keyword
MENU ▼
Read by QxMD icon Read
search

fast-track

keyword
https://www.readbyqxmd.com/read/29454714/interphysician-differences-in-emergency-department-length-of-stay
#1
Stephen J Traub, Soroush Saghafian, Kurtis Judson, Christopher Russi, Bo Madsen, Stephen Cha, Hannah C Tolson, Leon D Sanchez, Jesse M Pines
BACKGROUND: Emergency physicians differ in many ways with respect to practice. One area in which interphysician practice differences are not well characterized is emergency department (ED) length of stay (LOS). OBJECTIVE: To describe how ED LOS differs among physicians. METHODS: We performed a 3-year, five-ED retrospective study of non-fast-track visits evaluated primarily by physicians. We report each provider's observed LOS, as well as each provider's ratio of observed LOS/expected LOS (LOSO/E ); we determined expected LOS based on site average adjusted for the patient characteristics of age, gender, acuity, and disposition status, as well as the time characteristics of shift, day of week, season, and calendar year...
February 14, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29445590/enhanced-recovery-after-surgery-eras-and-fast-track-in-video-assisted-thoracic-surgery-vats-lobectomy-preoperative-optimisation-and-care-plans
#2
REVIEW
Antonio D'Andrilli, Erino A Rendina
Main specific interventions for preoperative clinical optimisation of patients undergoing lung cancer surgery include assessment and treatment of comorbidities, minimizing preoperative hospitalization, minimizing preoperative fasting, and optimisation of antibiotic and thrombo-embolic prophylaxis. Preoperative patient optimisation is considered a crucial part of enhanced recovery after thoracic surgery pathways. Potentially, advantages of this fast-track management could be even higher when considering video-assisted thoracic surgery (VATS) major lung resection, because reduced trauma related to minimally invasive techniques is one of the main factors improving postoperative outcome...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29439423/a-railway-track-geometry-measuring-trolley-system-based-on-aided-ins
#3
Qijin Chen, Xiaoji Niu, Lili Zuo, Tisheng Zhang, Fuqin Xiao, Yi Liu, Jingnan Liu
Accurate measurement of the railway track geometry is a task of fundamental importance to ensure the track quality in both the construction phase and the regular maintenance stage. Conventional track geometry measuring trolleys (TGMTs) in combination with classical geodetic surveying apparatus such as total stations alone cannot meet the requirements of measurement accuracy and surveying efficiency at the same time. Accurate and fast track geometry surveying applications call for an innovative surveying method that can measure all or most of the track geometric parameters in short time without interrupting the railway traffic...
February 10, 2018: Sensors
https://www.readbyqxmd.com/read/29431135/challenges-of-diagnosis-and-management-of-giant-cell-arteritis-in-general-practice-a-multimethods-study
#4
Toby Helliwell, Sara Muller, Samantha L Hider, James A Prior, Jane C Richardson, Christian D Mallen
BACKGROUND: In the UK, general practitioners (GPs) are usually the first medical contact for patients with suspected giant cell arteritis (GCA). While rare, it is critical not to miss, as delayed treatment can lead to significant complications including permanent visual loss. To date, little is known about the approach and challenges to diagnosis and management of GCA by GPs. OBJECTIVE: To investigate the diagnosis and management of patients with suspected GCA in UK general practice...
February 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29426760/-erratum-to-a-fast-track-to-improve-management-of-neovascular-age-related-macular-degeneration
#5
V Krivosic, E Philippakis, A Couturier, B Dupas, A Erginay, T Desmettre, M Streho, S Bonnin, V Mane, S Jouvaud, V Gualino, D Durand, R Tadayoni
No abstract text is available yet for this article.
February 6, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29425771/early-outcomes-with-fast-track-evar-in-teaching-and-nonteaching-hospitals
#6
Hiranya A Rajasinghe, Larry E Miller, Zvonimir Krajcer
PURPOSE: To determine feasibility, safety, and effectiveness of a fast-track endovascular aneurysm repair (EVAR) protocol at teaching and nonteaching hospitals. METHODS: Patients underwent a fast-track EVAR protocol comprised of bilateral percutaneous access using a 14 Fr stent graft, avoidance of general anesthesia and intensive care admission, and next-day discharge. Patients were followed through 1 month post-treatment. Participating hospitals were categorized by teaching status (teaching vs...
