keyword
https://read.qxmd.com/read/38489481/quality-and-patient-safety-metrics-developing-a-structured-program-for-improving-patient-care-in-the-department-of-medicine-at-the-ottawa-hospital
#1
JOURNAL ARTICLE
Delvina Hasimja-Saraqini, Kylie McNeill, Hanna Kuk, Alan J Forster, Philip S Wells, Samantha Hamilton, Ed Gannon, Lisa M Mielniczuk
PROBLEM: Despite increasing recognition of the importance of quality and patient safety in academic medicine, challenges remain with ensuring physician participation in quality assurance and quality improvement efforts, such as lack of compensation and enabling resources. An organizational culture that includes physician leadership and a supportive infrastructure is needed to encourage physician backing of quality and patient safety initiatives. APPROACH: The authors describe the development of a robust quality and patient safety program in the Department of Medicine at The Ottawa Hospital over the past 7 years and highlight how the department changed its organizational culture by prioritizing quality and patient safety and establishing the necessary infrastructure to support this program...
March 15, 2024: Academic Medicine
https://read.qxmd.com/read/38489278/where-are-the-vulnerable-children-identification-and-comparison-of-clusters-of-young-children-with-health-and-developmental-vulnerabilities-across-queensland
#2
JOURNAL ARTICLE
Wala Draidi Areed, Aiden Price, Kathryn Arnett, Kerrie Mengersen, Helen Thompson
This study aimed to better understand the vulnerability of children in their first year of school, aged between 5 years 5 months and 6 years 6 months, based on five health and development domains. Identification of subgroups of children within these domains can lead to more targeted policies to reduce these vulnerabilities. The focus of this study was to determine clusters of geographical regions with high and low proportions of vulnerable children in Queensland, Australia. This was achieved by carrying out a K-means analysis on data from the Australian Early Development Census and the Australian Bureau of Statistics...
2024: PloS One
https://read.qxmd.com/read/38488838/a-mobile-health-app-to-support-home-based-aerobic-exercise-in-neuromuscular-diseases-usability-study
#3
JOURNAL ARTICLE
Tim Veneman, Fieke Sophia Koopman, Sander Oorschot, Pien G Koomen, Frans Nollet, Eric L Voorn
BACKGROUND: Home-based aerobic exercise in people with neuromuscular diseases (NMDs) has benefits compared to exercise in the hospital or a rehabilitation center because traveling is often cumbersome due to mobility limitations, and societal costs are lower. Barriers to home-based aerobic exercise include reduced possibilities for monitoring and lack of motivation. To overcome these and other barriers, we developed a mobile health app: Keep on training with ReVi (hereafter referred to as ReVi)...
March 15, 2024: JMIR Human Factors
https://read.qxmd.com/read/38488827/a-closed-loop-digital-health-tool-to-improve-depression-care-in-multiple-sclerosis-iterative-design-and-cross-sectional-pilot-randomized-controlled-trial-and-its-impact-on-depression-care
#4
JOURNAL ARTICLE
Kyra Henderson, Jennifer Reihm, Kanishka Koshal, Jaeleene Wijangco, Narender Sara, Nicolette Miller, Marianne Doyle, Alicia Mallory, Judith Sheridan, Chu-Yueh Guo, Lauren Oommen, Katherine P Rankin, Stephan Sanders, Anthony Feinstein, Christina Mangurian, Riley Bove
BACKGROUND: People living with multiple sclerosis (MS) face a higher likelihood of being diagnosed with a depressive disorder than the general population. Although many low-cost screening tools and evidence-based interventions exist, depression in people living with MS is underreported, underascertained by clinicians, and undertreated. OBJECTIVE: This study aims to design a closed-loop tool to improve depression care for these patients. It would support regular depression screening, tie into the point of care, and support shared decision-making and comprehensive follow-up...
