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https://www.readbyqxmd.com/read/28214194/orthogeriatric-activity-in-a-general-hospital-of-castilla-la-mancha-spain
#1
J M Fernández-Ibáñez, M C Morales-Ballesteros, E Crespo-Romero, S Gómez-Gómez, M D Fraga-Fuentes, J Cruz-Tejado, P A Hernández-Zegarra, Á Arias-Arias, M M García-Baltasar
AIM: To describe the orthogeriatric activity in the elderly with hip fractures in the Hospital Mancha Centro, based on the recommendations of the main guidelines. MATERIAL AND METHOD: Observational prospective study, comprising all patients over 65 years of age admitted to the Traumatology Unit with a hip fracture between April 2015 and December 2015. Patients were admitted under the care of the Traumatology Unit with cross-consultation carried out with the Geriatrics Department, which then carried out a pre-operative geriatric assessment and the post-operative follow-ups...
February 14, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28209705/patients-experiences-of-diabetes-education-teams-integrated-into-primary-care
#2
Barbara Grohmann, Sherry Espin, Enza Gucciardi
OBJECTIVE: To explore patients' perspectives on care received from diabetes education teams (a registered nurse and a registered dietitian) integrated into primary care. DESIGN: Qualitative study using semistructured, one-on-one interviews. SETTING: Three diabetes education programs operating in 11 primary care sites in one region of Ontario. PARTICIPANTS: Twenty-three patients with diabetes. METHODS: Purposeful sampling was used to recruit participants from each site for interviews...
February 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28207655/internally-randomized-control-trial-of-radiation-exposure-using-ultra-low-radiation-imaging-versus-traditional-c-arm-fluoroscopy-for-patients-undergoing-single-level-minimally-invasive-transforaminal-lumbar-interbody-fusion
#3
Timothy Y Wang, S Harrison Farber, Scott S Perkins, Adam G Back, Sarah A Byrd, Debbie Chi, David Vincent, Isaac O Karikari
STUDY DESIGN: Randomized controlled trial. OBJECTIVE: To compare radiation exposure between ultra-low radiation imaging (ULRI) with image enhancement and standard-dose fluoroscopy for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND DATA: Although the benefits of MIS are lauded by many, there is a significant amount of radiation exposure to surgeon and operating room personnel...
February 15, 2017: Spine
https://www.readbyqxmd.com/read/28203561/comparative-prospective-case-control-study-of-open-versus-laparoscopic-pyeloplasty-in-children-with-ureteropelvic-junction-obstruction-long-term-results
#4
Lisandro A Piaggio, Juan P Corbetta, Santiago Weller, Ricardo Augusto Dingevan, Víctor Duran, Javier Ruiz, Juan C Lopez
INTRODUCTION: We compare open pyeloplasty (OP) versus laparoscopic pyeloplasty (LP) in children in a multicenter, prospective, case-control study. MATERIALS AND METHODS: From May 2007 to March 2009, a program was established at Hospital Garrahan, the reference center, to perform LP with a mentoring surgeon that would attend the institution once a month. Every new case of ureteropelvic junction obstruction (UPJO) diagnosed in the reference institution was offered to participate in the study...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28195836/understanding-nurses-strategies-to-handle-un-wanted-nurse-calls-a-resilience-perspective
#5
Joakim Klemets, Tor Erik Evjemo
Nurse calls in a hospital can constitute either positive or negative (wanted or unwanted) interruptions depending on various factors. This study aims to understand nurses' strategies in facilitating the reception of wanted nurse calls and the restriction of unwanted nurse calls. Applying a resilience engineering perspective, nurses' performance variability is investigated as a basis to design appropriate computer support to enhance efficiency and patient safety. A qualitative case study was conducted for a period of 4 years with focus on nurses' use of a wireless nurse call system at a Norwegian university hospital...
February 13, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28193535/the-utility-of-nurse-managed-extracorporeal-life-support-in-an-adult%C3%A2-cardiac-intensive-care-unit
#6
Amy E Hackmann, Luke M Wiggins, Glenn P Grimes, Richard M Fogel, Felicia A Schenkel, Mark L Barr, Michael E Bowdish, Mark J Cunningham, Vaughn A Starnes
BACKGROUND: The use of extracorporeal life support (ECLS) worldwide has increased exponentially since 2009. The patient requiring ECLS demands an investment of hospital resources, including personnel. Educating bedside nurses to manage ECLS circuits broadens the availability of trained providers. METHODS: Experienced cardiothoracic intensive care unit (CTICU) nurses underwent training to manage ECLS circuits, including volume assessment, treatment of arterial blood gas values, the physiology of ECLS, and recognition of common emergencies...