February 6, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29416152/a-prospective-observational-study-comparing-criteria-based-discharge-method-with-traditional-time-based-discharge-method-for-discharging-patients-from-post-anaesthesia-care-unit-undergoing-ambulatory-or-outpatient-minor-surgeries-under-general-anaesthesia
#7
Anuj Jain, Varadarajan Muralidhar, Sanjeev Aneja, Anil Kumar Sharma
Background and Aims: Mostly, institutions in India have single post-anaesthesia care unit (PACU) which follows traditional time-based discharge (TBD) method. Recently, it has been classified into PACU Phase I and Phase II, and criteria-based discharge (CBD) method has been used. This study primarily compares CBD versus TBD methods in moving patients through PACU, and other non-clinical factors causing delay in shifting. Methods: One hundred patients, aged 18-65 years, American Society of Anesthesiologist's physical status I and II, scheduled for elective minor surgeries under general anaesthesia were studied...
January 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29415717/implementing-large-scale-fast-track-diagnostics-in-a-comprehensive-cancer-center-pre-and-post-measurement-data
#8
W H van Harten, N Goedbloed, A H Boekhout, S Heintzbergen
BACKGROUND: In general, patients with a cancer suspicion visit the hospital multiple times before diagnosis is completed. Using various "operations management" techniques a few fast track diagnostic services were implemented in the Netherlands Cancer Institute (NKI) in 2006. Growing patient numbers and increasing process complexity, led to diminished service levels. To decrease the amount of patient visits and to extend these services beyond the (obvious) breast cancer services, fast track diagnostics is now implemented for all 18 cancer types that present with a frequency of minimally one per week...
February 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29414634/anaplastic-thyroid-carcinoma-in-denmark-1996-2012-a-national-prospective-study-of-219-patients
#9
Gitte Bjørn Hvilsom, Stefano Christian Londero, Christoffer Holst Hahn, Sten Schytte, Henrik Baymler Pedersen, Peer Christiansen, Katalin Kiss, Stine Rosenkilde Larsen, Marie Louise Jespersen, Giedrius Lelkaitis, Christian Godballe
BACKGROUND: Anaplastic thyroid carcinoma (ATC) is the least common but most malignant thyroid cancer. We aimed to examine the characteristics as well as evaluate the incidence, prognostic factors, and if introduction of a fast track cancer program might influence survival in a cohort of ATC patients. METHODS: A cohort study based on prospective data from the national Danish thyroid cancer database DATHYRCA and the national Danish Pathology Register including 219 patients diagnosed from 1996 to 2012, whom were followed until death or through September 2014...
January 31, 2018: Cancer Epidemiology
https://www.readbyqxmd.com/read/29405303/iron-deficiency-and-preoperative-anaemia-in-patients-scheduled-for-elective-hip-and-knee-arthroplasty-an-observational-study
#10
Ø Jans, C S Nielsen, N Khan, K Gromov, A Troelsen, H Husted
BACKGROUND AND OBJECTIVES: Preoperative anaemia is prevalent in elderly patients scheduled for major orthopaedic surgery and is associated with increased transfusion risk and postoperative morbidity. New guidelines recommend preoperative correction of anaemia and iron deficiency in all patients with a Hb < 13 g/dl. However, iron deficiency and other causes of preoperative anaemia in hip- (THA) and knee (TKA) arthroplasty are only sparsely studied. MATERIALS AND METHODS: Preoperative Hb and iron status were prospectively collected from 882 unselected elective fast-track THA/TKA patients and analysed according to both WHO anaemia criteria (Hb < 12 g/dl females, <13 g/dl males) and Hb < 13 g/dl for both genders...