March 15, 2024: JMIR Formative Research
https://read.qxmd.com/read/38488529/personalizing-rehabilitation-for-individuals-with-musculoskeletal-impairments-feasibility-of-implementation-of-the-measures-associated-to-prognostic-maps-tool
#5
JOURNAL ARTICLE
Nathalie Desmarais, Simon Décary, Catherine Houle, Christian Longtin, Thomas Gerard, Kadija Perreault, Emilie Lagueux, Pascal Tétreault, Marc-André Blanchette, Hélène Beaudry, Yannick Tousignant-Laflamme
INTRODUCTION: The M easures A ssociated to P rogno S tic (MAPS) tool is a standardized questionnaire that integrates validated prognostic tools to detect the presence of biopsychosocial prognostic factors in patients consulting for musculoskeletal disorders. PURPOSE: The objectives were to assess the: 1) feasibility of implementation of the MAPS tool, 2) clinicians' acceptability of the dashboard, and 3) patients' acceptability of the MAPS tool. METHODS: Twenty physiotherapists and two occupational therapists from seven outpatient musculoskeletal clinics were recruited to implement the MAPS tool during a 3-month timeframe, where new patients completed the questionnaire upon initial assessment...
March 15, 2024: Physiotherapy Theory and Practice
https://read.qxmd.com/read/38485087/-monitoring-student-skills-during-community-pharmacy-placements-retrospective-analysis-of-dashboards
#6
JOURNAL ARTICLE
Bertrand Décaudin, Anne Garat, Fabrice Mitoumba, Daniel Mascaut, Sébastien Zanetti, Christine Barthélémy, David Alapini, Patrice Vigier, Véronique Lauwerie, Pierre-Manuel Latron-Frémeau, Patrick Wierre, Noureddine Azouar, Nicolas Kambia, Annie Standaert
OBJECTIVES: The aim of this work is to describe the skills considered to have been acquired by students during their professional practice placements, with particular emphasis on skills related to the new roles of pharmacists. METHODS: Skills are monitored during the professional practice placement using the dashboard included in the guide designed by the college of community pharmacy placement supervisors. Each skill is assessed at three points during the placement...
March 12, 2024: Annales Pharmaceutiques Françaises
https://read.qxmd.com/read/38484802/promoting-cardiac-rehabilitation-program-quality-in-low-resource-settings-needs-assessment-and-evaluation-of-the-international-council-of-cardiovascular-prevention-and-rehabilitation-s-registry-quality-improvement-supports
#7
JOURNAL ARTICLE
Fabbiha Raidah, Gabriela L M Ghisi, Claudia V Anchique, Nabila N Soomro, Dion Candelaria, Sherry L Grace
BACKGROUND: Cardiac rehabilitation (CR) registries have the potential to support quality improvement (QImp). This study investigated the QImp needs of International CR Registry-participating programs and their evaluation of its' supports. METHODS: ICRR offers comparative outcome dashboards and QImp sessions, among other features. In this qualitative study, ICRR data stewards from the 17 active on-boarded CR programs were invited to a focus group held in November 2023 via Teams; stewards not sufficiently-proficient in English were invited to provide written input...
March 12, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38481315/real-time-evaluation-and-adaptation-to-facilitate-rapid-recruitment-in-a-large-prospective-cohort-study
#8
JOURNAL ARTICLE
Ashley Honushefsky, Eric S Wagner, Kathleen Sheridan, Kathleen M Spickard, William R LeMasters, Carroll N Walter, Taryn Beaver, Anne Marie Lennon, Nickolas Papadopoulos, Alanna Kulchak Rahm, Adam H Buchanan
BACKGROUND: Recruiting large cohorts efficiently can speed the translation of findings into care across a range of scientific disciplines and medical specialties. Recruitment can be hampered by factors such as financial barriers, logistical concerns, and lack of resources for patients and clinicians. These and other challenges can lead to underrepresentation in groups such as rural residents and racial and ethnic minorities. Here we discuss the implementation of various recruitment strategies for enrolling participants into a large, prospective cohort study, assessing the need for adaptations and making them in real-time, while maintaining high adherence to the protocol and high participant satisfaction...
