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Karthik Anantharaman, Christopher T Brown, Laura A Hug, Itai Sharon, Cindy J Castelle, Alexander J Probst, Brian C Thomas, Andrea Singh, Michael J Wilkins, Ulas Karaoz, Eoin L Brodie, Kenneth H Williams, Susan S Hubbard, Jillian F Banfield
The subterranean world hosts up to one-fifth of all biomass, including microbial communities that drive transformations central to Earth's biogeochemical cycles. However, little is known about how complex microbial communities in such environments are structured, and how inter-organism interactions shape ecosystem function. Here we apply terabase-scale cultivation-independent metagenomics to aquifer sediments and groundwater, and reconstruct 2,540 draft-quality, near-complete and complete strain-resolved genomes that represent the majority of known bacterial phyla as well as 47 newly discovered phylum-level lineages...
October 24, 2016: Nature Communications
Joshua N Hook, David Boan, Don E Davis, Jamie D Aten, John M Ruiz, Thomas Maryon
Hospital safety culture is an integral part of providing high quality care for patients, as well as promoting a safe and healthy environment for healthcare workers. In this article, we explore the extent to which cultural humility, which involves openness to cultural diverse individuals and groups, is related to hospital safety culture. A sample of 2011 hospital employees from four hospitals completed measures of organizational cultural humility and hospital safety culture. Higher perceptions of organizational cultural humility were associated with higher levels of general perceptions of hospital safety, as well as more positive ratings on non-punitive response to error (i...
October 17, 2016: Journal of Clinical Psychology in Medical Settings
Alexander L Macdonald, Nick Sevdalis
BACKGROUND: Adult surgical patient safety literature is plentiful; however, there is a disproportionate paucity of published safety work in the children's surgical literature. We sought to systematically evaluate the nature and quality of patient safety evidence pertaining to pediatric surgical practice. METHODS: Systematic search of MEDLINE and EMBASE databases and gray literature identified 1399 articles. Data pertaining to demographics, methodology, interventions, and outcomes were extracted...
September 24, 2016: Journal of Pediatric Surgery
M T Breen
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Stephanie P Schwartz, Kyle J Rehder
Almost two decades ago, the landmark report "To Err is Human" compelled healthcare to address the large numbers of hospitalized patients experiencing preventable harm. Concurrently, it became clear that the rapidly rising cost of healthcare would be unsustainable in the long-term. As a result, quality improvement methodologies initially rooted in other high reliability industries have become a primary focus of healthcare. Multiple pediatric studies demonstrate remarkable quality and safety improvements in several domains including handoffs, catheter associated blood stream infections, and other serious safety events...
September 27, 2016: Pediatric Research
Ammon A Hills, Mark H Fox, Itala M Wickremasinghe, Wei-Han Tan
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Kimber P Richter, Babalola Faseru, Theresa I Shireman, Laura M Mussulman, Niaman Nazir, Terry Bush, Taneisha S Scheuermann, Kristopher J Preacher, Beatriz H Carlini, Brooke Magnusson, Edward F Ellerbeck, Carol Cramer, David J Cook, Mary J Martell
INTRODUCTION: Few hospitals treat patients' tobacco dependence. To be effective, hospital-initiated cessation interventions must provide at least 1 month of supportive contact post-discharge. STUDY DESIGN: Individually randomized clinical trial. Recruitment commenced July 2011; analyses were conducted October 2014-June 2015. SETTING/PARTICIPANTS: The study was conducted in two large Midwestern hospitals. Participants included smokers who were aged ≥18 years, planned to stay quit after discharge, and spoke English or Spanish...
October 2016: American Journal of Preventive Medicine
Victoria M Steelman, Tamara L Williams, Marilyn K Szekendi, Amy L Halverson, Suzanne M Dintzis, Stephen Pavkovic
Context .- Surgical specimen adverse events can lead to delays in treatment or diagnosis, misdiagnosis, reoperation, inappropriate treatment, and anxiety or serious patient harm. Objectives .- To describe the types and frequency of event reports associated with the management of surgical specimens, the contributing factors, and the level of harm associated with these events. Design .- A retrospective review was undertaken of surgical specimen adverse events and near misses voluntarily reported in the University HealthSystem Consortium Safety Intelligence Patient Safety Organization database by more than 50 health care facilities during a 3-year period (2011-2013)...
September 9, 2016: Archives of Pathology & Laboratory Medicine
Jacquelyn W Blaz, Alexa K Doig, Kristin G Cloyes, Nancy Staggers
BACKGROUND: Standardizing nursing handoffs at shift change is recommended to improve communication, with electronic tools as the primary approach. However, nurses continue to rely on personally created paper-based cognitive artifacts - their "paper brains" - to support handoffs, indicating a deficiency in available electronic versions. OBJECTIVE: The purpose of this qualitative study was to develop a deep understanding of nurses' paper-based cognitive artifacts in the context of a cancer specialty hospital...