February 6, 2018: Vox Sanguinis
https://www.readbyqxmd.com/read/29397471/animal-transgenesis-on-the-fast-track-in-the-era-of-evolving-genome-editing-technologies-report-for-tt2017-the-14th-transgenic-technology-meeting-in-snowbird-utah
#11
Yasuhide Furuta, Hiroshi Kiyonari
No abstract text is available yet for this article.
February 3, 2018: Transgenic Research
https://www.readbyqxmd.com/read/29395815/association-of-oral-intake-and-transient-mixed-venous-oxygen-desaturation-in-patients-undergoing-fast-track-postoperative-care-after-open-heart-surgery
#12
Yuichi Maki, Daisuke Toyoda, Keiko Tomichi, Jun Onodera, Yoshifumi Kotake
OBJECTIVE: The impact of early resumption of oral intake after cardiac surgery on hemodynamics has not been characterized. The authors examined the effects of early oral intake on the oxygen supply-demand relationship in patients undergoing on-pump cardiac surgery in an early recovery after surgery program. DESIGN: Prospective data were collected in postcardiac surgical patients in a multidisciplinary intensive care unit (ICU) during an 18-month period. SETTING: Single institution study...
December 20, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29387645/clinical-evidence-of-traditional-vs-fast-track-recovery-methodologies-after-total-arthroplasty-for-osteoarthritic-knee-treatment-a-retrospective-observational-study
#13
Sergio Castorina, Claudia Guglielmino, Paola Castrogiovanni, Marta Anna Szychlinska, Francesco Ioppolo, Paolo Massimino, Pietro Leonardi, Christian Maci, Maurizio Iannuzzi, Angelo Di Giunta, Giuseppe Musumeci
Background: During the last years, programs to enhance postoperative recovery and decrease morbidity after total knee arthroplasty, have been developed across a variety of surgical procedures and referred to as "Fast-Track Surgery". In this study we aimed to find some answers in the management of osteoarthritic patients subjected to total knee arthroplasty, by using the Fast-Track methodology. To this purpose we evaluated parameters such as early mobilization of patients, better pain management, bleeding, possible complications, reduced hospitalization time, an overall improved recovery and patient satisfaction...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29385864/effects-of-implementing-time-variable-postgraduate-training-programmes-on-the-organization-of-teaching-hospital-departments
#14
Tiuri R van Rossum, Fedde Scheele, Henk E Sluiter, Emma Paternotte, Ide C Heyligers
INTRODUCTION: As competency-based education has gained currency in postgraduate medical education, it is acknowledged that trainees, having individual learning curves, acquire the desired competencies at different paces. To accommodate their different learning needs, time-variable curricula have been introduced making training no longer time-bound. This paradigm has many consequences and will, predictably, impact the organization of teaching hospitals. The purpose of this study was to determine the effects of time-variable postgraduate education on the organization of teaching hospital departments...
January 31, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29379886/improving-colorectal-cancer-referrals
#15
Claire Gregory
The colorectal services at The Royal Bournemouth Hospital needed to adapt to meet the extra demand on fast-track patient referrals to the outpatient department, as a consequence of the changes in the National Institute for Health and Care Excellence (NICE) guidance on cancer referrals in June 2015. Learning from other units, a telephone assessment clinic (TAC) triaging patients straight to colonoscopy was trialled. A Plan-Do-Study-Act (PDSA) methodology was used. A baseline study showed that fast-track colorectal patients referred from their general practitioner (GP) were taking on average 30 days until they received their colonoscopy...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29373978/is-eras-effective-and-safe-in-laparoscopic-gastrectomy-for-gastric-carcinoma-a-meta-analysis
#16
Ming-Zhe Li, Wen-Hui Wu, Liang Li, Xue-Fu Zhou, Heng-Liang Zhu, Jian-Feng Li, Yu-Long He
BACKGROUND: It is still unclear whether enhanced recovery after surgery is effective and safe in laparoscopic gastrectomy for gastric carcinoma. METHODS: Cochrane library databases, Medline, Embase, and Pubmed were searched from January 1, 1986, to December 31, 2016. Randomized controlled trials (RCTs) comparing fast-track recovery with conventional recovery strategies in laparoscopic radical gastrectomy for gastric carcinoma were included. The main outcomes measured were postoperative hospital stay, time to first flatus, hospital charge, and overall complication rate...