March 13, 2024: BMC Health Services Research
https://read.qxmd.com/read/38477201/-not-available
#9
JOURNAL ARTICLE
Ouafae El Ajroudi, Rim Amrani
INTRODUCTION: improving performance is a major challenge for hospitals. Measuring it is an arduous task for managers, requiring the implementation of innovative management tools. Nevertheless, it is clear that performance in the Oujda University Hospital neonatology department is intuitively assessed according to a more medical logic that focuses on patient recovery, ignoring other dimensions. The deficit is noted in the use of performance measurement and analysis tools. AIM: To design a balanced, multidimensional scorecard specific to the SN-CHU department and to make it available to managers to help them steer their performance and make decisions...
December 5, 2024: La Tunisie Médicale
https://read.qxmd.com/read/38476242/empowering-the-participant-voice-epv-design-and-implementation-of-collaborative-infrastructure-to-collect-research-participant-experience-feedback-at-scale
#10
JOURNAL ARTICLE
Rhonda G Kost, Alex Cheng, Joseph Andrews, Ranee Chatterjee, Ann Dozier, Daniel Ford, Natalie Schlesinger, Carrie Dykes, Issis Kelly-Pumarol, Nan Kennedy, Cassie Lewis-Land, Sierra Lindo, Liz Martinez, Michael Musty, Jamie Roberts, Roger Vaughan, Lynne Wagenknecht, Scott Carey, Cameron Coffran, James Goodrich, Pavithra Panjala, Sameer Cheema, Adam Qureshi, Ellis Thomas, Lindsay O'Neill, Eva Bascompte-Moragas, Paul Harris
Empowering the Participant Voice (EPV) is an NCATS-funded six-CTSA collaboration to develop, demonstrate, and disseminate a low-cost infrastructure for collecting timely feedback from research participants, fostering trust, and providing data for improving clinical translational research. EPV leverages the validated Research Participant Perception Survey (RPPS) and the popular REDCap electronic data-capture platform. This report describes the development of infrastructure designed to overcome identified institutional barriers to routinely collecting participant feedback using RPPS and demonstration use cases...
2024: Journal of Clinical and Translational Science
https://read.qxmd.com/read/38472561/pro-angoff-method-for-remote-standard-setting-establishing-clinical-thresholds-for-the-upper-digestive-disease-tool
#11
JOURNAL ARTICLE
Minji K Lee, Mohamad K Abou Chaar, Shanda H Blackmon, Kathleen J Yost
BACKGROUND: The Upper Digestive Disease (UDD) Tool™ is used to monitor symptom frequency, intensity, and interference across nine symptom domains and includes two Patient-Reported Outcome Measurement Information System (PROMIS) domains assessing physical and mental health. This study aimed to establish cut scores for updated symptom domains through standard setting exercises and evaluate the effectiveness and acceptability of virtual standard setting. METHODS: The extended Angoff method was employed to determine cut scores...
March 12, 2024: Journal of Patient-Reported Outcomes
https://read.qxmd.com/read/38471784/codesign-of-health-technology-interventions-to-support-best-practice-perioperative-care-and-surgical-waitlist-management
#12
JOURNAL ARTICLE
Sarah Joy Aitken, Sophie James, Amy Lawrence, Anthony Glover, Henry Pleass, Janani Thillianadesan, Sue Monaro, Kerry Hitos, Vasi Naganathan
OBJECTIVES: This project aimed to determine where health technology can support best-practice perioperative care for patients waiting for surgery. METHODS: An exploratory codesign process used personas and journey mapping in three interprofessional workshops to identify key challenges in perioperative care across four health districts in Sydney, Australia. Through participatory methodology, the research inquiry directly involved perioperative clinicians. In three facilitated workshops, clinician and patient participants codesigned potential digital interventions to support perioperative pathways...
March 12, 2024: BMJ health & care informatics
https://read.qxmd.com/read/38470854/measuring-the-pulse-of-nursing-development-of-a-dashboard-to-evaluate-and-monitor-nursing-care-models
#13
JOURNAL ARTICLE
Charles Mann, Lorraine Montoya, Joey Taylor, Glenn Barton
BACKGROUND: Critical nursing shortages have required many health care organizations to restructure nursing care delivery models. At a tertiary health care center, 150 registered practical nurses were integrated into acute inpatient care settings. PROBLEM: A mechanism to continuously monitor the impact of this staffing change was not available. APPROACH: Leveraging current literature and consultation with external peers, metrics were compiled and categorized according to Donabedian's Structure Process Outcome Framework...