2016: Applied Clinical Informatics
Michael G Usher, Christine Fanning, Di Wu, Christine Muglia, Karen Balonze, Deborah Kim, Amay Parikh, Dana Herrigel
PURPOSE: Patients transferred between hospitals are at high risk of adverse events and mortality. This study aims to identify which components of the transfer handoff process are important predictors of adverse events and mortality. MATERIALS AND METHODS: We conducted a retrospective, observational study of 335 consecutive patient transfers to 3 intensive care units at an academic tertiary referral center. We assessed the relationship between handoff documentation completeness and patient outcomes...
August 10, 2016: Journal of Critical Care
Sarah F D'Ambruoso, Anne Coscarelli, Sara Hurvitz, Neil Wenger, David Coniglio, Dusty Donaldson, Christopher Pietras, Anne M Walling
Our case describes the efforts of team members drawn from oncology, palliative care, supportive care, and primary care to assist a woman with advanced cancer in accepting care for her psychosocial distress, integrating prognostic information so that she could share in decisions about treatment planning, involving family in her care, and ultimately transitioning to hospice. Team members in our setting included a medical oncologist, oncology nurse practitioner, palliative care nurse practitioner, oncology social worker, and primary care physician...
August 30, 2016: Journal of Oncology Practice
Ellen P Fischer, Jean C McSweeney, Patricia Wright, Ann Cheney, Geoffrey M Curran, Kathy Henderson, John C Fortney
PURPOSE: To better understand the attitudes, beliefs, and values that influence use of mental health care among rural veterans. METHODS: In-depth, semistructured interviews were conducted with 25 rural veterans and 11 rural mental health care providers in 4 states. Experienced qualitative interviewers asked participants about the attitudinal factors they thought most influenced rural veterans' decisions to seek and sustain mental health care. Verbatim transcriptions were analyzed using content analysis and constant comparison...
September 2016: Journal of Rural Health
Aude Motulsky, Jenna Wong, Jean-Pierre Cordeau, Jorge Pomalaza, Jeffrey Barkun, Robyn Tamblyn
OBJECTIVE: To describe the usage of a novel application (The FLOW) that allows mobile devices to be used for rounding and handoffs. MATERIALS AND METHODS: The FLOW provides a view of patient data and the capacity to enter short notes via personal mobile devices. It was deployed using a "bring-your-own-device" model in 4 pilot units. Social network analysis (SNA) was applied to audit trails in order to visualize usage patterns. A questionnaire was used to describe user experience...
August 22, 2016: Journal of the American Medical Informatics Association: JAMIA
Noa Segall, Alberto S Bonifacio, Atilio Barbeito, Rebecca A Schroeder, Sharon R Perfect, Melanie C Wright, James D Emery, B Zane Atkins, Jeffrey M Taekman, Jonathan B Mark
BACKGROUND: Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach entailed (1) the study of existing practices, (2) the redesign of the handover on the basis of the input of hand over participants and evidence in the medical literature, and (3) the study of the effects of this change on processes and communication...
September 2016: Joint Commission Journal on Quality and Patient Safety
Stephanie Halvorson, Brian Wheeler, Marge Willis, Jennifer Watters, Jamie Eastman, Randy O'Donnell, Matthias Merkel
QUALITY ISSUE: Transfers from intensive care units to acute care units represent a complex care transition for hospitalized patients. Within our institution, variation in transfer practices resulted in unpredictable processes in which patient safety concerns were raised. INITIAL ASSESSMENT: Key stakeholders were engaged across the institution. Patient safety ('incident') reports and a staff survey identified safety concerns. CHOICE OF A SOLUTION: Using lean methodology, current transfer processes were mapped for the four adult intensive care units and waste was identified...
August 17, 2016: International Journal for Quality in Health Care
Alison Small, Diana Gist, Danielle Souza, Joanne Dalton, Cherlie Magny-Normilus, Daniel David
No abstract text is available yet for this article.
October 2016: Journal of Nursing Care Quality
Anthony A Miller, Olivia Ziegler
No abstract text is available yet for this article.
September 2016: Journal of Physician Assistant Education
Stephanie K Mueller, Catherine Yoon, Jeffrey L Schnipper
No abstract text is available yet for this article.
September 1, 2016: JAMA Internal Medicine
Adam J Schoenfeld, Robert M Wachter
No abstract text is available yet for this article.
September 1, 2016: JAMA Internal Medicine
Trevor Teich, Michael C Riddell
No abstract text is available yet for this article.
August 2016: Endocrinology
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