January 26, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29370357/ultra-fast-track-minimally-invasive-aortic-valve-replacement-going-beyond-reduced-incisions
#17
Marco Di Eusanio, Walter Vessella, Roberto Carozza, Filippo Capestro, Alessandro D'Alfonso, Carlo Zingaro, Christopher Munch, Paolo Berretta
Aortic valve replacement (AVR) via a median sternotomy approach has been largely reported to be safe and long-term efficacious, and currently represents the 'gold standard' approach for aortic stenosis treatment. However, aortic valve surgery has undergone continuous development over the last years, involving less invasive techniques and new technologies to reduce the traumatic impact of the intervention and extend the operability toward increasingly high-risk patients. Indeed, minimally invasive AVR and transcatheter aortic valve replacement caseload have steadily increased leading to a paradigm shift in the treatment of aortic valve disease...
January 23, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29365108/novel-fast-track-recovery-protocol-for-alternative-access-transcatheter-aortic-valve-replacement-application-to-non-femoral-approaches
#18
Ahmed A Kolkailah, Sameer A Hirji, Julius I Ejiofor, Fernando Ramirez Del Val, Jiyae Lee, Anthony V Norman, Siobhan McGurk, Sadiqa Mahmood, Douglas Shook, Kamen Vlassakov, Charles B Nyman, Pinak Shah, Marc P Pelletier, Tsuyoshi Kaneko
OBJECTIVES: Although the transfemoral approach for transcatheter aortic valve replacement is the preferred choice, alternative access remains indicated for inadequate iliofemoral vessels. We report the successful implementation of a novel fast-track (FT) protocol for patients undergoing alternative access transcatheter aortic valve replacement compared with conventional controls. METHODS: Between September 2014 and January 2017, 31 and 23 patients underwent alternative access transcatheter aortic valve replacement under FT and pre-fast-track (p-FT) protocols, respectively...
January 22, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29359533/the-city-of-johannesburg-can-end-aids-by-2030-modelling-the-impact-of-achieving-the-fast-track-targets-and-what-it-will-take-to-get-there
#19
Robyn M Stuart, Nicole Fraser-Hurt, Cliff C Kerr, Emily Mabusela, Vusi Madi, Fredrika Mkhwanazi, Yogan Pillay, Peter Barron, Batanayi Muzah, Thulani Matsebula, Marelize Gorgens, David P Wilson
INTRODUCTION: In 2014, city leaders from around the world endorsed the Paris Declaration on Fast-Track Cities, pledging to achieve the 2020 and 2030 HIV targets championed by UNAIDS. The City of Johannesburg - one of South Africa's metropolitan municipalities and also a health district - has over 600,000 people living with HIV (PLHIV), more than any other city worldwide. We estimate what it would take in terms of programmatic targets and costs for the City of Johannesburg to meet the Fast-Track targets, and demonstrate the impact that this would have...
January 2018: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29358446/assessing-the-impact-of-the-national-department-of-health-s-national-adherence-guidelines-for-chronic-diseases-in-south-africa-using-routinely-collected-data-a-cluster-randomised-evaluation
#20
Matthew P Fox, Sophie J Pascoe, Amy N Huber, Joshua Murphy, Mokgadi Phokojoe, Marelize Gorgens, Sydney Rosen, David Wilson, Yogan Pillay, Nicole Fraser-Hurt
INTRODUCTION: In 2016, South Africa's National Department of Health (NDOH) launched the National Adherence Guidelines for Chronic Diseases for phased implementation throughout South Africa. Early implementation of a 'minimum package' of eight interventions in the Adherence Guidelines for patients with HIV is being undertaken at 12 primary health clinics and community health centres in four provinces. NDOH and its partners are evaluating the impact of five of the interventions in four provinces in South Africa...
January 21, 2018: BMJ Open
keyword
keyword
14824
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"