March 11, 2024: Journal of Nursing Care Quality
https://read.qxmd.com/read/38450137/cohort-profile-the-british-columbia-covid-19-cohort-bcc19c-a-dynamic-linked-population-based-cohort
#14
JOURNAL ARTICLE
James Wilton, Jalud Abdulmenan, Mei Chong, Ana Becerra, Mehazabeen Najmul Hussain, Sean P Harrigan, Héctor Alexander Velásquez García, Zaeema Naveed, Hind Sbihi, Kate Smolina, Marsha Taylor, Binay Adhikari, Moe Zandy, Solmaz Setayeshgar, Julia Li, Younathan Abdia, Mawuena Binka, Drona Rasali, Caren Rose, Michael Coss, Alexandra Flatt, Seyed Ali Mussavi Rizi, Naveed Zafar Janjua
PURPOSE: The British Columbia COVID-19 Cohort (BCC19C) was developed from an innovative, dynamic surveillance platform and is accessed/analyzed through a cloud-based environment. The platform integrates recently developed provincial COVID-19 datasets (refreshed daily) with existing administrative holdings and provincial registries (refreshed weekly/monthly). The platform/cohort were established to inform the COVID-19 response in near "real-time" and to answer more in-depth epidemiologic questions...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38440777/support-through-remote-observation-and-nutrition-guidance-strong-a-digital-health-intervention-to-reduce-malnutrition-among-pancreatic-cancer-patients-a-study-protocol-for-a-pilot-randomized-controlled-trial
#15
JOURNAL ARTICLE
Kea Turner, Dae Won Kim, Brian D Gonzalez, Laurence R Gore, Erin Gurd, Jeanine Milano, Diane Riccardi, Margaret Byrne, Mohammed Al-Jumayli, Tiago Biachi de Castria, Damian A Laber, Sarah Hoffe, James Costello, Edmondo Robinson, Juskaran S Chadha, Sahana Rajasekhara, Emma Hume, Ryan Hagen, Oliver T Nguyen, Nicole Nardella, Nathan Parker, Tiffany L Carson, Amir Alishahi Tabriz, Pamela Hodul
BACKGROUND: Malnutrition is a common and distressing condition among pancreatic cancer patients. Fewer than a quarter of pancreatic cancer patients receive medical nutrition therapy (MNT), important for improving nutritional status, weight maintenance, quality of life and survival. System, provider, and patient level barriers limit access to MNT. We propose to examine the feasibility of a 12-week multi-level, digital health intervention designed to expand MNT access among pancreatic cancer patients...
April 2024: Contemporary Clinical Trials Communications
https://read.qxmd.com/read/38438965/correlation-of-geopolitics-education-democracy-with-covid-19-vaccination-rate
#16
JOURNAL ARTICLE
Konstantine Chakhunashvili, Davit G Chakhunashvili, Eka Kvirkvelia, Tornike Toria, Liza Basilaia, Tsira Gorjomeladze
INTRODUCTION: Vaccine hesitancy is an ongoing problem and determining the factors that increase the vaccination rate in various countries of the world might be useful for further implementation of efficient public health policies and negating anti-vaccination campaigns. MATERIALS AND METHODS: Human Development Index (HDI), Education Index (EI), Democracy Index (DI), COVID-19 vaccination rates, COVID-19 data were collected from public sources such as UNDP - Human Development Reports, UNESCO - Education Index, Economist Intelligence, WHO- COVID-19 Dashboard, Our World In Data, The Financial Times COVID-19 Dashboard...
