
Ros Mason
So surgeon Peter Grime would further blur the differences between nurses and medical practitioners in order to make budgets go further, 'Common training way of the future' (News January 3).
January 31, 1996: Nursing Standard
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