February 10, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28191498/a-prospective-study-of-patient-safety-incidents-in-gastrointestinal-endoscopy
#7
Manmeet Matharoo, Adam Haycock, Nick Sevdalis, Siwan Thomas-Gibson
Background and study aims Medical error occurs frequently with significant morbidity and mortality. This study aime to assess the frequency and type of endoscopy patient safety incidents (PSIs). Patients and methods A prospective observational study of PSIs in routine diagnostic and therapeutic endoscopy was undertaken in a secondary and tertiary care center. Observations were undertaken within the endoscopy suite across pre-procedure, intra-procedure and post-procedure phases of care. Experienced (Consultant-level) and trainee endoscopists from medical, surgical, and nursing specialities were included...
January 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28188968/relationship-between-functional-independence-measure-and-geriatric-nutritional-risk-index-in-pneumonia-patients-in-long-term-nursing-care-facilities
#8
Yuji Mitani, Yutaro Oki, Yukari Fujimoto, Takumi Yamaguchi, Kentaro Iwata, Yu Watanabe, Kazuki Takahashi, Kanji Yamada, Akira Ishikawa
AIM: The prevention of pneumonia is an urgent issue among Japanese older adults. However, little has been reported on the relationship between a Functional Independence Measure (FIM) and the Geriatric Nutrition Risk Index (GNRI) for the prevention of pneumonia in patients in long-term care facilities in Japan. We aimed to clarify the relevance of FIM and GNRI for inpatients with and without pneumonia. METHODS: We identified 233 patients who were hospitalized in our long-term nursing hospital from April 2012 to September 2013...
February 11, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28186931/balancing-nurses-workload-in-hospital-wards-study-protocol-of-developing-a-method-to-manage-workload
#9
W F J M van den Oetelaar, H F van Stel, W van Rhenen, R K Stellato, W Grolman
INTRODUCTION: Hospitals pursue different goals at the same time: excellent service to their patients, good quality care, operational excellence, retaining employees. This requires a good balance between patient needs and nursing staff. One way to ensure a proper fit between patient needs and nursing staff is to work with a workload management method. In our view, a nursing workload management method needs to have the following characteristics: easy to interpret; limited additional registration; applicable to different types of hospital wards; supported by nurses; covers all activities of nurses and suitable for prospective planning of nursing staff...
November 10, 2016: BMJ Open
https://www.readbyqxmd.com/read/28186027/expanding-the-reach-of-continuing-educational-offerings-through-a-web-based-virtual-network-the-experience-of-inspirenet
#10
Noreen C Frisch, Pat Atherton, Elizabeth M Borycki, Grace Mickelson, Agnes Black, Helen Novak Lauscher, Jennifer Cordeiro
Virtual platforms using webinars, e-posters, e-newsletters, wikis and blogs connect people who have common interests in new ways. When those individuals are healthcare providers, a professional network that operates on a virtual platform can support their needs for learning, professional development and information currency. The practice of e-learning for continuing professional development is emerging , particularly in nursing where shift work shift inhibits their ability to attend conferences and classes...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28185324/the-musculoskeletal-consequences-of-breast-reconstruction-using-the-latissimus-dorsi-muscle-for-women-following-mastectomy-for-breast-cancer-a-critical-review
#11
REVIEW
N E Blackburn, J G Mc Veigh, E Mc Caughan, I M Wilson
Breast reconstruction using the latissimus dorsi (LD) flap following mastectomy is an important management option in breast cancer. However, one common, but often ignored, complication following LD flap is shoulder dysfunction. The aim of this critical review was to comprehensively assess the musculoskeletal impact of LD breast reconstruction and evaluate the functional outcome following surgery. Five electronic databases were searched including; Medline, Embase, CINAHL Plus (Cumulative Index to Nursing and Allied Health), PubMed and Web of Science...
February 10, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28182472/integrating-health-care-for-high-need-medicaid-beneficiaries-with-serious-mental-illness-and-chronic-physical-health-conditions-at-managed-care-provider-and-consumer-levels
#12
Jung Y Kim, Tricia Collins Higgins, Dominick Esposito, Allison Hamblin
OBJECTIVE: Policies supporting value-based care and alternative payment models, notably in the Affordable Care Act and the Medicare Access & CHIP Reauthorization Act of 2015, offer hope to advance care integration for individuals with behavioral and chronic physical health conditions. The potential for integration to improve quality while managing costs for individuals with high needs, coupled with the remaining financial, operational, and policy challenges, underscores a need for continued discussion of integration programs' preliminary outcomes and lessons...
February 9, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28178742/-urgency-of-gp-emergency-visits-to-nursing-homes
#13
Markus Bleckwenn, Sabrina Ahrens, Rieke Schnakenberg, Klaus Weckbecker
 Until now there are no uniform criteria or standards for classification of emergency home visits. Due to demographic changes, especially urgent visits to patients in nursing homes will increase. In the URGENT study, physicians and nurses rated the urgency of emergency visits to nursing home patients before and after the visit. This should help to see how many emergency house calls had been classified as less urgent and how often the assessment of physicians and nurses were in agreement with each other. In a prospective observational study, home visits were analyzed, which were classified as urgent at request by the physicians...