March 4, 2024: BMC Public Health
https://read.qxmd.com/read/38438345/a-spatially-resolved-transcriptional-atlas-of-the-murine-dorsal-pons-at-single-cell-resolution
#17
JOURNAL ARTICLE
Stefano Nardone, Roberto De Luca, Antonino Zito, Nataliya Klymko, Dimitris Nicoloutsopoulos, Oren Amsalem, Cory Brannigan, Jon M Resch, Christopher L Jacobs, Deepti Pant, Molly Veregge, Harini Srinivasan, Ryan M Grippo, Zongfang Yang, Mark L Zeidel, Mark L Andermann, Kenneth D Harris, Linus T Tsai, Elda Arrigoni, Anne M J Verstegen, Clifford B Saper, Bradford B Lowell
The "dorsal pons", or "dorsal pontine tegmentum" (dPnTg), is part of the brainstem. It is a complex, densely packed region whose nuclei are involved in regulating many vital functions. Notable among them are the parabrachial nucleus, the Kölliker Fuse, the Barrington nucleus, the locus coeruleus, and the dorsal, laterodorsal, and ventral tegmental nuclei. In this study, we applied single-nucleus RNA-seq (snRNA-seq) to resolve neuronal subtypes based on their unique transcriptional profiles and then used multiplexed error robust fluorescence in situ hybridization (MERFISH) to map them spatially...
March 4, 2024: Nature Communications
https://read.qxmd.com/read/38437527/a-collaborative-multidisciplinary-trauma-program-improvement-team-improves-vte-chemoprophylaxis-guideline-compliance-in-non-operative-stable-tbi
#18
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Simin Golestani, Morgan Tentis, Morgan Maring, Elise A Biesboer, Christopher Dodgion, Patrick B Murphy, Daniel N Holena, Colleen M Trevino, Jacob R Peschman, Thomas W Carver, David J Milia, Morgan Schellenberg, Marc A de Moya, Rachel S Morris
BACKGROUND: Delays in initiating venous thromboembolism (VTE) prophylaxis in patients suffering from traumatic brain injury (TBI) persist despite guidelines recommending early initiation. We hypothesized that the expansion of a Trauma Program Performance Improvement (PI) team will improve compliance of early (24-48 hour) initiation of VTE prophylaxis and will decrease VTE events in TBI patients. METHODS: We performed a single-center retrospective review of all TBI patients admitted to a Level I trauma center before (2015-2016,) and after (2019-2020,) the expansion of the Trauma Performance Improvement and Patient Safety (PIPS) team and the creation of trauma process and outcome dashboards...
March 4, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38431134/a-hybrid-type-1-trial-of-a-multi-component-mhealth-intervention-to-improve-post-hospital-transitions-of-care-for-patients-with-serious-mental-illness-study-protocol
#19
JOURNAL ARTICLE
Ethan Moitra, Toni M Amaral, Madeline B Benz, Simranjeet Cambow, A Rani Elwy, Zachary J Kunicki, Zhengduo Lu, Neil S Rafferty, Ana Rabasco, Rita Rossi, Heather T Schatten, Brandon A Gaudiano
BACKGROUND: The transition from acute (e.g., psychiatric hospitalization) to outpatient care is associated with increased risk for rehospitalization, treatment disengagement, and suicide among people with serious mental illness (SMI). Mobile interventions (i.e., mHealth) have the potential to increase monitoring and improve coping post-acute care for this population. This protocol paper describes a Hybrid Type 1 effectiveness-implementation study, in which a randomized controlled trial will be conducted to determine the effectiveness of a multi-component mHealth intervention (tFOCUS) for improving outcomes for adults with SMI transitioning from acute to outpatient care...
February 29, 2024: Contemporary Clinical Trials
https://read.qxmd.com/read/38425704/a-framework-for-understanding-an-open-scientific-community-using-automated-harvesting-of-public-artifacts
#20
JOURNAL ARTICLE
Star Liu, Asieh Golozar, Nathan Buesgens, Jody-Ann McLeggon, Adam Black, Paul Nagy
BACKGROUND: The Observational Health Data Sciences and Informatics (OHDSI) community has emerged as a leader in observational research on real-world clinical data for promoting evidence for healthcare and decision-making. The community has seen rapid growth in publications, citations, and the number of authors. Components of its successful uptake have been attributed to an open science and collaborative culture for research and development. Investigating the adoption of OHDSI as a field of study provides an opportunity to understand how communities embrace new ideas, onboard new members, and enhance their impact...
April 2024: JAMIA Open
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