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https://www.readbyqxmd.com/read/27908638/using-the-acmge-milestones-as-a-handover-tool-from-medical-school-to-surgery-residency
#1
Lauren M Wancata, Helen Morgan, Gurjit Sandhu, Sally Santen, David T Hughes
OBJECTIVE: To map current medical school assessments for graduating students to the Accreditation Council for Graduate Medical Education (ACGME) milestones in general surgery, and to pass forward individual performance metrics on level 1 milestones to receiving residency programs. DESIGN: The study included 20 senior medical students who were accepted into surgery internship positions. Data from medical school performance assessments from the third-year surgery clerkship, fourth-year surgery rotations, fourth-year surgery boot camp, Clinical Competency Assessment Examination, and United States Medical Licensing Examination (USMLE) Step 1 and 2 examinations were used to map each student's competency assessments to the General Surgery Milestones based on a scoring system created and validated by independent assessors...
November 28, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27900413/recommendations-of-the-german-association-of-anesthesiology-and-intensive-care-medicine-dgai-on-structured-patient-handover-in-the-perioperative-setting-the-sbar-concept
#2
V von Dossow, B Zwissler
Teamwork in the operating room and in the intensive care unit necessitates clear and precise communication; however, interruptions in communication frequently occur, especially in the perioperative phase. Patients are particularly susceptible to deficits in communication, e.g. due to higher stress peaks, simultaneous admission of several patients and concomitant treatment of emergency cases. The German Society of Anesthesiology and Intensive Care Medicine (DGAI) therefore recommends the implementation of the so-called SBAR concept (S situation, B background, A assessment, R recommendation) for standardization of patient handover...
November 29, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27890305/capacity-building-for-critical-care-training-delivery-development-and-evaluation-of-the-network-for-improving-critical-care-skills-training-nicst-programme-in-sri-lanka
#3
Tim Stephens, A Pubudu De Silva, Abi Beane, John Welch, Chathurani Sigera, Sunil De Alwis, Priyantha Athapattu, Dilantha Dharmagunawardene, Lalitha Peiris, Somalatha Siriwardana, Ashoka Abeynayaka, Kosala Saroj Amarasena Jayasinghe, Palitha G Mahipala, Arjen Dondorp, Rashan Haniffa
OBJECTIVES: To deliver and evaluate a short critical care nurse training course whilst simultaneously building local training capacity. RESEARCH METHODOLOGY: A multi-modal short course for critical care nursing skills was delivered in seven training blocks, from 06/2013-11/2014. Each training block included a Train the Trainer programme. The project was evaluated using Kirkpatrick's Hierarchy of Learning. There was a graded hand over of responsibility for course delivery from overseas to local faculty between 2013 and 2014...
November 24, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/27875383/predictors-of-hospital-nurses-safety-practices-work-environment-workload-job-satisfaction-and-error-reporting
#4
Hui-Ying Chiang, Ya-Chu Hsiao, Huan-Fang Lee
Nurses' safety practices of medication administration, prevention of falls and unplanned extubations, and handover are essentials to patient safety. This study explored the prediction between such safety practices and work environment factors, workload, job satisfaction, and error-reporting culture of 1429 Taiwanese nurses. Nurses' job satisfaction, error-reporting culture, and one environmental factor of nursing quality were found to be major predictors of safety practices. The other environment factors related to professional development and participation in hospital affairs and nurses' workload had limited predictive effects on the safety practices...
November 21, 2016: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27874980/nurses-shift-reports-a-systematic-literature-search-and-critical-review-of-qualitative-field-studies
#5
REVIEW
Niels Buus, Bente Hoeck, Bridget Elizabeth Hamilton
AIMS AND OBJECTIVES: The aim was to identify reporting practices that feature in studies of nurses' shift reports across diverse nursing specialities. The objectives were to perform an exhaustive systematic literature search and to critically review the quality and findings of qualitative field studies of nurses' shift reports. BACKGROUND: Nurses' shift reports are routine occurrences in healthcare organisations that are viewed as crucial for patient outcomes, patient safety and continuity of care...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27850915/1279-identifying-what-is-known-about-operating-room-to-icu-handovers-a-scoping-review
#6
Karolina Zjadewicz, Kirsten Deemer
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850846/1210-considerations-for-implementing-a-successful-or-icu-handover-procedure-in-a-large-trauma-centre
#7
Karolina Zjadewicz, Andrea Soo, Jennifer Coulthard, Paul Boucher, Paul Boiteau
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27846127/nursing-clinical-handover-improvement-practices-among-acute-inpatients-in-a-tertiary-hospital-in-sydney-a-best-practice-implementation-project
#8
Craig Wainwright, Kylie M Wright
BACKGROUND: The nursing handover normally occurs at the beginning of a nurse's shift and is considered essential for continuity of care. Nursing handovers have the potential to communicate accurate information about a patient's condition, treatment and anticipated needs but also to be ineffective or even harmful if information is incomplete or omitted. The Australian Commission on Safety and Quality in Health Care has recognized clinical handover as a National Standard, thus reinforcing its importance...