February 8, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28176420/development-of-simulation-based-learning-program-for-improving-adherence-to-time-out-protocol-on-high-risk-invasive-procedures-outside-of-operating-room
#14
Eun Ju Jeong, Hyun Soo Chung, Jeong Yun Choi, In Sook Kim, Seong Hee Hong, Kyung Sook Yoo, Mi Kyoung Kim, Mi Yeol Won, So Yeon Eum, Young Soon Cho
The aim of this study was to develop a simulation-based time-out learning program targeted to nurses participating in high-risk invasive procedures and to figure out the effects of application of the new program on acceptance of nurses. This study was performed using a simulation-based learning predesign and postdesign to figure out the effects of implementation of this program. It was targeted to 48 registered nurses working in the general ward and the emergency department in a tertiary teaching hospital. Difference between acceptance and performance rates has been figured out by using mean, standard deviation, and Wilcoxon-signed rank test...
February 7, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28169820/-healthcare-manager-and-project-management-of-quality-improvement-160-analysis-of-managerial-action-using-a-professional-hands-on-training-in-project-management
#15
Pierre-Philippe Dujardin, Thomas Reverdy, Annick Valette, Patrice François
<ce:para>Introduction : project management is on the expected proficiencies for head nurses.</ce:para><ce:para>Context : The work on the organizations’ improvement carried out by head nurses, is rarely covered in the literature. Objectives : to follow the implementation of actions from projects led by head nurses and to analyze the parameters of success.</ce:para><ce:para>Method : for a year, an intervention study has followed 17 projects initiating improvement measures...
July 5, 2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28167466/the-curative-effect-analysis-and-nursing-measures-of-the-transvaginal-myomectomy-and-transabdominal-myomectomy
#16
Lingping Meng, Wanxia Li
To analyze the curative effects of the transvaginal myomectomy (TVM) and the traditional transabdominal myomectomy (TAM). The group with traditional TAM received routine preoperative nursing guidance and postoperative care. While the group with TVM received preoperative strengthened psychological care, vaginal preparation and postoperative strengthened vagina nursing, paying attention to the prevention and treatment of complications, and maintaining effective pelvic draining and other nursing measures. After that, the statistical processing and analysis were used to compared the intraoperative blood loss, operating time, postoperative infusion time, hospitalization time, postoperative eating, postoperative ambulation, the usage rate of postoperative analgesic, postoperative morbidity and postoperative complications between the two groups Comparison between TVM group and TAM group showed that the difference of the operating time, postoperative infusion time, hospitalization time, postoperative eating, postoperative ambulation, the usage rate of postoperative analgesic, postoperative morbidity and postoperative complications between the two groups were statistically significant (P<0...
November 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28163786/changes-in-safety-climate-and-teamwork-in-the-operating-room-after-implementation-of-a-revised-who-checklist-a-prospective-interventional-study
#17
Sofia Erestam, Eva Haglind, David Bock, Annette Erichsen Andersson, Eva Angenete
BACKGROUND: Inter-professional teamwork in the operating room is important for patient safety. The World Health Organization (WHO) checklist was introduced to improve intraoperative teamwork. The aim of this study was to evaluate the safety climate in a Swedish operating room setting before and after an intervention, using a revised version of the WHO checklist to improve teamwork. METHODS: This study is a single center prospective interventional study. Participants were personnel working in operating room teams including surgeons, anesthesiologists, scrub nurses, nurse anaesthetists and nurse assistants...
2017: Patient Safety in Surgery
https://www.readbyqxmd.com/read/28160836/-screening-for-staphylococcus-aureus-before-heart-surgery
#18
REVIEW
Catherine Bandiera-Clerc, Sandrine Le Godais, Dominique Vala
One patient out of four having to undergo an operation is a carrier of Staphylococcus aureus. This, notably in cases of heart surgery, increases the risk of developing a nosocomial infection with this very germ in the post-operative period. Nurses must implement appropriate care procedures to favour decolonisation and the education of these patients.
February 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28159084/evidence-appraisal-of-abdollahzade-f-mohammadi-f-dianat-i-asghari-e-asghari-jafarabadi-m-sokhanvar-z-working-posture-and-its-predictors-in-hospital-operating-room-nurses-health-promot-perspect-2016-6-1-17-22
#19
https://www.readbyqxmd.com/read/28158915/clinical-motivation-and-the-surgical-safety-checklist
#20
X Yu, Y Huang, Q Guo, Y Wang, H Ma, Y Zhao
BACKGROUND: Although the surgical safety checklist (SSC) has been adopted worldwide, its efficacy can be diminished by poor clinical motivation. Systematic methods for improving implementation are lacking. METHODS: A multicentre prospective study was conducted in 2015 in four academic/teaching hospitals to investigate changes during revision of the SSC for content, staffing and workflow. All modifications were based on feedback from medical staff. Questionnaires were used to monitor dynamic changes in surgeons', nurses' and anaesthetists' perceptions...
March 2017: British Journal of Surgery
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