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27832465/ethnographic-analysis-on-the-use-of-the-electronic-medical-record-for-clinical-handoff
#9
Philippa Nelson, Anthony J Bell, Larry Nathanson, Leon D Sanchez, Jonathan Fisher, Philip D Anderson
The objective of this study was to understand the social elements of clinical and organizational interactions of the key stakeholders in the specific context of an electronic dashboard used by the emergency department (ED) and inpatient medicine teams at the time of clinical referral and handover. An electronic handover function is utilised at the ED-inpatient interface at this institution and has given clinicians the ability to better communicate, monitor the department and strive to improve patient safety in streamline the delivery of care in the acute phase...
November 10, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27829453/measuring-the-operational-impact-of-digitized-hospital-records-a-mixed-methods-study
#10
Philip J Scott, Paul J Curley, Paul B Williams, Ian P Linehan, Steven H Shaha
BACKGROUND: Digitized (scanned) medical records have been seen as a means for hospitals to reduce costs and improve access to records. However, clinical usability of digitized records can potentially have negative effects on productivity. METHODS: Data were collected during follow-up outpatient consultations in two NHS hospitals by non-clinical observers using a work sampling approach in which pre-defined categories of clinician time usage were specified. Quantitative data was analysed using two-way ANOVA models and the Mann-Whitney U test...
November 10, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27821676/meta-analyses-of-the-effects-of-standardized-handoff-protocols-on-patient-provider-and-organizational-outcomes
#11
Joseph R Keebler, Elizabeth H Lazzara, Brady S Patzer, Evan M Palmer, John P Plummer, Dustin C Smith, Victoria Lew, Sarah Fouquet, Y Raymond Chan, Robert Riss
OBJECTIVE: The overall purpose was to understand the effects of handoff protocols using meta-analytic approaches. BACKGROUND: Standardized protocols have been required by the Joint Commission, but meta-analytic integration of handoff protocol research has not been conducted. METHOD: The primary outcomes investigated were handoff information passed during transitions of care, patient outcomes, provider outcomes, and organizational outcomes...
December 2016: Human Factors
https://www.readbyqxmd.com/read/27821016/the-functions-and-roles-of-questioning-during-nursing-handovers-in-specialty-settings-an-ethnographic-study
#12
Sascha Rixon, Sandra Braaf, Allison Williams, Danny Liew, Elizabeth Manias
BACKGROUND: Nursing handovers are an important component of patient safety and quality in communicating across transitions of care. OBJECTIVES: To determine the functions and roles of questions in nursing handovers, and of how questions contribute to handover quality improvement in specialty settings of an Australian tertiary hospital. DESIGN: An ethnographic research design was employed. METHODS: Participant observations were conducted, which were audiorecorded and transcribed...
November 7, 2016: Contemporary Nurse
https://www.readbyqxmd.com/read/27814388/new-vertical-handover-method-to-optimize-utilization-of-wireless-local-area-network-in-high-speed-environment
#13
Hoe Tung Yew, Eko Supriyanto, Muhammad Haikal Satria, Yuan Wen Hau
In heterogeneous wireless networks, wireless local area network (WLAN) is highly preferred by mobile terminals (MTs) owing to its high transmission bandwidth and low access cost. However, in high-speed environment, handover from a cellular network to a WLAN cell will lead to a high number of handover failures and unnecessary handovers due to the WLAN coverage limitation and will become worse at high speed. A new vertical handover method is proposed to minimize the probability of handover failure and unnecessary handover while maximizing the usage of WLAN in high-speed environment...
2016: PloS One
https://www.readbyqxmd.com/read/27805952/improving-learner-handovers-in-medical-education
#14
Eric J Warm, Robert Englander, Anne Pereira, Paul Barach
Multiple studies have demonstrated that the information included in the Medical Student Performance Evaluation fails to reliably predict medical students' future performance. This faulty transfer of information can lead to harm when poorly prepared students fail out of residency or, worse, are shuttled through the medical education system without an honest accounting of their performance. Such poor learner handovers likely arise from two root causes: (1) the absence of agreed-on outcomes of training and/or accepted assessments of those outcomes, and (2) the lack of standardized ways to communicate the results of those assessments...
November 1, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27804191/patient-and-nurse-preferences-for-implementation-of-bedside-handover-do-they-agree-findings-from-a-discrete-choice-experiment
#15
Jennifer A Whitty, Jean Spinks, Tracey Bucknall, Georgia Tobiano, Wendy Chaboyer
OBJECTIVE: To describe and compare patients' and nurses' preferences for the implementation of bedside handover. DESIGN: Discrete choice experiment describing handover choices using six characteristics: whether the patient is invited to participate; whether a family member/carer/friend is invited; the number of nurses present; the level of patient involvement; the information content; and privacy. SETTING: Two Australian hospitals. PARTICIPANTS: Adult patients (n=401) and nurses (n=200) recruited from medical wards...
November 2, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/27793165/surviving-critical-illness-what-is-next-an-expert-consensus-statement-on-physical-rehabilitation-after-hospital-discharge
#16
M E Major, R Kwakman, M E Kho, B Connolly, D McWilliams, L Denehy, S Hanekom, S Patman, R Gosselink, C Jones, F Nollet, D M Needham, R H H Engelbert, M van der Schaaf
BACKGROUND: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness? METHODS: A Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record...
October 29, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27749720/patient-centered-handovers-ethnographic-observations-of-attending-and-resident-physicians-ethnographic-observations-of-attending-and-resident-physicians
#17
Austin F Mount-Campbell, Michael F Rayo, James J O╩╝Brien, Theodore T Allen, Emily S Patterson
Handover communication improvement initiatives typically employ a "one size fits all" approach. A human factors perspective has the potential to guide how to tailor interventions to roles, levels of experience, settings, and types of patients. We conducted ethnographic observations of sign-outs by attending and resident physicians in 2 medical intensive care units at one institution. Digitally audiotaped data were manually analyzed for content using codes and time spent using box plots for emergent categories...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27726973/frequency-of-vital-sign-assessment-and-clinical-deterioration-in-an-australian-emergency-department
#18
Katherine Lambe, Judy Currey, Julie Considine
BACKGROUND: Understanding of clinical deterioration of emergency department patients is rapidly evolving. The aim of this study was to investigate the frequency and nature of vital sign collection and clinical deterioration in emergency care. METHODS: A descriptive exploratory approach was used. Data were collected from the records of 200 randomly selected adults with presenting complaints of abdominal pain, shortness of breath, chest pain and febrile illness from 1 January to 31 December 2014 at a 22 bed emergency department in Melbourne, Australia...
October 7, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27715449/cdc42-in-actin-dynamics-an-ordered-pathway-governed-by-complex-equilibria-and-directional-effector-handover
#19
Joanna R Watson, Darerca Owen, Helen R Mott
The small GTPase, Cdc42, is a key regulator of actin dynamics, functioning to connect multiple signals to actin polymerization through effector proteins of the Wiskott-Aldrich syndrome protein (WASP) and Transducer of Cdc42-dependent actin assembly (TOCA) families. WASP family members serve to couple Cdc42 with the actin nucleator, the Arp2/3 complex, via direct interactions. The regulation of these proteins in the context of actin dynamics has been extensively studied. Studies on the TOCA family, however, are more limited and relatively little is known about their roles and regulation...
August 11, 2016: Small GTPases
https://www.readbyqxmd.com/read/27708808/managing-perturbations-during-handover-meetings-a-joint-activity-framework
#20
Eric Mayor, Adrian Bangerter
AIM: To document the prevalence of perturbations of handover meetings and understand how nurses manage temporal, physical and social meeting boundaries in response to perturbations. BACKGROUND: Handovers are joint activities performed collaboratively by participating nurses. Perturbations of handover are frequent and may potentially threaten continuity of care. DESIGN: We observed and videotaped handovers during five successive days in four nursing care units in two Swiss hospitals in 2009...
November 2015: Nursing Open
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